A dialogic perspective for family therapy: the contributions of Martin Buber and Gregory Bateson

This paper concerns the philosophies of Martin Buber and Gregory Bateson, and the application of their philosophies to family therapy. The relevance of Buber's philosophical concepts to a social constructionist perspective in family therapy is given particular attention. Central points of Buber's and Bateson's theoretical perspectives are reviewed and compared. Both thinkers believe that relationship is the primary ingredient in the world of the living, and both have a commitment to the concept that difference is the essential building block of the world of the living. Buber and Bateson, as philosophical anthropologists, are concerned with questions of how their ontologies or epistemologies can be applied to the domain of human interactions, including various healing relationships such as family therapy. This paper shows how their theoretical ideas fit into family therapy thinking and practices, particularly from a social constructionist perspective.     

Science and Family Therapy

Family therapists are being exhorted to adopt a social constructionist epistemology and to abandon science as a valid form of knowing. Epistemological objections to science are usually directed at 'positivism', an outmoded view that is largely discredited among practising scientists. Contemporary science, is rather, constructionist, differing from other constuctionist approaches only in ways of arbitrating between world views. Criticisms aimed at science apply to all forms of discourse, including family therapy. I conclude that science has failed family therapy at the practical, not the philosophical level.     

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.     

Evaluating Therapists' Practices in a Postmodern World: A Discussion and a Scheme

The social constructionist ideas currently reshaping the practice of family therapy are also relevant for supervision. However, if, as postmodernists assert, there is no privileged, expert position, how can supervisors evaluate their trainees? This question — a most pertinent one for university-based supervision, where evaluation is necessary and constant — is addressed both theoretically and pragmatically in this article. Ethical issues are explored, and an evaluation form, developed by the authors for use in a family therapy doctoral program, is presented and discussed.     

Social Constructionism and Ethics: Implications for Counseling

Social constructionism is set forth as an epistemological framework from which to establish an ethical base for the field of counseling. The development of the social constructionist movement in counseling is described. Implications of a social constructionist position are considered in relation to ethics. A case example is provided to illustrate implications of a social constructionist position.     

Social Construction and Materiality: The Limits of Indeterminacy in Therapeutic Settings

By drawing parallels between the courtroom testimony of a Christian Science practitioner and an intersession conversation between systemic family therapists, I critique the abstract idealism of language-centered social constructionism. I argue that social constructionist inquiry that highlights the indeterminacy of meaning without a corresponding emphasis on the responsive embodied practices of family members glosses over the material conditions shaping the politics of interaction. The implications of this problem are discussed as they relate to the setting of family therapy, where social construction theory is often used to guide practical interventions.     

Non-Traditional Women's Group

This paper focuses on an intensive large group experience for women that addresses issues of female identity and the cultural constructs that contribute to women's basic experience of self. It includes a discussion of self-concept and the social constructionist theory of the social, emotional, and psychological processes of the development of an individual's view of herself and the world. The author contrasts aspects of traditional group psychotherapy leadership, which tends to perpetuate society's devaluation of the feminine, with the leadership style of this workshop. The use of story and metaphor and other techniques used to achieve the workshop goals--including narrative therapy, guided imagery, movement and dance, and ritual enactment--are also discussed.     

Emotions and migration in social media discourse: A new Greek migrant case study

Since the onset of the Greek economic crisis in 2010, thousands of highly educated and skilled Greeks have migrated abroad in search of better career prospects and living standards. This recent migratory wave has been termed ‛new’ Greek migration (Panagiotopoulou et al., 2019). The lives of new Greek migrants are characterised by a mélange of conflicting emotions: loss of belonging, irritation at Greek policies and mentalities, and suffering for the family who remains in Greece facing the crisis, on the one hand; hopes of new beginnings and potential for new opportunities and fulfilling one's goals in the host country, on the other. Drawing on insights from the constructionist approach to emotions, discourse analysis, and online ethnography, this paper looks at how a new Greek migrant in the UK conveys across social media his emotions towards specific events and people both in Greece and the UK. The findings showcase social media's vital role in allowing, mobilising and sharing affective expression. They also shed light on the broader discursive and emotional aspects of new Greek migration.     

Narrative Child Family Therapy

In this article, child family therapy is presented as a hermeneutic activity shaped by an interest in the evolving narrative. Over brief, analytic play interviews, the therapist documents a child's narrative understanding of the presenting family problem. This allows psychological meaning to be jointly constructed in therapeutic conversation with the child and family. The idea of play as narrative integrates child psychotherapy into recent social constructionist thinking in family therapy. The article also discusses how narrative therapists can use prior theory and training.     

Turning differences into possibilities: Using discourse analysis to investigate change in therapy with adolescents and their families

Discourse analysis affords researchers and practitioners improved understandings regarding how positive outcomes are accomplished in the conversations of family therapy. By investigating how change is constructed or ‘performed’ in therapeutic interactions, its analyses conceptually parallel those of the social constructionist approaches to family therapy. In this respect, discourse analysis offers empirical methods to examine claims about the constructive aspects of therapeutic conversations. These conceptual and research parallels are examined in how impasses in family therapy were transcended, rhetorically, between an adolescent, his parents and the therapist. We conclude that the research methods of discourse analysis can directly enhance the conversational skills and methods of therapists.     

On Imagination: Reconciling Knowledge and Life,or What Does “Gregory Bateson” Stand for?

