The effectiveness of family therapy and systemic interventions for child-focused problems

This review updates a similar paper published in the Journal of Family Therapy in 2001. It presents evidence from meta-analyses, systematic literature reviews and controlled trials for the effectiveness of systemic interventions for families of children and adolescents with various difficulties. In this context, systemic interventions include both family therapy and other family-based approaches such as parent training. The evidence supports the effectiveness of systemic interventions either alone or as part of multimodal programmes for sleep, feeding and attachment problems in infancy; child abuse and neglect; conduct problems (including childhood behavioural difficulties, ADHD, delinquency and drug abuse); emotional problems (including anxiety, depression, grief, bipolar disorder and suicidality); eating disorders (including anorexia, bulimia and obesity); and somatic problems (including enuresis, encopresis, recurrent abdominal pain, and poorly controlled asthma and diabetes).     

A structured approach to disengagement in family therapy with child-focused problems

The aim of this paper is to describe a structured approach to managing the disengagement process. Six distinct disengagement scenarios are first outlined. Thereafter, phasing out therapy, dealing with family belief systems concerning the permanence of improvements and relapse management are discussed. Ways in which disengagement from specific episodes of therapy may be construed as part of an ongoing therapeutic relationship and the practicalities of recontracting for further episodes of therapy, handing over cases, and referring cases on to other professionals are considered. An approach to therapeutic failure analysis is presented. Finally, ways in which disengagement may lead to significant loss experiences are discussed.     

The role of identity and work–family support in work–family enrichment and its work-related consequences

Despite growing research on the positive connections between work and family, antecedents and consequences of work–family enrichment are understudied. Using a sample of employees from a major insurance company, we assessed the relationship of (i) individual (i.e., work and family identities), (ii) family (emotional and instrumental support), and (iii) organizational (benefit use and work–family culture) antecedents to work–family and family–work enrichment. We also examined whether enrichment predicted important work outcomes including organizational commitment and turnover intentions. The strength of an individual’s identity and informal or emotional support within a domain, rather than formal or instrumental support, were associated with greater enrichment. Work–family enrichment positively predicted affective organizational commitment, and family–work enrichment negatively predicted turnover intentions. Implications for individuals and organizations wanting to foster enrichment are discussed.     

Who solves the chronic problem: two professional family consultations

Two cases are presented in which the family found solutions when professionals reviewed goals and defined what they were anxious about.     

Role resources and work–family enrichment: The role of work engagement

This article proposes a theoretical model of work-family enrichment and tests the mediating role of work engagement. The inclusion of work engagement extends prior research on work-family interface, and allows for examination of the effects of role resources (job resources, family support) on work-family enrichment. A two-wave survey was conducted among a matched sample of 786 employees in China. The model was tested with structural equation modeling techniques. The results showed that work engagement was the most proximal predictor of work-family enrichment. Work engagement fully mediated the relationship between family-friendly organizational policies and work-family enrichment, and also between job autonomy and family-work enrichment. Further, work engagement partially mediated the relationships between two job resources (supervisor support, job autonomy) and work-family enrichment, and also between family support and family-work enrichment. No difference was found in gender and marital status in the proposed model. Implications for future research and practices are discussed.     

The development of work discussion groups in educational settings

This paper describes the application and development of the work discussion method within educational settings. In the first section of the paper, I outline some key contextual factors that are important to consider when setting up work discussion groups within schools. A number of case examples are then described, illustrating a range of central issues that can emerge. By developing a deeper understanding about the meaning of behaviour and the emotional factors that impact on teaching and learning, I hope to demonstrate how work discussion groups can help teachers to develop their capacity to manage the challenges of their work, role and relationships with pupils. More broadly, I hope to illustrate how these groups can help to promote a learning environment for all, in which development and growth is promoted at a personal, professional and whole school level.     

Disaster rescue work: The consequences for the family

This paper reports on the findings of a pilot study investigating the impact of disaster relief work on the wives and family members of the relief workers. The study revealed that the wives did experience stress, although the nature of the problems identifed changed with each phase of disaster involvement. Children may also be affected. The age of the child may be an important determinant of the nature and severity of their problems. Interventions that could be adopted to deal with these concerns are outlined.     

Tales full of sound and fury: a cultural approach to family therapeutic work and research in rural Scandinavia

The concept of "culture" figured prominently in the development of family therapy. Recent conceptualizations, however, have tended to focus primarily on the ideational dimensions of culture. While not disputing that meanings and other ideas constitute significant features of group lifeways, this article proposes a return to earlier anthropological framings that incorporate material and ideational dimensions of cultures. To illustrate how his expanded concept may serve as a guide for therapeutic work, the article describes therapy with one family at a clinic in rural Scandinavia. We especially focus on the place of key symbols as historical links between the ideational and material dimensions of cultures. The perspective developed here is one of seeing cultures as sets of interpenetrating actions and ideas shaped by as well as shaping their practitioners.     

Depression and attachment in families: a child-focused perspective

Given the social nature and developmental implications of attachment and depression, in this review we will examine the role of attachment and the effects of a depressed family member at each stage of a child's development. We discuss treatment strategies for families in which either a parent or a child is depressed. We propose a model that is based on the developmental phase of the children in the family, and that aims to strengthen attachment bonds among family members and alleviate depressive symptoms.     

The family dynamics of intellectual development.

Birth order effects on intellectual performance show both positive and negative results. The confluence model reconciles these conflicting data by proving that these effects interact with the age of participants at testing, such that young children should show negative or no effects, whereas older individuals (past age 11 +/- 2 years) should show positive effects. Birth order studies strongly support this prediction. Some writers have claimed the apparent relation between birth order and intelligence is an artifact created by applying a cross-sectional analysis to data that should have been analyzed by comparing siblings within families. However, if siblings within the same family are compared all at the same time, their ages are necessarily different. As a result, birth order effects are confounded with age effects. Moreover, within-family data conceal patterns of aggregate effects that cross-sectional data reveal.     

The development of a family forgiveness scale

The purpose of this study was to develop a valid and reliable instrument to measure forgiveness in the intergenerational family. In the final scale the contructs were defined as: (1) realization, (2) recognition, (3) reparation, (4), restitution, and (5) resolution. A detailed four-step procedure was used to provide the scale with construct, content and predictive validity. This paper describes a four-stage process to develop the scale, data supporting the validity and reliability of the scale, and the final version of the instrument.     

The family career development project in Chinese Canadian families

Based on an action-theoretical conceptualization, this research examined the family career development project in Chinese Canadian families. Six families, each composed of a parent and adolescent, participated in a videotaped conversation to determine a family career development project that was subsequently monitored over a 6-month period and followed up with a second videotaped conversation. The further analysis of these data from a larger data set of 20 Chinese Canadian and European Canadian families resulted in the delineation of several properties of the career development project in Chinese Canadian families, including the importance of the parental agenda, the adolescent’s involvement, parental communication of convincing reasoning, and the adolescent’s withholding and withdrawing response. The findings also indicated that a family career development was central to other higher order projects in the family, including the relationship and cultural projects. The data supported the understanding of project as joint goal-directed action over time and as the basis on which career development influence was organized in these families.     

School-based social work and family therapy

This paper discusses the importance of family therapy as part of the armamentarium of school-based social work. It provides a rationale for school-based intervention, noting that the school represents for the child the one fixed point (i.e., constant experience) in an endlessly changing world. The author believes that family therapy should be emphasized in school because school social workers are in a strategic position to thoroughly assess family dysfunction. Further, he notes that unless adolescents' problems are understood in the context of improperly functioning families, any help provided will be impermanent at best.