Expanding the Therapy Paradigm with Queer Couples: A Relational Intersectional Lens

North American and global cultures in general—and the field of Couple and Family Therapy in particular—have made significant strides toward recognizing and validating LGBTQ identities and relationships. However, clinical assessment and conceptualization of queer couples still lack the complexity needed to encompass the issues involved in treatment. Existing literature provides clinicians a basic understanding of queer couples and the dynamics that make them unique from nonqueer couples. However, much of this knowledge has been normed on White middle‐class couples and has rarely included couples with transgender or bisexual members. This article invites clinicians and researchers to apply a feminist model of intersectionality to understand queer couples. Our proposed intersectional lens considers multiple axes of identity and power and their interrelationships (Crenshaw, 1989, 1991). We argue that intersectionality is important for understanding all identities, whether privileged or marginalized (Falicov, 2003). This application of the concept of intersectionality is unique in its relational focus, emphasizing how partners’ complex individual identities overlap with and intersect with one another. Additionally, this lens considers how the therapists’ and clients’ multidimensional identities intersect. Three case studies are presented to illustrate application of the intersectional lens. In each case, exploring the partners’ multiple social locations, their influences on one another, and the therapist's intersections of identity all proved critical to the direction of therapy.     

EMDR as a treatment for improving attachment status in adults and children

IntroductionThe purpose of the article is to examine the current literature regarding evidence for positive change in attachment status following Eye Movement Desensitization and Reprocessing (EMDR) therapy and to describe how an integrative EMDR and family therapy team model was implemented to improve attachment and symptoms in a child with a history of relational loss and trauma.LiteratureThe EMDR method is briefly described along with the theoretical model that guides the EMDR approach. As well, an overview of attachment theory is provided and its implication for conceptualizing symptoms related to a history of relational trauma. Finally, a literature review is provided regarding current preliminary evidence that EMDR can improve attachment status in children and adults.Clinical findingsA case study is described in which an EMDR and family therapy integrative model improved attachment status and symptoms in a child with a history attachment trauma.ConclusionThe case study and literature review provide preliminary evidence that EMDR may be a promising therapy in the treatment of disorders related to attachment trauma.     

“My first choice is to work out at work; then i don't feel bad about my kids”: A discursive psychological analysis of motherhood and physical activity participation

ObjectivesThe determinants of physical activity participation for mothers of young children are only beginning to be understood. The aim with this study was to further this understanding by exploring motherhood as a socially and culturally constructed identity linked to physical activity participation.DesignDiscursive psychology was used to theorize mother identities as subject positions constructed within discourse(s), and explore the implications for one woman's physical activity participation, through an in-depth case study approach (see Yin, 2009).MethodA newly active 35 year old woman with two young children, husband and activity partner, were interviewed over 16 weeks. Critical discourse analysis (see Wetherell, 1998) of nine interviews was used to explore the constructive nature of language and the effects by identifying the discourses within which mother identities were constructed.ResultsTwo primary discourses were identified: a patriarchal discourse of the family and a liberal feminist discourse. Participants drew upon these discourses to position the woman's identity as a good mother and/or super mother. Based on the behavioural practices linked to discourses and the subject positions/identities (e.g., good mothers place children's needs over their own), a situation came into being which made physical activity participation difficult.ConclusionsThis study contributes towards understanding motherhood and physical activity participation by attending to social and cultural discourses. By constructing mother identities within a patriarchal discourse of the family and a liberal feminist discourse, physical activity barriers of time, fatigue and the family functioned in nuanced ways, and were not easily surmounted.     

SOCIAL CONSTRUCTION THEORY AND THE SATIR MODEL: TOWARD A SYNTHESIS

Abstract

This article synthesizes social construction theory and the Satir approach to family therapy in terms of therapy as a process of cocreation of reality, the use of language and narrative, and the therapist's role as a participant-facilitator. Social constructionism has a tremendous impact on the present ideological shift in family therapy. The Satir model is a powerful approach to family therapy and has had a wide influence on generations of therapists. Although existing literature has well documented the influence of social construction theory on the postmodern school of thinking in family therapy, there is no literature exploring the compatibility of the Satir model with social construction theory. This research presents a theory-building process of the Satir approach to family therapy.     

