A Perspective on Evolving Family Therapy in Turkey

This article attempts to summarize the journey of evolving family therapy in Turkey. It aims to provide an overview of the development and history of family therapy. Formulations attempting to explain the context of challenges family therapy faces, include political as well as historical events of the past few decades. The current challenges of training, regulating and legislations of family therapy are taken into account with a lens ranging from micro to macro perspectives.     

Some Thoughts on Language Use in Therapy

Drawing on the work of Ludwig Wittgenstein and his own experience as a therapist and educator/trainer, the author describes some of the issues involved in helping therapists to find their way out of various muddles and mazes that are deeply embedded in language.     

漫议社会交往中的礼仪

礼仪是人们在共同生活和长期交往中约定俗成的社会规范 ,是调整人际关系的要求。人类在满足自身需求和实现自身价值的过程中 ,不仅要受到自然法则的限制 ,而且要受到社会规范的约束。在这些社会规范中 ,除了法律规范之外 ,一个很重要的方面就是道德规范 ,而礼仪则属于道德规范范畴。没有包括礼仪在内的社会道德规范对社会成员的约束与指导 ,社会的各种关系就会发生混乱。礼仪作为历史发展中逐步形成并积淀下来的一种文化 ,始终以某种精神的约束力支配着个体的行为。礼仪是人类文化在生活中的具体体现 ,同时又是人类文明进步的重要标志之一 ,…     

反义技术抗病毒感染基因治疗的几点思考

众所周知,病毒感染对人类健康和社会经济均有严重影响,如ＡＩＤＳ,目前临床上尚无特效药物和疗法。随着分子生物学和生物技术的发展,提出反义技术抗病毒基因治疗———一种很有希望的治疗技术。这一技术是以病毒基因结构及其产物功能的辩证关系为基石,将随着病毒基因结构及其产物功能的辩证关系的深入研究而进一步完善     

Personal Construction of Family Relationships: The Relation of Commonality and Sociality to Family Satisfaction for Parents and Adolescents

This study tested the hypothesis that family members showing greater commonality (similarity) and sociality (predictive accuracy) in their construing of family relationships would display greater satisfaction with those relationships than would individuals in families whose relational construing was more discrepant and unpredictable. Forty-seven family triads participated in the study, including a mother, father, and adolescent from each family. Measures of commonality and sociality in the construction of family relationships derived from a family relationships grid were compared to measures of family structure, including the Family Cohesion and Adaptability Evaluation Scale (FACES-II) (Olson, Portner, & Bell, 1982) and the Parent-Adolescent Communication Scale (PACS) (Barnes & Olson, 1982). The findings suggest that members' perceptions of the family as emotionally close, flexible, and communicative may not represent independent aspects of the family structure, at least within the present nonclinical sample. Comparison of the family relationship grids with the FACES-H and PACS demonstrated that commonality and sociality among family members was highly related to mothers' and adolescents' family satisfaction, but was much less predictive of that of the father.     

Some Notes on the Use of Family Sculpture in Therapy

Therapists learning to use family sculpture as a tool often find difficulty in exploiting the technique to its fullest. This article, designed to encourage therapists to take the risks involved in using a technique new to them, describes how the author and his cotherapists used sculpture in three cases in different ways. In each case, the author explains how the therapists made the choices involved in directing the therapeutic process. He suggests that even when a sculpture itself seems to have failed to produce useful information, it can elicit from clients signals that will indicate opportunities for effective use of other techniques and that a sculpture, once used, can be restaged to reinforce client behavior change.     

