A Piagetian View of Family Therapy: Selvini-Palazzoli and the Invariant Approach

The Invariant Approach of Mara Selvini-Palazzoli is a new development in the Milan approach to family therapy. In order to distinguish and explain it, an overview of the Invariant Approach is given. Jean Piaget's theory of cognitive development is used to provide a framework for explaining how Selvini-Palazzoli's therapy alters the family's epistemology and facilitates change in the "family game." It is suggested that family members in therapy tend to think about their problems in a style that resembles Piaget's preoperational period. The process of therapy can be seen as geared to facilitate a shift from a preoperational to an operational style of cognitive functioning. This shift gives family members access to more adaptive ways of thinking about their problem-solving strategies.     

World View Concepts in Existential Family Therapy

Essence oriented and existence oriented approaches to family psychotherapy are very different treatment forms. This article compares and contrasts these two orientations in an effort to clarify the basic world view beliefs in existential psychotherapy with couples and families.     

A Family Therapy Narrative

The evolution of the field of family therapy since its inception in the 1950s is traced in this article. Major contributory forces as well as key pioneers in the first generation and leaders in successive generations are highlighted. This is followed by an elucidation of the conceptual foundations and basic principles undergirding almost all of the main theoretical schools. Expansion in this now vast field is underscored through attention to the proliferation of the number of books and journals addressing family therapy/psychology topics as well as mention of the internationalization of the field. A typology of extant theoretical models is also presented. The article closes with a discussion of contemporary issues and trends.     

A Developmental, Conceptual Premise for Family Therapy

The article describes an hypothesis about the staging of the development of the family system for use in diagnostic understanding and treatment planning with families.     

Aging and Family Personality: A Developmental View

The dramatic numerical and proportional increase in the elderly population has important implications for family dynamics and the family life cycle. This paper considers some of the issues of aging, death, loss, and separation, as they relate to individual and family development and to shifting roles and responsibilities of family members.     

Bilateral Art: Integrating Art Therapy,Family Therapy,and Neuroscience

This paper describes the systemic use of a neurologically-based art therapy modality—bilateral art—that engages both dominant and non-dominant hands in the process of creating images in response to opposing cognitions or feelings. It describes both neuroscience and family therapy perspectives that argue for the use of bilateral art. A specific protocol for bilateral art therapy is provided along with a case study demonstrating integration of the protocol into the systemic treatment of a young family. Carole M. McNamee, PhD, is Research Professor and Clinical Associate, Director of the Arts in Healthcare Project, The Family Therapy Center, Department of Human Development, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061 (cmcnamee@vt.edu).     

Likeness: A Hidden Ingredient in Family Therapy

The purpose of this paper is to show how one can progress from a validated theoretical model to its practical application in family therapy. The model applied in this case is the Likeness Continuum consisting of six degrees of Likeness: symbiosis, sameness, similarity, differentness, oppositeness, and alienation. A formal Task to evaluate this model in family therapy is attached to provide a basis for the evaluation of this model in the laboratory and in the therapy office.     

Material, Myth, and Magic: A Cultural Approach to Family Therapy

This paper presents a model for a therapeutic approach to the cultural systems of families. Using anthropologically derived concepts of material and ideational planes of culture, magic, and ritualistic intervention, the inducement of culture change in frozen familial systems is framed in dialectical terms. Four brief case studies are presented describing the systems engaged, the material-ideational rituals employed, and the cultural transformations induced. The paper concludes with a brief discussion of some of the theoretical and practical implications of this cultural approach to the family in therapy.     

Family Therapy in France: A Brief Overview

The major issues in contemporary family therapy in France are described: Difficult beginnings, the practice of family therapy today, training and professionalisation, organization for family therapy, journals and publishing, and perspectives for family therapy in France.A psychiatrist, Head of Hospital Psychiatric and Mental Health Center near Paris (Ville Evrard. France 93330) and a family therapist     

A Family Myth: Sex Therapy Gone Awry

The treatment of sexual disorders has achieved considerable popularity and respectability within the mental health profession and the lay community. As a consequence, it has become increasingly difficult to elude requests for this type of treatment and even more difficult to balance sexual concerns with the numerous other modes of relating that exist within a dyadic relationship. This paper will report two versions of a case study in which sexual dysfunction served as a myth that was carefully constructed to veil certain more fundamental problems.     

Illness, Family Theory, and Family Therapy: I.Conceptual Issues

This article examines and clarifies controversies about the concept of illness in the field of family therapy. We contend that illness, as traditionally understood in all cultures, is a relational, transactional concept that is highly congruent with core principles of present-day family theories. Family therapists need not buy into a biotechnical, reductionistic reframing of illness as disease. Rather, it is more appropriate to conceptualize and work with illness as a narrative placed in a biopsychosocial context. Such a narrative includes how shared responsibility for coping and for finding solutions can take place, without becoming involved in disputes about causal models.     

A Framework for Intervention in Marital Conflicts over Family Finances: A View from Africa

One chief source of marital distress and pathology in today's Africa is the issue of which way to go on the sensitive matter of how to control and manage the family's finances, and who, of the two parties in a given marriage, is to contribute what to the upkeep of that marriage. This problem results from the collapse of the traditional African family economics which saw the husband as the chief breadwinner of the family and the wife, the director of the general family services, and the emergence in its place these days, of wage-earning family households. Here, a total crisis that arises is where the two parties concerned fail to introduce equity-based considerations in the settlement of the tension presented. In that case, the danger to be faced is the development of polarization and hassles to destabilize the family. This paper presents a research report suggesting how this danger can be averted.