“The Baby With the Cream Puffs”: Further Complications in Oedipal Complexities,Commentary on Paper by Jody Messler Davies

Sexual misconduct by analysts and psychotherapists is a topic that causes great public concern. The profession should certainly respond to this concern. But the problem of sexual misconduct also provides a stimulus to new theorizing leading to an engagement with issues of social justice. I argue that there are three contentious issues: First, I criticize the growing practice of “safe”; analysis, seen as a misplaced response to the problem of sexual misconduct. Second, I urge a fresh look at the theme of incestuous sexual fantasy in family process. This would provide a broader theoretical base for the exploration of sexual desire in analysis. Third, I seek to retheorize the father in general and paternal sexuality in particular. New thinking about paternal erotics turns out to have many sociopolitical implications.     

Feminism and family therapy—a possible meeting point

This paper centres on the question ‘Is it possible to be a feminist and to practise family therapy?’ We explore the essence of feminism and family therapy and conclude that a style of feminist family therapy is possible. Feminist family therapy has a particular theoretical base and is characterized by a particular combination of practice principles. It also raises general issues for the training and practice of all family therapists.     

DETECTION OF DECEPTION IN THE EMPLOYMENT CONTEXT: A REVIEW AND CRITICAL ANALYSIS

Empirical research on the validity of the polygraph, voice stress analysis, and paper and pencil instruments as mechanisms for the detection of deception is reviewed. It is noted that while these devices have their greatest use in the employment context, virtually all research has been done in an actual or simulated criminal investigation context. Three separate uses of devices for the detection of deception in the employment context are identified, namely, pre-employment screening, periodic screening of current employees, and investigation into a specific theft. Differences between each of these uses and the criminal investigation context are identified, and issues limiting the generalizability of research findings from one context to another are raised. Among the issues are the effects of a low base rate of guilt on accuracy, the effects of making multiple judgments on overall accuracy, and the potential for racial or ethnic bias in judgments of guilt or innocence.     

Values and Ethics in Family Therapy

This article is an introduction to this special issue on values and ethical issues in family therapy. The author discusses the historical context for the rising interest in these issues in family therapy, describes the rationale for this special issue, and presents a framework for analyzing the core values of the prominent models of family therapy. The ethical debate over use of paradoxical techniques in family therapy is used as an illustration of a values clash between different models of family therapy.     

Internet and computer technology hazards: perspectives for family counselling

Families are increasingly integrating computing technologies into their everyday activities, expanding the range of external influence upon them. For many families, basic notions of 'home' are undergoing shifts as large-scale cultural and economic changes occur that are related to the 'Information age' and as family members spend more time on the Internet and with advanced communications technologies. The Internet is also providing the backdrop for a number of critical family problems, as many counsellors are discovering in their therapy efforts. This article explores the social construction of the various computer hazards that households are encountering, such as computer addiction and children's access to on-line pornography. For example, some parents label deep-seated family issues as 'technological' problems because of the involvement of the computer, while others overlook or deny the possible influences of technologies. The article discusses these issues in terms of constructivist counselling perspectives that are sensitive to cultural and environmental contexts. It outlines some of the specific strategies for countering these problems that counsellors can utilise with their clients (such as solution-focused approaches). It also discusses how counsellors can help household heads to define and deal with their rapidly changing responsibilities in these new realms.     

The network perspective: an integration of attachment and family systems theories

In this article we discuss the network paradigm as a useful base from which to integrate attachment and family systems theories. The network perspective refers to the application of general systems theory to living systems, and provides a framework that conceptualizes the dyadic and family systems as simultaneously distinct and interconnected. Network thinking requires that the clinician holds multiple perspectives in mind, considers each system level as both a part and a whole, and shifts the focus of attention between levels as required. Key epistemological issues that have hindered the integration of the theories are discussed. These include inconsistencies within attachment theory itself and confusion surrounding the theoretical conceptualizations of the relationship between attachment and family systems theories. Detailed information about attachment categories is provided using the Dynamic Maturational model. Case vignettes illustrating work with young children and their families explore the clinical implications of integrating attachment data into family therapy practice.     

