Spirituality and Drugs Education: A study in parent/child communication

Drugs education in the UK is in its infancy. Government strategies have highlighted parents as an important aspect of children's drugs education. This paper reports on research that has explored parents' and children's perception of drug issues as well as the experience of communication about drugs within the family. The research has drawn on a number of humanistic theoretical perspectives but rests principally upon George Kelly's Personal Construct Psychology. Data has been collected using focus group discussions with parents and children from 13-15 years old, and a key phase of this work is the use of the self-characterization to facilitate communication between parents and children about drugs and their related issues. The results of the study have highlighted the need for young people to establish a sense of self and to fulfil a meaningful life, which has been identified as being a spiritual need. This paper examines these findings from a range of literature on spirituality and explores spirituality from a Kellyan perspective and develops some clear implications for further lines of research in this area.     

Medical technology: A pandora's box?

This paper examines the development of medical technology in terms of Max Weber's theory of rationalization. It argues that medical technology is a part of the general process of social, political and economic changes in modern Western societies. Medical technology today keeps many people alive who, in the past, would have died from their illness. In recent years, burgeoning technological achievements in medicine have been regarded as a threat to the individual's freedom to die. Many people believe that the prolongation of life only adds to the suffering of the patient and to the emotional distress of the family. They argue that a quiet death is preferable to the indignities inflicted by mechanical life support. This paper addresses these issues in light of Weber's theoretical arguments.     

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.     

A Kleinian view of psychoanalytic couples therapy: Part 1

This paper will investigate the central aspects of the psychoanalytic treatment of couples. The concept of analytic contact is introduced and the importance of each party of the couple being witness to the other party's response to analytic contact is discussed. Emphasis will be placed on issues of thinking, projective identification and the concept of container‐contained. Part 1 of the paper will focus mainly on theoretical issues but will then utilize one clinical case to illustrate some of the theoretical points. Using extensive case reports, Part 2 will continue to provide the reader with an in‐depth view of the important process of a couple's therapy within a psychoanalytic framework.     

Family Unit Therapy and the Science and Typology of Family Systems

This paper attempts to review and evaluate the theoretical models used in family therapy. Speer's ( 20 ) critique is given special attention. This critique provides a starting point for a theoretical reformulation, supported by the author's ( 20 , 21 ) and other workers' ( 5 ) experimental findings. A theoretically derived, three-dimensional typology of family systems is described. This is based on the notion of a balance between morphostatic and morphogenic properties of the family system, as defined. Using a high and low value for each of the three dimensions, eight family types are isolated and each type is tied to therapeutic predictions. The proposed typology is discussed in relation to an inductively derived typology recently reported by Reiss ( 16 ) The need for further validation of the typological scheme is stressed, and its possible clinical applications are outlined.     

Resistances Encountered in Starting a Group Therapy Program for Suicide Attempters in Varied Administrative Settings

ABSTRACT: This paper reports the predictable areas of difficulty—funding issues, management and personal bias issues, theoretical issues—which emerged in the development of five treatment groups composed entirely of depressed and suicidal patients. These groups represent a coordinated effort between the city/county mental health system and the authors' funding agencies. Effective strategies for overcoming these difficulties are discussed.     

Plato's Theory of Aging

Plato's writings express a positive attitude toward elderly people. But do his writings also show a serious theoretical interest in issues of aging? We approach this question by comparing what Plato says about aging to major theoretical issues in gerontology. We argue that many of Plato's subtler observations of the behavior of elderly people and many of his ideas about aging anticipate specific research and theoretical advances in contemporary gerontology. We compare passages in Plato's works to the debate between activity and disengagement theories, the concepts of continuity and gerotranscendence, Robert Butler's discovery of “the life review,” and recent theories of old age wisdom. Plato's anticipation of these ideas and issues related to them suggests that his writings may contain still other major insights into aging which are not yet articulated in gerontology. We suggest three possibilities.     

