Familientherapie

In the field of family therapy besides the emphasis on the autonomy of the different schools (behavioral, psychodynamic, systemic), partly motivated by professional politics, a growing openness for concepts developed in other approaches can be observed. Approaches and results of attachment and affect theory and research find their way into the conceptualization of family processes and family therapy. Processes in the “self” of the therapist are taken into the discussion of therapeutic processes in systemic therapies. Furthermore, new fields of application of family therapy approaches have developed: parents-infant therapy and counseling, therapy of the elder, family medicine and coping with the consequences of the “human genome project”. New research on the empirical validation of relational dynamic concepts and on the evaluation of family therapies show a trend to see the claim for making treatments as short as possible in very relative terms. It is assumed that the family therapeutic approach will become more important in the future.     

The emergence of "family integrity" in later life

In contrast to the rich and abundant literature on the early stages of the family life cycle, there are relatively few theoretical accounts of family developmental processes in the second half of life. In an effort to address this imbalance, we introduce the concept of "family integrity" to refer to the ultimate, positive outcome of an older adult's developmental striving toward meaning, connection, and continuity within his or her multigenerational family. Subjectively, for the older adult, family integrity may be experienced as a deep and abiding sense of peace and/or satisfaction with his or her multigenerational family relationships, past, present, and future. It is the result of a growing concern for relational closure that typically begins to emerge in mid-life and gains ascendance in later-life. Objectively, at the level of observable relational processes, it is manifest in three interrelated competencies of the family as a system: (a) the transformation of relationships over time in a manner that is dynamic and responsive to the changing life cycle needs of individual family members, (b) the resolution or acceptance of past losses or family conflicts, with the dead as well as the living, and (c) the shared creation of meaning by passing on individual and family legacies within and across generations. As a construct, family integrity involves processes at multiple levels of social organization. At the individual level, it refers to an older adult's inner experience of satisfaction or "completeness" in the context of his or her family relationships. At the family level, it refers to observable relational competencies and transactions that contribute directly to an elder's sense of meaning, purpose, and connection with others. Simultaneously, at the level of culture and society, there are values and rituals that influence whether individuals experience meaning and purpose within the multigenerational family.     

A Multicultural Application of Attachment Theory with Immigrant Families: Contextual and Developmental Adaptations

This article explores attachment theory from a multicultural perspective to highlight adaptive considerations for immigrant families. The specific considerations of the theory reviewed are (1) attachment sensitivity based on social and cultural context and (2) the effect of maturation on families’ developmental needs and how this can be integrated within context. A case conceptualization of a Bosnian immigrant family living within the United States will highlight potential variations in the adaptation process. How therapists can support in providing culturally-sensitive applications of attachment theory to promote family relationships will be discussed.     

Attachment and the Emotional Unit

Until recently, the mother-child relationship was assumed to be the primary relationship affecting the outcome of an individual. This resulted in the mother-child dyad being seen and studied as separate from the family system in which it is embedded. This article asserts that, in order to understand this dyad adequately, one must understand "how" the family functions as an emotional unit that is guided by processes found in evolution and in relationships between living things. It goes beyond describing the family as a system of influence and seeks to account for the universal processes that occur in natural systems. It posits that the triangle is the basic building block of the emotional unit, and proposes a new theoretical dimension for understanding how attachment extends beyond dyads (such as parent-child) to include the emotional unit as a whole. Through triangles, the parent-child relationship is continually influenced by relationship forces operating within the system as a whole.     

Family systems and the attachment dynamic

Using attachment theory as a theoretical framework, the concept of the attachment dynamic is introduced as a model to explain (1) how individual members of a family behave as though they constituted a system (2) the extent to which the complementary activities of attachment and care-giving behaviour (a) govern the movements of family members towards or away from each other; (b) affect the degree to which they each engage in creative exploratory activities; and (c) influence the internal representation each family member builds of him or herself in action with others or acting alone. The attachment dynamic is considered to be played out in many forms which range along a continuum from highly adaptive to grossly maladaptive. The characteristics of effective care-giving behaviour, adaptive attachment behaviour and exploratory behaviour, integrated within adaptive forms of the attachment dynamic, are contrasted with ineffective care-giving, continuing unassuaged attachment behaviour and anxious, frustrated or inhibited exploratory behaviour which are found in maladaptive forms of the dynamic. The implications of this model for family therapy are outlined.     