Immigration Law and Its Impact on the Family: What Group Therapists Need to Know

ABSTRACT

This article provides an overview of structural limitations and challenges imposed by U.S. immigration law and enforcement policies and how they specifically impact families. Our analysis draws from numerous years of experience practicing immigration law and analysis of social and legal factors that impact immigrant individuals and families. We provide historical context for the Trump administration policies that have generated so much debate, reviewing how U.S. immigration creates barriers to family unity and stress on immigrant individuals and families, and explaining how the current administration has exacerbated these problems. We aim to help group psychotherapists gain greater awareness of their immigrant patients’ experiences through an analysis of immigration law and the use of case studies.     

Happiness and Dependency: Reflections on Happiness: Personhood,Community, Purpose by Pedro Alexis Tabensky

Abstract

This paper argues that Pedro Tabenksy’s Aristotelean understanding of true happiness overlooks the constitutive significance of the virtues and values of relationships of radical dependency. Tabensky’s focus on the rational and contextual aspects of personhood as the locus for our social interdependence results in friendship relationships being taken as paradigmatic for social engagements. Through a sketch of some of the unique dimensions of the asymmetrical relations upon which our bodily functioning and personal identities inevitably depend, I show that this focus risks perpetuating the lack of recognition of the value and significance of caring relations familiar to us in contemporary societies today.     

The Constructive Use of Power and the Philosophy of the Self in the Training of Family Therapists

Abstract

This article presents findings from an exploratory qualitative study, which used individual interviews and a focus group to investigate how women in Black-White interracial heterosexual partner relationships retrospectively described their racial identity development and the influence of gender identity development on this process. Social consrructionist, feminist, and racial identity development theories guided the grounded theory methodology. Participants described both constraining and empowering racial identities. Salient constraining racial identities were being a “sell-out” or “traitor,” being a “rule-breaker,” having a masked reference group orientation, needing to prove reference group orientation, and having minority family status. Empowering racial identities included refusing to take sides, being “not racial,” being neutral, identifying by respect rather than by race, having a multiple reference group orientation, being strong, and being an educator and mediator.

Gender identity themes of strength and resiliency emerged as significant influences in racial identity development. Suggested questions for use within a narrative therapy context provide a clinical application of findings from the study.     

Elaborating the Connection between Social Class and Classism in College

Scholarship has documented the challenges that face college students of marginalized economic backgrounds, an issue that is relevant for Community Psychology because of the field's commitment to social justice. Community psychologists are concerned with facilitating access to social resources such as education across the full range of social identities. The current study builds on recent research that has identified the key role of classism in students' struggles. We developed a new measure of college student financial stress in order to investigate the relationship between indices of social class (financial stress, subjective social status, and parental education) and indices of classism (institutional, interpersonal, and citational). We also explored whether race or immigration status moderated these relationships in a sample of diverse students (N = 278). Findings show that students' current financial stress has the strongest relationship with classism, and immigration status moderates the exposure to citational classism. Specifically, we found evidence for perpetuation of classism among U.S. born students higher on the social class ladder. Implications for future research include the importance of considering multiple domains of social class, studying social class in a context‐specific way, and differentiating dimensions of classism. Findings also suggest that financial stress is an important focus in the work to support marginalized students, and that classist narratives need to be addressed among students of higher social class.     

Where the Whole Thing Fell Apart

Abstract

This article examines the intersection of societal prejudice and psychological trauma. In an instrumental case study created through a layered narrative analysis, the author highlights the potentially traumatic effects of racism and discrimination, while also exploring the phenomenon of resilience in a complex ecological system. The findings suggest that the enduring and continual strain of racial prejudice may cause significant psychological distress, particularly when those experiences reinforce early negative experiences within a family; and that assessments of resilience need to consider the contribution of ecological context to psychological outcomes as well as to an individual's ability to mobilize personal resources when such a context finally shifts.     