Toward a dialectical metatheory for psychotherapy

This paper develops a metatheoretical perspective for psychotherapy using a dialectical approach. A brief review of current theoretical writings shows how little attention is paid to the person and family in social context. Dialectics is then examined from an historical perspective to illustrate how it can enrich current theoretical work in psychotherapy. In concluding, the paper describes the ways in which a dialectical metatheory could delineate more precisely the relationship between the person and the society in which we live.     

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.     

Ethical Considerations in Family Therapy Research

In this article, significant ethical issues that arise in the conduct of family therapy research are considered and four major areas are emphasized: (a) the researcher's responsibility to protect the rights of research participants, (b) confidentiality and informed consent, (c) the researcher's values, and (d) methodology. In each area, parallels are drawn between the ethical issues facing family clinicians and those facing family researchers.     

Review and reflections on 40 years of family therapy development in Taiwan

Although the systemic approach is considered to fit Chinese culture, the development of family therapy in Taiwan is recent, starting in 1969, and growing as a treatment modality in Taiwan for the past two decades. To examine this development, this article reviewed 127 locally published family therapy studies published during the years 1969–2009. Content analysis was used to examine these articles and the results clearly showed an increase in the amount of publications during this period. The focus of the studies also shifted from theoretical issues to practical concerns. An analysis of 15 of these articles, which were case reports, suggested a preference for local common practice, for example, a focus on therapist manoeuvres rather than the clients' perspectives, which might have hindered the development of successful practice. The availability of only certain forms of training might also have contributed to the clinical focus of family therapy in Taiwan. The article suggests that greater interest in the therapy process in future will enhance local practitioners' clinical efficacy.     

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.     

Stories of family caregiving: Case studies in moral reasoning

Family relationships are complex, interdependent, multifactorial, cultural, and sociopolitical. In instances of family caregiving, the dynamics of these relationships influence the well-being of all members. This paper will address one dynamic of family relationships, moral reasoning, as set forth in the theories of Carol Gilligan. Gilligan's theories about two patterns of reasoning, based on the ethics of justice and care, will be examined within “stories” from fiction and interviews with family caregivers. This examination will raise issues about Gilligan's theories as well as about the literary works themselves and will suggest new ways for health professionals to work with family caregivers.     

The Politics of Women's Studies and Men's Studies

This paper is a response to the problematic relation between men's studies and women's studies; it is also a particular response to Harry Brod's discussion of the theoretical need for men's studies programs in his article “The New Men's Studies: From Feminist Theory to Gender Scholarship.” The paper argues that a male feminist would be more effective in a women's studies program, that the latter already includes research about the experiences of both males and females. Although future research on both genders is needed, the paper argues that there does not currently exist a gap in theory or in practice in women's studies programs, as Brod claims. The paper argues in favor of both men and women working together to strengthen and broaden women's studies programs in existence and encourages the creation of more programs and more study of gender issues.     

The rescuing therapist: A duplication of the pathogenic family system

Abstract

Rescuing is a saving behavior occuring in pathogenic families which is often duplicated by family therapists. Rescuing, if not confronted and explored, leads to frustration and burn—out in families and therapists. This paper explores the dynamics of rescuing behavior in families, how it is replicated by a therapist's attempts to rescue, and how the impetus for these attempts are derived from the therapist's own family of origin. The value of exploring the need to rescue is demonstrated by use of a case example. Countertransference issues and their resolution through the conscious differentiation between rescuing and real help are also explicated.     

Dreamwork beyond psychoanalysis

Abstract

Dr. Montague Ullman's work with dream groups is the main subject of this paper. After detailing his method there follows an account of the author's experience in a dream workshop run by Dr. Ullman. The theoretical issues involved in this work are discussed, particularly the ideas of Trigant Burrow, an early American analyst who believed in species connectedness, and David Bohm's theory of implicate order. Dr. Ullman's intention to return to the healing process in dreams to ordinary people is connected with the author's paper “Thoughts on the Healing Process.” The implications for psychoanalysis of these holistic ideas are considered.     

