What is a family? a contemporary view

In the light of two cases that held the attention of the United States in mid-1993, family therapists as well as other professionals need to consider- or re-consider-what it is that constitutes a family. Is the family based on biological ties? On psychological bonds? On legal definitions? When a conflict arises as to the family with which a child should reside, what factors need to be considered? Contested adoption cases are rare but not unique; the legal “divorce” from biological parents in favor of psychological ties is a much newer phenomenon. These cases are central to the discussion of this contemporary view of what constitutes a family.     

Psychoanalysis: a dysfunctional family?

The discussion opens with an account of the author's mother's bizarre family in which a strong, charismatic grandmother maintained absolute control over her large family by encouraging a neurotic dependence in them through daily reports of their complaints.
Getting interested in psychoanalysis in an effort to understand the dynamics of this dysfunctional family, the author, a biographer, turned to the study of Melanie Klein, becoming entranced by her ideas. Her research also revealed how Klein had discouraged her followers from developing ideas that diverged in any way from her own. Her portrait of the pioneer analyst provoked intense indignation. A similar pattern of absolute loyalty to his person and theories was to be found in Freud's Secret Committee, formed primarily as a means of getting rid of Jung who had been showing disturbing signs of independence. When Ferenczi and Rank began to pursue independent lines of enquiry in their work, they too were thought to be undermining the foundations of classical psychoanalysis.
Finally, the author concludes that though there have been sorry incidents in psychoanalysis, we should be mature enough to accept both the contributions of the early pioneers and the realizations that new ideas must be permitted to evolve.     

Why a family perspective for pain?

Although it is well established that families have a strong influence on individuals' beliefs and behaviors related to health and illness, relatively little attention has been devoted to the family's role in the development, maintenance, and treatment of pain or to the impact of chronic pain in one family member upon other family members. A major source of information about pain and how to respond to pain symptoms is learned within the family setting. This article reviews ways in which pain conceptualizations are developed in the family and highlights the need to more carefully study health as well as dysfunctional family reactions to chronic pain. A case example is presented that details the far reaching consequences that chronic pain can have on family life. It is concluded that more careful research, particularly in terms of the operationalization of theoretical constructs and the reliable assessment of these constructs, is needed before any definitive statements can be made about the importance and characteristics of pain-family transactions.     

Workaholism and work–family spillover in a cross-occupational sample

This study examined the relationship between three components of workaholism (work involvement, drive, enjoyment of work) and work–family spillover. A cross-occupational sample consisting of 661 Norwegian employees from six different organizations responded to a Web-based questionnaire measuring workaholism and work–family spillover. A short and revised version of the WorkBAT showed that work involvement was positively related to both positive family-to-work spillover and to negative work-to-family spillover. Drive was positively related to both negative work-to-family and negative family-to-work spillover, and negatively related to positive work-to-family spillover. Enjoyment of work was positively associated with positive work-to-family and positive family-to-work spillover. Workaholism is clearly related to spillover. The findings imply that interventions for workers scoring high on work involvement and drive should be emphasized as these dimensions were associated with negative spillover. More research on this area is warranted.     

Commentary: is collaboration a viable target for family therapists?

It is hoped that this commentary might serve to begin a discussion regarding collaboration, what is meant by it and whether it is a worthy goal for family therapists. I present the varying and sometimes contradictory meanings of the word, ‘collaboration’, as it is used in the therapy literature. Many of these meanings incorrectly imply an equality of the therapist–client relationship that only obscures the power differential that exists in the therapeutic relationship. A linguistic analysis of the primary meaning of ‘collaboration’ as ‘work with’ is presented. It is argued that equality between therapist and client cannot be achieved and need not be strived for. Therapists are encouraged to focus on the quality rather than the equality of their relationships.     

Having it all? Combining work and family in a male and a female profession

Are women in a female-dominated profession more successfully able to combine work and family obligations than women in a male-dominated profession? To explore this question, a comparison was made between the family status and careers of 747 women librarians (a female-dominated profession) and those of 449 women MBAs (a male-dominated profession). It was expected that the librarians would marry earlier and have more children. This general prediction was not supported. Over half of both groups of women were married, and after controlling for age, there were no differences in number of children. However, many women without children in both groups reported that they would like to be mothers. This disparity between wanting children and not having them was more common for women MBAs than women MLSs. MBAs and librarians were about equally likely to have had job interruptions, but librarians were more likely to have worked part-time. Reasons for an interruption to full-time work were as likely to be for problems finding (full-time) work as for family responsibilities. Librarians' salaries were much lower, but job interruptions and part-time work had a more negative effect on the salaries of women in business. In sum, the data suggest that many of the women surveyed have not combined motherhood with a professional career and that it is probably somewhat more difficult to combine a family with a career in business than with a career in library science.     

Chris: The “crazy” kid as a family hero

A case is discussed of an eleven-year-old schizophrenic male who had made a conscious decision several years earlier to act crazy to keep his parents from fighting and divorcing. A relabeling of his crazy behavior as that of a family hero was a first step in releasing him from marital difficulties and beginning to return him to a normal life.     

Is there a ‘psychosomatogenic’ family?*

Review of the literature revealed two family theories of psychosomatic illness: the ‘enmeshed’ family of Minuchin and the family with affect disturbances. We interviewed twelve families, each containing a child with eczema. Most, but not all, of the families do fit in with one or other or both of the proposed interactional patterns, but the theory of a single family type, the ‘psychosomatogenic family’, is not supported. This complements the studies of individuals where specificity hypotheses have proved oversimplified.     

