Multi-agency family systems

The term 'multi-agency' family is preferred to 'disorganized' family. Multi-agency family systems present special problems of the relationships (a) within the family, (b) between family and professional network, (c) among members of the professional network and (d) between family, network and treatment centre to whom the family is referred. Pressures on the family and professional workers can create a locked system which prevents natural development of the family or effective problem solving by the workers. A systems approach to such problems is presented which includes consultation to the family/professional network system.     

A family assessment based on the Social Relations Model

One purpose of family assessment is to formulate hypotheses that can guide clinical interventions. Family assessment is based on models about family functioning. In this paper the Social Relations Model ( Kenny and La Voie, 1984 ; SRM) is presented as such a model about family dynamics. Moreover, SRM provides statistical tools to underpin empirical hypotheses about family functioning. An SRM family assessment of a family with a child in child psychiatric care exemplifies the possibilities and limitations of this SRM approach to family assessment. The subject of the family assessment is family members' sense of influence in their family relationships.     

Emigration as Family Strategy in Chinese Context: Emigration from Fuqing,China

This study explores how family characteristics affect the emigration of family members from the city of Fuqing, China, a major migrant-sending area in China. We focus our discussion on three related questions: how family demographic characteristics affect a family’s participation in emigration, the number of family members involved in emigration, and the locational diversification of family members overseas. Our findings show that family income is related to whether the family has any members overseas and their numbers. Second, a larger family is more likely to participate in migration. These findings are consistent with the argument that migration is a joint family decision. Third, effects of demographic characteristics of different generations on emigration indicate again that migration is a family matter. Finally, our Fuqing findings show no clear patterns of family members settling in the same country if more than one member is overseas.     

The patient in the family and the family in the patient

The notion that the family is “the unit of care” for family doctors has been enigmatic and controversial. Yet systems theory and the biopsychosocial model that results when it is imported into medicine make the family system an indispensable and important component of family medicine. The challenge, therefore, is to provide a coherent, plausible account of the role of the family in family practice. Through an extended case presentation and commentary, we elaborate two views of the family in family medicine — treating the patient in the family and treating the family in the patient — and defend both as appropriate foci for care by family doctors. The practical problem that arises when the family is introduced into health care is deciding when to concentrate on the family system. The moral problems that arise concern how extensively doctors may become involved in the personal lives of their patients and families. The patient-centered clinical method provides a strategy for handling both problems. Thus, making the family a focus of care in family medicine can be justified on theoretical, practical, and moral grounds.     

Creating a Secure Family Base: Some Implications of Attachment Theory for Family Therapy

The aim of this article is to make attachment research findings available in a form that family therapists can use. In attachment theory, parents are conceptualized as providing a secure base from which a child can explore. Family therapists, however, need a systemic concept that goes beyond the parent/child dyad. The concept of a secure family base is proposed, in which a network of care is made available for all family members of whatever age so that all family members feel secure enough to explore, in the knowledge that support is available if needed. Factors that contribute to the security or insecurity of the family base are outlined. The overall aim of therapy is to establish a secure family base from which the family can explore new solutions to family problems both during and after therapy. The role of the therapist is to help to resolve conflicts that threaten relationships, and to explore relevant belief systems that may be contributing to a sense of insecurity. The conceptual framework presented allows for an integration of family therapy techniques and ideas into a coherent whole. A new school of family therapy is not proposed.     

Up front and personal: confronting dynamics in the Family Group Conference

The Family Group Conference is a participatory model of decision making with families in child protection. It is a legal process that brings together the family, including the extended family, and the professionals in a family-led decision-making forum. Bringing together extended family and professionals to discuss child protection concerns can create a highly charged dynamic. Workers are challenged by family, family are challenged by workers, and family members challenge each other. Practice is also exposed to wider scrutiny as professionals also challenge the work. This article briefly describes the development and practice of family group conferencing as a family-centred legal process in Aotearoa, New Zealand. It then examines the findings of a study exploring the dynamics emerging from family group conference practice from the perspective of the coordinators who convene them. Family group conferencing as a family strengthening practice is discussed.     

The importation,transmission, and moderation of stress in the family system

Despite its importance in community psychology, the stress process is still viewed primarily as an individual-level phenomenon, little research being conducted on the dynamics of stress in a social system such as the family. Propositions derived from a model of family stress were tested using data from a cross-sectional survey of family triads (father, mother, and adolescent). Two measures of distress were related significantly to both macro-and microstressors, and perceived social support did not buffer this relationship. Stressors endogenous to the family were significantly associated with those exogenous to the family (stressor importation hypothesis); contrary to prediction, this relationship did not vary across family members or family types (high vs. low cohesion). Distress in some family members was significantly associated with stressors experienced by other family members (stress transmission hypothesis); this relationship did not vary across family types but did vary across family members to some extent in that stress was transmitted from adolescents to parents to a greater degree than vice versa.     

