Family Therapy Study Group: The Mumbai Experience

Family therapy training in India is not provided in a systematic manner. Only one institution, the National Institute of Mental Health and NeuroSciences at Bangalore, offers this training, in the form of a three-month program. Consequently, a workshop on basic skills in Family Therapy was conducted in February 2003, at Mumbai, by a trained family therapist from Bangalore. The workshop resulted in founding the Family Therapy Study Group (Mumbai), a non-registered body, in March 2003 so that learning could continue to occur. The group meets once a month for two hours and has had 18 such meetings at this writing. This paper describes the objectives, activities, significant achievements, and future plans of the study group.     

The Role of Creativity in Marriage and Family Therapy Practice: A National Online Study

The purpose of this study, using an online methodology, was to investigate therapists' perceptions of the role of creativity in couples' and family therapy. Along with completing a quantitative measure assessing creativity in their work, participants responded to four open-ended questions which addressed the meaning of creativity, characteristics of a creative family therapist, some creative interventions they have used with couples and families, and barriers to their own creativity as a family therapist. A total of 142 marriage and family therapists in 36 states in the United States participated. The findings shed light on the unique importance of creativity in couples and family treatment.     

The Phenomenological Approach to Art Therapy

The present paper discusses the phenomenological approach to art-therapy and suggests an operational terminology for its main theoretical concepts. First we present the general assumptions that underline art therapy. Definitions, leading approaches, and the therapeutic effect of artwork are considered. Next we indicate the need for relevant and particular theories of art therapy. Phenomenological theory is examined as a case in point because of its popularity among art therapists. Despite its philosophical appeal, however, we find phenomenological theory lacking the operational terminology that is essential to form a coherent and distinct school of therapy. In the present paper, we extract from phenomenological theory operational principles, which can be followed and applied by art therapists. In this analysis, we take into consideration Betensky's pioneer attempt to create the bridge between phenomenological theory as applied in verbal psychotherapy and art therapy. We end by discussing the urgent need to operationalize other verbal psychotherapeutic theories so they are relevant for art-therapy practice and may help create greater similarities among art therapists of the same school of psychotherapy.     

Textbooks in Accredited Marriage and Family Therapy Programs

Although choices of required textbooks are important decisions in developing a course curriculum, faculty in marriage and family therapy training programs have few convenient resources to guide curriculum development. This article presents results of a survey of textbook selections of accredited marriage and family therapy programs within a regional affiliate of AAMFT. The five programs surveyed listed 108 different titles used in their curriculum. Only 12 texts were used by two programs, and only one text was used by more than two programs. This article presents the textbook selections by the six curricular areas of COAMFTE accreditation standards. The wide variety of textbooks used by programs leads us to conclude that no consensus exists about what textbooks best represent the core knowledge of marriage and family therapy. The body of knowledge taught in accredited marriage and family training programs reflects a distinct and autonomous body of knowledge.     

Problem Definition in Marital and Family Therapy: A Qualitative Study

This paper describes findings from a grounded theory study on the process of constructing problem definitions by marital and family therapists. Coding of the observations and interviews resulted in two meta-problem definition processes. In the first meta-process clinicians kept their definitions internal to themselves during the therapy session. In contrast, the second meta-definition process involved clinicians bringing forth their internal problem definitions and incorporating them into the therapeutic conversation. Implications for existing conceptualizations and marital and family therapy practice and supervision are discussed, as well as suggestions for further consideration.     

Cross-Cultural Supervision in Marriage and Family Therapy

The purpose of this study was to gain an understanding of the various cultural factors that influence the supervisor-trainee relationship when at least one of these individuals is a member of an ethnic minority group in the United States. Marriage and Family Therapy supervisors and students were asked to compare and contrast their experiences working with ethnic minority and white persons. Findings indicate that both supervisors and students express great value in cross-cultural supervisory experiences, but report that these opportunities are very limited.     

The Process of Systemic Change in Filial Therapy: A Phenomenological Study of Parent Experience

This phenomenological study represents the first qualitative exploration of parents’ experiences of the process of filial therapy from a systemic lens. Filial therapy is a treatment approach that teaches parents how to conduct weekly thirty minute play times with their target child at home in an effort to improve the parent–child relationship. Previous research has focused almost exclusively on the impact of this model on this relationship; however, the results from this focus group study (n = 8) indicate several relational shifts that occur within the greater family and societal contexts and suggest potential reasons for treatment gain maintenance over time.     

