The (HI)Stories We Live by: Power/Knowledge and Family Therapy in Africa

There is a need to Africanise family therapy so as to serve the interest of local communities. Western approaches to family therapy have been accused of being irrelevant to African contexts. They are seen as forming part of a dominant scientific knowledge which invalidates local folk and cultural psychologies and thereby continuing a historical tradition of oppressive colonial power relations. This paper aims at archaeologising and evaluating such criticism by situating family therapy within different fields of knowledge that have emerged historically and are currently co-existing in Africa. The advantages and disadvantages of dominant family therapy approaches in African contexts are explored by focussing on power relations between different knowledges in Africa. It is argued that many global narratives of family therapy offer congenial companionship to many local African narratives, but that family therapists should pay more attention to local spiritual and political narratives so as to attain more legitimacy and validation by local communities.     

South African Serial Homicide: A Victim‐Focused Behavioural Typology

This current study assessed the value of the Interpersonal Model in differentiating serial homicide offences in South Africa, notably in terms of how the offender may display behavioural patterns that are indicative of them dealing with the victim as a Person, an Object, or a Vehicle. The sample consisted of 302 offences committed by 33 offenders that occurred from 1953 to 2007 in South Africa. Multidimensional scaling analysis was used to test the Interpersonal Model and results indicated that crime themes did not directly correspond to the threefold model. Instead, two crime scene types were present: Victim as Object (where the focus was on tangible gains, interaction with the victim throughout the phases of the crime was limited, and victims included men and live women) and Victim as Vehicle (where the victim might be construed as a conduit through whom the offender could realise their specific psychological needs, the interaction was extensive, and victims tended to be vulnerable). South African serial homicides did not appear to have a specific sub‐theme of Victim as Person, suggesting that the themes engaged in centred more on instrumentally focused actions but in qualitatively different ways. However, victim types were integral to the overall behavioural model. Using the Victim as Object/Vehicle dichotomy, 85.7% of the offences could be seen to engage dominantly in one of the two patterns at the crime scene. This not only supported the results of a twofold model, but having these many offenders showing a dominant crime scene type also shows that the model is an excellent representation of serial homicide offending in South Africa. Copyright © 2014 John Wiley & Sons, Ltd.     

Justice,Law and Philosophy—an interview with Jacques Derrida

In South Africa the acquisition of full political and civil rights for all rectified the former political situation of apartheid South Africa. Against the background of key developments in the political legacy of the West, including the opposing theoretical orientations of individualistic and universalistic approaches, the historical roots of those conditions which eventually were recognised as essential for the idea of a just state are highlighted. Adding a mere multiplicity of individuals (atomistic social contract theories) or postulating one or another encompassing whole (such as Rousseau's volonté générale) precludes an insight into the own inner laws of distinct societal spheres. The concept of sovereignty appears not to be sufficient to delimit state-law properly. An alternative view is introduced by Althusius (1603) with his objection to the application of the whole-parts relation to society and the state. He acknowledges ‘leges propriae’ (proper laws for each societal collectivity and thus opened up an avenue for introducing the principle of sphere-sovereignty, which leaves room for the internal spheres of law of non-political societal entities as well as for personal freedom. If the spheres of public law, civil private law and non-civil private law are intact, political freedom, personal freedom and societal freedoms are secured—the structural conditions for the just state. The Constitution of South Africa incorporates these requirements for a Rechtsstaat and in addition contains a unique equity content. The future of the South African democracy is therefore crucially dependent upon the internalisation of a truly Rechtsstaat political culture.     

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.     

Relative versus absolute standards for everyday risk in adolescent HIV prevention trials: expanding the debate

The concept of minimal risk has been used to regulate and limit participation by adolescents in clinical trials. It can be understood as setting an absolute standard of what risks are considered minimal or it can be interpreted as relative to the actual risks faced by members of the host community for the trial. While commentators have almost universally opposed a relative interpretation of the environmental risks faced by potential adolescent trial participants, we argue that the ethical concerns against the relative standard may not be as convincing as these commentators believe. Our aim is to present the case for a relative standard of environmental risk in order to open a debate on this subject. We conclude by discussing how a relative standard of environmental risk could be defended in the specific case of an HIV vaccine trial among adolescents in South Africa.     