Mapping and/or Discovering Meaning in Family Therapy: An E-Mail Conversation

Editor's Note: Because of the provocative and stimulating nature of the study reported on by Steven Kogan and Jerry Gale in their article "Decentering Therapy," I have invited one of our Advisory Editors, Chris Beels, to provide some comments about the study and its implications. However, rather than use the standard for mat of a formal "Commentary," followed by an "Authors' Response," Beels, Kogan, and Gale have instead carried out a series of e-mail exchanges, with reactions and responses going back and forth in the form of a dialogue. What follows is a slightly edited version of their conversation. As you will see, this exchange has afforded Beels, Kogan, and Gale the opportunity not only to critique each other's ideas, but also to raise questions and to puzzle together about the linkages that might be forged between the Kogan and Gale study and earlier therapy process research carried out by Beels using Scheflen's context analysis techniques. The use of a conversation format seemed more consonant with the research being discussed, research that urges a stance of openness and curiosity rather than formal hypothesis testing and closure. Hence my decision to endorse this experiment in "commentary as conversation," rather than "commentary as debate." What follows is the first three rounds of this "conversation," with the "roughess" of ordinary e-mail communications retained, but with some minor editing in order to facilitate clarity and narrative flow .     

Creating a Secure Family Base: Some Implications of Attachment Theory for Family Therapy

The aim of this article is to make attachment research findings available in a form that family therapists can use. In attachment theory, parents are conceptualized as providing a secure base from which a child can explore. Family therapists, however, need a systemic concept that goes beyond the parent/child dyad. The concept of a secure family base is proposed, in which a network of care is made available for all family members of whatever age so that all family members feel secure enough to explore, in the knowledge that support is available if needed. Factors that contribute to the security or insecurity of the family base are outlined. The overall aim of therapy is to establish a secure family base from which the family can explore new solutions to family problems both during and after therapy. The role of the therapist is to help to resolve conflicts that threaten relationships, and to explore relevant belief systems that may be contributing to a sense of insecurity. The conceptual framework presented allows for an integration of family therapy techniques and ideas into a coherent whole. A new school of family therapy is not proposed.     

Voices of Dialogue and Directivity in Family Therapy With Refugees: Evolving Ideas About Dialogical Refugee Care

In this article, we reflect on our evolving ideas regarding a dialogical approach to refugee care. Broadening the predominant phased trauma care model and its engaging of directive expertise in symptom reduction, meaning making, and rebuilding connectedness, these developing dialogical notions involve the negotiation of silencing and disclosure, meaning and absurdity, hope and hopelessness in a therapeutic dialogue that accepts its encounter of cultural and social difference. In locating therapeutic practice within these divergent approaches, we argue an orientation on collaborative dialogue may operate together with notions from the phased trauma care model as heuristic background in engaging a polyphonic understanding of coping with individual and family sequelae of forced displacement. This locating of therapeutic practice, as informed by each perspective, invites us to remain present to fragments of therapeutic positioning that resonate power imbalance or appropriation in a therapeutic encounter imbued with a social context that silences refugees’ suffering. In a clinical case analysis, we further explore these relational complexities of negotiating directive expertise and collaborative dialogue in the therapeutic encounter with refugee clients.     

Further Thoughts on Second-Order Family Therapy — This Time It's Personal

A series of articles has recently appeared in which implications of second-order cybernetics for the practice of family therapy have been discussed. In this article, we attempt to advance the discussion by addressing ideas that we think have not been adequately emphasized thus far. Specifically proposed are ideas about conditions that might facilitate the emergence of consciously pragmatic strategy informed by the kind of systemic wisdom that delicately balances natural systems without the benefit of human planning. It is argued that a shift in the personal habits of knowing and acting that typically organize individual human experience is required. After attempting to specify what this shift might involve, implications of these ideas for the practice of family therapy and for human action in general are discussed.     

The Development of Family Therapy and Systemic Practice in Europe: Some Reflections and Concerns

This paper outlines the development of pan European systemic thinking and practice. This development has been enabled and supported with the establishment of the European Family Therapy Association (EFTA). EFTA has evolved over the last decade from an organisation of individual members to an organisation of organisations—representing also national associations of family therapy and family therapy training institutes across 28 European countries. There are three sections to this paper: (1) a brief summary of the development of family therapy practice in Europe; (2) a brief summary of the work of the national associations of family therapy in EFTA; and (3) a brief summary of current concerns of some senior family therapists and family therapy trainers within the EFTA organisation.     

