Feminism and Family Therapy

Feminism has had a profound effect on contemporary culture and on thinking in most academic fields, including psychoanalysis. Interestingly, until very recently it had made virtually no impact on the theory and practice of family therapy. This paper proposes an explanation for this peculiar phenomenon and argues that family therapy has been considerably handicapped by its insularity from the feminist critique. Utilizing feminist scholarship in psychoanalysis, history, and sociology, the paper analyzes the structural contradictions in family life that family therapists have essentially ignored and then outlines their clinical implications. Key points in the discussion include the argument that systems theory is an inadequate explanatory matrix from which to build a theory of the family, that the archetypal "family case" of the overinvolved mother and peripheral father is best understood, not as a clinical problem, but as the product of a historical process two hundred years in the making, and that power relations between men and women in families function in terms of paradoxical, incongruous hierarchies that reflect the complex interpenetration between the structure of family relations and the world of work. This conceptual model then provides the basis for an analysis and critique of sexual politics as they emerge in the prototypical clinical situation.     

Separation-individuation conflicts in children of Holocaust Survivors

This article examines the developmental conflicts of children of Holocaust Survivors with specific emphasis on psychic trauma and second-generation Survivor effects. Issues related to depression, guilt, and aggression are discussed in relation to Mahler's separation-individuation process. Developmental failures at early phases may predispose these children toward low self-esteem, narcissistic vulnerability, identity problems, and impairments in interpersonal relations. The need for further research and clinical investigation is emphasized to help develop preventive measures and attenuate the effects of the Holocaust on future generations.     

Patterns of Interaction in Families with Low Adjusted, High Adjusted, and Mentally Retarded Members

Family interactions were compared in three groups: families with a low adjusted child prior to formal clinic contact (LA), with a high adjusted child (HA), and with a retarded child (RM). Nine measures were utilized, described as: adaptation, stability, productivity, specificity, overt power, conflict, cohesion, and emotionality. Data suggested a failure of cohesion in the LA group, but many clinic-family stereotypes were supported. HA families showed high cohesion, but also high conflict. RM families showed cohesion, but many "auxiliary" control features, such as assigning "youngest sib" role to the handicapped child.     

Two Families: The Origins of a Therapeutic Crisis

The treatment by individual and family therapy of a hospitalized young woman is presented as it reflects the historical and current family dynamics of the patient and her individual psychotherapist. The contribution of these factors to a therapeutic crisis is discussed.