Marriage and Family Therapy with Low-Income Clients: Professional,Ethical, and Clinical Issues

Economic stress greatly increases the likelihood of mental health issues occurring within a family. Although this is widely known within the mental health profession, there is a lack of literature that assists therapists in working effectively with low-income clients. As a result, marriage and family therapists may be ill equipped to meet the needs of those in poverty, and may even be conducting therapy that is ethically unsound. The authors of this article discuss several ethical and professional issues regarding therapy with families in poverty. A number of suggestions are presented for improving the effectiveness of therapy with low-income clients. Michele E. Grimes and Alyssa D. McElwain are masters students in Marriage and Family Therapy at Purdue University Calumet, Hammond, IN. Michele E. Grimes and Alyssa D. McElwain contributed equally to this article.     

The Present State and Future of Symbolic-Experiential Family Therapy: A Post-Modern Analysis

Symbolic-experiential family therapy (SEFT) is facing an important phase in its development. With the death of Carl Whitaker, it is not certain in which direction SEFT will be headed. This paper describes some of the challenges that SEFT presently faces and what can be done to surmount them. It is proposed that SEFT theorists and therapists concentrate on the post-modern components of the theory. By moving in a post-modern, constructionist direction, SEFT will be developing with a current trend in family therapy, allowing SEFT to continue as an important family therapy model.     

Fostering Client Creativity in Family Therapy: A Process Research Study

Creativity has been shown to enhance problem solving, and to increase flexibility and adaptability—qualities associated with positive therapeutic outcomes. Literature related to therapist and/or client creativity is primarily anecdotal. Empirical literature addressing how therapists can facilitate the creativity of their clients in family therapy is scarce. In this study, the researchers used process methodology to code the behavior of therapists and clients in 31 videotaped family therapy sessions. Results show a significant positive correlation between interventions that induce positive affect and the creative client behaviors of optimism and playfulness.     

Writing About Upsetting Family Events: A Therapy Analog Study

This therapy analog study investigated whether a writing intervention based on contextual therapy would have positive effects on physical, mental, and relational health. One-hundred-and-three college students were randomly assigned to write about either an upsetting family event/issue from childhood or a trivial event during a four-day period. As anticipated, relative to the control participants, those in the experimental condition reported an increase in negative mood and physical symptoms immediately after writing each day. Also as anticipated, the experimental participants also reported feeling better about themselves and their topics at post-test. Unexpectedly, there were either no significant differences or differences in the unpredicted direction between the control and experimental groups in physical, psychological, and relational functioning at posttest and follow-up. However, post-hoc analyses revealed differential changes within the experimental group as a function of the personal relevance and the degree of previous disclosure of the topics. Limitations of written expression as a therapeutic tool are discussed.     

Redemptive Experience in Relational Family Therapy: A Christian Perspective

We all long for relationships with others, because only in connecting with others can we develop our intrapsychic structure and become functional adults. We are psychologically predisposed to have a constant connection with others and are driven toward relationships with others. Our deepest yearnings are therefore devoted to building solid dialogue as the means of becoming fully human. We, therefore, consciously or unconsciously, long for a relationship where we can experience happiness, satisfaction and, above all, redemption or salvation from our dreads, miseries and unhappiness. In this article we presuppose that a therapeutic relationship, demonstrated in a psychoanalytic setting, namely in relational family therapy, can contain redemptive dimensions in which the inextinguishable longing for salvation is always present.

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     

On Becoming a Profession: The Growth of Marriage and Family Therapy in India*

The practice of couple and family therapy has a long history in India. This article tracks some of the people, places, and contexts associated with the growth of marriage and family therapy (MFT) as a profession in the Indian context. Two of the authors outline their own introduction to MFT and work within this field in different cities in India in the last two decades. Based on their professional experiences and a pilot study conducted in Chennai, the authors document the needs of providers in the areas of systems-based therapy training and the practice of MFT. The role of the Indian Association for Family Therapy (IAFT) and suggestions for the future growth of the field are also highlighted. Mudita Rastogi, PhD, Professor, Illinois School of Professional Psychology, Argosy University, 1000 Plaza Drive Schaumburg, IL 60173 (MuditaRastogi@hotmail.com). Rajeswari Natrajan, PhD, Assistant Professor, Alliant International University, 2500 Michelson Drive, Suite 250, Irvine, CA 92612-1548. Volker Thomas, PhD, Associate Professor, Purdue University, 1200 West State Street, Fowler Memorial House, Purdue University, West Lafayette, IN 47907-1269. *Portions of this paper are based on Rajeswari Natrajan’s dissertation at Purdue University. **Rastogi and Natrajan share first authorship for this paper.     