Family Sessions as Part of Child Psychological Assessment: Goals,Techniques, Clinical Utility,and Therapeutic Value

Including a family session in a child assessment can significantly advance the assessor's and parents' understanding of the child's problems and enhance the likelihood that parents will follow through on recommendations after the assessment. A family session allows the assessor to observe the child in the family context, test systemic hypotheses, better understand the meaning of individual test results, and try out possible interventions. A family session may also help parents see systemic aspects of their child's problems, help the child feel less blamed, foster positive experiences among family members, and offer the family a glimpse of family therapy. We describe methods and techniques for structuring family sessions and offer guidance on preparing for and conducting such sessions depending on one's case conceptualization. Detailed case examples illustrate each technique and demonstrate the immediate and subsequent impact of family sessions as well as their therapeutic value. We also address common clinical and pragmatic issues.     

Coping with work and family: How do dual‐earners interact?

Juggling the demands of both work and family has become increasingly difficult, especially for dual‐earner households; nevertheless, families have developed strategies to deal with work‐family challenges. This paper uses couple level analyses (APIM models) with 100 dual‐earner couples to provide insight about partners' mutual influence on the use of work‐family coping strategies. The results show that women's use of coping strategies is more associated with work‐family conflict and work‐family enrichment than men's coping. In addition, using partner coping, having a positive attitude towards multiple roles, using planning and management skills and avoiding having to cut back on professional responsibilities is associated with better outcomes (more enrichment and less conflict). Surprisingly, the use of childcare facilities is associated with women's conflict and partner effects were only found concerning the use of management and planning skills. These skills, however, have distinct effects for men and women's outcomes: their use by men reduces their own conflict but increases their wives', while their use by women decreases their own conflict and increases their own and their partner's enrichment. These results point to the fact that gender roles continue to be a hallmark of work‐family issues. Our design and results point out the need for new interventions that take couple interdependences into account.     

Therapists' Perspectives on Working with Interracial Couples

SUMMARY

This paper is based on interviews with seven marriage and family therapists (AAMFT Clinical Members) on their experiences of providing therapy to interracial couples in the course of their private practices. The interviews were conducted by the author as part of a masters thesis project. Interracial couples may frequently present for therapy with a variety of generic couples' issues and concerns. However, therapists often find that underlying these more generic concerns are issues related to the ethnic, racial, and cultural differences that the partners bring to the relationship. This paper focuses on the historical context of intermarriage, specific concerns and issues that interracial couples experience in their relationships, and on the experiences of therapists providing therapeutic services to this diverse and challenging client population.     

Labeling: A study of an “autistic” child

Abstract

In this issue we are able to present reports from two very different meetings which, nevertheless, have particular significance for the developing field of family therapy, particularly as it relates to theory and practice. The first is a report by Professors Jeanne L. Thomas and Cecil J. Simons of West Virginia University on the eighth biennial conference on Life-Span Developmental Psychology, held in May 1982, in Mor-gantown, West Virginia. This conference was one of a series sponsored by West Virginia University since 1970 dealing with theoretical and empirical issues in the study of life-span human development. This particular conference highlighted two themes involving the impact of specific historical context on family development as well as the influence of the family on the individual's own experience of these historical events. This kind of broad and in-depth exploration of the multiple factors involved in the historical as well as the personal context of an individual's development promises to provide exciting new opportunities for clinicians and teachers in our field.

The second report from James E. Durkin, Ph.D., of Lincoln University deals with a recent conference on Epistemology, Psychotherapy, and Psychopathology in Houston, September 1982, sponsored by the Houston Galveston Family Institute. Outstanding theoreticans and clinicans in the field of family therapy and systems theory were present, and their exciting discussions have been put into an interesting framework by Dr. Durkin, who has his own way of integrating these issues based on his long work in the application of general systems theory to the field of group psychotherapy. —I. A.