A listing of therapists doing family therapy

Pastoral Psychology -     

Ethical decision making among family therapists and individual therapists

In this study, we investigated the ethical decision making of 30 individual and 30 family therapists in order to detect the types of decision making used by practicing therapists. Informants responded to three ethical dilemmas. Two of the situations were hypothetical. The third dilemma was a situation the informant had experienced in practice. Each interview was assessed for decision-making style, using content analysis. Kohlberg's justice reasoning and Gilligan's care reasoning provided the conceptual foundations for this analysis. The results suggest that both family and individual therapists prefer care reasoning on all dilemma types. There was significantly more care reasoning demonstrated on the personal dilemma than on the hypothetical dilemmas. Characteristics of informants did not provide clear explanations for the differences found in reasoning.     

Understanding family violence: An orientation for family therapists

This paper offers clinicians an introduction to the broad, foundational issues underlying an informed approach to treating intrafamily violence. Important assumptions, drawn mostly from the work of empirical researchers, are provided. One holds that the recognition and treatment of family violence is an appropriate concern for most family therapists and not merely for those who work with the spectacular, notorious tip of the iceberg cases. Assessment and some treatment issues including spouse abuse, child abuse, and abusive adolescents are discussed briefly. Some commonly held therapeutic assumptions are challenged. Systemic approaches, rather than individual treatment, are considered appropriate for most cases.This paper draws heavily from the work of the Family Violence Research Program at the University of New Hampshire, although the interpretations made of such materials are the responsibility of the author. Appreciation is expressed to Craig A. Everett, PhD, and Alice Mancill Nichols for helpful comments and assistance.     

Family therapists and families of cult members

One to three million bright young adults have been or are presently involved with “deviant religions,” also known as cults. They, or their families, frequently seek therapeutic aid during or after the involvement, but too few psychologists or other therapists in private practice are adequately prepared to help them. To remedy the situation, information is presented on cults in general, cult members, and families of cult members.     

Simulation in training family therapists: Process and outcome

This article reviews procedures for using simulated families in the training of novice-level family therapists. An evaluation of one training experience is described. The evaluation utilized a repeated measures analysis and found an increase in the student's observational and conceptual skill development.The authors would like to express appreciation to Douglas C. Breunlin, M.S.S.A. for helpful comments in the preparation of this article.     

A developmental view of therapeutic bonding in the family: treatment of the disconnected family

Data from an ongoing research study have been used to identify a subgroup of families of severely ill, young adults who present formidable treatment challenges to the family therapist. The disconnected family is characterized by disturbances in attachment between one or both parents and the patient. In many cases, disturbances in attachment and caretaking in the family of origin are reported for the parents in these families. Disconnected families that also have intense emotional styles of relating are particularly difficult to treat. A treatment model that focuses on intergenerational attachment issues is described.     

Healthy family functioning: What family therapists,priests, and ministers say

This study compared the concepts of healthy family functioning as perceived by family therapists, Roman Catholic priests, and Southern Baptist ministers. The therapists emphasized the importance of individuation and flexibility. In contrast, the ministers placed greater emphasis on family togetherness rather than individuation, and both the ministers and the priests placed greater emphasis on structure and authority rather than flexibility. The implication of these and other findings are discussed.     

Confidentiality: an ethical and legal conundrum for family therapists

There are several important issues influencing the holding of confidences in family therapy, among them are privacy, family secrets, confidentiality, and privileged communication. Clinicians need to be aware that breach of confidentiality is considered a high-risk area in clinical practice, which could be brought within a "low profile" malpractice configuration by adopting certain risk management techniques. Family therapists have an obligation to maintain their practice under the guidance of professional ethics, agency policies/procedures, and within emerging judicial parameters. The questions of confidentiality that confront family therapists have no clear and easy answers and the legal dilemma is ever present.     

