'Holding' as a therapeutic manoeuvre in family therapy

This paper describes the use of planned parental physical 'holding' as part of family therapy in a Child and Family Guidance Clinic. It is used when the child is overactive or out of parental control, or is not attached to its parents. Direct or indirect suggestions that parents hold their children are made by the therapist.     

Using psychodramatic techniques in structural family therapy

This article describes how psychodramatic techniques can be used in structural family therapy sessions. After a preliminary discussion of the therapist's spontaneity and role functions in both psychodrama and family therapy, specific action techniques are then discussed using case examples. Auxiliary Ego, Role Reversal, Double, Use of Space, Physicalization, Warm-up, Soliloquy, Surplus Reality, and Future Projection are illustrated.     

The family therapist as a change agent: Using principles and strategies of organization development in family therapy

Abstract

Families are compared to work organizations from a systems perspective, establishing parallels in needs for change and growth. The theoretical underpinnings of Organization Development (O.D.) are reviewed and discussed in light of their use in conceptualizing family therapy. From this systems viewpoint, the consultant role, systems diagnosis and a variety of O.D. interventions are proposed to the family therapist.     

Using the Internet to assist family therapy

Possible uses of the internet to assist family therapy, especially in the treatment of families where members are geographically separated, are explored. The potential value of using e-mail and other Internet functions to facilitate family therapy is explained. The possible negative aspects of this new and experimental approach are evaluated. A case example is presented of a family that benefited from exposure to Internet resources. Ethical considerations in working with the new information and communication media are discussed. Analysis of a report on the use of the telephone to assist family therapy reveals many of the pros and cons that similar use of the Internet is likely to encounter. An evaluation of the use of the written word in recently developed family therapies lends support to the use of the Internet as a means of facilitating therapeutic family communications between remote members.     

Using family therapy ideas with parenting groups in schools

The author describes his experience of using ideas from family therapy with groups of parents in two urban schools in the United States.     

Simulation as a tool in family therapy research

The efficacy and validity of simulation for purposes of training and evaluation are well established. Simulation has proven valuable in human behaviour research as well. However, based on the belief that families and other small groups behave differently, many family theorists have concluded that simulation may not be valid for family research despite the fact that some empirical studies showed little difference between simulated and actual families, suggesting that the disparity may not be as great as commonly believed. Ongoing and future studies controlling for 'time together', a dimension presumed to be critical in comparing simulated with actual families, may demonstrate that differences are not sufficiently large to preclude the use of simulated families in family research. Methodological problems are addressed and directions for future research proposed.     

Research as a family therapy intervention technique

The utilization of the research process as an intervention has recently been described in the family therapy literature. However, it is important to draw a distinction between research as intervention and research as a unique family therapy intervention technique. From a family systems perspective, research as an intervention technique may make therapy more palatable for some families. A case study is presented in which this technique created the context for change for a family involved in a chronic illness research project.The author would like to thank Dr. Wendy L. Watson for her participation as a member of the clinical team and Drs. Fabie Duhamel and Wendy L. Watson for their helpful critiques on earlier drafts of this paper.Supported by a grant from the Albert Foundation for Nursing Research.     

Using Minuchin's structural family therapy techniques with Italian-American families

Italian-American families have general characteristics about which family therapists should be informed in order to select appropriate and effective family therapy for this cultural group. The author identifies Minuchin's structural family therapy techniques as relevant for working with Italian-American families, adding a note of personal validation of the need and efficacy of the Minuchin approach.     

Orthodoxy in family therapy practice as servant or tyrant

This paper considers some of the pitfalls of a single-model approach to family therapy. It does not argue a 'right' way of practising family therapy, but proposes that the therapist needs to have available a range of approaches on which to draw. This also raises certain problems for training in family therapy, which are highlighted. A case is discussed in the light of a number of perspectives, to demonstrate how approaches can be used in complementary fashion. Finally, reference is made to some of the agency constraints which also make it difficult to practise any one model in a 'pure' form.     

Using a metaperspective to clarify the structural-narrative debate in family therapy

The debate in family therapy between structural and narrative therapists often seems irreconcilable. Drawing from work in theoretical sociology that identifies the basic structure of existing social theory, a metaperspective is introduced to clarify a discussion between leading figures in the debate. Disparate views of family interactions are examined in terms of more fundamental disagreements about the center of attention in therapy. Narrative and structural modes of presentation are examined as separate traditions that could not be further apart conceptually. Efforts to identify common ground are discussed in terms of more significant differences that are minimized by drawing out similarities. This analysis provides a framework for standing outside entrenched arguments to see more clearly the unique contributions of each approach.     

