Visions and Aspirations

SUMMARY

This chapter explores key characteristics of an ideal feminist educational environment, one that specifically focuses on the intellectual development and training of feminist therapists. Such an environment is dependent on an ongoing relationship among three entitiesstudents, instructors, and the institutionand characteristics of each of these three entities are discussed. The chapter evaluates the present climate within universities, and whether that climate offers the potential to promote or stifle a feminist environment.     

Improving Delivery Behaviors During Exposure for Pediatric OCD: A Multiple Baseline Training Trial With Community Therapists

This study tested whether a new training tool, the Exposure Guide (EG), improved in-session therapist behaviors (i.e., indicators of quality) that have been associated with youth outcomes in prior clinical trials of exposure therapy. Six therapists at a community mental health agency (CMHA) provided exposure therapy for 8 youth with obsessive–compulsive disorder (OCD). Using a nonconcurrent multiple baseline design with random assignment to baseline lengths of 6 to 16 weeks, therapists received gold-standard exposure therapy training with weekly consultation (baseline phase) followed by addition of EG training and feedback (intervention phase). The primary outcome was therapist behavior during in-session exposures, observed weekly using a validated coding system. Therapist behavior was evaluated in relation to a priori benchmarks derived from clinical trials. Additional outcomes included training feasibility/acceptability, therapist response to case vignettes and beliefs about exposure, and independent evaluator-rated clinical outcomes. Three therapists reached behavior benchmarks only during the EG (intervention) phase. Two therapists met benchmarks during the baseline phase; one of these subsequently moved away from benchmarks but met them again after starting the EG phase. Across all therapists, the percentage of weeks meeting benchmarks was significantly higher during the EG phase (86.4%) vs. the baseline phase (53.2%). Youth participants experienced significant improvement in OCD symptoms and global illness severity from pre- to posttreatment. Results provide initial evidence that adding the EG to gold-standard training can change in-session therapist behaviors in a CMHA setting.     

Feminist Issues in Couple Therapy

Abstract

The authors reviewed the feminist couple therapy literature from 1995 to 2006. They summarized this large body of work into several key themes. The first revealed that feminist couples therapists are continuing to discuss and deconstruct gender issues in couple therapy. The second showed that feminists believe that therapists should be educated both academically and personally about culture and diversity so as to support couples in their therapy around their own issues of diversity as well as learning to deal with issues of social justice as a couple. In the third theme, the authors introduced readers to feminists' emphasis on connection and empathy within couple and sex therapy. And, in the fourth, the authors explored feminists' work with power in couple therapy as they applied to couple therapy in general as well as around the specific topics of: balancing family and work and therapy for familial violence.     

COMPARISON OF FEMINIST VERSUS PSYCHOANALYTIC/DYNAMIC AND OTHER THERAPISTS ON SELF-DISCLOSURE

The Feminist Self-Disclosure Inventory (FSDI) was developed to assess principles of therapist self-disclosure as described in the feminist therapy literature. This 18-item Likert-type scale was completed in a mailed survey by women psychotherapists (i.e., 41 self-identified feminist therapists, 34 psychoanalytic/dynamic, and 68 other therapists). Results indicated that the FSDI was comprised of five factors [i.e., Therapist Background (TB), Promotes Liberatory Feelings (PLF), Promotes Egalitarianism (PE), Therapist Availability (TA), and Empowering Client (EC)], and that the overall scale had excellent internal consistency and very satisfactory test-retest reliability. Also, feminist therapists endorsed FSDI factors significantly more than psychoanalytic/dynamic and other therapists with the greatest differences on items reflecting overall use of self-disclosure, disclosing sexual orientation, using disclosure to create egalitarianism, and encouraging the client's choice of a role model in the therapeutic relationship.     

Politicizing Survivors of Incest and Sexual Abuse

Abstract

As both a feminist therapist and a survivor of incest, moving myself beyond therapeutic issues into an area of public education has been crucial to my own healing process. Receiving positive responses to my workshops and discussion groups, it became apparent that using a similar approach with clients who were survivors might be beneficial to their healing. As a member of The Counseling Center for Women, a feminist therapy collective in Israel, I suggested we sponsor a public exhibition and a series of programs of the topic of incest and abuse. The Municipality of Tel Aviv was approached to be its governmental sponsor. Entitled “Silent No More,” the program moved therapists and clients from working in the privacy of therapy to a public forum. What began as an uncomplicated educational program became an emotional process and a politicizing of individuals to help others as well as themselves. Moving from a feeling of shame to a sense of empowerment, the exhibition gave us a new sense of self-esteem and strength in our own abilities and our recovery process.     

Feminist Therapy as a Path to Friendship with Women

While many feminist therapists have found that their personal experiences of friendship have given them an experiential base from which to develop their work, some feminist therapists have had alternative journeys through connections with women. This article explores how the author transformed her childhood and adolescent experiences of relational aggression into a deepened understanding of the value and importance of relationships between women. The contributions of misogyny and sexism to relational aggression among girls and women, and their enduring effects on all women's relationships to other women is explored. Finally, the author describes her intimate e-epistolary friendship with two other women, and considers how the medium of email and other forms of electronic communication may facilitate emotional intimacy for women who have experienced relational aggression with other women.     

