Family law issues in family therapy practice

Abstract

The American Journal of Family Therapy is pleased to innaugurate this new section with the intent of being at the cutting edge of the interface of the interrelationship of family law and family therapy. We introduce this endeavor with several articles on child custody-an arena of crucial concern in both disciplines. One article is a summary of child custody laws extant throu hout the United States. to commend it psychologically and legally. The third item, in keeping with the theme, is a speculative fable about joint custody written by a matrimonial attorney who practices family mediation and who has training as a family therapist. It captures the tenor of the times. The second article discusses a model for child custody ev a f uations, which has much     

Family law issues in family therapy practice

Abstract

The FAST represents a vast improvement over other figure placement techniques (FPTs). It offers an assessment procedure that measures both cohesion and power, assesses several family levels, allows for interpretation and comparison of individual and collective perceptions, and yields a more complex view of family dynamics by providing information regarding family organization across situations. Further, the FAST allows clinicians to hypothesize about treatment prognosis, plan systemic interventions, and monitor structural transformations that occur during therapy. As structural and developmental theories seem to be two of the more commonly recognized perspectives across disciplines (as evidenced by the types of relational additions in the soon-to-be-published DSM-IV), the FAST has the potential to become an interdisciplinary diagnostic and empirical link. Recommendations are noted here to maximize the potential of the FAST as a theoretically grounded and psychometrically sound family instrument.     

Ethical decision making in family therapy

In family therapy, effective clinical decisions promote the welfare and interests of the family and its individual members. However, the needs of the family and its individual members are often in conflict. Resolving this conflict is an ethical as well as a therapeutic dilemma. Kitchener has developed a model of ethical decision making that we have found useful in teaching students and supervisees how to resolve conflicts between the family's needs and the needs of its members. The purpose of this article is to discuss this model and show how it can be applied to clinical decision making.     

Family therapy without the family: a framework for systemic practice

This paper contrasts the basic tenets of systemic thinking with some guiding principles of the psychodynamic approach, and outlines specific techniques which family therapists can use when seeing individuals. It is argued that a useful systemic framework can be maintained if the therapist aims to keep the therapy system 'open' for relevant others to join at any time.     

Marriage and family therapy education: Emerging trends and issues

The field of marriage and family therapy has enjoyed unparalleled growth during the last decade. This rapid growth has been the catalyst for several emerging educational trends that warrant close attention. This paper examines nine emerging trends in MFT education with attention devoted to a number of critical issues.     

Introducing conceptual tempo: an attempt to refocus health decision making in youth

This paper reassesses the current trend toward health decision-making skills for youth. A new field of research for health behavior called conceptual tempo is introduced in an attempt to make health decision-making interventions more effective. The argument is made that decision-making programs may not realize their full potential because of the lack of emphasis placed on the child's rate of response or "conceptual tempo" in making health decisions. Suggestions are made on how best to utilize the conceptual tempo literature to enhance health decision-making program objectives in school health education.     

Application of family therapy theory to complex social issues: using the WebQuest in family therapy training

This paper describes how the WebQuest is used to foster critical thinking and application of theory to complex social problems in a Master's level class on contemporary family therapy theories. The issue of child trafficking and prostitution is explored through the web‐based inquiry learning where scaffold learning is provided. Scaffolding includes resource links and guidance on cognitive and social skills, which are provided to facilitate the learner's development. The WebQuest design includes the task, the process and the evaluation rubrics. Student feedback on the WebQuest was positive and included increased motivation in learning, critical thinking and global awareness.     

Fiction as an aid to therapy: a narrative and family rationale for practice

Stories of literary merit written by others (novels, plays, etc.) can be used in therapy to help people tell their personal stories. Existing approaches to the use of fiction draw mainly from psychoanalytic assumptions. From a narrative and family perspective, the claim is that when persons of all ages spontaneously report on the content of a favourite story, this story functions as a 'safe' vehicle for them to talk about their own lives, experiences and emotions that have been marginalized or shaped to fit transgenerational themes. In addition, the form of a favourite story can help in the transformation of a non-intelligible and/or pessimistic self-narrative. A case example is used to illustrate the suggested steps for working with clients on a favourite novel. The therapist encourages family member(s) to claim ownership of the assumed experiences, wishes and positive life developments of their favourite characters, and to help them see the narrative structures and linguistic features they have used for the various retellings of the story as properties of their own self-narratives.     

Relating to knowledge: challenges in generating and using theory for practice in family therapy*

This paper explores knowledge and how family therapy relates to its own knowledge. It begins with the identification of particular puzzles that have emerged through the author's involvement in family therapy, and ends with a reflection on these same puzzles following the main theoretical exploration. The exploration first considers the issue of the generation of knowledge in the context of practice disciplines, and then discusses disciplinarity and the dynamics of competitiveness and oppositionality that go alongside this social structuring of knowledge. This discussion paves the way for an exploration of these dynamics in family therapy, including the competitiveness in relation to different models within family therapy, and the tendency for theory development to be represented in terms of discontinuity rather than continuity. The relationship between theory and practice is recast through this investigation, and an argument is made for using a layered epistemology to inform our relationship to knowledge.     