THE EFFECTS OF POLITICAL VIOLENCE ON CHILDREN: A CONSIDERATION OF SOUTH AFRICAN AND RELATED STUDIES

This paper considers two propositions which have recently been advanced in debates in South Africa and elsewhere. The first is that children exposed to political violence will necessarily be emotionally damaged by the experience. The second is that exposed children will be socialised to endorse violence as a dominant mode of conflict resolution. Both these propositions are contested by referring to research conducted in South Africa and abroad. It is argued that attempts to understand the psychological sequellae of exposure to political violence need to take into account a number of interlinked factors. These include the type of political violence experienced, the child's developmental level and the availability of supports in the family and community. The evidence suggests that there is no simple relationship between exposure to violence and psychological disturbance or endorsement of violent conduct by children.     

The rooting of the mind in the body: new links between attachment theory and psychoanalytic thought

The relationship between psychoanalysis and attachment theory is complex indeed. A brief review of the psychoanalytic literature as it concerns attachment theory and research, and of the attachment literature as it pertains to psychoanalytic ideas, demonstrates an increasing interest in attachment theory within psychoanalysis. Some of the difficulties that attachment theory faces in relation to psychoanalytic ideas are traced to its links to the now dated cognitive science of the 1960s and 1970s. Today, however, a second-generation cognitive neuroscience seeks neurobiologically plausible accounts in which links with brain and body are seen as shaping mind and consciousness, which increasingly are seen as "embodied", as emerging from or serving the needs of a physical being located in a specific time, place, and social context. This idea has also been at the core of much psychoanalytic thinking, which has historically affirmed the rootedness of symbolic thought in sensory, emotional, and enacted experience with objects. Now neurobiological advances supporting the concept of embodied cognition offer an opportunity to forge powerful links between the hitherto separate domains of attachment theory and psychoanalysis. Speculations about the nature of language are presented that emphasize the origin of internal working models (and of representations in general) in early sensorimotor and emotional experiences with a caregiver. It is argued that language and symbolic thought may be phylogenetically and ontogenetically embodied, built on a foundation of gestures and actions, and are thus profoundly influenced by the experience of early physical interaction with the primary object. Finally, the clinical and research implications of these ideas are discussed.     

Integrating family therapy in adolescent depression: an ethical stance

Adolescent depression, particularly where suicidal behaviour is involved, is a complex and pressing mental health problem and demanding for families, therapists and services alike. This article reviews the evidence-based literature for adolescent depression including family therapy approaches. It suggests an integrative treatment approach that includes individual psychological treatment like CBT, medication where required and a family therapy intervention is supported by the literature. The focus of the latter is psychoeducation, building resilience and hope, enhancing communication, reducing relational conflict between parents and adolescents and addressing attachment and relationship issues. A systemic framework for integrating family therapy in the evidence- based treatment of adolescent depression is described. This is based on an ethic of hospitality towards different languages of therapy, which is illustrated by a detailed example from family therapy practice.     

Beyond Broken Bonds and Broken Hearts: The Bonding of Theories of Attachment and Grief

Attachment theory describes the establishment and long-term impact of infants' early relationships. Theories of grief and mourning have acknowledged that the disruption of attachment bonds is loss and grief, but the attachment literature shows little development toward a conceptual linkage with these theories. The connection is important given the current discussion of whether bonds with the deceased are broken or continued. The purpose of this article is to link the strengths of each perspective to inform us about the process of grief as mourners work through the reconstruction of their relationships. It presents a developmental model integrating attachment theory and cognitive developmental approaches in order to further our understanding of the processes involved in loss and grief.     

Family Systems: Morphostasis and Morphogenesis,or “Is Homeostasis Enough?”

The role of family homeostasis in Conjoint Family Therapy is reviewed and examined from the standpoint of the Sociocultural Systems framework as presented by Buckley. Sociocultural Systems concepts are presented, and an attempt is made to relate them to a view of the family. It is concluded that the concept of homeostasis by itself is insufficient as a basic explanatory principle for family systems and that it may limit both our expectations for families and our approaches to helping families. The concepts viability, positive feedback processes, morphogenesis, and "variety" are presented and emphasized as important for a more tenable conceptualization of the family system in our society today. An attempt is made to relate these concepts to some of the clinical family literature and to examine the implications of these concepts for mental health and educational approaches to the family.     

