Caring for Dying Children and Their Families: MFTs Working at the Gates of the Elysian Fields

The constant comparison method was used to analyze seven in-depth interviews with Marriage and Family Therapists and some of their colleagues working with dying children and their families. The findings of the study revealed that working in these settings can encourage shifts in priorities, relationships, and beliefs about life and death, and can elicit professional growth. Also, it can carry with it significant costs such as emotional exhaustion, and hypervigilance about death. Implications for practice and training are discussed. In the Greek mythology, the Elysian Fields is the place where the souls of the heroes and the virtuous dwell in the afterlife. It is the equivalent of the Christian Heaven. Portions of this paper were presented at the 65th Annual Conference of the American Association for Marriage and Family Therapy, Long Beach, CA, 2007.     

How Working Single Parents Manage Their Two Major Roles

A positive approach to self-support and successful coping by single parents is developed by focusing on their successful behaviors and characteristics.     

Working with Families from the Indian Sub-Continent: An Indo-German Experience*

Whereas most Western European therapists and clients consider emotional distance and abstinence as desirable and conducive in the therapeutic process, this may not always be the case with clients from India. Cultural components such as the contrast between linear and cyclic world-views and the traditional view of the psychologist as an advisor in India present a challenge to professionals with a Western background. Some factors such as the situation of women in society and seemingly too close familiy ties can mean that a Western therapist fails to promote the changes an Indian client is desiring for his or her family. However, besides cultural awareness and caution, one of the most helpful tools in work across cultures is curiosity in its most positive sense and the readiness to be surprised by ones’ clients.I would like to thank all my Indian colleagues who supported and advised me in my work in India.     

Family-Based Intervention with High-Risk Infants and Their Families

A model of family-based intervention for high-risk infants hospitalized in the neonatal intensive care unit and their families is presented. The theoretical underpinnings, principles, and nature of the intervention are described. The adaptation of the model from a clinical–research demonstration project to a clinical consultation service is highlighted, with particular emphasis on the practical application of the model. Domains of the intervention include infant behavior, family organization and functioning, caregiving environment, and home discharge/community resources. Three case illustrations are provided to demonstrate the breadth of the intervention and how it can be individualized based upon the presentation of the infant and family.     

Working with Korean-American Families: Multicultural Hermeneutics in Understanding and Dealing with Marital Domestic Violence

Multicultural hermeneutics is introduced as a method of understanding and dealing with marital domestic violence. The brief review of literature covers four categories of hermeneutic tradition: (1) philosophical hermeneutics, (2) psychological hermeneutics, (3) narrative hermeneutics, and (4) multicultural hermeneutics. This paper proposes that multiple perspectives or an interdisciplinary scheme of hermeneutics help to understand the central issues of marital domestic violence. Korean women are vulnerable to Hwabyung (an anger syndrome), in the patriarchal and oppressive family context. Korean-American families are experiencing a certain degree of acculturation stress in transition as well as intergenerational conflict between first and second generations due to explicit and implicit cultural differences in the United States. One Korean-American family case is presented to show how marital domestic violence can be evaluated and treated better from the perspective of multicultural hermeneutics. A number of recommendations are also suggested to change the social and political context in which marital domestic violence occurs.     

Constructing Cultural Competence: Perspectives of Family Therapists Working with Latino Families

This article focuses on developing an understanding of how nine therapists working with Latino families construct the idea of cultural competence in the counseling room. In-depth interviews were conducted and analyzed yielding five themes in cultural competence from the therapists' perspectives: the use of language in therapy; the impact of social class, gender, and power on the therapeutic relationship; immigration and culture clash; definitions of family; and unique constructions of cultural competence. The therapists'narratives in this study are best understood through a postmodern paradigm suggesting that the field of psychotherapy needs to move beyond a “checklist” modernistic approach to developing cultural competency.     

What Does it Mean to be Trauma-Informed? A Multi-System Perspective from Practitioners Serving the Community

The increased awareness of the detrimental consequences of trauma exposure has led researchers to focus their attention in identifying best practices on integrating trauma-informed approaches (TIAs) to child and family services. Yet, terms related to TIAs are often utilized without an adequate definition, and most importantly, without concrete and specific strategies to ensure that services are in fact trauma-informed. Using a multi-methods approach, this project examined important practice considerations that support successful implementation of TIA in school and community-based behavioral health settings. Key informant interviews and electronic surveys were conducted with child and family systems practitioners; interviews inquired about training, current practices, and barriers to service engagement. Data was analyzed, organized, and synthesized in accordance with core domains and specific components proposed by Hanson and Lang’s (2014) trauma-informed care framework. Findings suggest that practice of TIA differed by system and was largely driven by experiential and informal learning experiences. Practitioners also report challenges unique to each system hinder the utilization of screening and intervention best practices. Salient differences included those related to knowledge and accessibility to training, utilization of evidence-based practices, application of screening tools, and availability of resources within their systems. This brings to light the importance of considering both general and system-specific practice mechanism for the successful implementation and sustainability of TIA frameworks. We suggest system-specific strategies to help integrate trauma into services, including prioritizing capacity building efforts within each system by leveraging their natural supports and identifying systems-specific assets for both screening and intervention practices.

     

Community Family Therapy with Military Families Experiencing Deployment

The length and frequency of deployments in the current wars in Iraq and Afghanistan are associated with increased vulnerability for both part- and full-time military families who stand to benefit from systems-oriented practice by marriage and family therapists. Community Family Therapy (CFT) is a modality designed to promote resilience both within and beyond the four walls of the therapy room, facilitate family connections in the community, and empower them for local leadership. The effects of deployment on families are summarized and CFT principles are adapted as a framework for intervention with this population.     

The Family Life Cycle: Developmental Crises and Their Structural Impact on Families in a Community Mental Health Center

A typology for troubled families was developed based on the configuration of family members and the position of the identified patient within the family structure. This typology was investigated by surveying the demographic and clinical characteristics of 110 families of patients treated in a day hospital. Four types or “constellations” were found in the sample population. The families in the four Constellations differed significantly from one another in the gender, age, and diagnoses of the identified patient and the income level of the families. The Constellations thus appeared to constitute distinct clinical entities in the population studied. The reasons for the differences among Constellations are discussed in terms of the stress families experience during developmental crises involving structural change.     

Counseling Haitian Students and Their Families: lssues and interventions

The purpose of this article is to provide counselors with a general introduction to the background of Haitian immigrant students in the United States and to the issues that often arise in working with them. The article examines the psychological, sociocultural, familial, and economic factors that make adjustment to American schools difficult for Haitian students, as exemplified by the case of a 9-year-old Haitian boy in a New York City public school. The article also recommends interventions that counselors can implement to improve the academic and social/emotional functioning of Haitian students and their families.