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.     

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.     

The treatment of adolescents and their families in cultural transition: Issues and recommendations

Increasing numbers of immigrant families with adolescent children are seeking therapy because of intergenerational conflicts specific to the adolescent separation-individuation phase of the life cycle and transitional problems related to immigration and cultural transition. Three types of adolescent immigrants are identified and discussed: Immigrants (subtypes Reluctants and Optimists), Immigrant-Americans, and Americans. Therapists' issues which can negatively affect therapy with such adolescents and families are also discussed. Effective therapy with immigrant families requires that family therapists become more culturally sensitive, therapeutically flexible, and accepting of family values to which they may be diametrically opposed. Recommendations for therapy are offered.Dr. Baptiste is himself an immigrant. The experiences and observations discussed here are culled from his work with immigrant families and children over the past 19 years in the District of Columbia, Massachusetts, Indiana, and New Mexico.Portions of this article will appear in a chapter Psychotherapy with adolescent immigrants and their families in cultural transition in B. Settles and D. Hanks (Eds.),Families on the move: Emigration, immigration, migration and mobility. Sage Publications, 1990, and are used here with permission.     

Coexisting and conflicting self-referential conceptual systems: A model for describing malfunctioning in the contemporary family-implications for therapy

In the proposed model, intra- and interpersonal conflicts are formalized as information-processing problems created by inconsistent self-referential conceptual systems. Three self-referential conceptual systems corresponding to the three forms of family lifetraditional-rural, industrial-nuclear, information-transactional-coexist and intermingle, creating difficulties in the coordination of interactions.Each of these ecotheories is viewed as a constellation of hierarchically-ordered, dynamic, cognitive-emotional structures which express the particular family system's perceptions of itself in relation to its environment and life in general. The model correlates in an integrative manner phenomena at the level of societal change with evolving patterns of intrapersonal and familial dynamics and provides a framework for guiding preventive and therapeutic interventions. The evolving ecotheory model presented in this work follows the metatheoretical paradigms of cognitive science, self-reference and self-organization. The attempted synthesis has been achieved in the context of the unifying concepts and principles of General Systems Theory.     

Commentary on reviews of “outcome” studies of family and marital psychotherapy

Reviews of the outcome literature in family and marital therapy are critically evaluated. The literature is equivocal in regard to the effectiveness of family therapy, particularly in comparison to alternative forms of treatment, so that statements to the effect that family therapy has demonstrated its general efficacy would not appear to be justified. Problems are identified which require solution before the efficacy of family therapy can be demonstrated.Paper presented at the 45th annual conference of the American Association for Marriage and Family Therapy, Chicago, Illinois, October 31, 1987.     

The empirical violation of conservation laws and its relation to structural change

Concrete operational Ss were provided empirical evidence of nonconservation of discontinuous quantity and weight. The findings were that few Ss accepted this evidence. This was interpreted as supporting the organismic-developmental claim that lower forms of reasoning are transformed into structurally more advanced forms. It was also found that (1) probing provides a more accurate assessment of Ss' operational levels, (2) one can empirically distinguish between logicomathematical and physical knowledge, and (3) the former is understood by Ss to be nomically necessary and the latter, in the case of weight, may not be.     

Families-at-risk and home-based intervention: A therapist training model

Home-based family therapy programs are designed to provide intensive family intervention for at-risk children and adolescents. However, examination of the literature reveals limited publications about training therapists for this difficult task. The purpose of this paper is to describe a therapist training model based upon a family-as-context approach to crisis intervention. Specific units covered during the course include: family-as-a-system, structural family therapy, family crisis intervention, family assessment and simulation. It is concluded that the effective prevention of placement for at-risk children and adolescents requires both a home-based family treatment program and a specific therapist training model for family intervention.John J. Zarski, PhD, is a professor in the marriage and family therapy training program at the University of Akron. Carol A. Pastore is program coordinator for the T.I.E.S. program in Canton, OH. A. Lynette Way and Richard N. Shepler are home-based therapists with T.I.E.S. The authors would like to express their appreciation to Professor John West for his helpful comments on drafts of this article.     

Gaslighting: A marital syndrome

This paper is concerned with certain male behaviors during and after their extramarital affairs and the impact of those behaviors and associated attitudes on the men's spouses. The observations cited here are drawn from clinical samples but seemingly have some features in common with what appears in nonclinical populations as well. Not only the husbands but also male therapists may contribute to the women's distress through mislabeling the women's reactions and through continuation of certain stereotypical attitudes that reflect negatively on the wife whose husband has had an affair.Gertrude Zemon Gass, PhD, and William C. Nichols, EdD, are clinical psychologists and marital and family therapists in independent practice.