Developmental perspectives and family therapy: The marital life cycle

Developmental perspectives have been part of family therapy for more than two decades with a primary focus on the family life cycle and individual development. Most efforts at recognizing a marital life cycle have subsumed marital tasks under rubrics based primarily on parental roles. This paper offers a marital life cycle based on marital development with specific tasks for each of four stages-the marital breakup and remarriage phases are not included here-and provides implications for therapy.     

Stress and family health

This study investigates the difference between perceived everyday individual stress and levels of family health. Subjects completed the Family Adaptability and Cohesion Scale (FACES III), the Derogatis Stress Profile, and a personal data form. Quota sampling of 121 subjects was used to obtain 25 subjects in each of three groups: balanced, mid-range, and extreme family types. Individuals identified as members of mid-range families reported less overall stress than balanced or extreme family members. Significant differences appeared between the balanced and mid-range groups. Balanced individual family members reported slightly higher levels of stress than extreme family members.     

Attributions related to wife abuse: A comparison of the perceptions of volunteer advocate-counselors and marriage and family therapists

Attributions related to wife abuse held by advocate-counselors working in women's shelter home settings and marriage and family therapists were compared. The major finding was that the two groups were surprisingly similar in their attributions even though their theoretical backgrounds and training were considerably different. Implications for practice and training are presented.     

A cross-cultural study of family functioning

The Family Assessment Device (FAD) was used to compare patterns of family functioning in two cultural settings, North America and Hungary. The sample size consisted of 95 nonclinical North American families and 58 nonclinical Hungarian families. No cross-cultural differences were found in the families' general functioning nor in their affective involvement or affective responsiveness as measured by the FAD. Hungarian families, however, perceived their functioning as significantly better than the North American families in problem-solving and in communication. North American families rated themselves significantly better than the Hungarians in setting family rules and boundaries and in meeting their family responsibilities. Results from this study suggest that cultural values can affect a family's functioning and that differences in areas of family functioning can be captured using the FAD. A discussion of broad societal values of the two cultures was used to interpret the contrasting patterns of family functioning.Cross-cultural studies serve many purposes. In general they provide knowledge about the different cultures under investigation. As such, they broaden and enrich our perspectives of ourselves and the world around us. More specifically they highlight similarities and differences across cultures, information that can be helpful in further refining our understanding of the impact of diverse and varying socio-political forces.A topic of particular interest to family therapists and researchers is family functioning in different cultural settings. In spite of continuing research in this area, few studies examine cross-cultural patterns of family interactions and even fewer do so with instruments specifically designed to assess family functioning.From a family perspective, particularly looking at pathology in family functioning, cross-cultural comparisons can be used to highlight areas of dysfunction common to families irrespective of the cultural context. From a cross-cultural perspective, family comparisons can be used to point out the cultural effects and emphases given to different dimensions of functioning within a common system (i.e., the family unit).Both conceptual and methodological problems have contributed to shortcomings in previous cross-cultural studies (Fabrega, 1974; Kleinman, 1987; Flaherty et al., 1988; Rogler, 1989). A basic criticism of such studies has been the assumption that meanings and values in one culture are equivalent to those in another.Another issue, which is particularly pertinent to our study, is the use of an instrument which is developed in one culture and administered in another cultural setting. A potential problem this raises is inferring cultural differences between groups when the translated and the original instruments are not actually comparable in meaning. In fact, one objective of the study was to see whether our own self-report measure of family functioning, the Family Assessment Device (FAD, Epstein et al., 1978, 1983), could be successfully used in another cultural setting.The following report is part of a larger research project, conducted in 1986–87, that compared depressed and nonclinical families across two cultures. The findings presented here are comparisons between nonclinical Hungarian and nonclinical North American families. In our earlier study differences in family interactions between clinically depressed and nonclinical families were evident in both cultural settings (Keitner et al., in press). It was not clear, however, if significant cross-cultural differences in family functioning would be found for the normal group of families and, if so, how these would differ from their ill counterparts. Inclusion of the normal families thus served two purposes, as controls in the larger study to test within cultural differences and as comparison groups in a separate analysis to test between cultural differences.A specific objective of this study was to contrast patterns of perceived family functioning in nonclinical Hungarian families and North American families. Another objective was to determine if the Family Assessment Device (FAD), a self-report measure of family functioning, could be successfully used in different cultural contexts. Hungary was chosen as an appropriate country of study for several reasons. It is at the crossroads of East and West, sharing enough similarities with western culture to validate comparisons, yet different enough in both its cultural and sociopolitical system that some differences could be expected to emerge. Because it is likely that the Hungarian social system is less familiar to readers than that of North American, the results are discussed with particular reference to Hungary.We would like to thank Drs. J. Furedi and T. Kurimay for help in translating the Family Assessment Device and Professors J. Szilard and Muszong-Kovacs for their support of this study. This work was supported in part by the Firan Foundation.     