Friends and Family: The Role of Relationships in Community and Workplace Attachment

Purpose

Most work–life research focuses on the spillover of the nuclear family to the workplace, offering little insight into how other family relationships and friendships can spill over to affect employees’ organizational attachment. Past research has also overlooked the role of relationship quality and the mechanisms underlying these life-to-work spillover effects. Addressing these shortcomings, we integrate the systemic model of community attachment with job embeddedness theory to develop a model of community relational embeddedness and then use this model to examine how nonwork relationships connect people to their workplaces.

Design/Methodology/Approach

We used survey data from a national sample of 2025 accounting professionals and tested mediation hypotheses using structural equation modeling.

Findings

Employees’ relationships with friends and family predicted their attachment to their communities, which in turn predicted their workplace turnover intentions. Supporting our theoretical model, bonds with friends and family predicted moving intentions, and community fit and sacrifice mediated these effects. Community fit and sacrifice also predicted work turnover intentions indirectly through moving intentions. Tests also revealed that, surprisingly, friendships had a stronger impact on community attachment than family.

Implications

Employees are connected to their organizations through an array of close community relationships that extend beyond the nuclear family (i.e., spouse, children). Organizations can enhance employees’ workplace attachment by recognizing the role of friends and offering work–life programs that use a broad conceptualization of family (e.g., adult siblings, parents).

Originality/Value

Our study illustrates the importance of community relationships to workplace attachment, and the need to incorporate relational quality, nonnuclear family, and friendships in future research.

     

Attachment,social rank,and affect regulation: speculations on an ethological approach to family interaction

The attachment and social rank systems are biological-evolutionary systems that can serve as models for conceptualizing family interaction. By exploring both their unique and interrelated impact on affect regulation, we can differentiate between processes that foster healthy growth and those leading to individual psychopathology. This perspective facilitates the integration of biological and psychological models, and has therapeutic implications. It also integrates well with other family therapy models.     

Exploring the Impact of Attachment Anxiety and Avoidance on the Perception of Couple Conflict

Attachment anxiety and avoidance have been shown to affect how an individual processes social information such as facial expressions. Previous work has not explored perception of couple relationships. The current study had 39 individuals observe images and videos of couples in conflict. Results suggest that individuals with higher attachment anxiety perceived more intensity in negative interactions/affect and less positive interactions/affect in the couples they observed. Implications for therapy, clinical supervision, and family life education are discussed.     

An Ecosystemic Approach to Improving Mother-Infant Attachment in a Caribbean Matrifocal Society

Within an ecosystemic framework integrating a cultural-family approach and Bowlby's attachment theory, this paper describes a mother-infant therapeutic program focusing on a high-risk population of infants from dysfunctional extended matrifocal families in the French Caribbean island of Martinique. Some of the factors involved in the disturbed mother-child attachment relationships were identified, and a multisystemic approach for remodeling both internal family processes and interactions between the family and the larger social system were described. The authors stress the importance of using a combination of specialized and non-specialized services which draw upon, and remain embedded in, the family's ecological context and argue for a conceptualization of extended matrifocal family organizations as being resourceful and resilient systems.     

My mind is alive and well and fouling up the system: existential-phenomenological considerations in family therapy

It is customary amongst family therapists who work within a general systems framework to reject any consideration of individual phenomenology in their evaluation and treatment of family difficulties. One of the reasons often cited for this is the supposed incompatibility between the systems and intrapsychic perspectives. It is argued in this paper (a) that the two perspectives, while derived from two different levels of conceptualization, are not mutually exclusive or unconnected; (b) that an understanding of the experiential world of family members as this contributes to family interaction patterns can promote effective intervention. A framework is suggested drawing on existential (experiential) concepts and the thesis is illustrated by means of a case-study.     

青少年家庭功能对其主观幸福感的影响-同伴依恋和亲社会行为的序列中介效应

以2949名中学生为被试,采用问卷法考察青少年的总体家庭功能、同伴依恋和亲社会行为对其主观幸福感的序列中介作用。结果表明：（1）总体家庭功能、同伴依恋、亲社会行为、生活满意度、积极情感两两间正相关显著,而与消极情感均显著负相关;（2）在控制年龄、性别、SES、社会赞许性后,总体家庭功能既能直接显著预测主观幸福感,也能分别通过同伴依恋、亲社会行为,及两者的链式关系间接作用于主观幸福感。     

Anxious attachment and relationship processes: an interactionist perspective

Relationship processes in adult romantic relationships have been vastly studied under the aegis of attachment theory. Attachment theory is interactionist in nature, proposing that individual differences in levels of both attachment avoidance and anxiety predict an individual's thoughts, feelings, and behaviors in contexts that activate attachment concerns. A growing body of research is beginning to systematically test the conditions in which individual differences in attachment orientations both predict and fail to predict relationship processes. In this article, we focus on anxious attachment and review a program of research showing that the potentially destructive relationship processes typically observed in highly anxious individuals do not always appear in neutral or benign contexts, or when security needs are met. We argue that research needs to more thoroughly investigate the conditions that should, or should not, activate attachment concerns and thus result in links between individual differences in attachment orientations and relationship processes.     

