Multiple family therapy: an overview

In recent years there has been increased interest in working with groups of families systemically. Multiple family therapy is applied in different settings and to a whole range of different presentations. These include work with multi-problem families; with schools, parents and pupils; with adult mentally ill individuals and their families; and with eating-disordered teenagers and their families. Principles and aims of multiple family therapy are presented, specific projects described and trends for future work outlined.     

A qualitative examination of the work–family interface: Parents of children with autism spectrum disorder

Within the work–family literature little is known about the work–family challenges and opportunities faced by families that have one or more children with autism spectrum disorder. However, it has been consistently demonstrated that parents of children with autism spectrum disorder are at a higher risk of experiencing a host of negative outcomes. Using a qualitative design, within grounded theory, the present study sheds light on the needs, experiences, and challenges that parents of children with autism spectrum disorder face and also offers insight into ways to expand the scope of work–family research in this area. The present research provides evidence of how the family domain can greatly impact experiences and decisions made in the work domain for families with special needs. The present research adds to the small but growing literature examining the interplay between home and work life for families with special needs and demonstrates that this is an important research domain in need of additional conceptual and empirical consideration.     

Theme-focused family therapy: the inner emotional world of the family

This paper is an account of a method of family work developed for social workers in social services departments which allows them to work with the emotional impact on children and adults of traumatic events in family life. Theme-focused family therapy has been designed to meet the needs of the families and also to enable social workers and their supervisors to develop both psychodynamic and systemic perspectives m their work with families. It is a staged approach, moving from individual work to a structured family interview through to a series of theme-focused family sessions. It is phased in this way both to facilitate the development of a therapeutic attachment between social worker and family and to take account of the crises that can interrupt planned work in social services departments. Theme-focused family therapy is carried out in partnership with families, and gives children a voice and a leading role in the therapeutic process. The approach is illustrated with a case example.     

The Cultural Adaptation of a Transition Program for Latino Families of Youth with Autism Spectrum Disorder

During the transition to adulthood, effective and culturally relevant supports are critical for families of youth with autism spectrum disorder (ASD). There is a dearth of documented program development and research on supports for Spanish-speaking Latino families during this life stage. The present work describes the cultural adaptation process of an evidence-based transition program for Latino families of youth with ASD. A model of the actions necessary to meaningfully conduct a cultural adaptation in this context is described. After implementing the culturally adapted program titled Juntos en la Transición with five Spanish-speaking families, parents reported high social validity of the program through surveys and interviews. The cultural adaptation process followed in this work is important for the further development of programs that address the transition needs of Latino youth with ASD and their families. Our impressions may also be useful to those who aim to develop culturally sensitive and ecologically valid multifamily group intervention programs for families from cultural and linguistic minority groups.     

What the Study of Eminence Can Teach Us

This article presents a revised theory of what eminence is, its relation to productivity, its measurement, and the markers for it. The historical, systematic, and informational bases of families are used for this revised theory, with the Bronte; family being used for illustration. One important conclusion is that persons who are truly eminent (i.e., who create original and significant work), and persons who are simply high achievers, tend to come from different families entirely. Another important conclusion, which exemplifies the revised theory, is that gifted children may not change their families. In earlier work, gifted children had been described as organizers within families, but they may primarily organize families in terms of what the family wants and has already been doing. It may thus be best to describe families as ongoing systems. There is much that goes on within a family that is not going to be changed for gifted children that includes a richness of talent.     

Ethical Issues in Intergenerational Equity

ABSTRACT

Family systems theory illumines the way in which family interactions influence the spirituality of each member of an aging family. Five spiritual tasks of the aging family are: facing mortality, defining the shape and limits of love and fidelity, struggling with the meaning of evil and suffering, seeking forgiveness and reconciliation, and giving and receiving a spiritual legacy. Professionals who work with families are encouraged to help families explore their spiritual concerns, work toward small and immediate changes with families as they address spiritual issues, listen for and affirm the family's spiritual resources, and support the enactment of family rituals and ceremonies.     

