A guide to family/school interventions for the family therapist

When presented with a behavioral problem or symptom expression that involves two systems, such as a serious school-related problem, the therapist needs to design an approach that will intervene effectively and expeditiously in both systems. This paper offers a guide to stages of problem escalation and therapeutic intervention that is intended to aid the problem-solver's thinking processes in approaching a troubled situation that involves two systems, the school and the home.     

Video games: support for the evolving family therapist

Video games are a growing part of USA and world culture. Gaming may have addictive effects on some gamers and may foster violent thoughts and behaviour in children and adults. Conversely, there are documented positive outcomes from playing video games. Through this growing media, family therapists have a new gateway to better understand the experience of a younger generation of clients. To keep up with a changing client base, family therapists must learn about video games, their contextual impacts, addictive aspects and possible uses in the therapeutic setting while ignoring the myth that all gaming is harmful.     

Perceptions of the therapist in family therapy

Thirty-five families completed ratings describing their perceptions of their therapists. These ratings were then correlated with measures of outcome to assess whether there was a relationship between experiences of the therapist and treatment outcome. Further, the study addresses whether some family members' perceptions are more influential in affecting the course of treatment. The results showed that family members' perception of the therapist does have an impact on treatment outcome, but not all members affect the outcome equally. Further results and their implications are discussed.     

Making family therapy easier for the therapist: burnout prevention

Burnout prevention for family therapists can be enhanced by careful consideration of the degree of responsibility taken by the therapist contrasted with responsibility placed on the family. Attention to issues of expectations, role definition, sharing of feelings, and therapeutic ambition can ease the strain on the therapist.     

SYMLOG: Clinical technology for therapist family of origin and family system appraisal

SYMLOG, an acronym for Systematic Multiple Level Observation of Groups, reflects a technology for the quantification and graphic organization of subjective observational data. The SYMLOG field diagram-a graphic diagram which reflects relational interactions on three dimensions-provides the opportunity to analyze the admixture of therapist family of origin dynamics in conjunction with family relational behaviors. This article presents a sample SYMLOG clinician family of origin evaluation with accompanying elaboration surrounding SYMLOG field theory.     

The family therapist as a system interventionist

Family therapists need to develop therapeutic strategies which can be effective in helping members of dysfunctional and crisis oriented families reconnect with additional sources of support and strength.The extended family and social system can serve as this source of support when it is convened, mobilized and reactivated to become involved with the concerns of the ailing members of the family. This paper describes the unfolding six network phases, and the roles undertaken by the team of therapists serving as system convenors, mobilizers, choreographers and resource consultants. The task of the therapists working with a dysfunctional family and its larger extended support system is seen as that of an effective clinical stategist mobilizing the resourcefulness and energies of himself and his team to reactivate a dysfunctional system to change.A modified version of this paper appears in the author's book Networking Families in Crisis, Human Sciences Press: New York, 1978.     

A family therapist in the People's Republic of China

The author, a psychiatrist, recently visited the People's Republic of China, and reports some impressions about the status of the Chinese family, Chinese psychiatry, and the current use of the family model.     

For the new family therapist: A glossary of terms

Abstract

Traditional psychodynamic terms used in describing, diagnosing, and treating individual patients have proven less than helpful in working with families. In an attempt to alleviate this difficulty, and as an aid to the newcomer in the field of family therapy, this glossary of terms is presented. This glossary is not meant to be all-inclusive. Rather, its purpose is to provide the new family therapist with an introduction to the language of the field, an armamentarium from which to work, and to provide a basis of knowledge that is usually not accumulated by the new family therapist until he or she has worked with a number of families over a period of time.     

Countertransference and the developing family therapist: Treatment and supervision issues

All therapists experience reactions toward clients, which have traditionally been called countertransference. Such reactions toward families pose special issues for beginning and developing family therapists. This clinically based and clinically oriented article describes some of the reactions, clues pointing to their existence, and indicates some of the ways beginning and developing family therapists and their supervisors and consultants can deal constructively with these reactions.     

The rescuing therapist: A duplication of the pathogenic family system

Abstract

Rescuing is a saving behavior occuring in pathogenic families which is often duplicated by family therapists. Rescuing, if not confronted and explored, leads to frustration and burn—out in families and therapists. This paper explores the dynamics of rescuing behavior in families, how it is replicated by a therapist's attempts to rescue, and how the impetus for these attempts are derived from the therapist's own family of origin. The value of exploring the need to rescue is demonstrated by use of a case example. Countertransference issues and their resolution through the conscious differentiation between rescuing and real help are also explicated.     

Learning family therapy: The dilemmas of an individual therapist

Individual therapists who begin doing family therapy often encounter some special difficulties directly related to their prior training and experience. Some therapeutic techniques of individual therapy, such as understanding and explaining the patient's problems on the basis of faulty parenting, must be relinquished and alternative means of alleviating guilt must be adopted. In doing family therapy individual therapists must adapt to the fact that they are less important than they are used to being and have less control over content and emotional tone of sessions. They must change their conceptions about the importance of privacy and secrecy. This article discusses some of the problems encountered when one is not thoroughly committed to a family therapy approach to treatment. Countertransference difficulties, problems stemming from wanting change, and the differing nature of the gratifications in the two therapeutic modalities are other topics discussed.     

On becoming a family therapist: The first three years

The process of learning to conduct family therapy involves encountering and mastering specific issues which can be conceptualized as occurring in a hierarchy of stages. This article describes five stages in the development of a beginning family therapist: immobilization, collecting techniques, examination of self, in search of a theory, and maintaining energy.     

Family therapy and outcome: Relationships between therapist and family styles

This study examined therapeutic outcome for a group of 175 clinic families divided into levels of family competence and style, and, later, into seven clinical groupings. The division into these groups was based on the level of rated Competence and Style determined by using the Beavers Systems Model. Therapists also rated their level of Openness/Sharing Strategy, Power Differential, and Partnership with the family at the third session. Results indicate that more competent families who fared well in therapy had therapists who formed a partnership, disclosed strategy, and employed a minimal power differential with the family. The most disturbed families, and those with a Centrifugal style, did better with therapists employing a high power differential and lower levels of openness and partnership. The study also presented the distribution of individual diagnoses by family groups. Implications for family therapists, including the value of family assessment, are provided.     

The influence of therapist experience upon evaluative perceptions of family members

Abstract

This study investigated the influence of experience in family therapy on therapists' evaluative perceptions of family members. Beginning students in family therapy, advanced students, and experienced staff rated members of 100 families according to the Semantic Differential technique. Contrary to expectations, beginning students did not evaluate identified patients more favorably than parents. Staff and advanced students, however, rated parents more favorably than identified patients. Beginning students were also found to evaluate all family members more favorably than staff and advanced students. These results were discussed in terms of experienced therapists initially taking the side of the parents and the effects this potential source of bias may have on the course of family therapy.