The Art of Recruitment: The Foundation of Family and Linkage Studies of Psychiatric Illness

Family and linkage studies of psychiatric illness involve special benefits and challenges in the field of scientific investigation. The success of a family or linkage study is dependent on the recruitment process. The most informative and reliable method of data collection in this field of investigation is through direct interviews with as many family members as possible. Although there are circumstances when direct interviewing is not possible, there are other circumstances, such as refusal of relatives to participate, that deserve closer scrutiny. The complexities involved in the recruitment process while conducting medical investigations have been explored in the literature. However, special issues relevant to the recruitment process merit further exploration for working with families in the context of family and linkage studies of psychiatric illness. Careful understanding of this critical topic may minimize the incidence of family nonparticipation in such research endeavors. This article addresses these issues as they relate to recruiting individuals and their families in this field of investigation. These issues include the role of attitudes, values and beliefs, family interaction and the identification of influential members, informal communication networking, informed consent while promoting the research, and ethical concerns.     

Review of "The Cultural Context of Sexual Pleasure and Problems: Psychotherapy With Diverse Clients," edited by Kathryn S. K. Hall and Cynthia A. Graham

A content and thematic analysis was conducted using forum messages from websites developed for wives of online gamers who play World of Warcraft. Blog posts from 50 women describing conflict in their marital relationship involving their husband's online game play were analyzed. Four overarching themes were identified and discussed in terms of the impact of online gaming on family functioning and relationships, emotional outcomes, and coping mechanisms. Results of ensuing issues arising from excessive gaming as perceived by the non-gaming spouse and ways in which they cope with these issues are shared.     

Fostering a safe atmosphere: A first step in discussing gender in family therapy training programs

Several important aspects of raising gender issues in family therapy training programs have been identified in the last few years. However, an important first step has often not been made explicit: the need to establish an open and safe environment in which these issues can be discussed. Such a safe environment can be developed by using theoretical perspectives with which family therapy students and faculty are already familiar. This paper offers three theoretical perspectives as examples and makes suggestions for facilitating an atmosphere that is conducive to discussing gender issues.The author wishes to thank Dr. Fred P. Piercy for his helpful comments and contributions to this paper.     

Can MFTs Address Spirituality with Clients in Publically Funded Agencies?

Many marriage and family therapy (MFT) trainees and therapists working toward licensure are accumulating hours in publically funded treatment centers. The increasingly diverse clientele in the U.S. likely will be served in the public sector, especially as many states are providing more funding for county agencies and increased tuition reimbursement and/or loan forgiveness for students and graduates who work for these organizations. MFTs may feel ill-equipped to address spiritual issues in therapy at these sites, especially when grappling with ethical concerns. This article delineates a case example in which an MFT attends to spiritual issues when working with a family in a county mental health center. The authors illustrate how a therapist can navigate the ethical dilemmas of this case when working from a Bowenian perspective.     

Family therapy's missing question,why the plight of the modern family?

The field of family therapy has developed rapidly over the last thirty years. The account of its emergence produced by family therapists neglects the socio-historical context and wider issues of social and family change. The contemporary practitioners need to understand this context, and in particular, the extent to which assorted unexamined, and perhaps unwanted, assumptions about the family and about social reality are embedded in family therapy. Hence the paper will explore some of these assumptions in the light of analysis of the technological and intellectual climate in which family therapy emerged, and of social changes affecting marriage and the family.     

COVID-19 Interconnectedness: Health Inequity,the Climate Crisis,and Collective Trauma

The COVID-19 pandemic brings to the forefront the complex interconnected dilemmas of globalization, health equity, economic security, environmental justice, and collective trauma, severely impacting the marginalized and people of color in the United States. This lack of access to and the quality of healthcare, affordable housing, and lack of financial resources also continue to have a more significant impact on documented and undocumented immigrants. This paper aims at examining these critical issues and developing a framework for family therapists to address these challenges by focusing on four interrelated dimensions: cultural values, social determinants of health, collective trauma, and the ethical and moral responsibility of family therapists. Given the fact that family therapists may unwittingly function as the best ally of an economic and political system that perpetuates institutionalized racism and class discrimination, we need to utilize a set of principles, values, and practices that are not just palliative or after the fact but bring forth into the psychotherapeutic and policy work a politics of care. Therefore, a strong call to promote and advocate for the broader continuum of health and critical thinking preparing professionals to meet the challenges of health equity, as well as economic and environmental justice, is needed. The issues discussed in this paper are specific to the United States despite their relevance to family therapy as a field. We are mindful not to generalize the United States' reality to the rest of the world, recognizing that issues discussed in this paper could potentially contribute to international discourse.     

