Justice as a Family Value: How a Commitment to Fairness is Compatible with Love

Many discussions of love and the family treat issues of justice as something alien. On this view, concerns about whether one's family is internally just are in tension with the modes of interaction that are characteristic of loving families. In this essay, we challenge this widespread view. We argue that once justice becomes a shared family concern, its pursuit is compatible with loving familial relations. We examine four arguments for the thesis that a concern with justice is not at home within a loving family, and we explain why these arguments fail. We develop and defend an alternative conception of the justice‐oriented loving family, arguing that justice can—and, for the sake of justice, should—be seen as a family value.     

Family boundary ambiguity: a new variable in family stress theory

The variable, degree of family boundary ambiguity, is increasingly being used in family research to describe and predict the effects of family membership loss and change over time. Boundary ambiguity is defined as the family not knowing who is in and who is out of the system. The family may perceive a physically absent member as psychologically present or a physically present member as psychologically absent. In either case, the family boundary is ambiguous. This review is presented to clarify the meaning of boundary ambiguity and to explore its scope and application as a variable. We focus here on (a) the process of theory development, inductive and deductive, by which the construct of boundary ambiguity was identified and validated as a continuous variable within family stress theory; (b) the historical antecedents of the construct; and (c) the interrelationships of the variable with other factors related to stressed families.     

Therapist and Family Values in a Cultural Context

In this article the author discusses the nature, complexity, meaning, and function of values, their presence in the family counselor or therapist as well as in the family in treatment, and the consequences for treatment of the interplay between those two value systems. A brief conceptualization of values is offered, followed by (a) a discussion of family language as a key to identifying salient values, (b) where values are experienced, (c) timing as a value in counseling, (d) the relationship between therapy and the ideology of cultural relativism, (e) midwestern American farming family values thai illustrate an ethnographic approach to family assessment and intervention, and if) therapist values and the professional values of family therapy as a social movement. A number of vignettes from the author's work with families and supervision of family medicine residents in family counseling illustrate the theoretical and methodological issues that are raised.     

Treating family relational trauma: a recursive process using a decision dialogue

This article describes a therapeutic process that combines individual and family sessions to maximize therapeutic opportunities to bring forward, understand, validate, and empower children's experience as equal participants in family therapy. The aim is to strengthen relational bonds within the family. Drawing from earlier work with families where incest had occurred, the authors present a recursive process that utilizes a "decision dialogue" to link individual and family sessions. Clinical examples are provided.     

The use of a double-blind drug trial in family therapy to demedicalize a problem

A family therapy approach to a problem that had led previous clinicians to diagnose and treat a child as 'hyperkinetic', is described. The resistance to change that the preceding diagnosis had inculcated, is described. A method of overcoming this resistance by active involvement of the family in a double-blind trial of the drug treatment, was devised and used concurrently with a structural form of family therapy.     

家庭心理治疗：一种科学的治疗理念

家庭心理治疗作为一种新的、科学的治疗理念正引起心理治疗专家和学者的普遍兴趣和关注。它着眼于家庭和家庭内部关系,把一种新的治疗理念引入了心理治疗领域。在介绍家庭心理治疗基本问题和国内外发展概况的基础上,论述其在中国存在和发展的必然性及可能性,旨在为我国家庭心理治疗的发展和应用提供参考。     

The Emergence of Eric: Co-Therapy in the Treatment of a Family with a Disabled Child

This paper focuses on the problem of socialization of the disabled child within his family. For the family of the disabled child, socialization is doubly challenging; the family must teach its child not only how to be human, but also how to be disabled in the larger society. Often families of disabled children need help in enhancing their child's participation in family life — a critical aspect of socialization. One highly effective means of assisting families in this task is the use of family therapy. A case study is included to illustrate the use of family interviewing with a congenitally blind adolescent boy. Two therapists — a rehabilitation counselor (who is blind) from a state agency serving blind children^a and a social worker from a child guidance agency^b— collaborated in working with the family, which included a mother, father, their congenitally blind thirteen-year-old boy, and his two sighted brothers. The authors conclude that the child's family is the most potentially powerful resource for the successful habilitation of the disabled child into larger society and postulate family treatment as an effective means of attaining this end.     

Research as a family therapy intervention technique

The utilization of the research process as an intervention has recently been described in the family therapy literature. However, it is important to draw a distinction between research as intervention and research as a unique family therapy intervention technique. From a family systems perspective, research as an intervention technique may make therapy more palatable for some families. A case study is presented in which this technique created the context for change for a family involved in a chronic illness research project.The author would like to thank Dr. Wendy L. Watson for her participation as a member of the clinical team and Drs. Fabie Duhamel and Wendy L. Watson for their helpful critiques on earlier drafts of this paper.Supported by a grant from the Albert Foundation for Nursing Research.     

