Power and influence in the environment of family therapy*

This paper explores some of the ways in which family therapy theory and practice limits an appreciation of the contexts of families and family therapists. It focuses particularly upon how the rules which underlie patterns of relationships in social systems are made and maintained more by one part of a system than by another, and considers this (a) within families, (b) within various aspects of the social environment of families, and (c) within the organizational contexts of family therapists. It then proposes that the systemic thinking which family therapists apply to families is potentially applicable to wider contexts including international relationships.     

Is there a place for individual subjectivity within a social constructionist epistemology?

The epistemological turn towards social constructionism has become well established within the field of family systemic therapy. Social constructionism has provided therapists with a theoretical rationale for the concentration upon the social context within which individuals and families live their lives. This is a philosophical position that pushes to the margins the positivist premise that individuals have fixed and measurable personalities in favour of a discourse which proposes that the person is encountered differently within different social contexts. Prompted by the growing interest in systemic practice with individuals and by the rediscovery of the psychoanalytic canon within family therapy literature, the adequacy of this position is examined and an attempt is made to open up a space within social constructionist discourse for a theory of individual subjectivity. Findings from a research project are the starting point for this venture. These findings are understood through the lens of psychoanalytic theory, with particular reference to the work of Jacques Lacan.     

A Multicultural Application of Attachment Theory with Immigrant Families: Contextual and Developmental Adaptations

This article explores attachment theory from a multicultural perspective to highlight adaptive considerations for immigrant families. The specific considerations of the theory reviewed are (1) attachment sensitivity based on social and cultural context and (2) the effect of maturation on families’ developmental needs and how this can be integrated within context. A case conceptualization of a Bosnian immigrant family living within the United States will highlight potential variations in the adaptation process. How therapists can support in providing culturally-sensitive applications of attachment theory to promote family relationships will be discussed.     

"If I Don''t Get Simple, I Cry"

Poor families have taught us special lessons that are applicable to all families. They have instructed us about the problems, within families, of developing relationships adequate to the tasks of family life. One consequence is that therapists are attending more to the evolution of the structure of family relationships, particularly, the phenomenon of underorganization. Poor families have also provided insight into the dynamic relationship between families and their social context. As a result, a therapeutic perspective is emerging that focuses on the influence of the community on the individual and the family, a perspective that may be called an eco-structural approach to therapy.     

The Profession of Family Therapy in South Korea: Current Status and Future Directions

The authors present a brief overview of the family therapy field in South Korea. Since its introduction in the late 1970s, family therapy has been developing into a professional field with education and training institutions, practice settings, credentials, and practitioners holding memberships in various professional organizations. While such issues as family values and types, filial piety, violence, interethnic marriage, and social polarization have resulted in an increased demand for family therapy, such services are not readily accessible to Korean families in need. Efforts should be made in increasing number of competent family therapists by strengthening both academic and clinical requirements for credentialing. Efforts are also needed in increasing accessibility of family therapy services by making them more available within a variety of human service contexts.     

The Aesthetic Preference: Overcoming the Pragmatic Error

Family therapists share the belief that people simultaneously are parts of a multiplicity of contexts, one of which is the family. The family contexts connect people in patterns as part of the unity of all contexts. Family systems, like all other living systems in nature are structured entities governed by such aesthetic principles as symbolic representation, order, patterning, balance, and unity. Our therapeutic techniques have been created to help transform the various patterns of connections within families, our goal being to help increase the degree of personal and interpersonal flexibility and differentiation for each part of the family system. The family therapist is like the artist searching for a beauty and unity of structure. It is through that aesthetic process that flexibility and differentiation are best furthered. Discovering the nature of the meaningful aesthetic arrangements within family systems is the difference that makes a difference in defining ourselves as family therapists. That difference involves us as part of a paradigmatic movement ( 4 , 20 ) espousing an ecological systems epistemology of mental life.     

Determinants and Consequences of Child Culture Brokering in Families from the Former Soviet Union

Child culture brokering occurs when immigrant children help their families navigate the new culture and language. The present study develops a model of the child culture broker role that situates it within the family and community economic and acculturative contexts of 328 families from the former Soviet Union. Path analysis was utilized to explore the relationships of community and family economic and cultural contexts with child culture brokering, child emotional distress, and family disagreements. All children reported some culture brokering for their parents. Less English proficient parents with lower status jobs, and living in areas with more Russian speaking families tended to utilize their children as brokers more often. Further, community economic conditions also predicted brokering indirectly, mediated by parent job social status. Brokering was related to child emotional distress and family disagreements. Further, culture brokering was a mediator of the impact of parent job social status on both child emotional distress and family disagreements. These results add to our understanding of the culture broker role and emphasize the utility of approaching research on it from an ecological perspective.     