Dis-Illusioning Psychology: Epistemology and the Contextual Psychology of Ellyn Kaschak

ABSTRACT

Ellyn Kaschak is a pioneer feminist therapist whose contributions to feminist theory, practice, education, and advocacy have spanned the globe over the past 40?+?years. From being a founder of one of the first feminist counseling services in the country in the early 1970s, Kaschak has influenced decades of feminist, family and multi-cultural therapists through her teaching and countless others through her feminist epistemology and theory development and the Mattering Map. This article describes Kaschak’s life and work and the lasting contributions she has made to the field of feminist psychology.     

Beyond the Frying Pan: Addressing Work Issues with Women in Therapy

In recent years, mental health practitioners have been exploring how women are balancing work and family. Given how this issue affects womens experiences in the corporate world and at home, marriage and family therapists are attempting to consider this concern as they treat female clients individually and within relational systems. Few articles and studies have examined the issues female employees face in the workplace and how the issues influence the therapeutic process. In this article, the authors examine the organizational, sociological, and cultural challenges women deal with at work and apply these areas to the therapeutic context. The authors present a case study of a female client enduring a difficult work situation, discussing how to view and approach this case from a feminist family therapy perspective.     

The Relationship Between Momentary States of Therapist Self-Awareness and Perceptions of the Counseling Process

To investigate the role of momentary self-awareness, beginning therapists and their volunteer clients participated in a postsession process recall in which therapist helpfulness and momentary self-awareness were assessed along with client reactions. Therapist anxiety levels and strategies used to manage hindering self-awareness were also examined. Results suggest that momentary states of heightened therapist self-awareness may be hindering. Specifically, when therapists rated themselves as more self-aware from moment to moment during counseling sessions, they also rated themselves as more anxious before the session and their clients rated them as less helpful during the session. In addition, therapists reported using a variety of strategies to manage distracting self-awareness, including focusing on intervention planning and focusing on the client. Implications for therapist training are discussed.     

Radical Visionaries – Feminist Psychotherapists: 1970–1975

ABSTRACT

The work of feminist scholars, activists, therapists, and theorists has continuously impacted the United States and international cultural narrative since the radical days of the 1960s and 1970s. This special issue was created to highlight contributors to this remarkable transformation by documenting the narratives of their lives and careers. These profiles, nearly all written by or with the pioneers themselves, highlight their contributions to feminism, feminist psychology, and the vast societal change that followed their work.     

Feminist Pioneer: Annette Brodsky Paving the Way

ABSTRACT

Even when the culture imposed stringent limitations on women’s roles, Dr. Annette Brodsky refused to succumb to these restrictions. As one of only a few women in her graduate school cohort, she broke new ground during her pre-doctoral internship, her post-internship military placement, and in her faculty position at the University of Alabama. Her renowned work advocating for and studying the effect of consciousness-raising groups engendered critical scholarship that revealed the harm of therapists’ sexual abuse and facilitated improved ethics and guidelines for psychologists in their work with clients. Dr. Brodsky has served as a pioneering feminist psychologist for several generations of women.     

DOES "FEMINIST" PLUS "THERAPIST" EQUAL "FEMINIST THERAPIST"?

This research examined the therapy behaviors self-identified feminist therapists engaged in. Practicing therapists (N = 101) were asked to endorse various feminist self-labels and to indicate how often they engaged in a variety of feminist (as assessed by the Feminist Therapy Behaviors-Revised [FTB-R] scale; and other therapy behaviors with both women and men clients. The following results were found. First, incrementally specific feminist self-labeling by therapists improved the prediction of therapy behaviors reflecting the notion that the personal is political. Second, the most strongly identified feminist therapists were distinguished from other therapists by their attention to issues of oppression (e.g., sexism, racism, heterosexism) and socialization. Third, therapists reported engaging in FTB-R behaviors with men clients almost as much as with women clients. And finally, FTB-R and other therapy behaviors emerged as distinct, both in terms of the underlying structure of therapists' responses and in terms of the links to feminist self-labeling.     

Multicultural Feminist Therapy

SUMMARY

Psychological theory needs to be representative of the full range of human experience by being based in the experience of all groups of people. The women honored in this chapter, Jean Lau Chin, Lillian Comas-Diaz, Oliva Espin, Beverly Greene, and Monica McGoldrick, are all feminist therapists, researchers, scholars, clinicians and writers who have directed some substantial portion of their professional attention toward understanding the critical nature of minority and dominant group status on the development of psychological and feminist therapy theory. Together, their professional contributions and personal stories provide a powerful understanding of the nature of the intersection of race, culture     

THE EGALITARIAN RELATIONSHIP IN FEMINIST THERAPY

Feminist therapy has revolutionized clinical practice and offered a model of empowerment for all therapy approaches. However, the long-assumed claim that feminist therapists are more likely to engage in power-sharing behaviors with their clients has not been supported by published quantitative research. In the current study, 42 female therapists who were asked whether or not they self-identified as feminist therapists completed measures assessing their use of feminist therapy behaviors (Feminist Therapy Behavior Checklist) and power-sharing behaviors (Therapy with Women Scale). One of each therapists' current female clients completed measures assessing her perceptions of both treatment collaboration (Working Alliance Inventory) and power-sharing behaviors (Client Therapy with Women Scale). As hypothesized, participants who identified as feminist therapists were more likely to report engaging in power-sharing behaviors when compared to participating therapists who did not. Furthermore, as hypothesized, clients of feminist therapists were more likely to report that their therapists engaged in power-sharing behaviors.     

