The process of enabling change: a study of therapist interventions in family therapy

We describe the application of discursive analysis to the task of researching family therapy process. Through the analysis of a central theme in two family therapy treatments, we found that individual family members move to using a wider range of discourses on the central theme by the end of therapy. Using the example of one family's therapy sessions, we examine how the therapist contributes to the new meanings and views that emerge, and present our analysis of the therapists' interventions in relation to the 'production' of these alternative meanings. It is argued that discourse analysis can fruitfully be applied to family therapy process research and could contribute to theoretical concepts of change and therapeutic competence.     

Psychotherapy for lesbians: The influence of therapist sexuality

This study explored the influence of therapist sexuality upon lesbian experiences of therapy, and particularly the influence of marginal and dominant discourses within the process. It is argued that explorations of discourses of sexuality should be a necessary feature of a psychotherapist's training. A postmodern feminist methodology — Bungay and Keddy's adaptation of Reinharz's experiential analysis — was used in the study. This method involved triangulation of interview, literature analysis and reflective diary methods, with analysis drawing upon a discourse analytic perspective. Two sites of contradiction were explored, indicating the possible emergence of resistant lesbian discourses against the dominant patriarchal, heterosexist and homophobic discourses. The study illustrates the discursive and contextual nature of psychotherapy with lesbians.     

Policy Discourses on Mosques in the Netherlands 1980–2002: Contested Constructions

The establishment of mosques is an incentive for public discussions on Islam and the presence of Muslims in Western European societies. This article critically reconstructs Public Policy discourses on mosque establishment in the Dutch city of Rotterdam. It shows how urban-planning discourses, and their specific frames, which came to dominate mosque establishment as a policy issue in Rotterdam from the 1980s onwards, created their own set of meanings. The article analyses these discourses in terms of their enabling and constraining roles during a period in which local authorities became more involved in the improvement and placement of new mosques in the Rotterdam area. On the one hand, the urban renewal framework allowed for a substantial improvement in the housing of Islamic religious and cultural practice. On the other hand, urban planning policy discursive practices gave less attention to issues such as visibility and presence that are now at the heart of the heated debates about Muslim populations in Dutch society. More recent discussions on the aesthetics and location of mosques in Rotterdam illustrate how these dominant discourses are not only contestable but are also being contested from all quarters.     

Parent‐infant‐psychotherapy and psychoanalytic treatment: contradiction or mutual inspiration?

Psychoanalysis and parent‐infant‐psychotherapy are compared. Although parent‐infant‐psychotherapy developed from psychoanalysis, it appears at first glance not to be “analytic” with its aim of dealing quickly with the symptoms presented and also with its different setting. The author shows that an analytic approach in understanding the multi‐facetted net of relationships between family members and the infant in its “phantasmic interaction” and a consideration of the implication for analysis of the empirical research carried out in conjunction with parent‐infant‐therapy can lead to a fruitful exchange of ideas. One example of this is research into the correlation between attachment patterns and the processing of conflicts. Furthermore a dialogue between these two disciplines can remind psychoanalysts that a critical discussion of the external circumstances of their methods does not immediately call into question their fundamental approach to therapy: the work in transference on relationship fantasies.     

On Some Advantages of Mutual Sexual Fantasy in the Analytic Situation: Commentary on Paper by Christopher Bonovitz

This commentary reflects a fundamental agreement with Christopher Bonovitz' main thesis—fantasy, indeed, cannot be seen as a product of an isolated mind and is intrinsic to the development of both optimal internal and interpersonal richness. The theme of mutual sexual fantasy between analyst and patient in particular is highlighted for discussion. It is argued that, contrary to the more discussed dangers of erotic countertransference feelings, the absence of analysts' reciprocal sexual fantasy has the potential to deaden the analytic relationship and result in a less than satisfactory analytic experience.     

Can men talk about problems with weight? The therapeutic implications of a discourse analytic study

This paper discusses the implications for counsellors of a discourse analytic study examining men's talk about body weight. It is argued that research in the area of problems with body has neglected the growing pressures on men to manage body as a feature of self. This research perpetuates the dominant discursive construction of men's relationship to body as unproblematic — a construction that may present many barriers to men in seeking help for any distress encountered. An analysis of men's talk is discussed in terms of the expectation that body is not problematic and the observable downplaying of any concerns acknowledged. The accountability of body as a site of regulation also emerges within the extracts presented. It is argued that this property within the accounts resonates with work highlighting the growing pressures on men to exercise control over body. The contradictions between the two discourses identified are discussed in terms of their therapeutic implications. It is postulated that male distress emerging from the growing pressures to maintain body weight may be neglected within primary care and therapeutic domains if discourses formulating such difficulties as not relevant to men remain dominant.     