Distinguishing Between Conceptualizations of Attachment: Clinical Implications in Marriage and Family Therapy

Authors described four distinct conceptualizations of the construct of attachment and identified clinical implications associated with each. Three of the conceptualizations, which are influenced by the work of Bowlby and Ainsworth, seem to have some empirical support; these conceptualizations are compatible with systemic and social constructionist approaches to family therapy. The other conceptualization— Reactive Attachment Disorder (RAD)—contradicts the extensive body of literature associated with the Bowlby/Ainsworth traditions and tends to pathologize children. Therefore, family therapists interested in attachment are encouraged to maintain conceptual clarity in their clinical work and are further encouraged to rely on clinical conceptualizations and interventions that are consistent with the work of Bowlby and Ainsworth.     

Career Paths of Eminent Researchers in Marriage and Family Therapy

The mental health field of marriage and family therapy (MFT) needs more MFT researchers and more research to validate and verify the effectiveness and efficacy of MFT for the treatment of various mental health and relational problems. Knowing more about how successful researchers have developed their careers would be useful in both inspiring and guiding young MFT researchers toward success. Three eminent researchers whose careers have focused on MFT (James Alexander, John Gottman, and Howard Liddle) and their publications served as the research sample. Research questions addressing types of research, research samples, research questions, therapy model development, funding, and paths of the research careers were answered using content analysis. Results support guidelines that include having a focused research interest area, adhering to the scientist-practitioner model, obtaining funding, maximizing the utility of research samples, and generating publications.     

The Creative Industries Entrepreneur: An Analysis of Lived Experience

Expanding our understanding of the lived experience of individuals who use their creativity to realize entrepreneurial opportunity is the primary aim of this paper. Interpretative Phenomenological Analysis is used, based on two interviews of one-hour duration, with eight participants. The key contribution of this research is the recognition of the Creative Industries Entrepreneur. A Creative Industries Entrepreneur is an individual who occupies a space between traditional entrepreneurship theory and established creativity models. The main driving force in opportunity formation for a Creative Industries Entrepreneur is their creative impulse. This pushes them to achieve a personhood, which can reconcile intrinsic impulses with external market forces and social imperatives.     

Ethical Issues and At-Risk Behaviors in Marriage and Family Therapy: A Qualitative Study of Awareness

This exploratory study investigated perceptions of and relationship with professional ethics of therapists-in-training. A focus group of marriage and family therapy doctoral students explored self-awareness and at-risk behaviors regarding ethical competence and compliance. A grounded theory analysis of data is presented as a conditional matrix, which offers a theory of development between therapists and their perception of ethics. The Practitioner-Relationship Ethics Model represents findings of interaction between confidence in ethical principles, field experience, use of justification, and at-risk behaviors. Implications and limitations of these findings are presented, as are suggestions for research.     

A Case Study of Solution-Focused Brief Family Therapy

Abstract

Solution-focused brief therapy (SFBT) was developed as a form of family therapy. Recently, these features have blurred. This case study explores how Insoo Kim Berg interacts with multiple family members in SFBT. The results indicate that she used a circular procedure to ensure that all the family members were involved in the process. The analysis demonstrates the importance of purposeful use of language and the influence of systems theory in SFBT. SFBT provides a useful framework that enables a family therapist to work together with families to help them make the changes they want with their own strengths and resources.     

Pant-Legs and Pathology: The Marriage of Individual and Family Assessment

Bowen family systems theory suggests that individuals who report high levels of individual pathology will also report having been raised in families characterized by high conflict and low adaptability. Combining individual and family assessment measures, or using one type of measure to understand the results of the other may be possible through the application of systems theory. Therapeutic implications of the study reported here indicate that practitioners should consider the value of focusing on family of origin processes before a primary focus on isolated traumatic events guides the direction of therapy.