Reality construction at the family/society interface: the internalization of family themes and values

An important component of the socialization function of the family continues to be the preparation of the young for integration into society. Empirical data, particularly from therapeutic settings, indicate that some children are notably well prepared for the world outside their families, while others have hardly been prepared at all. Adolescence is typically the time when these coping skills are most obvious. This paper addresses the issue of socialization of the young for participation in society. Building upon the "family theme" motif, the family is viewed as a micro-society. The issue of congruence between family themes and societally shared meanings is considered, utilizing ideas from the social construction of reality theories of Berger and Luckmann (1966). Three ideal-types of family themes are developed relative to their external world meanings. Previous work on family themes typically has failed to deal with the interpretative function of family meanings. How the family "explains" the family-external meanings is addressed.     

Searching for a normal life: personal accounts of adults with schizophrenia, their parents and well-siblings

Using a life course perspective, the research examines personal accounts of adults with schizophrenia, and their parents and well-siblings from six families. Accounts of multiple members of the same family, including the family member with schizophrenia, are used to describe how families understand and accommodate life changes that result from the illness. Families describe the loss of a normal life as one of the most devastating aspects of schizophrenia. We present the personal and social losses described by adults with schizophrenia and their well family members, and document families' search for ways that their ill family member can achieve or maintain valued social roles. The concerns of well family members for the future of the ill family member and ways families contemplate transfer of care issues are described. Implications of the study for community research and action are discussed.     

Family management of childhood diabetes

This paper reviews the available literature on family management of childhood diabetes and highlights gaps in the current knowledge base. Four aspects of family management of childhood diabetes are discussed: coping (how the family adjusts to living with a child who has diabetes), compliance (how the family manages the child's diabetes on a daily basis), communication (how the family learns from interactions with the health provider), and context (how the family environment sets the stage for managing diabetes).     

Social Exchange Theory: Dynamics of a System Governing the Dysfunctional Family and Guide to Assessment

Examined is a social psychological model of family discordance. Theories derive in part from exchange theory and from operant principles of behavior. First reviewed are tenets of social exchange theory based in traditional systems analysis (ecosystems). Conceptually presented is how human relations are interdependent on resources of supply and demand. Family patterns are shared by unspoken rules governing givers and takers of resources, forming an imperfect market economy that balances or imbalances family life. Properties of family ecology clearly specify intervening variables contributing to family breakdown. Second, an application of social exchange theory integrates operant principles of reinforcement and punishment as predictors of family disintegration. Punishing and rewarding exchanges are explored in alcoholic families. Operant contingencies significantly magnify the inequity and nonreciprocity of love, affection, and general nurturing between parent and child. Implications are offered for clinical assessment.     

The Excitation-Adaptation Model of Pediatric Chronic Illness

This article examines the value of the psychosomatic family model for the study of chronically ill children. Four conceptual problems arise in the discussion of this model: the unidirectional causality of the model; the function of the sick child for the family system; the pathology of the family characteristics; and the disease type. In the present study, we propose (a) that a distinction be made between uncontrolled and controlled forms of disease, and (b) that the family characteristics of "cohesion" and "adaptation" be examined in relation to the parental capacity for problem solving and the acceptance or rejection of the child by the parents. This is shown by means of empirical research. In this empirical study, 20 families with a child suffering from controlled asthma are compared with 20 families with a child suffering from uncontrolled asthma. Contrary to the assumptions derived from the psychosomatic family model, the results show significantly more cohesion and structure in the group with a child suffering from controlled asthma. The findings from this study are integrated in a new model for the study of chronic childhood illness —"the excitation-adaptation model." In this model, two circular processes are emphasized involving (a) the progress of the illness and the way in which parents and child deal with medication and medical advice (therapy compliance), and (b) the factors influencing the therapy compliance on the part of the parents, the family, and the child. By studying these factors in connection with the management of the illness, it should become clear whether family characteristics are adaptive or pathological.     

Family interaction and suicidal behaviour: a brief review

This paper reviews those research studies which have investigated suicidal behaviour in the context of the family. It is proposed that in families a subculture of distress management develops not from random deviations but from familial and cultural expectations of how distress can be managed. A number of factors are presented indicating suicide potential:

• a pattern of marked hostility,

• a pattern of role disturbance and role failure,

• a process of escalation when developmental crises occur in the management of family life-cycle transitions,

• a symbiotic attachment between partners which tolerates no autonomy,

• an intolerance of crisis,

• a relationship between the management of crises, family conflict and family organization,

• suicidal behaviour as a pattern of communication.

A family tradition of crisis management by symptoms and the presence of intra-familial conflict are seen as critical variables.     