Wet Cocker Spaniel Therapy: An Essay on Technique in Family Therapy

Wet Cocker Spaniel Therapy is a metaphor for the therapist's use of spontaneous techniques arising from the specific therapeutic situation rather than planned techniques from the therapist's training or allegiances. The paper proposes a problem-oriented, rather than technique-oriented, approach to family therapy. Most therapy can be performed in a calm, polite, rational, straightforward manner without any tricks or therapeutic razzle-dazzle. From time to time, the therapist may have to startle or jerk the family past a snag point and into change. Ideally, the therapist's techniques should arise from the content of the hour and the symbolism of the family and should be applied sparingly. I hope this paper will make therapists feel more comfortable being sane, polite, and practical, and unashamed when not being brilliant.     

Some Hypotheses about Hesitations and their Nonverbal Expression in Family Therapy Practice

When people seek therapy they have stories to tell. In the course of the therapeutic conversation the clients continually make selections about what they want to tell, and what they want to keep silent. In this article the author focuses on the border zone between the said and the not-yet-said, and proposes three hypotheses about the client's hesitations about speaking in the family therapy session. In these hypotheses 'hesitation' is used as a metaphor to give meaning to some nonverbal utterances of clients in such a way that space is opened up in a respectful way for as-yet untold stories. I suggest that it is fruitful to think of certain nonverbal utterances of the clients as hesitations to proceed with the conversation, and to use these nonverbal utterances, in the line of Tom Andersen's thinking (1995), as a starting point for a respectful dialogue with the family about the good reasons they might have not to speak. Not only can this open up space for as-yet unspoken stories, it can also help the therapist to establish a collaborative therapeutic relationship with the family. These ideas are illustrated with several case studies.     

Comments on Research in Family Therapy

This comment is submitted with the intent of stimulating some exchange between researchers. Although I chose the Woodward et al. study as a vehicle for my statement, I might easily have chosen examples outside the family therapy area.     

Reflections on Family Therapy in Australia

Family therapy in Australia has been influenced by ideas mostly from North America and Europe. However Australian family therapists have also made their own significant contributions to theory and practice. The vastness of the continent combined with a relatively small population has presented challenges with respect to the formation of a national association and for many years, the Australian Journal of Family Therapy (later the Australian and New Zealand Journal of Family Therapy Board acted as de facto national voice for the discipline. The Australian Association of Family Therapy was formed as recently as 2011. It has a total of over 1,000 members and is the sole organisation representing family therapy and family therapists in Australia. Clinical membership is achieved via successful completion of a 2-year sequence of study in family therapy followed by 50 hours of supervision (or its equivalent). Family Therapy training is mostly delivered in the four most populated states in Australia at both University level and through private organisations registered to provide training at government approved levels. La Trobe University (through the Bouverie Centre), Swinburne University (through the Williams Road Family Therapy Centre) and the University of New South Wales currently provide training leading to specialist qualification in family therapy. A number of other private institutions also provide recognised family therapy training. To date, family therapists and couple therapists in Australia have not in the main shared common platforms such as conferences, training and professional journals. Narrative therapy has also remained somewhat detached from “mainstream” family therapy. Family therapy qualifications are often valued by prospective employers even when duty statements are focused on the more traditional skills of professionals such as psychologists or social workers. Researching family therapy outcomes remains challenging. But although there is increasing practiced-based evidence of the efficacy of family therapy, Australian family therapists as a group are yet to concentrate their efforts on convincing funding bodies of its usefulness. At the same time, via the teaching and promotion of family sensitive practices, systemic ideas are being increasingly incorporated within areas of mental health, disability, alcohol and drug dependency, and within a range of health and welfare areas that impact not just on the individuals but on those close to them.