Rationale and directions for an increased emphasis on the therapeutic relationship in family therapy

This paper argues the need for an increased emphasis on the therapeutic relationship in family therapy. The ways in which the field of family therapy has eschewed the importance of the therapeutic relationship are discussed. Therapeutic alliance research from the field of individual psychotherapy and research on the importance of relationship factors to family therapy are reviewed. Suggestions for family therapy theory, practice, and research are presented.An earlier version of this article was presented at the 1992 Western Canadian Conference on Family Practice.     

Countertransference as a corrective emotional experience in existential family therapy

An existential approach to family psychotherapy should be cognizant of both individual human development and family life cycle growth. In Existential Family Therapy a family developmental challenge often occurs when the developmental progression needs of one family member challenge the pace of total family developmental progression. In such a situation intervention by the therapist should occur in a way that facilitates both individual and family developmental growth. Such interventions often best occur through the creative and controlled use of the family therapist's countertransference feelings in a way that helps the family accept and master its developmental challenges. Case material is provided to illustrate the described intervention approach.     

The real as illusion: deconstructing power in family therapy

This paper examines the current issue of power and intervention in family therapy from the perspective of Jacques Derrida's philosophy. In a deconstructive reading which presents power as both real and socially constructed, it negotiates the border between such dualities as knowing/ not-knowing, intervention/non-intervention, and power/non-power. The paper tracks Goolishian and Anderson's approach to therapy as deconstructive in practice, but not in theory, and discusses a double view of power in relation to both Bateson and Foucault. It suggests that power is both endemic to the context of family therapy and an illusion of epistemology. The paper concludes with a discussion of the wider question of ethics in relation to technology.     

Using psychodynamic concepts in strategic family therapy: A suicidal adolescent case

This paper describes the treatment of a suicidal adolescent with strategic family therapy. The cotherapists conceptualized the case psychoanalytically and systemically. They propose that their understanding of psychodynamics enhanced their ability to tailor their interventions to the family's unique style and capacities. Rather than dismiss psychodynamic concepts as irrelevant to strategic family therapy, they maintain that an appreciation of individual members' ego strengths, defenses, affects, and unacknowledged impulses leads to the construction of more effective metaphors and a set of interventions more isomorphic to family patterns.     

Evaluation of family therapy trainees: acquisition of cognitive and therapeutic behavior skills

In this study, which describes the evaluation of a structural family therapy training program, we developed an evaluation procedure that can be used with other similar training programs. Trainees were evaluated before and after training as to their improvement in cognitive, case-planning and in-therapy intervention skills. Results suggest a progression of skill learning, beginning with cognitive understanding, followed by case planning, and then intervention skills. Though trainees made significant progress in cognitive and planning skills, this was not the case with intervention skills. Trainees' self-evaluations were similar to their results on other measures.     

Art therapy in transcultural family therapy

The increased existence of foreign culture patterns in the child population calls for transcultural comprehension in child psychiatry. This case report describes transcultural aspects in the therapy of an 11 year-old Moslem girl admitted to a child psychiatric department. Her symptoms were abdominal pain, headache, anxiety, and pretended fever. A family therapeutic approach was used together with elements of art therapy and individual therapy in a successful treatment. The family therapeutic approach was based on art therapy as a part of the communication where cultural symbols were an important part. An interpreter was not used. The cultural context where it is acceptable to overstep the borderline between reality and fantasy is seen as an important healing capacity.I would like to acknowledge my debt and my appreciation to Ebba Ernst, psychologist of the department and supervisor in the therapy of the S. family. I would also like to thank professor Kai Tolstrup and child psychiatrist Torben Marner for stimulating support in the process of writing the article. A grant from Enkefrue Hermansens Mindelegat made the participation in the Krakow Congress possible.     

Videotaped simulated families as a tool in family therapy outcome research

Twenty-two therapists who had treated 57 families in brief conjoint family therapy under supervision responded to a videotaped simulated family as if they were treating it. Their responses were audiotaped and coded on a system devised for this study. Positive relationships were found between the ratings of expertise based on the coding system, and independent ratings of the treated families' satisfaction with treatment and the status of the presenting symptoms 6 months after termination. Videotaped simulated families are potentially useful as standardizable methods of revealing individual differences in therapists for family therapy outcome research.