Family members' unique perspectives of the family: examining their scope, size, and relations to individual adjustment

Using the McMaster Family Assessment Device (Epstein, Baldwin, & Bishop, 1983) and incorporating the perspectives of adolescent, mother, and father, this study examined each family member's "unique perspective" or nonshared, idiosyncratic view of the family. We used a modified multitrait-multimethod confirmatory factor analysis that (a) isolated for each family member's 6 reports of family dysfunction the nonshared variance (a combination of variance idiosyncratic to the individual and measurement error) from variance shared by 1 or more family members and (b) extracted common variance across each family member's set of nonshared variances. The sample included 128 families from a U.S. East Coast metropolitan area. Each family member's unique perspective generalized across his or her different reports of family dysfunction and accounted for a sizable proportion of his or her own variance in reports of family dysfunction. In addition, after holding level of dysfunction constant across families and controlling for a family's shared variance (agreement regarding family dysfunction), each family member's unique perspective was associated with his or her own adjustment. Future applications and competing alternatives for what these "unique perspectives" reflect about the family are discussed.     

International Family Therapy: A View from Kyoto, Japan

"International family therapy" is an emergent field within (or overarching) the field of family therapy. At this stage, it can be described as the collecting and sharing of experiences by family therapists from different countries. Recent publications (7) gather information principally from Western cultures in which systemic family therapy has grown over the past thirty years. Japan is of particular interest to Western practitioners because it is a highly successful, post-industrial culture that differs markedly from the West. Familiar family therapy interventions often work for unfamiliar reasons, and different goals are often needed in order to respond to apparently similar family problems. An expanded sense of choice around strategies for family life and family therapy that such diversity implies is the primary contribution that this maturing, international family therapy movement can make to family therapy.     

Treating family relational trauma: a recursive process using a decision dialogue

This article describes a therapeutic process that combines individual and family sessions to maximize therapeutic opportunities to bring forward, understand, validate, and empower children's experience as equal participants in family therapy. The aim is to strengthen relational bonds within the family. Drawing from earlier work with families where incest had occurred, the authors present a recursive process that utilizes a "decision dialogue" to link individual and family sessions. Clinical examples are provided.     

Distinguishing families where suicidal behaviour is present from families where suicidal behaviour is absent

Twenty families are observed during the first interview for family therapy. In families where suicidal behaviour occurs there are three variables which distinguish them from families where no such behaviour occurs. These variables are;

• the threat of immediate break up of the family relationship i.e. someone is about to leave,

• a situation of mutual negative connotation where no matter what anyone tries to do it is seen as being 'wrong',

• a tradition of symptoms being used at times of crisis to keep the family together.

Suicidal behaviour is seen as a strategic move to keep the family together in the face of developmental change.     

Triadic transferences of pathological family images

Traditionally, self-object and psychosexual transferences have been thought of as dyadic processes. This paper emphasizes the importance of seeing the triadic transferences that are contained within the more visible dyadic transferences. Triadic transferences are the partial recreation of replicas of pathological family images that were constructed from experiences with father-motherchild triads during childhood. Detecting them lessens the likelihood of therapeutic impasses occurring which resemble family of origin dyadic alliances. Childhood development and developmental arrest are discussed from a triadic perspective. In a healthy psychological family a triadic heterosexual family image is constructed which contains a triadic self and a resolved Oedipus.Revision of a paper presented at the 12th International Congress of the International Association for Child and Adolescent Psychiatry and Allied Professions, Kyoto, Japan, July 20, 1990. A preliminary version, entitled Triadic Transferences, was presented at the 12th Annual Meeting of the American Family Therapy Association, Philadelphia, PA, June 21, 1990.The masculine gender form is used for convenience, but with the recognition that statements apply to both genders.     

The Process of Family Reconstruction after DNA Testing for Huntington Disease

The needs of families to reconstruct their relationships in response to the DNA testing for Huntington disease of one or more of their asymptomatic members are presented. Data were collected from family interviews with 18 families, and from their responses on a post interview questionnaire. Findings are that families need to (a) address unfinished business associated with the decision for testing; (b) bring family members, peripheral in the decision for testing, into the loop; (c) reorganize patterns of communication and roles altered by the testing and heal ruptures in family membership; and (d) revise family stories about illness to provide a meaning for HD and explain the test results in a way that leaves them with a sense of mastery. Findings suggest that families should be more involved in the initial decision for testing of a member and that protocols should be established to provide help for their ongoing adjustment.     

Family Systems: Morphostasis and Morphogenesis,or “Is Homeostasis Enough?”

The role of family homeostasis in Conjoint Family Therapy is reviewed and examined from the standpoint of the Sociocultural Systems framework as presented by Buckley. Sociocultural Systems concepts are presented, and an attempt is made to relate them to a view of the family. It is concluded that the concept of homeostasis by itself is insufficient as a basic explanatory principle for family systems and that it may limit both our expectations for families and our approaches to helping families. The concepts viability, positive feedback processes, morphogenesis, and "variety" are presented and emphasized as important for a more tenable conceptualization of the family system in our society today. An attempt is made to relate these concepts to some of the clinical family literature and to examine the implications of these concepts for mental health and educational approaches to the family.     