Building a terrorist house on sand: a critical incident analysis of interprofessionality and the Prevent duty in schools in England

ABSTRACT

In 2015, a duty came into effect requiring all public bodies, including schools, to engage with the UK Government’s Prevent counter-terrorism strategy. This article presents two case studies from mid-size English cities, exploring the moral prototypes and institutional identities of professional mediators who made schools aware of their duties under Prevent. Mediators in each case included serving and former police, teachers and policy advisers, the majority of whom are now private consultants or operating small 3rd sector agencies. Drawing from in-depth interviews with 14 professionals, the article details the ways in which participants constructed their relationship to normative, deliberative and legal obligations. The article focuses on the recurrence of a high profile critical media incident in which a young child was allegedly subject to a referral for writing about living in a ‘terrorist’ (rather than ‘terraced’) house. Reaction to this incident was archetypal of the fear of media moral panic in reconstituting mediators’ identities as Prevent professionals, illustrating how the enframing of events shifts professional moral codes, policy interpretation and implementation.     

Intersectional Trauma-Responsive Care: A Framework for Humanizing Care for Justice Involved Girls and Women of Color

ABSTRACT

Previous scholarship around intersectional frameworks and theories of gendered pathways has provided an invaluable lens in which to view women’s contact with the justice system. The current theory builds from this scholarship, and sets forth an Intersectional Trauma-Responsive Framework that explicitly considers the intersection of identities, including gender and race/ethnicity, under a trauma responsive umbrella. This framework underscores the interconnection between traumatic experiences and justice system contact, while also considering broader systems of oppression and societal disadvantage that impact girls and women of color. The framework encourages interventions and programming with justice involved girls and women and advocates for humanizing care in order to address women’s incarceration.     

Crisis Theory and Therapeutic Change in Small Groups: Some Implications for Community Mental Health Programs

Abstract

The role of sibling dynamics in group psychotherapy has received relatively little attention in the literature. Our clinical experience suggests that sibling issues regularly arise in the practice of group psychotherapy. This article provides an integrative view of sibling relationships from a family systems and self psychology orientation to group therapy. Special emphasis is placed on developmental and cultural differences as they affect sibling dynamics and the group leader’s role. A number of case examples are offered to illustrate ways to view clinical challenges in a manner consistent with the influence of sibling relationships on group members and group process.     

Más Allá De Las Barreras: Competency and Practice Considerations in Language,Cultural, and Social Issues When Delivering Group CPT to Hispanic Immigrants

ABSTRACT

High rates of underassessed trauma and psychiatric disorders, particularly post-traumatic stress disorder (PTSD) have been reported among Hispanic immigrants, especially as related to immigration trauma. Multiple studies have shown group cognitive processing therapy (CPT) to be an effective evidence-based practice (EBP) for treatment of PTSD across a number of clinical populations. To date, however, no studies have examined important competency and practice issues in linguistic, cultural, and ethical areas that group CPT providers should consider when delivering group CPT to Hispanic immigrants. This article aims to outline these and provide future directions for research.     

Can children develop a dual identity when immigrant mothers feel homesick? A short-term longitudinal study among Turkish immigrants

Abstract

Turkish immigrant-origin youth in Western Europe often develop strong ethnic and weaker national identities. To advance our understanding of this pattern, we investigated the concurrent development and intergenerational transmission of both identities over time in conjunction with maternal homesickness. Our study was based on a sample of 176 Turkish mother-child dyads from Germany, Norway, and the Netherlands. Mothers (M _t1 = 38 years) reported on their identities and homesickness at T1 and children (M _t1 = 12 years) on their identities at T1 and T2. Our results showed that children’s ethnic and national identities became more incompatible over time, mother’s homesickness strengthened children’s ethnic identities, and mother’s ethnic identities in combination with high levels of homesickness weakened children’s national identities. We conclude that early adolescence is a critical time for Turkish immigrant youth’s identity development and that a focus on parental acculturative stressors can advance ethnic socialization and cultural transmission research.     

Trauma and the Unconscious: Double Conscience,The Uncanny and Cruelty

Relatively little has been written on the role of trauma in conceptions of the unconscious. This paper explores Freud’s conceptions of the unconscious, comparing his ideas with the original French notion of “double conscience” and exploring their implications for technique. Whereas Freud’s concept of the unconscious mainly depends upon a theory of internal drives, Ferenczi’s ascribed a central role to trauma, shifting the focus to the individual in the context of relationships. The comparison is illustrated with a case history.     