Family therapists, community, and civic renewal

In this article, we review family therapy's history regarding community concerns and broader societal issues; offer a model of levels of therapists' involvement with communities and community systems; and propose that family therapists join the citizen activation movement by becoming catalytic partners with families in communities. We call for a new kind of community practice that is driven less by therapist-defined problems and professional expertise, and more by community-defined problems and families' own expertise.     

Alcoholism treatment and marriage and family therapists: An empirical study

This article reports on results of a mail questionnaire study conducted among 257 members of the American Association for Marriage and Family Therapy (132 respondents, response rate of 51%) on their attitudes toward alcoholism issues (acceptance of alcoholism as a disease, treatment philosophies used with clients and/or families, and acceptance and use of Alcoholics Anonymous as a resource). Results indicated that 69% of respondents (as compared with 42% formerly) considered alcoholism a disease after MFT education. A combination of individual, family therapy, and AA (81.1%); family therapy (66.7%); and AA only (60.6%) were most often used. Controlled use of alcohol by clients in treatment was believed to be unethical by 43.2%, legal by 39.4% and ineffective by 54.5%.     

Critical incidents: Life events for experienced family therapists

Summary The results of this investigation suggest that therapists' professional style and clinical use of self patterns are impacted by critical life events occurring in their personal life. Many subjects reflected on how changes in their family constellations (both family of origin and family of procreation) were important to their professional development. They frequently mentioned that marriage, children, divorce, and illness or death of a loved one impacted their personal and, then, their professional lives. The important life events of becoming a parent or losing a significant loved one was specifically mentioned as strongly influencing changes in one's professional direction and therapeutic style.Becoming a parent caused the interviewees to reevaluate their expectations of their own parents, their client families and themselves. Changes in career aspirations, interactional patterns, and the capacity to be consistent and calm were explored and understood differently. Many subjects described how this transition in their own life shifted their primary focus and altered many of their existing relationships. In particular, female therapists with younger children related how their sense of being female changed. They sought out other women for intimate contact more frequently, they understood their own mothers better, and they frequently were less judgmental of mothers in their client families.Along with creating their own families, death of a parent was keynoted as having a strong impact on the subjects' personal and professional lives. They described questioning (and frequently changing) the amount of time they spent working and the type of work they did. Many began to push for more emotionally intense relationships personally and therapeutically. Detailing how their therapeutic goals for a family now included connection-making rather than just problem solving, they described being much more willing to share their vulnerabilities and personal needs with clients.     

Mankind and Kind Men: an agenda for male family therapists

This article examines some of the gender issues involved when male therapists interview women, children and other men. It looks at issues in the family life of male therapists which have parallels with therapy, and offers some practical suggestions for beginning to overcome obstacles of gender in therapy.     

A systemic view of family therapy ethics

A critical review of the literature on family therapy ethics is used to develop the proposition that a more systemic analysis is needed, one that includes the levels of therapist and society as well as patient (family). These ideas are discussed through reexamining the issues of family secrets, therapist deceptiveness, and therapist advocacy of personal (feminist) values.     

Shame,attachment, and addictions: Implications for family therapists

Research based on attachment theory is reviewed for its relevance to the development of later addictions. The problem of internalized shame as an attachment related issue is discussed. Some original research into internalized shame using the Internalized Shame Scale is summarized. The relevance of this research and theory for family of origin based treatment of addictions is explored.     

The hidden future: A global view from another paradigm

The authors discuss the idea that sexual inequality may be a key to the world problematique. New findings from the social sciences, history, and prehistory are presented indicating a correlation between social violence and male‐dominated culture.     

Attributions related to wife abuse: A comparison of the perceptions of volunteer advocate-counselors and marriage and family therapists

Attributions related to wife abuse held by advocate-counselors working in women's shelter home settings and marriage and family therapists were compared. The major finding was that the two groups were surprisingly similar in their attributions even though their theoretical backgrounds and training were considerably different. Implications for practice and training are presented.