《周易》家人卦的家道要旨

《周易》家人卦的家道理论体系,由立家之道、安家之道和兴家之道构成,且三位一体而又层层递进。立家之道,源于“阴阳变易”之化生原理,宏于“阴顺阳威”;付之践行,始于“闲邪未蒙”,功在“厉威勿纵”,誉于“顺德利贞”。安家之道,据于“允执厥中”的象位原理,适于“中正合宜”;履之于家,固于“持守正道”,毅于“谨遵中德”,成于各安角色。兴家之道,基于“民安国泰”的系统法则,旨在“家齐国治”;行之于家,寓于“王假有家”,系于交感互爱,遵于唯变所适。整个家道理论体系是一个系统有机统一的整体,极具系统性与辩证性。     

Behavior modification in marriage counseling

Abstract

Telephone cotherapy via three-way conference call of symbolic-experien-Hal family therapy is presented in a way that captures the spirit of a great pioneer, Carl Whitaker, M.D. The problems of the family, the process of therapy, and the beginning and ending are presented in a manner intended to bring the reader inside the experience. There are particular focuses on the use of family political power by both family therapists and an anguished family member in mobilizing the family for therapy. Impact is demonstrated in helping a family who felt hopeless become hopeful. The family attained a family spirit.     

Family therapy research: Comment on “research as a family therapy intervention technique”

Wright's emphasis on and illustration of the use of family therapy research as a unique intervention technique for therapy is an important contribution to the practice literature. Equally important, however, is the isomorphic shift in focus of the family therapy researcher. Rather than focusing only on process or outcome research, family therapists should become more interested in their clients as research subjects. Though rarely discussed in the family therapy literature, the competencies of family therapists as researchers and the utility of research in a family therapy context is critical to being a well-rounded professional. Examples are provided of how this emphasis is being introduced in a PhD family therapy program.     

Insurance and Family Therapy

The advent of recent theories of family structure and socially shared psychopathology that have found expression in the practice of family therapy are forcing a re-examination of concepts of individual diagnoses in which the symptoms of an individual family member are viewed as a possible communication from a disturbed family system. In seeking reimbursement for family therapy through health and accident insurance, a problem is occurring because the traditional method of payment is based on the establishment of individual psychiatric diagnoses, and very few companies will insure a family for family therapy. This paper examines the three-part system: insurers, family, and helping professions in relation to the significance of the conflict between traditional concepts of individual psychopathology and recent concepts of socially shared family psychopathology.     

Family therapy ‘lite’? How family counsellors conceptualise their primary care family work

A number of current developments in the field potentially provide opportunities for preventative relationship and family interventions to be integrated into primary care. In this context, it is important to understand what family counselling is and how it might differ from family therapy. Thus, this paper investigates how the service of one low-intensity family counselling provider, Relate, is conceptualised and practised by counsellors on the ground. Questions about practice were posed to five focus groups of family counsellors and these were analysed using thematic analysis. The findings suggest that Relate family counselling is seen as ‘family therapy lite’, with a flexible, eclectic and integrative use of concepts and techniques within a systemic framework. Implications of this conceptualisation of family counselling for training, practice and research are discussed.     

Dimensions of family rituals across two generations: relation to adolescent identity.

Family rituals are considered part of a generational process that fosters a sense of identity for individual members and is reflective of the family's shared belief system. The symbolic significance attached to family rituals is considered central to the force of family rituals. Three questions were addressed in the study: (1) Are the dimensions of family rituals viewed similarly across generations?; (2) Is level of ritualization related to adolescent identity?; (3) If there is disagreement about the relative level of ritualization in a family, is there a negative relation to adolescent identity? A total of 77 families with an adolescent member completed the Family Ritual Questionnaire, and the adolescents completed a measure of self-esteem. Results of a factor analysis demonstrated shared representation of family rituals across two generations, with one factor loading on the symbolic qualities of family rituals and the second factor loading on the routine aspects of family rituals. Positive relations were found between adolescent identity and the family's report of symbolic significance and affect associated with family rituals. A negative relation was found between mother-adolescent disagreement about family rituals and adolescent feelings of belonging. Distinguishing between meaning and routine aspects of family rituals is discussed as well as clinical implications.     

