No question has a single answer: Integrating discrepant models in family therapy training

Todd and Greenberg use a co-supervisory model with predoctoral psychology family therapy interns, but with Todd using a structural/strategic model and Greenberg a symbolic-experiential model. They focus on the isomorph of cotherapist trainees replaying family problems and the traineers replaying trainee problems. Their model involves using the trainee's creative confusion/tension to help each of them to integrate individually appropriate configurations as their training continues over a year.The authors wish to acknowledge the editorial comments and helpful advice of Carl A. Whitaker, MD, and Milton L. Greenberg, MFT, in the development of this paper from earlier drafts. They would also like to acknowledge significant contributions from Drs. Glenn Bronley, Paul Coleman, Chad Glang, Beverly Keith, Tracy Lewis, Charles Lock-wood, Wesley Matsui, Rita McKenzie, Timothy Weber, Ms. Holly DeVore, Lee Ann Lockwood, and Misty Weber. Christopher Weber made a special contribution as the program's first child therapist.     

Systemic strategies for dealing with problem children in institutional settings

Family therapy when a problem child enters residential treatment is complicated and treacherous because of the need to coordinate what may often be competing hierarchies (parental, residential, school). If the goal of residential treatment truly is one of deinstitutionalization, of reintegrating the child into his/her home, school, and community, the family therapist must see to it that the parental hierarchy is the primary one and that all institutional hierarchies are kept secondary. This paper presents, through a discussion of the forces that operate as institutionalization of children progresses and through case illustrations, a framework in which family therapy can be conducted within a residential treatment setting.The author expresses appreciation to Barbara DiCocco, MSW, Phyllis Stern, MA, John Rhead, PhD, and Karen Meckler, MD, for their helpful comments on the initial draft of this article and to Linda McClure, MSW, and Larry McAvoy for their administrative support.     

Maps and mapmaking: Developing the systemic paradigm of family functioning

This paper presents the Systemic Paradigm of Family Functioning (SPFF) as an organizing framework for integrating models of family therapy. Therapists can use the SPFF to understand and integrate existing models of family therapy and to create their own personal models of family therapy. The SPFF framework highlights the interrelationships among the four generic models which dominate the field of family therapy. Personal models of family therapy are based on maps of family functioning derived from one of these more generic models.     

Understanding the family in multiple cultural contexts: Avoiding therapeutic traps

Developing a balanced picture of a family's functioning is difficult when the family is culturally different from the therapist. Open-minded family therapists often translate culturally different traits and behaviors as culturally appropriate and exclude them from clinical judgment, which can limit therapeutic range and effectiveness. The following case study about an Indian family with a mentally retarded child is especially illustrative of the dilemmas facing the therapist working with families of different backgrounds. Therapeutic traps were avoided by having the family assess its own differences, while the therapist held steadfast to social interconnectedness as essential to healthy family functioning.An earlier and somewhat different version of this material appeared under a different title in Families, published by the Family Institute of Philadelphia.     

Paradoxical intervention using a polarization model of cotherapy in the treatment of elective mutism: A case study

A case history is presented of a four and-a-half year-old electively mute child who was successfully treated by the authors. The treatment approach involved paradoxical interventions in the context of a polarization model of cotherapy in combination with behavioral techniques in a family therapy framework.     

Family members' perceptions of live observation/supervision: An exploratory study

This ex post facto survey examined 75 client family members' perceptions of live observation/supervision of family therapy at a university clinic. The results seem to reflect the subjects' general satisfaction with the process, although this general satisfaction did not significantly predict outcome on either family or therapist goal attainment scores. Family members whose therapists were female reported greater satisfaction with the process than those with male theapists, although no differences by therapist gender were found on either therapist or family goal attainment scale scores. Open-ended responses suggested that some family members were aware of the purposes of certain strategic team interventions. Implications of findings for the practice and research of live supervision and/or observation are discussed.The authors would like to acknowledge the aid of Judith Myers Avis, Marcia Brown Standridge, Cleveland Shields, Linda Stone Fish, and Joseph Wetchler in various aspects of this research project.     

Family logotherapy with an overweight family

Family logotherapy is a kind of family treatment based upon the central idea that a number of different kinds of symptoms and problems can fill the existential vacuum which develops in families that are unable to experience and discover a sense of family meaning. In this paper the author overviews and briefly describes a number of family logotherapy treatment activities and shows how they can be used with a family which utilizes overeating to fill a family existential vacuum.     

Family constellations and friendship systems

An individual friendship system is composed of the friends a person has had and/or still has. Individual friendship systems can be characterized objectively in similar ways as can family constellations. The data of a questionnaire study of individual friendship systems and respective family backgrounds of more than 400 subjects revealed greater differentiation and variation with age as well as with the presumed absence of conflict, disruption, and loss in a person's social development. Various interactions between family backgrounds could be traced. To illustrate the practical use of characteristics of a person's individual friendship system two clinical cases matched for age and family background, one with a mild neurotic problem and the other severely disturbed, were compared.Based on a lecture first given at the Family Therapy Symposium of Georgetown University, Washington, DC, on November 9, 1986.