Teenage depression: a cultural-interpersonal-intrapsychic perspective

The "crossroads families" are caught between old value systems and American mainstream goals. Traditional family and sex-related roles and orientations conflict with those of the new social system. In turn, neither of the teenager's orientations--toward home or toward peer activity--is validated. In the clinical case presented, Anna, at adolescence, wants to relinquish many of her household chores and enter her social world more fully. She needs unconflictual support for such a move. If this does not take place, her autonomous movement represents an unconscious betrayal of her depleted and controlling mother as well as an abandonment of the parental coalition. This leaves her feeling resentful, guilty, and ultimately unlovable. Attitudes marked by helplessness and confusion are thus significant to the depressed affect that brings this teenager into family therapy. Teenagers of non-Hispanic background who enter family therapy reveal gross overlap with teenagers of the Hispanic "crossroads" family model. Here, the family gives mixed messages for homebound and intimate closeness as well as accomplishment in the societal mainstream. A primary difference between ethnic groups involves the freer expressions of anger and pain between husband and wife in the non-Hispanic families. This is not similar to the backgrounds of the more individuated Hispanic teenagers. While more open expressions of anger within the family do indicate higher levels of autonomy, the hostility that is expressed by the parents presents serious complications when this includes "triangulating" the child into the family tension. Here, as cited, the mother often uses her daughter as a confidant and ally at times of severe parental discord. This places additional strain on the child's conflict with separation. Importantly, the daughter experiences renewed rejection and betrayal when the mother "submits" to her spouse. These are significant family processes that heighten mixed messages around autonomy. Milagros, a depressed (more individuated) adolescent, is consistently entangled into her parent's abrasive relationship. Her interpersonal family struggles have become intrapsychic and, ultimately, transferential.     

Defining a family heritage and a new relationship identity: two central tasks in the making of a marriage

The roles of origin family environmental characteristics and couple consensus-building process within the development of marital relationships were examined prospectively in 16 premarital couples. Three important findings emerged. First, significant correlations were found between dimensions of origin family environment and the reported level of satisfaction within the couple's current relationship. Second, measures of the couple's ability to reach consensus concerning important interpersonal relationships appeared to be important mediators of the association between origin family environment and current relationship satisfaction. Third, important gender differences emerged that replicate and extend prior findings that portray women in the role of "relationship specialist" within their marriages. As a group, these findings were best explained by a developmental model of early marriage that envisions the young couple as facing two entwined tasks: to define both their family heritage and their new relationship identity. Overall, the importance of examining family-of-origin characteristics and consensus-building process as critical determinants of the fate of intimate relationships received strong support. The gender differences found in the literature reviewed, as well as the results of this study, have largely been overlooked by the theory and practice of family therapy. Efforts on both the research and theory construction fronts are needed to increase our understanding of the mechanisms whereby prior family experience is brought forward into current intimate relationships.     

Changes in Family Structure After a Renal Transplant

Two girls (9 and 10 years old) and one male adolescent (19 years old) with chronic renal failure (CRF) were studied along with their families in order to evaluate their family structure before (4–5 weeks) and after (3–5 weeks) a renal transplant from a live donor. After the renal transplant there was a close association between the donor and the recipient that led to the creation of an alliance or the reinforcement of an alliance already present before the transplant. This may favor a family disruption or a better family equilibrium depending upon whether the donor ranked highest in the family hierarchy and was already in a rigid alliance with the patient before the transplant. It is suggested that the study and diagnosis of the family structure before the renal transplant may help to: (a) select the most suitable donor candidate from a biological as well as psychological point of view so as to allow a better possibility of success in the structural functioning of the family after the transplant; (b) predict changes that will appear within the family after the transplant, which in turn may alert the personnel to detect changes in the family structure as early as possible; and (c) offer more rapid therapeutic assistance to bring the family back to a functional level within its social framework.     

A family therapy workshop: a review of a two-year experiment in a Social Services Department

As family therapy ceases to be regarded as a passing fashion, and becomes recognized as a real therapeutic force, the need for new forms of support and supervision is becoming ever more apparent. This paper describes and evaluates the supervisory system for family therapy set up by an Area Group in a Local Authority Social Services Department and plans to do so in a way which has practical application for workers in a variety of settings.     

Design as a Tool for Family Evolutionary Guidance

This article begins by describing the impact of systems science on the field of marriage and family therapy, discussing that systems concepts are broadly disseminated but have become diluted. The author describes the educational program at a marriage and family therapy graduate institute where students utilize social systems design in their research projects as well as their work with clients. The article outlines the specifications of the Idealized Systems Design (ISD) teaching system, its relationship with the larger institution, as well as its purposes and systemic functions. Application of ISD to the field of marriage and family therapy is emphasized, demonstrating its use in helping facilitate individual, family, and community health as a research tool as well as a set of intervention tools for the practicing therapist.     