Feminist identity and program characteristics in the development of trainees’ social advocacy

Feminism, multiculturalism, and social justice (SJ) are closely related constructs, with an important shared emphasis on societal barriers and client empowerment. Yet, research on the relationships between the three variables in their links to counselor advocacy remains scarce. Employing the Input–Environment–Outcome framework, this study examined the unique contributions of 235 female trainees’ feminist identity, training environment SJ supports, and training multicultural focus in explaining trainees’ advocacy using a three-step hierarchical MMLR model. Findings revealed that all three factors were important to trainees’ advocacy. However, the extent to which each factor influenced advocacy varied. For instance, the more strongly identified trainees were with the Feminist Identity Active Commitment stage, the more likely they were to engage at all four levels of advocacy. Conversely, the more aligned trainees were with Passive Acceptance, the less likely they were to empower clients. Moreover, although both training environment SJ support and multicultural focus were influential, SJ training environment was a better predictor of trainee’s advocacy than multicultural training environment. These findings not only highlight the distinctions between SJ and multiculturalism, but also argue for the importance of SJ training in addition to multicultural training. Implications for theories, training, and practice are discussed.     

A Feminist Perspective on How Therapists Can Harm Marriages and What We Can Do About It

Abstract

On July 3rd 1999, William Doherty gave a keynote speech at the Smart Marriages Conference in Washington, DC. The title of his speech was “How Therapists Harm Marriages and What We Can Do About It.” Doherty discussed two dangers that face people seeking marital therapy. The first is individually trained therapists and the other is therapists with an individualistic orientation which may undermine marital commitment. In my comments regarding Doherty's speech, I commend his whistle blowing on the field and add to his comments from a feminist point of view.     

The reentry female student in marriage and family training

The challenges of feminist family therapists of gender bias in family therapy training and practice models need to be considered in relation to the predominance of reentry women in masters degree programs in marriage and family therapy. This article describes a developmental training model that incorporates feminist-informed values into curriculum, program policies, instructional strategies, and program structure. The model builds on the assumption that gender-associated behaviors of both sexes have contextually determined value. Training for the appropriate application of gender-associated behaviors rather than for their inclusion or exclusion can increase female reentry student flexibility and self-confidence.     

Clients’ perceptions of personal psychotherapy or counselling for therapists

The purpose of this study was to examine clients’ opinions of therapists’ personal use of psychotherapy or counselling. Participants in this study, a nationwide sample of clients recruited through Amazon’s MTurk system, were asked to complete an online survey assessing their attitudes towards treatment use by therapists as well as their general attitudes towards psychological help-seeking and perceptions of stigma (social and self) with psychological treatments. In this study, we found that clients generally had positive views about therapists’ personal use of psychotherapy or counselling. Although overall positive attitudes were found, the results from repeated measures ANOVAs indicated that attitudes depended somewhat on whether the therapist had sought out treatment as part of a training requirement for self-enrichment, or for the treatment of a psychological problem. In addition, participating clients were less supportive of therapists disclosing a treatment use history with their clients. Regression analyses also indicated that attitudes towards treatment use by therapists were significantly predicted by general help-seeking attitudes and perceptions of stigma (social and self), but attitudes towards disclosure were not. The findings from this study have important implications regarding therapist treatment use and disclosure in practice.     

Three Aspects of the Therapeutic Conversation in Couples Therapy

Abstract

Feminist scholars have revealed the importance of examining the influence of gender on the therapeutic process. Gender differences in the treatment of clients may reveal inequitable or traditionally Stereotypie treatment of clients by therapists. This study examined gender differences in three conversational strategies widely used by therapists: expressions of empathy or understanding, compliments or praise, and challenges or requests for change. Fourteen tapes of live therapy sessions conducted by “master” therapists were examined using an exploratory, qualitative methodology based on Conversation Analysis. Results of this exploration revealed that therapists who are not self identified as “feminist challenged female clients more than male clients, and complimented male clients more than female clients. Feminist therapists challenged male clients more than female clients, and complimented female clients more than male clients. Feminist therapists used more challenges designed to facilitate non-stereo-typic gender behavior in both male and female clients. Only male therapists used disrespectful challenges of female clients, and were more often disrespectful to female clients than to male clients. Implications for the therapist-client relationship and the feminist critique are provided.