Re-editing family mythology during family therapy

Family mythology includes false or edited beliefs about the present which may be coupled with family legends which support those beliefs. Families are particularly likely to use their histories dys-functionally if they either see the present as an exact replication of the past or, in contrast, deny that the past has any relevance whatever. Re-editing myths involves enabling families to alter their relationships and their self perceptions. This allows a fresh exploration of the past; a process which can support and encourage further change. Case material is used to illustrate this.     

Structural family therapy with Mexican-American family systems

Characteristics of traditional Mexican-American families with consequent family rules that affect these family systems are discussed along with selected clinical cases. The specific cases discussed involve: (1) interactions with family of origin in intercultural marriages, (2) intracultural differences in levels of acculturation and traditional family rules, and (3) extended family impact in response to severe life crisis. The development of therapeutic processes from structural and strategic family therapy approaches, which reflect appreciation for cultural differences and strengths, is suggested.This material was presented at the annual meeting of the Texas Association for Marriage and Family Therapy, January, 1994, San Antonio, TX.     

Role conflicts of family members in family firms

The existence of role conflict among organizational members tends to create tensions inside organizations worldwide. However, in the context of family firms, having a dual role of being a member of a family and a member of the firm can represent interesting differences that make family firms an important form of organization to study. Following the tenets of the stewardship theory, our article develops a model where reciprocal altruism represents an antecedent to role conflict among family members. We further argue that perceptions of collective efficacy among family members have a moderating effect on the relationship between reciprocal altruism and role conflict. Last, we propose that role conflict in family firms reduces the family firm performance. Implications for future research and practice are discussed.     

Increasing family members' appreciation of family caregiving stress

Participants read a message discussing the duties of a typical family caregiver (for example, a woman taking care of her elderly mother) and the associated psychological, physical, social, and financial stresses. The message was accompanied by an appeal that was either a control or was altruistic (other-oriented: focusing on the mother/caregiver's well-being) or egoistic (self-oriented: focusing on the child of the caregiver's needs and feelings). Participants who received an altruistic appeal were more appreciative of caregiving stresses than were those given an egoistic or a control appeal. Increasing family members' awareness of the stress involved in family caregiving is a first step in encouraging them to personally intervene on behalf of the caregiver.     

Understanding family violence: An orientation for family therapists

This paper offers clinicians an introduction to the broad, foundational issues underlying an informed approach to treating intrafamily violence. Important assumptions, drawn mostly from the work of empirical researchers, are provided. One holds that the recognition and treatment of family violence is an appropriate concern for most family therapists and not merely for those who work with the spectacular, notorious tip of the iceberg cases. Assessment and some treatment issues including spouse abuse, child abuse, and abusive adolescents are discussed briefly. Some commonly held therapeutic assumptions are challenged. Systemic approaches, rather than individual treatment, are considered appropriate for most cases.This paper draws heavily from the work of the Family Violence Research Program at the University of New Hampshire, although the interpretations made of such materials are the responsibility of the author. Appreciation is expressed to Craig A. Everett, PhD, and Alice Mancill Nichols for helpful comments and assistance.     

Ibsen's truth, family secrets, and family therapy

In certain Ibsen plays a character (would-be family therapist) enters during a crisis revolving around family secrets. Taking two such plays as models, this paper examines family processes and clinical issues surrounding secrets and myths. In Ghosts, Ibsen demonstrates the tragic foreclosure visited upon the Alvings' lives by a generation of secrecy. For contrast, in The Wild Duck the would-be reformer Gregers brings out the truth, to expose and correct consequences of his father's past machinations. The biographical roots of Ibsen's obsession with truth and illusion are explored. Lastly, the notion that Ibsen and early family therapist were reformers is viewed in historical perspective.     

The impact of family functioning on family racial socialization processes

This longitudinal study evaluated the relationship between family functioning and family racial socialization processes in a clinical sample of African American youth referred for drug abuse treatment. Participants were 77 African American adolescents and their parents. Results showed that participants assigned to structural ecosystems therapy experienced a greater increase in family racial socialization processes during treatment than participants assigned to the treatment as usual in community settings condition. Participants in structural ecosystems therapy also demonstrated a greater increase in family functioning than participants in community settings condition, and this improvement in family functioning mediated the relationship between treatment condition and family racial socialization processes. Research and clinical implications are discussed.     

Multi-agency family systems

The term 'multi-agency' family is preferred to 'disorganized' family. Multi-agency family systems present special problems of the relationships (a) within the family, (b) between family and professional network, (c) among members of the professional network and (d) between family, network and treatment centre to whom the family is referred. Pressures on the family and professional workers can create a locked system which prevents natural development of the family or effective problem solving by the workers. A systems approach to such problems is presented which includes consultation to the family/professional network system.     

Enhancement of health-giving family support versus treatment of family pathology

Family assessment and therapy has emphasized the negative, pathogenic features of the family relationships of persons who have suffered episodes of schizophrenia. The role of the family as the major provider of supportive care for the disabled patient has received much less attention. A case is made for greater emphasis on the coping abilities of families and family therapy methods that specifically increase these functions through enhancing the problem-solving skills of the family unit.     