Areas of resistance in the beginning phase of family therapy

When family therapy is undertaken with a family that seeks treatment for a child as an identified patient, gaining access to the family is often a venture fraught with anxiety and considerable resistance. At the beginning of family therapy, the risk of losing families is probably the greatest, yet little research directed at the problems involved has been reported. To encourage more interest, this phase is explored from the perspective of therapist behavior. Three areas are examined, and consideration is given to the strategies and techniques used to reduce resistance and facilitate engagement in treatment. Research needs are pointed out.This paper was presented at the Seventeenth Annual Meeting of the Public Health Service Professional Association, Orlando, Florida, October 17–21, 1982.     

Wittgensteinian Semantics

Wittgenstein emphasizes two points concerning his notion of family resemblance. One is that the use of a family resemblance expression resists characterization by certain kinds of rules; the other is that due to the prevalence of family resemblance in the philosophical lexicon, philosophical inquiry must in many cases proceed differently from how it traditionally has. This paper develops an interpretation of family resemblance that seeks to do justice to these claims. I argue that what is characteristic about family resemblance expressions is not that they exhibit a basic semantic feature unique to themselves, but that they combine a number of semantic properties that happen not to be coinstantiated elsewhere. These features include (1) content variability (also a property of ambiguous expressions, polysemes, and standard indexicals), (2) a feature I call "topicality" (which is also a characteristic of polysemes), and (3) "semantic openness" (a feature of many ordinary indexicals). The notions of topicality and semantic openness are explained, and certain terms of natural language are shown to be family resemblance expressions. I conclude by indicating some of the potential philosophical ramifications of these results.     

Problems experienced by adolescents already in families that adopt older children

Many families adopt school-aged children, yet the impact of such adoptions on children already in the family is virtually unknown. This paper reports results from a questionnaire administered to a small sample of adolescents concerning difficulties experienced with both newly adopted school-aged siblings and, for comparison, other children already in the family. Difficulties with all siblings were seen primarily as hassles. The adoptee was, however, reported as creating more problems than "old" siblings. The problems with the adoptee, but not with other siblings, suggested invasion of "turf" and, more particularly, interference with parent-child relationships. Difficulties are discussed in relation to their impact on the family system.     

"Don't lock me out": life-story interviews of family business owners facing succession

This qualitative study used a grounded theory methodology to analyze life-story interviews obtained from 10 family business owners regarding their experiences in their businesses with the goal of understanding the complexities of family business succession. The grounded theory that emerged from this study is best understood as a potential web of constraints that can bear on the succession process. Coding of these interviews revealed four key influences, which seem to have the potential to facilitate or constrain the family business owner's approach to succession. Influence 1, "The business within," captures intrapsychic dynamics of differentiation and control. Influence 2, "The marriage," addresses how traditional gender roles shape succession. Influence 3, "The adult children," examines the role of having a natural (accidental, organic, passively groomed) successor. Influence 4, "The vision of retirement," captures the impact of owners' notions of life post-succession. Family therapists frequently encounter family systems in which the family business is facing succession. Even if succession is not the presenting problem, and even if the business owner is in the indirect (rather than direct) system, this research reminds clinicians of the importance of the family's story about the family business. Therefore, clinical implications and recommendations are included.     

Focused on the Family? Religious Traditions,Family Discourse,and Pastoral Practice

The relationship between religion and the family has recently reemerged as an important object of sociological inquiry. However, research has largely overlooked the ways in which the family discourse produced by specific religious traditions is connected to family-focused pastoral practices of congregations. Using data from the National Congregations Study, we find that family discourse and pastoral practice are only "loosely coupled" to one another. Ideological differences among mainline Protestant, conservative Protestant, and Roman Catholic congregations do not translate directly into differences in family ministry offerings. These findings help explain why research often finds that religion exercises uniform effects on family life, insofar as most congregations offer a similar package of ministries even though their family discourse is markedly different .     

Family Exploration: The Contribution of Stability and Change Processes

Building upon the redefinition of exploration as a family process, this study analyses how the processes of family stability and change may favour exploration by members of multiple family relational contexts. Sixty non-clinical family triads (mother, father, child) participated in an experimental observational study and were video-recorded while playing in different interactive configurations. The children (37 females and 23 males) were 4–5 years old (M?=?55 months). The mothers’ ages ranged from 29 to 45 (M?=?38) and the fathers’ ages ranged from 29 to 46 (M?=?39). All the parents were employed and were living together. All participants were Caucasians of Italian nationality. Using the Triadic Interactions Analytical Procedure (TIAP), the family morphostatic processes and the family morphogenetic processes were analysed in relation to the family members’ exploration. Data analyses showed that family stability continual construction (morphostasis) and family change (morphogenesis) involve different interactive and relational dynamics (χ²(8)?=?13.84, p?>?.05; CFI?=?.97, TLI?=?.94, SRMR?=?.06), even if they are intertwined processes (p?<?.001). Both morphostatic and morphogenetic processes were correlated to the level of exploration showed by family members (respectively r?=?.32, p?<?.05, and r?=?.59, p?<?.001), even if the morphogenetic processes had a stronger relation with family exploration (z?=?1.85, p _one-tailed ?<?.05).