Searching for a better story: harnessing modern and postmodern positions in family therapy

In this paper it is argued that modern and postmodern positions on reality and knowledge should not create a theoretical division in family therapy and that rather, by harnessing the two together, each may restrain the other. This combination creates the potential for drawing widely from the whole field of family therapy as well as challenging the separation of mainstream family therapy models from psychoanalysis. The concept of better story is used to replace both the polarized modern position of an objective discoverable truth and the polarized postmodern position of all stories having equal validity. It is suggested that better stories, which evolve in the meeting of family and therapist, may include those which are more congruent, object-adequate, encompassing, holding, shared, emotional, conscious, just, provisional and hopeful.     

Emotions in solution-focused therapy: a re-examination

This article re-examines whether and how emotions are an aspect of solution-focused therapy. A major theme in the article focuses on the usual ways that therapists define and discuss emotions in solution-focused and other therapies. We argue that these discussions are a source of much confusion about emotions and about solution-focused therapy, including the confusing idea that emotions are neglected in solution-focused therapy. The second major theme describes an alternative approach to these issues, one that we believe better fits with the assumptions and concerns of solution-focused therapy. The approach is based on Wittgenstein's writings about language games, private experience, and how emotions are rule-following activities. Viewed from this perspective, solution-focused therapists take account of their clients' emotions by helping clients to create new emotion rules to follow.     

Child protection investigations: Discourse analysis and the management of incommensurability

This paper asks whether discourse analytic approaches in social psychology have yet produced methodologies adequate to the investigation of institutional ‘gaze’. Institutional language has been explored to the extent that state agencies construct members of the public by speaking about them in particular ways. This has often provided insight into the co-existence and competition of incommensurable discourses. However, studies of representation in the sense of speaking for have been notably absent from social psychology. It is argued that this aspect of discourse is a vital component in the study of contemporary governmental multi-agency strategy in the area of child protection, where recent legislation and policy aims at the coordination of incommensurable discourses. A methodology for studying this strategy is outlined through an account of the actor network approach in science studies, accounts of the State under the post-modern condition, and analyses of sections of interviews with social workers.     

Eliciting children's thinking in families and family therapy.

In this article, I introduce a way of talking between a therapist and children, which aims to be more adaptive to the family therapy context than the modes of communication with children often reported by individual psychotherapists. Although the recent increase in articles concerned with the role of children in family therapy is welcomed, I suggest that the common recommendation of the use of "play" and nonverbal methods of communication with young children can at times introduce its own constraints on a child's thinking. A method of engagement in "dialectical" conversations with children is described, and illustrated with verbatim case examples. It is argued that this offers one route to a discourse commonly used between children, and one that acknowledges their capacity to think.     

The Integration of ‘Bottom‐up’ Approaches to the Analysis of Race Talk for the Future of Discourse Analytic Research

Current understandings of racism and race talk within discourse analytic traditions have largely focused on the discursive construction and perpetuation of dominance, prejudice, and racism within majority and privileged groups. Although minorities are often the objects of these studies, these research traditions have not extensively studied the language of race talk in minority groups. This article aims to integrate ‘bottom‐up’ approaches of minority and marginalized groups' discourses to discursive psychological and critical discourse analysis theory and research on race talk. The paper begins with a short review of the current discourse analytic frameworks utilized in the analysis of race talk. Next, the paper outlines several ‘bottom‐up’ research examples and concludes by offering several important insights. It is argued that the absence of minority discourses runs the danger of reproducing and reinforcing the very things discourse analysis aims to uncover and problematize. The main conclusion of this paper is that the insights from the ‘bottom‐up’ point to the necessity of broader theorizing around the discursive construction of race talk.     

Family therapy and the glamour of science

It is argued that family therapy has adopted esoteric and unrelated theories from 'New Science' in order to maintain its glamour and individuality in comparison with other therapies. One unfortunate consequence of this is to limit the development of the practice of family therapy by prejudicing empirical validation. An alternative approach which attempts to integrate linear and systemic viewpoints is suggested.     

Wall,Gate and Self-Other Dynamics: A Confucian Ethics of Separation and Interconnection

This paper starts with the social and moral implications of wall in history and in the contemporary world, to usher in the early Confucian discourse on wall and gate. The Confucian discourse implies that walls—either actual, virtual or symbolic—are there to defend and/or to separate, while gates enable the managed access to and opening-up the self-imposed insularity or moderate the self-centred exclusiveness that walls imply. By way of reinterpretation and reconstruction, we will extract from a variety of Confucian discussions the ethical awareness that however strongly built, walls must be associated with gates, and that the wall and the gate are therefore locked in mutuality to make possible the reality of interconnectedness between the inside and the outside and between the self and the other. It will be argued that by using ethical virtues as tools to moderate separation and exclusiveness, Confucian discourses highlight the dynamics of the self-other relationship, and establishes an ethics that may well be still applicable to contemporary situations and can be drawn upon to help dissolve the tension between the values of populist self-centrism and those of globalist interconnectedness.     