Attachment disorders: review and current status

Developmental research on attachment has flourished in the past 15 years (C. H. Zeanah, 1996). However, there has been relatively scant empirical investigation of disorders in attachment. In this article, the pertinent developmental research on the attachment cycle is delineated and the current status of disordered attachment is examined. A particular focus is given to the conceptualization of the most severe form of disordered attachment, Reactive Attachment Disorder.     

Mentalizing Family Violence Part 1: Conceptual Framework

This is the first of two companion papers describing concepts and techniques of a mentalization‐based approach to understanding and managing family violence. We review evidence that attachment difficulties, sudden high levels of arousal, and poor affect control contribute to a loss of mentalizing capacity, which, in turn, undermines social learning and can favor the transgenerational transmission of violent interaction patterns. It is suggested that physically violent acts are only possible if mentalizing is temporarily inhibited or decoupled. However, being mentalized in the context of attachment relationships in the family generates epistemic trust within the family unit and reduces the likelihood of family violence. The implications of this framework for therapeutic work with families are discussed.     

Personality in context: an interpersonal systems perspective

Because a significant part of individuals' lives involve close relationships, an important and substantial part of the situations they encounter consists of other people's behaviors. We suggest that individuals' characteristic ways of behaving, which are typically attributed to "personality," arise from two processes. One lies primarily within the individual, conceptualized as individual differences in one's cognitive and affective processing system. The other process, which has received less attention in personality research, lies outside the person in the individual differences in the situations that people encounter in their everyday lives. The interplay between these two processes can be particularly relevant for understanding close relationships. By assuming that each partner's behavior provides the situational context for the other partner, we conceptualize a dyadic relationship as the "interlocking" of the cognitive-affective processing systems of both partners. We illustrate this approach to personality-in-context with a hypothetical scenario and use this framework to organize research on attachment styles, rejection sensitivity, self-fulfilling prophecy, the self in relation to others, and interdependence theory.     

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.     

Recognizing the role of parents in developmental outcomes: a systems approach to evaluating the child with developmental disabilities

When developmental concerns arise in children, a clinical assessment focuses on the child's developmental profile to achieve three goals (1) determine diagnosis, (2) develop interventions, and (3) evaluate progress. Parents often have needs during this time that are not addressed by professionals because of the exclusive focus on the child during the evaluation. In this article, we suggest that clinicians take a "systems" approach to the assessment process by recognizing how the well being of family members can impact a child with a developmental disability. We review systems theory and its conceptualization of individual functioning and discuss how parental well-being differs according to child diagnosis. Finally we suggest a systems-based model to use during the assessment process.     

Contextualism and the issue of continuity

In the study of continuity development, two models have predominated in the research literature: organismic vs. contextual model. The first, the organismic, is characterized by the claim that early individual characteristics—what I refer to as traits—have predictive power in relation to subsequent behavior. The contextual model, on the other hand, stresses that predictive power of early individual characteristics is rather weak and that the best predictor of later behavior is the nature of the environment the individual occupies at that point in time. In this paper, both models are presented (including an interactive one), using data from a longitudinal study of attachment. Findings from children 1 to 18 years reveal that 18-year-old models of attachment, as well as the level of psychopathology shown, are best predicted by concurrent family status (whether the mother and father are divorced), rather than early attachment or the interaction between early attachment and family status.     

The epigenesis of the family system as a context for individual development

In this article, the concept introduced by Lyman Wynne, that the individual develops epigenetically within the family system, is discussed and validated with data from a study of the characteristics and relationships of 27 women with borderline personality disorder and their parents. Each stage of the epigenetic process is impaired in one way or another, adversely affecting subsequent stages. Early impairment of attachment-care-giving processes is at least partly attributable to a lack of empathic parenting; effective communication is married by family members' inability to experience or express feelings (alexithymia); this, in turn, makes it difficult to engage in joint family problem solving. Mutuality between family members does not occur in such a context, and there is an absence of intimacy between family members. These are often abusive family systems, with multiple abuse and intrafamilial sexual abuse more specifically directed at the daughter with BPD. The symptoms of the daughter can be understood systemically, as representing both predispositional characteristics and reactions to the family system. It is suggested that the epigenetic paradigm could be used to characterize the specific failure of developmental processes in many different disorders.