Medical family therapy: an emerging arena for family therapy

This paper describes an important recent development in American family therapy. Medical family therapy uses a biopsychosocial systems model to work with families who have a member with a chronic illness or disability. The authors maintain that family therapy has tended to embrace the mind–body split and to view itself too narrowly as a mental health specialty. Medical family therapists work collaboratively with physicians and other health professionals to help families achieve a sense of agency and communion in facing some of the greatest challenges that life brings.     

Healing rituals with families in exile *

This paper describes work with families who have been subjected to torture and atrocity and forced into political exile. Exile is described as a state of limbo which may be resolved by involving families in rituals which reconnect them to communal life. Therapeutic dilemmas when working with families affected by torture and atrocity are discussed. The culture of refugee families is a resource which can be used to enable them to integrate experiences of atrocity and adapt to life in exile. Therapeutic strategies are discussed through case histories.     

Collaborative helping maps: a tool to guide thinking and action in family-centered services

This article highlights "disciplined improvisation" as a metaphor for community-based work with multi-stressed families. It introduces Collaborative Helping maps as a tool that both helps workers think their way through complex situations with families and provides a structure to support constructive conversations between workers and families about challenging situations. The article illustrates this map through a clinical vignette and uses interviews with workers to highlight ways in which the map can both enhance worker thinking and support constructive conversations between workers and families about problems that could easily divide them and lead to polarization and escalating tension.     

Families with Physically Handicapped Children: Social Ecology and Family Systems

This paper reviews research on families with physically handicapped children, and integrates this work within a social ecological perspective. Methodological difficulties in past research that contribute to a lack of consensus in the area are discussed. Research on stresses experienced by various subsystems within families with handicapped children is presented, with recommendations for future family-oriented research and intervention. The interactions of families with handicapped children with their social support networks are reviewed, underscoring the importance of these processes for coping and adaptation.     

"Living with" the past: coping and patterns in families of Holocaust survivors

This exploratory study looks at how families of Holocaust survivors work through the traumatic past by considering the coping patterns adapted by family members. Life-story interviews (Rosenthal, 1993) with 57 individuals from 20 families, in which there were two to three generations, were used in order to learn about the significance they attach to the Holocaust past. The interviews were analyzed using Rosenthal's methods and Danieli's (1988) typology of post-war adaptation (victim families, fighter families, those who made it, and numb families). Results showed that in order to differentiate between the coping styles exhibited by the families, two new categories had to be added to Danieli's typology. These were entitled "life goes on" and "split families." It was concluded that survivor families exhibit heterogeneity in the ways in which they cope with the Holocaust past.     

Family work for schizophrenia: some issues for Chinese immigrant families

This paper discusses some specific issues relevant to immigrant Chinese families in the context of family work for schizophrenia. The issues include shame and guilt, isolation and mistrust of officials, the importance of negotiation before details of problem-solving are worked out, high academic ambitions for children, and apparent ‘overprotectiveness’ in the Chinese culture. It is argued that cognitive-behavioural, goal-orientated family work could be adapted well for immigrant Chinese families with a member suffering from schizophrenia. A case study is presented to illustrate how such a family was helped.     

How husbands and wives in dual-career families perceive their family and work worlds

The perceptions of men and women in dual-career families were mapped with a view to understanding their concerns, priorities, and attitudes toward their work and family lives. Sixteen variables which represented aspects of family and work life and members' own attitudes and behaviors were used to map the perceptions through the multivariate factor analytic technique. A sample of husbands and wives in 127 dual-career families in the St. Louis area was used to collect the data. The results of the study indicate that husbands and wives perceive and cognitively structure their family and work worlds in practically the same way. They both see four distinct facets of their work and family lives. These are (1) a psychologically rewarding job dimension, (2) a general effectiveness dimension, (3) an investment-return dynamic in their careers, and (4) an expectation from the organization and consequences dimension. If the results of this study are replicated in different samples of dual-career families, then we could be sure that the perceptions, values, priorities, and cognitive structuring of family and work factors are virtually the same for men and women and that there are no gender differences.     