Identity and Difference: A Hundred Years of Analytic Philosophy

At its origins, analytic philosophy is an interest in language, science, logic, analysis, and a systematic rather than a historical approach to philosophical problems. Early analytic philosophers were famous for making clear conceptual distinctions and for couching them in comprehensible and lucid sentences. It is argued that this situation is changing, that analytic philosophy is turning into its mirror image and is thereby becoming more like the kind of philosophy that it used to oppose.     

Inconsistency Theories of Semantic Paradox

It is argued that a certain form of the view that the semantic paradoxes show that natural languages are "inconsistent" provides the best response to the semantic paradoxes. After extended discussions of the views of Kirk Ludwig and Matti Eklund, it is argued that in its strongest formulation the view maintains that understanding a natural language is sharing cognition of an inconsistent semantic theory for that language with other speakers. A number of aspects of this approach are discussed and a few objections are entertained.     

Multiple family therapy: current status and critical appraisal

This article provides an updated review and synthesis of the research and clinical literature dealing with multiple family therapy as an identifiable treatment approach. Major emphasis is placed on the literature published since an earlier comprehensive review (63). It is concluded that multiple family therapy is a viable and promising treatment modality, yet one that in clinical practice remains underused, conceptually underdeveloped, and poorly differentiated from other treatment approaches. Recommendations are made and pathways are identified that may promote the further growth and development of the approach.     

‘The experiencing of experience’: a Pragmatic reassessment of Rogerian Phenomenology

This paper draws on a study that asked twenty family users about their first session of family therapy. Analyses of the interviews indicated that families entered therapy with a pre-existent knowledge about therapy, which did not always chime with those of professionals and which positioned speakers in ways which governed their expectations and perceptions of therapy. This paper, therefore, is concerned with the acquisition and deployment of knowledge: specifically, the knowledge involved in being a user of family therapy. Three key discourses were identified through this analysis: medical, counselling and consumerist. We aim to illustrate how these discourses served as a resource for members of the family in constructing therapists, therapy and themselves in relation to their experience. The examination of the rhetorical, ideological and practical effects of the positions chosen and the objects constructed, in terms of how speakers wanted to present themselves, with what enhanced or diminished status as patients, shows users actively engaging with the power of therapeutic institutions. Users’ accounts suggest that while most speakers felt anxious about the prospect of therapy, there were clear differences in overall satisfaction/dissatisfaction with the experience according to the synchrony between speakers’ construction of the therapist, and themselves as client/patients. Those who seemed to take a traditional view of therapy within a medical discourse valued therapists who offered diagnosis and a cure; those who sought and experienced a counselling relationship with the therapist found their experience to be constructive in terms of enhanced self-knowledge. We believe that the research findings discussed in this paper have implications for family therapists in accommodating to parental and child positions to maximise the effectiveness of therapy and so minimise drop-out.     

Fordham, feeling, and countertransference: reflections on defences of the self

This is a paper about the difficulties we as analysts get into when we find that a patient has activated something in our unconscious which we cannot resolve in our work with them. Fordham described at the end of his life, in a number of papers, his difficulties and discomfort at not being able to resolve an impasse with one of his patients. From the conversations we had about this situation I knew this caused them both a lot of pain. After Fordham's death his former patient consulted me. Arising from these consultations I describe how I have understood the impasse to have arisen between Fordham and his patient. This paper links character and clinical interests, personality and impasse, developmental failures and defences of the self. It is a personal statement in which I have struggled to represent the meaning in the pain these two men suffered during their analytic engagement, which lasted more than ten years. The theme of fathers and sons was central to the problem.     

Rhetorical processes in therapy: the bias for self–containment

This paper argues that therapy tends to reproduce a particular version of personhood, identified by Sampson's notion of the self–contained indi–vidual. The self–contained individual is a contemporary Western construction, which requires a denial of the interactive processes that permit its appearance and idealization. Focusing on constructionist therapies, it is argued that therapists use rhetorical strategies to more or less systematically argue for self–containment as a preferred way of being. These rhetorical manoeuvres render different aspects of self–containment plausible, practicable and 'real', while alternative versions of the self and behaviour are discursively minimized, becoming less plausible in the process. An analysis of two family therapy sessions is then used to illustrate these processes. It is suggested that therapy may reproduce Western ideals about being human.