个体依恋特征的二重性：特质性依恋与状态性依恋

传统依恋理论认为个体依恋心理和行为模式具有相对稳定性, 但无论在信息加工还是个体发展过程中, 个体依恋模式均表现出二重性, 即既具有相对稳定性, 又具有情境敏感性。个体在情境中所表现出的依恋模式是个体相对稳定的特质性依恋和情境特征相互作用的结果。依恋启动研究中特质性依恋特征与依恋启动效应之间的交互作用模式为理解依恋二重特征及其关系提供了窗口。依恋系统激活的两阶段模型为整合和解释这些相互作用模式提供了框架。未来研究应优化依恋二重特征关系研究中启动效应的操作检验, 考虑依恋焦虑和回避维度的交互作用, 关注高焦虑群体内的依恋差异, 以理析依恋二重特征之间的相互作用方式, 同时关注依恋策略影响依恋启动效应的时间进程, 探究依恋二重特征相互作用的机制。     

A transnational family story: A narrative inquiry on the emotional and intergenerational notions of ‘home’

At the core of migratory experiences lie key questions pertaining to one's emotional changing Self: the complexity of conflicting identities, feelings of (un)belonging, varying degrees of emotional place (un)attachment, and the fundamental (re)conceptualizations of ‘home’. Though well-studied from various angles, ‘home’ as an emotional concept in the context of generational family migration research has many gains yet to be made. Through an in-depth study on three generations of one author's own family, this paper provides personal insight into the intergenerational and emotional dimensions of this topic. Unanimously, the findings demonstrate that notions of ‘home’ as where family is remain predominant, with ties to transnationally dispersed family members rendering ‘home’ as multiple. Places of familial heritage further remain central in conceptualizations of ‘home’ through a retainment of cultural practices and values derived from familial homelands. Despite these cross-generational similarities, challenges and emotional uncertainties on the topic are seen to be increasingly prevalent in the youngest generation. Above all, interviewees' post-migration reflections demonstrate that such conceptualizations are intricate, relational and do not exist in an emotional vacuum.     

Family systems and the attachment dynamic

Using attachment theory as a theoretical framework, the concept of the attachment dynamic is introduced as a model to explain (1) how individual members of a family behave as though they constituted a system (2) the extent to which the complementary activities of attachment and care-giving behaviour (a) govern the movements of family members towards or away from each other; (b) affect the degree to which they each engage in creative exploratory activities; and (c) influence the internal representation each family member builds of him or herself in action with others or acting alone. The attachment dynamic is considered to be played out in many forms which range along a continuum from highly adaptive to grossly maladaptive. The characteristics of effective care-giving behaviour, adaptive attachment behaviour and exploratory behaviour, integrated within adaptive forms of the attachment dynamic, are contrasted with ineffective care-giving, continuing unassuaged attachment behaviour and anxious, frustrated or inhibited exploratory behaviour which are found in maladaptive forms of the dynamic. The implications of this model for family therapy are outlined.     

Socrates,Crito, and emigration from South Africa

This article uses Plato’s Crito as a lens through which to consider the question of whether a South African citizen should emigrate from South Africa. While this question is not exactly parallel to that of whether the condemned Socrates should flee Athens, it has much more to do with justice than is commonly thought. For in order for one to know whether one has an overall duty to remain in or leave South Africa, one must determine what one owes to one’s country and compatriots, one’s community, one’s family, and oneself.     

The treatment of psychological trauma from the perspective of attachment research

This paper looks at the implications of attachment research for the treatment of psychological trauma. This is particularly important in the field of family therapy given that PTSD both impacts on the immediate family system and can be transmitted down the generations. After an initial review of current research in the field, the paper focuses on the assessment and treatment of PTSD, emphasizing the importance of integrating techniques from different models that enable clients to modulate their emotions as part of the therapeutic process. The paper concludes by emphasizing the importance of support and supervision for the therapists in order to avoid secondary traumatization.     

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 talking cure: Wittgenstein's therapeutic method for psychotherapy,by John M. Heaton

This paper offers an outline of the challenges particular to intersubjective approaches to psychoanalytic psychotherapy in South Africa. Past experiences of deeply entrenched and racialized divisions between communities continue to shape the negotiation of power in therapeutic spaces, and affect participants’ capacity to engage freely with the exploration of unconscious communication. Examples are given of the ways in which race, class and gender difference may complicate, hinder or enrich intersubjective psychoanalytic psychotherapy. Some suggestions are made about the kinds of reflective work that need to be undertaken by psychotherapists in order to assume fully the burdens of history and to appreciate fully the opportunities offered by a society in transformation.     

Attachment within family systems: An overview

A family systems approach provides a context for the development and maintenance of dyadic attachment relationships. An attachment approach provides a focus on the expression of and response to attachment behavior within a family. Uniting the two approaches has implications for both research and intervention. Characteristics of attachment theory and family systems theory are briefly outlined: Both involve systemic thinking. Different styles of interacting at the level of the family as a whole, working models of relationships, and dyadic interactions appear to correspond in a coherent way. Further research is needed in order to identify which dimensions of family functioning are relevant to the development of secure attachments, and how the relevant dimensions may change with age and stage in the family life cycle. This will provide targets for preventive interventions, with the development of secure relationships as a primary goal.