Drawing a family map: an experiential tool for engaging children in family therapy

Inclusion of children in the treatment process is a central aspect of the discipline of family therapy. Young children's verbal skill and level of abstraction may not be suited to ‘talking therapy’, but they have an intuitive grasp of family life which is invaluable, and their views and needs should be considered when effecting change in the family system. A method is offered to engage young children, adolescents and adults of divergent verbal skills into a shared process. It requires no special set‐up or tools, only paper and markers. Distance and proximity are represented in a simple map of the family, adding symbols for affection and conflict. A spatial representation of the family system is created, and may be referred to in the course of the therapy.     

Measurement issues in family assessment: the case of the Family Environment Scale

The internal consistency reliabilities of 5 subscales of the Family Environment Scale were re-examined in a study of 311 stressed and 74 control families. The reliability coefficients generated were lower than those originally reported for this instrument; most coefficients generated were below the acceptable level for practical or research use, and there was considerable variation in the reliabilities across type of stressed family. An attempt to generate more reliable scales using the original items was unsuccessful, and questions about the validity of the subscales were raised. Our results illustrate the importance of examining reliabilities of instruments, even well-known and widely used instruments, for each sample studied.     

Selective mutism in children: A structural family therapy approach to treatment

When children refuse to speak in some social settings, but can understand and speak in other settings, the diagnosis of selective mutism must be considered. A review of the literature describes the disorder, the various types of mutism, and related family dynamics. A family systems approach to treatment using structural family therapy is suggested. The case history presented illustrates one type of mutism as well as the family rules and hierarchy which appeared to be maintaining it. Structural and strategic family systems theory techniques that were used to move the family toward resolution of this problem are discussed.Diane Wolf Tatem, MA, MS, completed graduate work in marriage and family therapy at New Mexico State University, Las Cruces, NM. She is employed at Life Management Center of El Paso's Child Development Services and also has a private practice in marriage and family therapy in El Paso, Texas. Robert L. DelCampo, PhD is a professor of family science at New Mexico State University and maintains a private practice with Associates for Marriage and Family Therapy in Las Cruces, NM. Please address all correspondence to Dr. DelCampo at Box 3470, New Mexico State University, Las Cruces, NM, 88003-3470.Appreciation is expressed to Dr. Charles Huber, New Mexico State University in Las Cruces, for his insightful critique of the final draft of this paper. This paper was presented at the Texas Association for Marriage and Family Therapy Annual Conference, January 25–29, 1995 in Dallas, TX.     

Putting families in the center: family perspectives on decision making and ADHD and implications for ADHD care

Objective: To examine components of family-centered care in families' stories about treatment decision making for their child with ADHD. Method: Twenty-eight families participated in qualitative interviews that addressed families' perspectives on (a) the treatment decision-making process, (b) the cause and impact of their child's symptoms, and (c) treatment goals and preferences. Results: The majority of families preferred to be primary or shared decision makers regarding treatment decisions. Families' perspectives on the cause of the child's symptoms varied and often were not consistent with a biomedical framework. Families described multiple areas of impairment on child, family relationships, and family functioning. Perspectives toward evidence-based treatments were mixed, with families also expressing interest in and pursuing interventions not delineated in current treatment guidelines. Conclusion: These findings reinforce the importance of eliciting families' perspectives and involving these important stakeholders in shared decision making as critical components of family-centered care for children with ADHD.     

Talking to children about family therapy: a qualitative research study

In an exploratory study a number of children were interviewed some time after family therapy. Their responses were analysed using grounded theory methodology. Outcomes indicate that for children, family therapy is potentially a complex arena in which ambiguities and ambivalences are present. The children's position in the therapeutic session is discussed in terms of their role in the 'therapeutic circle'.     

Mindless decision making and environmental issues: gestalt/feature-intensive processing and contextual reasoning in environmental decisions

In the absence of relevant information in working memory during decision consideration, respondents tend to rely on a style of cognitive processing that may result in premature or inaccurate decision making (M. J. Sharps, 2003). M. J. Sharps and S. S. Martin (2002) demonstrated this effect in executive decision making. In the present study, the authors extended these methods to decisions about environmental issues. Respondents rated decisions about issues such as overpopulation, energy policy, and food production in the presence or absence of simple pertinent information. The presence of such information in the immediate context of environmental decisions, and therefore in working memory, significantly improved respondents' ability to understand negative decision consequences. These results demonstrate the importance of contextual information in environmental decision making.