The crucial roles of attachment in family therapy

This paper's aim is to enable family therapists from whatever approach to address family attachments during their work. It explores the role of attachment in the family, and how to enable therapists to increase security in the family so that family members can solve their own problems during and after therapy. The article gives a brief overview of the nature of family attachment relationships and the influence of secure and insecure attachments within the family and their narrative styles. This is described in language that a therapist might readily hold in mind and share the ideas in dialogue with families. The paper discusses the interplay between insecure attachments and other family problems, such as parental conflict and disagreements over authority. It also discusses ways of establishing a secure therapeutic base and the influence of the therapist's own attachment style. The implications for family therapy practice are described and illustrated by work with a specific family.     

Differences in family functioning in grandparent and parent-headed households in a clinical sample of drug-using African American adolescents

Grandparents play a critical role in African American families, providing support and important leadership functions. Little is known, however, about family functioning in grandparent-headed households with a drug-using adolescent. Such knowledge is particularly salient for researchers and therapists who work with drug-using adolescents and their families. Using a clinical sample of convenience, analyses were conducted to identify similarities and differences in adolescent substance use and behavior problems, family relationships, and family social ecology relationships between African American grandparent-headed (n=12) and parent-headed (n=54) households. Results indicated that adolescents from the 2 household types reported similar levels of problem behaviors, but that grandparents reported less delinquency with peers than did parents. Primary caregivers in grandparent-headed households reported less monitoring and supervision of peers and less within-family conflict. Implications for treatment are discussed.     

Custody Evaluations: Critical Contextual and Ethical Considerations

The area of custody evaluation is fraught with anxiety and tension for parents and children as well as therapists. This article encourages the use of a set of lenses that explores individual and family members' relationships within a variety of contexts. To advance the reader's understanding, a model employing various levels and domains will be presented and described. A variety of critical ethical issues, and challenges often encountered by therapists are also examined.     

Challenges and opportunities of a transactional world view: Case study of contemporary Mormon polygynous families

Summarized an ongoing research program on contemporary Mormon polygynous families. Husband-wife and wife-wife relations in plural families are examined from dialectical and transactional world views. Key research issues center on (a) how husbands and wives achieve viable dyadic and communal relationships, and (b) how dyadic and communal issues are managed in social and physical contexts through the life cycle of plural family relationships. I wish to express my appreciation and respect for the individuals and families who welcomed us into their lives and homes during the course of this research. Their honesty, forthrightness, and commitment to religious and family life is deep and honorable. We were personally enriched by having the opportunity to learn about a unique life-style, and hope that our portrayal of aspects of participants' lives is objective, responsible, and understanding.     

The Aged Are Family Members

Research reveals that the notion of the aged being abandoned or dumped by families is a myth. In general close ties and mutually responsible behavior continue. For those engaged in family treatment, older families and intergenerational relationships are a clinical frontier. Practitioners have the opportunity to experience and observe, in depth, the emotional quality and meaning of intergenerational relations. Older family members may play important roles in the family dynamics. It is hypothesized that their inclusion when appropriate in the treatment of younger families can be a preventive measure to forestall cyclical repetition of pathological relationship patterns. Just as family therapists are committed to the premise that many nuclear families are capable of psychological growth and change, they must become aware that aged family members have similar capacities. If intergenerational relationships are modified then family members in all the generations could be benefited.     

Relationships,Environment, and the Brain: How Emerging Research is Changing What We Know about the Impact of Families on Human Development

Recent research is providing family therapists with new information about the complex interaction between an individual's biological makeup and his/her social and physical environment. Family and social relationships, particularly during sensitive periods early in life, can affect a child's biological foundation. Additionally, stress during the early years can have a lasting effect on an individual's physical and mental health and contribute to the onset of severe mental illness. Community programs have been developed to intervene early with families who have an at‐risk child to prevent or minimize the onset of mental illness including providing partnerships with at‐risk mothers of infants to shape attachment relationships. Programs are also developing individual and family interventions to prevent the onset of psychosis. Practicing family therapists can incorporate emerging neuroscience and early intervention research and leverage the growing base of community programs to enhance the effectiveness and sustainability of mental health outcomes for clients. Additionally, family therapy education programs should broaden student training to incorporate the growing body of information about how family relationships affect individual mental health development.     