Medical family therapy: an emerging arena for family therapy

This paper describes an important recent development in American family therapy. Medical family therapy uses a biopsychosocial systems model to work with families who have a member with a chronic illness or disability. The authors maintain that family therapy has tended to embrace the mind–body split and to view itself too narrowly as a mental health specialty. Medical family therapists work collaboratively with physicians and other health professionals to help families achieve a sense of agency and communion in facing some of the greatest challenges that life brings.     

Restorying family therapy

This article describes a multi-systemic model of therapy developed by the author over the past decade and summarizes the main products of this project: Explication of key family systems notions, strategic family play therapy, multi-systemic therapy, and culturally-competent family therapy. The model incorporates beyond the family system, culture, wider ecosystems, psychodynamics, and the individual's neuropsychological, cognitive, and socio-emotional development. The model enables the therapist to design flexible multimodal interventions.     

Nuclear family apparatus

The nuclear family apparatus was designed to provide a living arrangement that included fathers as well as other family members. Accordingly, it required generous dimensions so as not to cramp the males and durable materials that could withstand their strength. The apparatus described in this paper is relatively large, strong, easy to keep clean, and safe in its construction. It provides quarters for four rhesus monkey families—the parents and their offspring. Parents are confined to living cages at the rear and ends, but their young may divide their time between living cages and large play areas equipped with motor apparatus.     

Transcultural family therapy

Conventional family therapies such as Structural, Systemic, Satirian, Adlerian and Dreikursion seem to be marked by cultural biases and give an indication of one single culture orientation. These seem to represent the cultural majority norms and values in acting as oppressive tools in a multi cultural society. Most of these therapies are derived from theories reflecting intrapsychic factors that are white middle class concepts, neglecting the multi culturaUsocia1 contexts in family therapy. “Ethnic minority families” from non Western Countries often experience more problems than families from Western Countries in the areas of education, immigration, employment and health. The cultural expectations are full of contradictions and ethnic minorities feel handicapped both socially and culturally in the task of growth and development. Western family therapy has failed to address these issues.     

Nontraditional family romance

Family stories lie at the heart of psychoanalytic developmental theory and psychoanalytic clinical technique, but whose family? Increasingly, lesbian and gay families, multiparent families, and single-parent families are relying on modern reproductive technologies to form families. The contemplation of these nontraditional families and the vicissitudes of contemporary reproduction lead to an unknowing of what families are, including the ways in which psychoanalysts configure the family within developmental theory. This article focuses on the stories that families tell in order to account for their formation--stories that include narratives about parental union, parental sexuality, and conception. The author addresses three constructs that inform family stories and that require rethinking in light of the category crises posed by and for the nontraditional family: (1) normative logic, (2) family reverie and the construction of a family romance, and (3) the primal scene. These constructs are examined in tandem with detailed clinical material taken from the psychotherapy of a seven-year-old boy and his two mothers.     

A guide to family/school interventions for the family therapist

When presented with a behavioral problem or symptom expression that involves two systems, such as a serious school-related problem, the therapist needs to design an approach that will intervene effectively and expeditiously in both systems. This paper offers a guide to stages of problem escalation and therapeutic intervention that is intended to aid the problem-solver's thinking processes in approaching a troubled situation that involves two systems, the school and the home.     

Theme-focused family therapy: the inner emotional world of the family

This paper is an account of a method of family work developed for social workers in social services departments which allows them to work with the emotional impact on children and adults of traumatic events in family life. Theme-focused family therapy has been designed to meet the needs of the families and also to enable social workers and their supervisors to develop both psychodynamic and systemic perspectives m their work with families. It is a staged approach, moving from individual work to a structured family interview through to a series of theme-focused family sessions. It is phased in this way both to facilitate the development of a therapeutic attachment between social worker and family and to take account of the crises that can interrupt planned work in social services departments. Theme-focused family therapy is carried out in partnership with families, and gives children a voice and a leading role in the therapeutic process. The approach is illustrated with a case example.     

Preschoolers' characterizations of multiple family relationships during family doll play.

Investigated 4-year-olds' depictions of family relationships during a semistructured doll play task. Examined developmental and family correlates of these depictions, and their relative stability over a 1-month period. Forty-nine children related stories about happy, sad, mad, and worried families using dolls reflecting their own family configuration. For each story, coders recorded (a) proportion of total story time devoted to each family dyad and (b) number of conflictive, aggressive, and affectionate acts per dyad. Children divided their focus during stories evenly between father-child, mother-child, and father-mother relationships with child-sibling interactions occurring regularly among participants with siblings. Depictions of affection and aggression among family figures were relatively commonplace, related to mothers' reports of family climate, and stable across a 1-month period. Results substantiated preschoolers' awareness and discrimination of intrafamily relationship dynamics and provided some guidelines and cautions to practitioners who employ doll family assessments in their clinical work.