Families in court: will a family court do it better?

Family-related case filings in the civil courts, including juvenile matters, exceed 7,000,000 filings annually. These cases typically are handled in several different trial courts. Reform proposals would create a unified family court, with broad jurisdiction over child and family matters. Family court proponents anticipate benefits of greater judicial continuity with a family, better informed jurists and judicial decisions, more client comfort, and better coordinated intervention services. This article reviews present court handling of family-related cases and proceeds to describe family court developments in the states. It then presents each of the potential benefits, discussing the problems they're intended to overcome and the approaches courts are using or might use to achieve these benefits. The author supports the family court direction, while recognizing the paucity of family court evaluation. More assessment is encouraged. © 1998 John Wiley & Sons, Ltd.     

Socialization toward a career as a marriage and family therapist: How is our profession doing?

To date, marriage and family therapy does not have formal socialization programs at the undergraduate level. Socialization activities may include career classes, advising, providing internships, or actively recruiting the most talented and qualified students. These socialization activities may also aid in the recruitment of minority students. A survey of the accredited programs revealed that most programs do not have formal opportunities for the faculty to interact and discuss therapy as a career option. While most programs have at least one faculty member who teaches undergraduates, this contact alone is not very good in terms of socializing students into choosing therapy as a career option. While there are some valid concerns about undergraduates, marriage and family therapy as a distinct discipline may benefit from actively recruiting the best students.     

Response to commentary: is collaboration a viable target for family therapists?

In response to Zimmerman's commentary, ‘Is collaboration a viable target for family therapists?’ we explore more conventional perspectives of therapeutic collaboration featured in the family therapy literature, including Zimmerman's commentary. In particular, we critique essentialist and universal formulations that portray the client–therapist relationship to be inherently unequal as inconsistent and limiting. We conclude by addressing what appear to be some misunderstandings in Zimmerman's commentary and clarify what we see as differences between his ideas and our stance on collaboration and power in family therapy.     

Evaluations of family by youth: do they vary as a function of family structure, gender, and birth order?

In the present study, 334 youths evaluated their families by responding to the Personal Attribute Inventory for Children. An analysis of variance revealed no significant main effects due to respondents' birth order or gender, but did find a significant main effect due to family structure and a significant two-way interaction effect between respondents' family structure and gender. Specifically, males from divorced remarried families and females from divorced nonremarried families were found to evaluate their respective families significantly more negatively than did their counterparts from other familial configurations. Implications of these findings are discussed.     

Lesbians,gay men and family therapy: a contradiction in terms?

This paper seeks to review the history of discussions about lesbian and gay male sexuality in family therapy theory and practice. It examines whether homophobic and heterosexist attitudes are present in family therapy thinking. Possible connections are explored between attitudes towards lesbian and gay issues and the professional backgrounds of family therapists, wider debates on homosexuality within society, and conceptualizations of the family life cycle. The question of why relatively little has been written on the issues raised by lesbians, bisexuals and gay men in therapy is discussed. The implications of this oversight on practice are addressed and suggestions made for future work.     

One-person family therapy? An analysis of family therapy schools

Abstract

In this article, eight schools of family therapy (psychodynamic, intergenerational, contextual, experiential, structural, strategic, functional, behavioral) are examined regarding participation policies. Differences in schools' participation policies are compared and contrasted using comparative and content analyses. Schools' theoretical rationales and how they effect therapy practice are explored. Implications for therapy practice are presented. The study's goal is to provide information to increase therapist flexibility in working with varying client populations.     

Narrative responsibility and moral dilemma: A case study of a family’s decision about a brain-dead daughter

A brain death case is presented and reinterpreted using the narrative approach. In the case, two Japanese parents face a dilemma about whether to respect their daughter’s desire to donate organs even though, for them, it would mean literally killing their daughter. We argue that the ethical dilemma occurred because the parents were confronted with two conflicting narratives to which they felt a “narrative responsibility,” namely, the responsibility that drives us to tell, retell, and coauthor the (often unfinished) narratives of loved ones. We suggest that moral dilemmas arise not only from conflicts between moral justifications but also from conflicts between narratives and human relationships.     

Exploring families’ experiences of health: contributions to a model of family health

Child health and developmental outcomes are influenced by the health of the family and the context created. Research suggests symptoms of poor family health (e.g. suboptimal family interactions, parenting stress) yet there is limited understanding of the factors which contribute to robust family health which may unveil opportunities for targeted intervention and family health promotion. The present study examined families’ experiences of family health and factors contributing to family health. We performed a qualitative study using constructivist grounded theory methods to guide our understanding of family health for families with typically developing children aged 5–18. Interviews were conducted in family homes and all members were invited to participate. Data from interviews were transcribed, coded, thematically analyzed, and verified with select families. Ten families, including 10 mothers, 8 fathers, and 15 children participated in the study. Participants described family health as a process of balance, living purposefully, and sharing experiences together in alignment with family identity. Mediating family health were processes of awareness and reflection, and adapting, adjusting, and changing in response to family life including external stress factors. Results highlight the possibility for healthcare practitioners to facilitate families’ self-reflection and awareness about their health in order to mediate family health development.     

Profile of couples seeking help in the family court- a clinic — based study

The article focuses on the profile of 102 couples referred from the family court for assessment and counseling. The majority of couples were married for 5 years or less, had a single child and many had been separated for at least 2 years. Behavior problems, especially maladaptive personality traits in the spouse were cited as the major reason for their marital problems. The scope of clinical psychologists in a family court is discussed.     

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.