'Paradox: a pivotal point in therapy'

This paper describes a family who had been known to the professional caring agencies for some five years. At the time of treatment, the family had fifteen-year old twin sons whose frequently aggressive behaviour was the focus of the referred problem. It was agreed that the author would attempt to work with this family should they be re-referred, with a view to offering an alternative mode of treatment. A structural framework of therapy was tried, but very shortly therapeutic attempts to help solve the problems were assimilated by the family and seemed to serve only to ensure their continuation. At this point, a powerful paradoxical intervention was tried in order to free both family and therapists from perpetuating a 'more of the same'. This tactic allowed time for treatment from a more structural base to continue. In this context, consideration is given to the nature of pathological and therapeutic double binding. Some of the difficulties inherent in attempting new methods of treatment from within a traditional casework setting with its statutory responsibilities are also discussed.     

Cognitive masking in rapid sequential processing: The effect of an emotional picture on preceding and succeeding pictures

This experiment assessed the effect of an emotional pictorial input on the processing of preceding and succeeding pictorial inputs. Thirty-nine individual pictures were successively presented for 165 msec, with a 500-msec dark interval between each item. The 20th input item was either an emotional or a neutral picture; the remaining 38 items were neutral sketches. Postinput recognition data indicated a processing disruption of several pictorial items following the emotional as compared to the neutral input and a possible processing disruption of the item immediately preceding the emotional stimulus. The outcome suggests nonindependence in the processing of separate picture inputs in rapid sequential presentations.     

Healing the betrayed: Issues in psychotherapy with child victims of trauma

Over the last few years there has been a tremendous upsurge of research on child victims of trauma. However, very little has been reported on the process of psychotherapy with traumatized children. The purpose of this paper is to assess the role of countertransference and the use of a treatment parameter that has been tried in several individual cases of victimized children and found to be of value.     

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.