Empowering chronic headache sufferers

Chronic headache pain affects sufferers and their families. Many headache sufferers lack self-discipline in controlling their headache pains. Although preventive medication is a must, medical treatment which excludes psychotherapeutic intervention reduces its effectiveness. Sufferers report increased tensions and stress with members of their families. This article reports on a program which includes headache sufferers' involvement in both family and individual therapy activities in a clinical setting. The role of the family therapist is primarily to encourage and empower sufferers to become involved in activities which can promote and increase communication, trust and self-confidence, leading toward a development of skills which can enable sufferers to utilize positive coping strategies in their effort to control headaches.     

Family processes,resourcefulness, coping,and stress: A prospective study

A review of the family therapy literature indicates that few studies have investigated the complex relationship among family processes, coping, and stress in understanding how people manage stressful events and conditions. The purpose of the present study was to utilize a prospective research design to systemically explore the impact of family processes on an individual's ability to use effective coping responses when faced with a stressful situation. The results did indicate that individuals experienced greater strain at Time 1 (awaiting exam). However, no differences were found between family process variables and an individual's coping responses between Time 1 and Time 2 (awaiting results). Suggestions for further research on intergenerational family systems theory and implications for family therapy practice are provided.     

Training in group-analytic psychotherapy in Europe

Group-analytic psychotherapy focuses on the making and maintaining of close, emotionally fulfilling relationships. Its practitioners attempt to fuse an individual and a whole-group perspective, and seek to provide the enabling conditions for freer communication between group members. The group-analytic approach is widely used in the United Kingdom, and many experiential groups on psychotherapy training courses are conducted on group-analytic lines. The Institute of Group Psychotherapy in London recognizes eight one-year courses in England and Scotland specifically oriented to group-analytic theory and methods. These courses provide an introduction to group psychotherapy to over 300 professionals of varied backgrounds every year. There are also two courses in the United Kingdom that provide a full training in group-analysis and group-analytic psychotherapy, and 11 courses on the continent of Europe. The number of courses is growing and there is now a European Group-Analytic Training Network providing formal links between them. Results of a postal survey indicate that few (10%) attenders at a one-year course have a negative response and that many (85%) recommend the course to colleagues. The efficiency and therefore reduced cost of group teaching and the incorporation of a group experience may be contributing factors to the increasing demand for this type of training.This paper is based on a presentation at an Open Session on Training in Group Psychotherapy: The Quest for a Viable Model at the American Group Psychotherapy Association Annual Meeting, Boston, February 1990. This paper represents the author's own views and is not an official statement of the Institute of Group Analysis [London]. However, members and staff of the Institute have made helpful contributions to the author in preparing it. He is especially grateful for the assistance of Mrs. Liesel Hearst (Chairperson, Overseas Training Sub-Committee, Institute of Group Analysis, London), Dr. Keith Hyde (Convenor, Manchester Course in Group Psychotherapy), Fr. Jim Christie (Convenor, Glasgow Course in Group Psychotherapy), and Dr. Vivienne Cohen (Chairperson, Training Committee, Institute of Group Analysis, London, in preparing this paper. The questionnaire study was conducted with the assistance of the Training Section of the North-Western Regional Health Authority.     

The sociocultural context of divorce

In this presentation, a seven stage model of divorce is presented that the author believes has universal applicability. None-theless, the specifics which characterize each stage may vary from country to country, from one socioeconomic class to another, and in accordance with the dictates of the church — if it is a dominant force in a given society. An historical perspective is taken throughout, and a family life cycle model is implicit. Both divorce therapy and divorce mediation are addressed.She is the immediate past-president of the International Family Therapy Association.Paper originally prepared for presentation as a plenary address for the 2nd World Congress of Family Therapy, Krakow, Poland, September 1990.     

The reentry female student in marriage and family training

The challenges of feminist family therapists of gender bias in family therapy training and practice models need to be considered in relation to the predominance of reentry women in masters degree programs in marriage and family therapy. This article describes a developmental training model that incorporates feminist-informed values into curriculum, program policies, instructional strategies, and program structure. The model builds on the assumption that gender-associated behaviors of both sexes have contextually determined value. Training for the appropriate application of gender-associated behaviors rather than for their inclusion or exclusion can increase female reentry student flexibility and self-confidence.     

Personal therapy for family therapy graduate students

This study explores students' attitudes about personal therapy as a component of training and assesses the effects of providing a list of community therapist who were willing to see family therapy graduate students at a reduced fee on students' behaviors. Students' personal therapy experiences and attitudes about faculty involvement in their personal lives were also investigated. Most students believe that student therapists should have personal therapy sometime during their training, and the majority of students had al-ready been in therapy. Individual issues and relationship problems were the most frequently cited reasons for starting personal therapy.