This article presents a reading of Gregory Bateson's oeuvre, focusing on his interest in the representational gap between map and territory, and its importance in the development of his redefinition of the concept of "mind," his new discipline called "ecology of ideas," and a methodology congruent to it based on the logics of metaphor. Inquiries on three initial stories from different domains allow the use of homologies between form and content in the article. This reading of Bateson's oeuvre stresses his questioning (like Derrida's) of the metaphysics of presence on which Western philosophy has been mostly based, and of the central role of imagination as a balancing factor for a family therapy that he both contributed to and saw with reservations.     

On the construction of reality and truth. Towards an epistemology of community social psychology

An expression of community social psychology based on the need to transform social reality, and to consider people as the constructors of that reality, is examined from an epistemological point of view. Dualism, the position considering that object and subject are separate entities, and monism, the perspective stating that there is only one substance, are discussed. The consequences of both conceptions for community social psychology, and their incompatibility, as well as the notions of reality and truth are analyzed. That analysis deals with the problems of defining reality, of separating subject and object of knowledge, of language's role, and of relativism and truth. Finally, a constructionist view of monism based on relatedness, and action, is proposed, stating the mutually influencing union of subject and object in the construction of reality.     

Family discussion group therapy for major depression: a brief systemic multi‐family group intervention for hospitalized patients and their family members

This paper describes a brief systemic multi‐family group intervention for hospitalized patients with major depression and their family members. The presented treatment integrates elements of systemic therapy, social constructionist and narrative concepts and the family systems‐illness model. It has further adapted a specific multi‐family group format combining marital group sessions and family group sessions. Similarities and differences with other family interventions for depression are discussed. The therapeutic foundations and goals, the organization, and the therapeutic process are explained. A number of clinical vignettes are presented to illustrate the treatment procedure. Although the first clinical impressions about the usefulness of the family discussion group intervention are promising, the efficacy of the treatment awaits the completion of a clinical trial that is currently underway.     

Emotions,narrative and change

There is a wide agreement that emotions are central to the evaluation and understanding of change processes in psychotherapy. Unfortunately, most of the debate on the role of emotions has been influenced by the reductionist view of ‘psychophysiological symbolism’ (Averill 1996). We defend the position that, in order to understand their role in psychotherapy fully, we need to move in the direction of a more complex view of emotions. This paper presents a view of emotionsas social constructed phenomena operating via language and narrative. We present research suggesting that these narratives may be an essential process for understanding psychological disorders, how these disorders are developed and, finally, how they can be changed.     

Medical or relational language? Problem and goal formulation in family therapy with adolescents conducted in a psychiatric outpatient setting

The constructionist view assumes that therapy participants' maps of understanding depend on the institutional context and their personal perspectives. The purpose of this study was to investigate the initial maps of difficulties reported by family members starting family therapy. 106 families that were referred to a psychiatric institution for outpatient family therapy were asked open-ended questions regarding the context of the referral, and goal and problem formulation for the therapy. The data were analysed via the consensual qualitative research-modified (CQR-M) method, and comparisons between groups were performed. The obtained results show a diversity of perspectives. Of interest was the predominance of medical language in describing the problem and relational language in describing the goal of therapy. An analysis of differences between mothers, fathers, adolescent patient and their siblings was also performed. The findings highlight the complexity of notions that families start family therapy with and may help therapists navigate through the therapeutic contract formulation process.     

The Self as Social Construction

The paper begins with the articulation of key assumptions central to contemporary constructionist scholarship. This is followed by an analysis of the issues in the social construction of the self. To this end several major lines of inquiry along with their socio-political implications are brought into focus. Finally, an alternative to traditional conceptions of self, one that emerges distinctly from social constructionist theory is presented.     

Foucault and the turn to narrative therapy

Narrative therapy evolved in the family therapy arena in the late 1980s in Australia and New Zealand. Since then it has been extended to other counselling settings and a burgeoning literature has arisen around it. It is situated in the social constructionist, postmodern, poststructuralist discourses that challenge and force a re-evaluation of humanism and traditional psychological and counselling discourses. Its pioneering authors, White and Epston, state clearly that, amongst others, they have been influenced by the work of the French theorist Michel Foucault to not only question the dominant assumptions underlying humanism and psychology, but also to address issues of meaning, subjectivity, power and ethics. This paper briefly outlines some features of narrative therapy, examines the Foucauldian themes in White and Epston's theory, and explores narrative therapy's poststructuralist challenge to humanist assumptions in 'therapy culture'.     

Towards a common ground in psychoanalysis and family therapy: on knowing not to know

In this paper a common ground between psychoanalysis and family therapy is discussed in terms of postmodern theorizing in both disciplines. Recent systemic, narrative or social constructionist thinking in psychoanalysis and a psychoanalytic turn in family therapy offers the possibility of a shared epistemology. This is described in terms of a critical not-knowing stance which allows for the therapist's/analyst's contribution of meaning, interpretation and knowledge in therapeutic conversation. Here the holding of not knowing and knowing together provides a narrative container for personal meaning and thinking to develop. This 'knowing not to know' is what a postmodern psychoanalysis has in common with family therapy: both are ways of being with persons to help them develop and hold their own knowing. This therapeutic process is illustrated in a clinical vignette of narrative child family therapy.
For what one knows does not belong to oneself.
(Marcel Proust, Remembrance of Things Past , p. 898)