D.H. Lawrence's The daughter-in-law: Transforming a family system

Abstract

D.H. Lawrence's play The daughter-in-law, written in 1912, explores underlying, implicit conflict within a family. Set in a small mining town in England, the family consists of Mrs. Gascoyne, her sons Luther and Joe, and her daughter-in-law, Minnie, Luther's wife. The central conflict is between Mrs. Gascoyne and Minnie, who challenges her mother-in-law's control over her sons, who also compete with each other for the love and recognition of their mother. Joe, the youngest son, perturbs the family system and acts as a mediator, functioning as a family therapist. He sets a process in motion through which the rigid family alliances are challenged and ultimately realigned. Mrs. Gascoyne's self-image as a perfect, self-sacrificing, self-righteous mother ultimately is transformed, and she accepts Minnie as a family member. Brandchaft's concept of “pathological accommodation” explicates how enmeshed family members can collide, and thereby stultify their personal development. As Joe plays his role of “family therapist,” the family dynamic changes. Through the process of rupture and repair, each family member begins to recognize the needs of the other, and thereby a path for differentiation, individuation, and autonomy becomes possible for them.     

Family resilience: a developmental systems framework

Abstract

This article presents a brief overview of a family resilience conceptual framework, grounded in a multi-level developmental systems orientation. A family systems perspective broadens attention to resources for individual resilience throughout the family network of relationships. The concept of family resilience refers to the family as a functional system, impacted by highly stressful events and social contexts, and in turn, facilitating the positive adaptation of all members and strengthening the family unit. A research-informed map of key processes in family resilience is outlined, highlighting the recursive and synergistic influences of transactional processes within families and with their social environment. Varied process elements may be more or less useful, depending on different adverse situations over time, with a major crisis, trauma, or loss; disruptive transitions; or chronic multi-stress conditions. This perspective is attuned to the diversity of family cultures and structures, their resources and constraints, salient socio-cultural and developmental influences, and the viability of varied pathways in resilience.     

Toward a social ecology of the minister's family

The family life of the clergy has received scant attention in the published literature. Existing studies which may be relevant generally do not address the family directly from within an organized conceptual framework. This article proposes to set forth the broad outlines of an ecological systems model, in which the minister's family is to be understood as a social system embedded within a more complex web of interlocking socioemotional systems. The discussion will be organized according to Urie Bronfenbrenner's four levels of the microsystem, mesosystem, exosystem, and macrosystem. In addition, the phenomenon of boundary ambiguity between the clergy family and the congregational family will be cited as an example of the utility of an ecosystem approach.     

Self-relation of adolescents in a family with a step-father

This article represents an empirical study of adolescent's self-relation in a family where the mother has re-married. In many studies self-awareness and its functional aspect--self-relation--are selected as new stages in adolescence. The family is considered to be the most important factor in a child's and adolescent's personality development. Literature reviews on the specifics of a child's development in a family with a second marriage present some of the problems facing the parents and children in it. In the present article, problems of relations between children and parents are discussed. A principal finding of this report is that adolescents from families with a stepfather have a less flexible self-relation than adolescents from families with the biological father; to have a positive self-relation they need defence mechanisms. At the same time, analysis of adolescents' drawings shows that adolescents from families with a stepfather exclude themselves from the family system. In addition, the article discusses gender differences in self-relation in two types of families.     

Family crisis intervention in war contexts: a case study of a traumatised Palestinian family

The aim of this study was to analyse the phases of an innovative in vivo exposure intervention in which all family members were present at the scene of a traumatic incident. Clinical practice has borne out the efficacy of family intervention and its benefits for traumatised individuals and family groups. The intervention discussed here was conducted with a Palestinian family that had suffered trauma in a missile attack during the Israeli–Lebanese war of summer 2006. Narrative and meaning-reconstruction methods were combined with cognitive-behavioural techniques. The study highlights the limitations of the intervention as well as suggesting future directions for integrated models of crisis intervention; development of an evidence-based model is recommended.     

Family therapy as a treatment for children: a critical review of outcome research.

The value of family therapy as a treatment for child psychopathology is considered by reviewing pertinent outcome research. Fourteen studies that met three criteria are included in the review: (a) a child or adolescent was the identified patient or referral; (b) therapy included at least one parent and the child; and (c) outcome was evaluated in terms of the child's symptoms. There are major shortcomings in most of the available data, with only two well-controlled studies. Some empirical evidence does exist that family therapy is an effective treatment for children; the data from studies of adolescents are especially encouraging. However, insufficient data are available for comparing the relative merits of conjoint family treatment and individual child therapy. If the value of family therapy as a treatment alternative or, ideally, as the "treatment of choice" for a referred individual child is to be established, more and better controlled comparative outcome studies will be necessary. Suggestions for future research are presented emphasizing the need for a developmental perspective by recommending, for example, the use of factorial designs in which the intervenaction of treatment and age can be analyzed.     

Empathic Family Stress as a Sign of Family Connectedness in Haitian Immigrants

Research on familial experiences has documented the important role of receiving family support, but has not examined the effects of providing such support. Empathic family stress refers to the stress that individuals experience in response to difficult life circumstances of family members. The current study took a first step in examining the empathic family stress of 134 Haitian immigrants. Results from hierarchical regressions indicate that empathic family stress is a significant predictor of depressive symptoms, but not acculturative stress, for Haitian immigrants. Findings from the study are examined from a strengths-based perspective, where empathic family stress is viewed as a sign of strong family connections among Haitian immigrants. Recommendations are provided for clinicians working with Haitian immigrants to help them experience empathic family stress in a healthy manner.