Supporting adolescents who have a sibling with a life-threatening illness: An exploratory study

Aims: This research explores issues encountered by adolescents who have a sibling with a life-threatening illness, and those who work therapeutically with them. Method: Eight semi-structured, face-to-face interviews were conducted with participants who work therapeutically with this client group. Attention was given to the empathic quality of interviews. The interview sample included six females and two males, encompassing a wide demographic area within England and Wales. Five were counsellors and three had other professional trainings. Findings: Data was analysed using grounded theory. Results showed that the provision of family as well as individual therapeutic support for young people would ease stress for families and professionals alike, and that peer support was considered important. Implications for practice: The results of this research suggest that organisations working with families experiencing a life-threatening illness would benefit from attending to the quality of support offered to their staff, as well as the families they work with.     

Equality and differentiation of time spent in paid work in two-income families

The cumulative data from the National Opinion Research Center General Social Survey for 1972–1978 are used to test a model of allocation of time to work in families in which both spouses are employed. Using number of hours worked during the previous week as a dependent variable, we find that for white respondents, women work fewer hours than men; fathers of preteenaged children work more hours than other men, while mothers of preteens work fewer hours than other women; both men and women work more hours when they have higher prestige occupations; and both work more hours if their status (measured by education and prestige) is equal to or higher than their spouses'. Number of hours reported for spouse in the previous week is positively related to number of hours reported by respondent. The model suggests that within two-income families equality of occupational status is associated with equality of occupational involvement, while inequality of occupational status is associated with lower occupational involvement of the spouse with lower status.     

Working with older adults and their families – a review

This paper discusses family work with older adults by exploring some of the related literature published since Herr and Weakland's work in 1979, and compares psychoeducational and systems-based approaches to work with later life families. Issues of bias and omissions in the existing literature, and the definition of family therapy with this client group are raised. Areas for future research are indicated.     

The Impact of Christianity on Therapy with Latino Families

Unquestioned patriarchal beliefs prescribed by religion often place women and racial and sexual minorities in positions of victimization. In the therapeutic framework, “God” represents unquestioned values that must be challenged and evaluated in order to have a transformative effect. As a result of the increase in the number of Latino immigrants to the United States, it is inevitable for therapists to work with Latino families, a highly religious population. The purpose of this paper is to explore, through a feminist perspective, the role of Christianity and the feminist movement in Latin America and the impact of Christianity on therapists’ work with Latino families.     

Family therapy and incomplete families

Much of the literature in family therapy refers to the clinically orientated work with well-motivated families using specific techniques. This article briefly outlines the two main theoretical stances within family therapy as a whole, and describes three categories of incompleteness in families with particular reference to the idea of 'masked' incompleteness. This is illustrated by five case examples which show some of the common difficulties of working with families whose disturbance includes a masked incompleteness. The inadequacies of a singular treatment approach with such families are outlined, and it is suggested that the 'systems' approach in particular has limitations and possible contra-indications in such circumstances. It is argued that the more eclectic and pragmatic approach described, whilst remaining within the boundaries of family therapy as a whole, is likely to offer a more effective consideration of the long term needs of such families.     

A qualitative examination of the work–family interface: Parents of children with autism spectrum disorder

Within the work–family literature little is known about the work–family challenges and opportunities faced by families that have one or more children with autism spectrum disorder. However, it has been consistently demonstrated that parents of children with autism spectrum disorder are at a higher risk of experiencing a host of negative outcomes. Using a qualitative design, within grounded theory, the present study sheds light on the needs, experiences, and challenges that parents of children with autism spectrum disorder face and also offers insight into ways to expand the scope of work–family research in this area. The present research provides evidence of how the family domain can greatly impact experiences and decisions made in the work domain for families with special needs. The present research adds to the small but growing literature examining the interplay between home and work life for families with special needs and demonstrates that this is an important research domain in need of additional conceptual and empirical consideration.