Cause and responsibility: towards an interactional understanding of blaming and 'neutrality' in family therapy

This paper aims to shed light on the ways in which 'neutrality' is both produced and resisted by socially competent actors in family therapy sessions. It draws upon recent and previous papers in this journal ( Stancombe and White, 1997; Stratton, 2003a, 2003b ), which highlight the importance of blame in therapeutic encounters. When families come to therapy, individual members frequently deliver competing accounts about the family troubles and who is to blame for them. This produces particular challenges for the therapist. We examine the practices of therapists in managing accountability in the session and in their own discussions. Family therapists operate with a professional ethic of neutrality, or multi-partiality. This paper is concerned with the linguistic strategies used by therapists to deal with overtly blaming accounts, how these strategies are responded to by family members in talk-in-interaction and how therapists go about crafting accountability-neutral versions. We show that the social and moral context of family work makes the therapist's job of communicating multi-partiality precarious. In producing accountability-neutral versions of families' troubles, therapists are forced to make practical-moral evaluations of competing versions of events. We conclude by arguing for a more explicit engagement with the moral nature of therapeutic practice.     

The Primacy of Discourse in the Study of Gender in Family Therapy

Family therapists and scholars increasingly adopt poststructural and postmodern conceptions of social reality, challenging the notion of stable, universal dynamics within family members and families and favoring a view of reality as produced through social interaction. In the study of gender and diversity, many envision differences as social constructed rather than as “residing” in people or groups. There is a growing interest in discourse or people's everyday use of language and how it may reflect and advance interests of dominant groups in a society. Despite this shift from structures to discourse, therapists struggle to locate the dynamics of power in concrete actions and interactions. By leaving undisturbed the social processes through which gendered and other subjectivities and relations of power are produced, therapists may inadvertently become complicit in the very dynamics of power they seek to undermine. In this article, we argue that discourse analysis can help family therapy scholars and practitioners clarify the link between language and power. We present published examples of discourse analytic studies of gender and sexism and examine the relevance of these ideas for family therapy practice and research.     

Reconstructing the Brothers Grimm: new tales for step-family life

Step-families are situated within the sociopolitical context of family change and are examined as a prototype of the "post-modern" family. This essay looks at the cultural construction of step-family life and proposes a model for collaboratively reconstructing stories that liberate step-relationships from the legacy of the Brothers Grimm, deconstructing the stories of failure, insufficiency, and neglect. Building on narrative and social constructionist ways of thinking about families, the concept of side-shadowing (a hermeneutic approach from literary/historical criticism) is introduced to elucidate how therapists can help family members discover ways of thinking, feeling, and behaving that are both more personally satisfying and more congruent with the changed context of family life. Two therapeutic challenges are high-lighted: reconceptualizing what it means to be a step-family and coming to terms with differential attachment in relationships while working with step-families. The essay ends with a fairy tale for the 21st century.     

Working with transnational immigrants: expanding meanings of family, community, and culture

An increasing number of recent immigrants maintain intense connections with their countries and extended families. The complexity of relationships that arise from transnational connections calls into question dominant discourses about family bonds and requires that we adopt new theory and treatment considerations. The relational stresses and the almost untenable choices that economic immigrants face take the form of separations and reunions of parents and children, and difficult gender or generation transformations that need to be considered against this new transnational backdrop. This article proposes a model that encompasses foundational approaches with new approaches in family therapy by focusing on three crucial contexts for work with immigrants: the relational, the community, and the cultural-sociopolitical. Family therapists are also encouraged to create collaborative links with migration studies, a growing interdisciplinary field.     

Spatiality of the family's inner structure: choice of seat in family therapy

Many family therapists have observed that the family's choice of seat in the family therapy session provides information concerning the inner structure of the family. The purpose of this study was to study certain aspects of this observation. The selection of seats in family therapy sessions and the mutual distances between family members were investigated for 13 families. The inner structure of the family is described in terms of the existence of problematic relationships and the distribution and quality of power as assessed by the family therapists. The family members' selection of seats in the family therapy session was compared to the sitting order at meals, watching TV at home, and family drawings. It was found that the distance between the father and the patient (a son or daughter) and the location of the father and the mother in relation to each other in the family therapy are more related to the inner structure of the family than to situational factors.     

Treating Parents and Children Together

SUMMARY

In this paper I look at two traditions of psychotherapy with children: family therapy {here considered in its common paradigm of systems theory and not in its diversity of approaches) and individual psychodynamically oriented child therapy. The author examines how, in these two modalities of treatment, the real world of the parent-child relationship, which remains mostly a world of women and children, tends to be left out in practice. Many family therapists “exclude” children from their sessions and concentrate on the marital relationship while child therapists “exclude” parents from the core of the therapeutic process. The issues for therapists and the consequences for adults and children in families in this com-partmentalization of services are examined within a feminist framework. The development which is advocated is for therapists to expose themselves fully to the world of the parent-child relationship as a fust step in reexamining their stereotypical views of motherhood and fatherhood which trap women in conflicted and potentially exploitative situations and do not consider that children actively construct their own relationships.     

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.