Using Narrative Therapy in the Treatment of Adult Survivors of Childhood Sexual Abuse in the Context of Couple Therapy

Abstract

Childhood Sexual Abuse (CSA) is a prevalent social issue. Many theoretical approaches have been applied to the treatment of CSA, these approaches predominately focus on the treatment of children and adolescents, failing to address adulthood and couples’ relations. This limited focus fails to address long-lasting relational implications CSA survivors face. This paper proposes the application of a systemic therapeutic modality, Narrative therapy when treating adult survivors of CSA in couple therapy. The treatment of CSA in the context of couple therapy will be discussed. Clinical vignettes will be used. Implications for clinical practice and future research will be discussed.     

Skating through pregnancy and motherhood: A narrative analysis of digital stories of elite figure skating expectant mothers

ObjectivesAlthough research on elite sport and motherhood is growing, more research is needed to understand the narratives that shape their identities and lives. We sought to build on sport psychology research centralizing the media as naturalistic data resources to explore elite athlete mother identity in cultural context. The specific aim was to explore how elite athlete identities are portrayed during pregnancy on Instagram.DesignTwo high profile elite figure skating expectant mothers’ (i.e., Meagan Duhamel and Aljona Savchenko) Instagram posts were the focus of a dialogical narrative analysis (DNA) grounded in relativist narrative inquiry. Two research questions were explored: 1. how do expectant athlete mothers portray themselves in big and small stories, and 2. what are the implications (e.g., psychosocial, behavioural) of identity meanings portrayed in digital stories?ResultsDNA of 122 posts (n = 82 for Duhamel, n = 40 for Savchenko) identified a key big story: (re)configuring ideal pregnancy. Four small stories fed into fluid meanings of ‘ideal pregnancy’ and ways of ‘doing pregnancy’ linked to self-identity portrayals: documenting the growing life, baby bumps on display, Olympic dreams/journeys and living the good life through leisure. Consumerism was shown to thread small stories. These findings show contradictions of motherhood meanings and body ideals (e.g., feminine, athletic) vs realities (e.g., tired, sore), linked to actions (e.g., skating during pregnancy, promoting products or athlete brand), in good mother and biomedical narratives.ConclusionsA big and small story approach grounded in narrative inquiry holds value to learn more about the digital landscape’s role in shaping athlete expectant mother self-identities. Future research exploring social media (e.g., Twitter, Facebook) may expand intertextual understanding of athlete mothers' identities and lives.     

An Integration of Feminism into Experiential Psychotherapy

Abstract

Feminist therapy altered how marriage and family therapists conceptualized their clients’ realities and psychopathology. Upon an extensive search of the literature, there is a sparse amount of literature regarding the integration of feminist therapy with experiential therapy. The authors discuss feminist and experiential therapy models, propose a model of feminist-experiential therapy, and highlight the need and fit of these theories. A discussion on giving space to silenced voices, establishing an egalitarian relationship, expanding the definition of deviance, and exploring the importance of language will be done to aid the experiential therapist in their work and expand their client’s experience.     

Toward Cognitive-Behavioral Therapy for Sexual Minority Women: Voices From Stakeholders and Community Members

Sexual minority women (SMW) experience an elevated risk of mental health problems compared to heterosexual women. However, knowledge gaps remain regarding whether cognitive-behavioral therapy (CBT) interventions meet SMW’s mental health needs. Further, virtually no studies have integrated stakeholder (i.e., researchers with content expertise in SMW’s health and clinical providers who work with SMW) and community member (i.e., SMW) perspectives to identify CBT approaches that address SMW-specific issues. This study used qualitative data gathered from 39 SMW who reported depression, anxiety, suicidality, and heavy drinking in the past 3 months and 16 content experts and clinical providers to obtain information relevant to enhancing CBT for SMW. In addition, we used thematic analysis to identify themes related to the adaptation and delivery of CBT for SMW. Building on prior literature, this study’s findings revealed seven considerations for delivering mental health services to SMW: (1) attending to SMW’s diverse gender identities and expressions; (2) focusing on SMW’s nonbinary stressors; (3) formulating SMW’s gender-based stressors within a feminist framework; (4) applying intersectionality frameworks; (5) incorporating issues of diversity, multiculturalism, and social justice; (6) addressing the role of trauma exposure; and (7) addressing the role of alcohol use in SMW’s lives. These considerations are reviewed in terms of their implications for clinical practice, with a focus on enhancing applications of existing CBT interventions to best respond to the unique needs of this population.