Family Conflict and Violent Electronic Media Use in School-Aged Children

Using a national sample of children aged 6 to 12 (N = 1,075), this study examined the relative merits of 3 theoretical perspectives on the relation between family conflict and children's use of electronic media (television and electronic games with violent content): (a) the family context hypothesis, whereby family conflict is positively related to violent electronic media use because family tensions will be reflected in children's interest in media with violent content; (b) the reaction hypothesis, whereby family conflict is positively related to nonviolent media use because children seek out nonviolent media content as a reaction against conflict in their family environment; and (c) the escape hypothesis, whereby family conflict is positively related to total electronic media use because children use media to escape family conflict regardless of content. Results supported the family context hypothesis. There was no support for the reaction and escape hypotheses.     

A training program for family psychology: Evaluation,prevention and therapy

Abstract

Family psychology differs from family therapy on a variety of dimensions. Philosophically, family psychology emphasizes the relationship of the individual to the family rather than considering the family as a system, deemphasizing the individual, as in systems family therapy. In addition, family psychology is interested in the whole spectrum of functionality-dysfunctionality, while family therapy is interested mainly in dysfunctional families. Substantively, in terms of differences in training, family psychology stresses the importance of theory testing, evaluation of process and outcome of interventions, and prevention with functional or at-risk families. An academic curriculum in family psychology, which has been operational at Georgia State University for the last 10 years, is presented. Clinical training follows a gradual approach, starting with relatively simple Structured Enrichment, progressing to more complex training in Covenant Contracting and Systematic Homework Assignments, and finally family therapy.     

Family boundary ambiguity: a new variable in family stress theory

The variable, degree of family boundary ambiguity, is increasingly being used in family research to describe and predict the effects of family membership loss and change over time. Boundary ambiguity is defined as the family not knowing who is in and who is out of the system. The family may perceive a physically absent member as psychologically present or a physically present member as psychologically absent. In either case, the family boundary is ambiguous. This review is presented to clarify the meaning of boundary ambiguity and to explore its scope and application as a variable. We focus here on (a) the process of theory development, inductive and deductive, by which the construct of boundary ambiguity was identified and validated as a continuous variable within family stress theory; (b) the historical antecedents of the construct; and (c) the interrelationships of the variable with other factors related to stressed families.     

The Debate: A Strategic Technique

This paper describes the work of a strategic team that came out from behind the one-way mirror. A debate among the team is enacted before the family as a strategy for change. The case of a family that refused to provide information illustrates an application of this method. The debate among the therapists represents a dilemma that is a strategically constructed isomorph of the family situation. From this position, therapists have the option of changing levels between themselves and the family, asking the family to help solve the therapists' dilemma so that they in turn can be free to help the family. The combination of the debate and the change of levels between the therapists and the family creates a therapeutic neutrality for the family. From their meta position, they observe the therapists' struggle to solve the family's problem, which is re-presented as a problem among the therapists. This perspective offers the family the choice of more adaptive solutions to their own dilemma.     

曾国藩家庭伦理思想探微

曾国藩家庭伦理思想内容丰富,他将孝悌视为立家之本,勤俭视为持家之道,教化视为兴家之策,睦邻视为和家之辅。毫无疑问曾国藩的家庭伦理思想是属于传统的,其中包括许多需要批判剔除的糟粕,当然也含有许多可资借鉴利用的合理因素。     

International Family Therapy: A View from Kyoto, Japan

"International family therapy" is an emergent field within (or overarching) the field of family therapy. At this stage, it can be described as the collecting and sharing of experiences by family therapists from different countries. Recent publications (7) gather information principally from Western cultures in which systemic family therapy has grown over the past thirty years. Japan is of particular interest to Western practitioners because it is a highly successful, post-industrial culture that differs markedly from the West. Familiar family therapy interventions often work for unfamiliar reasons, and different goals are often needed in order to respond to apparently similar family problems. An expanded sense of choice around strategies for family life and family therapy that such diversity implies is the primary contribution that this maturing, international family therapy movement can make to family therapy.     

Management of religious issues in family therapy

Social scientists have long emphasized the reciprocal relationship between family and religion in society. Yet the family therapy literature is virtually devoid of consideration of religious variables in family life and function. Four major psychosocial aspects of religion in family life are discussed: sacralization, coalitions with the supernatural, religious conflict as a projection of family conflict, and family conflict as a projection of religious conflict. Clinical issues presented include: family therapy in religious and secular contexts, family religious expectations and transference, therapist religious countertransferences, religious identification in family therapy, and family therapy in different degrees of congruence or difference in religious orientation between the family and the therapist. The family therapist must learn how to correctly interpret and appropriately respond to religious issues as they appear in family life and family therapy.