Morality in group and family therapies: multiperson therapies and the 1992 ethics code

Although virtually every psychotherapeutic approach or orientation has adapted group and family therapy to its conceptions of psychological dysfunctions and how to treat them, levels of training of practitioners in all of these approaches are often insufficient to meet the requirements of ethically as well as technically responsible conduct of treatment for persons in groups and families. The new ethics code (American Psychological Association [APA], 1992) does include a few issues specific to multiperson therapies, but other issues critical to the competent practice of group and family therapy remain unaddressed. The result can be confusing to those applying standards for individual therapy to multiperson therapies. It is argued that the classical ethical concerns of psychotherapists, informed consent, confidentiality, countertransference reactions, aand intrusions of therapist values, require special sensitivity to how they are expressed in mulitperson therapies. Practitioners of group and family therapies must be better sensitized to the technical distinctions and the associated ethical vulnerabilities of the modalities they use. Future planning for revision of the APA ethics code should take these factors into account.     

Handling greedy clergy roles: A dual clergy example

Striking changes have occurred in the number of women who have been ordained as clergy in the Protestant denominations in North America. With these changes has come a concomitant increase in the number of dual clergy couples. These couples are a new variant on the dual career theme. They share some of the same strains which have been identified for dual career couples in general; namely, identity issues, work and role overload, role cycling problems, social network dilemmas and discrepancies between personal and social norms. In addition, particular qualities of the clergy role create problems which these couples must address. One such problem is handling the ambivalent boundary between work and family roles. Two aspects of this issue are the absorptiveness of the role and the embeddedness of both work and family roles. The present paper discusses these boundary issues using data from a study of a population of dual clergy couples in two synods of the Lutheran church in two western Canadian provinces. Strategies for handling these issues are suggested for couples, church leaders and congregational representatives.Thanks are expressed to Les Vaala, Director of Student Life, Camrose Lutheran College, Camrose Alberta who was a cooperating researcher in the study.     

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.     

Bridging Conversations: Discussing the Intra‐professional Relationship between Medical Family Therapy and Family Therapy

This article examines the conceptual and practice relationship between medical family therapy (MedFT) and its parent field, family therapy, with MedFT viewed as the extension of relational sense‐making and understanding into a specific venue; that of medicine. The extension of this relational meaning system into medicine is typified by the ability of the therapist to negotiate and connect three main areas of conceptual difference that often account for conflictual relationships between mental and biomedical healthcare providers: (i) patient and provider conceptualizations of issues and goals, (ii) linear and circular understanding of issues and goals and (iii) consultative and expert positions on issues and goals. Two case examples are offered to describe how these three areas of tension are reconciled in practice.     

Addressing Family Violence Within Juvenile Courts

Summary

Whether as overt or underlying issues, family violence is prevalent within juvenile court caseloads, yet often is not identified within intake and disposition. Focusing on juvenile victimization of parents, and to a lesser extent teen dating partners, this article discusses model programs emerging in juvenile courts specifically addressing these issues. A comparative analysis of the drug court trend is explored in the context of its applicability for specialized family violence applications in the Juvenile Court. An overview of the King County (Washington) Juvenile Court's Step-Up Program and the Santa Clara County (California) Juvenile Court's Family Violence program is offered, followed by the process by which the Travis County (Texas) Juvenile Court has implemented a program similar to these models. Effective interventions with violent families must be informed by the domestic violence community's treatment expertise, building on the paradigm of youth resilience.     

The complaining client and the troubled therapist: a discursive investigation of family therapy

In this paper I examine two important issues for family therapy research. I attend to the concept of complaints, highlighting the conversational structure they take in a family therapy setting. I do this by outlining how clients construct their complaints and examining how the family therapist receives them. Data is taken from a corpus containing four different families and two different therapists, and is subjected to discursive analysis in order to provide a rich analysis of not just what is happening in the talk but how it is happening. I conclude that complaints are not received as useful to the therapeutic process, despite their constructed importance to the client, and therefore there are wider implications for therapy and professionals more generally, particularly implications for multi-agency communication.