A Critical Methodological Review of Discourse and Conversation Analysis Studies of Family Therapy

Discourse (DA) and conversation (CA) analysis, two qualitative research methods, have been recently suggested as potentially promising for the study of family therapy due to common epistemological adherences and their potential for an in situ study of therapeutic dialog. However, to date, there is no systematic methodological review of the few existing DA and CA studies of family therapy. This study aims at addressing this lack by critically reviewing published DA and CA studies of family therapy on methodological grounds. Twenty‐eight articles in total are reviewed in relation to certain methodological axes identified in the relevant literature. These include choice of method, framing of research question(s), data/sampling, type of analysis, epistemological perspective, content/type of knowledge claims, and attendance to criteria for good quality practice. It is argued that the reviewed studies show “glimpses” of the methods’ potential for family therapy research despite the identification of certain “shortcomings” regarding their methodological rigor. These include unclearly framed research questions and the predominance of case study designs. They also include inconsistencies between choice of method, stated or unstated epistemological orientations and knowledge claims, and limited attendance to criteria for good quality practice. In conclusion, it is argued that DA and CA can add to the existing quantitative and qualitative methods for family therapy research. They can both offer unique ways for a detailed study of the actual therapeutic dialog, provided that future attempts strive for a methodologically rigorous practice and against their uncritical deployment.     

Hope and Burden among Latino Families of Adults with Schizophrenia

This study examined hope and family burden among Latino families of individuals with schizophrenia. The sample consisted of 54 family members, one family member per outpatient adult recruited from public mental health programs in a diverse urban community. Hierarchical linear regression analyses were used to test the hypothesis that the family member's increased hope for the patient's future would be associated with decreased family burden beyond effects explained by the patient's length of illness and severity of symptoms. Results supported the study hypothesis. Family hope for the patient's future was associated with four of five types of family burden. Findings point to the prominent role of hope as a source of resilience for Latino families dealing with severe mental illness of a loved one.     

The Efficacy of Systemic Therapy for Childhood and Adolescent Externalizing Disorders: A Systematic Review of 47 RCT

Systemic (family) therapy is a widely used psychotherapy approach. However, most systematic efficacy reviews have focused solely on “family‐based treatment” rather than on the theoretic orientation “systemic therapy.” We systematically review trials on the efficacy of systemic therapy for the treatment of childhood and adolescent externalizing disorders. All randomized (or matched) controlled trials (RCT) evaluating systemic/systems‐oriented therapy in various forms (family, individual, group, multi‐family group therapy) with child or adolescent index patients (0–17 years) suffering from mental disorders were identified by data base searches and cross‐references. Inclusion criteria were as follows: index patient diagnosed with a DSM‐ or ICD‐listed mental disorder, and trial published in any language up to the end of 2011. The RCTs were analyzed for their research methodology, interventions applied, and results (postintervention; follow‐up). A total of 47 trials from the United States, Europe, and China, published in English, German, and Mandarin, were identified. A total of 42 of them showed systemic therapy to be efficacious for the treatment of attention deficit hyperactivity disorders, conduct disorders, and substance use disorders. Results were stable across follow‐up periods of up to 14 years. There is a sound evidence base for the efficacy of systemic therapy for children and adolescents (and their families) diagnosed with externalizing disorders.     

Psychodynamic perspectives on teacher stress

Melanie Klein's concept of projective identification is now in common use by counsellors and psychotherapists. Julia Segal describes her own hypothesis about the way it works as well as her use of it in her practice, working as a counsellor for people with multiple sclerosis, members of their families and professionals working with them. When a person cannot bear to feel an emotional state they can evoke the feeling in someone else, not only a therapist or counsellor but also others within the family. Segal describes the way powerful emotions can be evoked in the counsellor; in particular the feeling that a certain idea cannot be shared with a client. She also describes working with clients who are on the receiving end of such projected feelings, sometimes evoked by illness within the family. She also points out that unresolved emotional states suffered in childhood can leave adults unable to bear certain feelings. If the feelings threaten to re-emerge in adulthood, perhaps triggered by their own children reaching a certain age, parents sometimes attempt to rid themselves of the emotional state by projective identification and in the process, evoke a version of the feelings in their own children. This may, for example, exert pressure on parents to divorce just as their own children reach the age they were when they themselves lost a parent.     

There Is But One Love We Share

SUMMARY

The spiritual void of our culture, the dependency that maintains the isolation, and gives rise to the violence that permeates from individual to personal relationships to national policy, is examined. As an antidote, the article explores development of inner lives of awareness and connectedness with all that exists that begins with each person, leads to the qualities that are the groundwork for peaceful relationships. Special emphasis is given to the moral responsibility of clinicians who hope to be serving others.     

Discovering “Family” Creatively

Abstract

Creativity is a powerful force within the family therapy field, central not only to the therapeutic process but also to counselor education. Time-honored tools, such as the genogram along with its many adaptations, remain useful in learning about family. However, as our rapidly changing culture continually redefines and stretches the concept of family, we must learn new methods to discover who “family” is from the “expert” living within that family, i.e., the client or counselor-trainee. This article introduces and describes a creative, self-initiated model, the self-created genogram, developed to amplify discovery of each person's own unique perspective and experience of family. Case examples will be provided to illustrate the model's use in both training and clinical settings.     

Adolescents' individuation,romantic involvement,and mothers' wellbeing: A comparison of three family structures

This study compared concurrent as well as longitudinal associations between adolescent development and maternal wellbeing, in nuclear families with both biological parents and in single-mother and stepfather families. It relied on data from the first two waves of a longitudinal study in Germany (N = 436). Maternal wellbeing was assessed from mothers' reports of their sense of family mastery and self-esteem. Adolescent development was assessed from adolescents' reports of three aspects of individuation and of their romantic involvement. For single mothers and mothers in nuclear families, the associations between maternal wellbeing and adolescents' development were inconsistent. Mothers in stepfather families with daughters profited from their daughters' growing detachment. The results suggested that the associations between adolescent development and maternal wellbeing are family structure specific, and observable concurrently and across a one-year time period. The discussion considers the different demands and living situations of the three family structures.     

家庭创新环境的特征及其与中学生日常创造性行为的关系：创造性人格的中介作用

以1117名中学生为被试,采用问卷法考察家庭创新环境的特点及其对日常创造性行为的影响机制。结果发现：（1）家庭创新环境体现在家庭情感氛围、父母创造性行为、父母教育理念和自主准予,可分为抑制型（17.3%）、一般型（41.9%）和创新型（40.8%）,创新型在日常创造性行为上得分显著高于抑制型;（2）家庭创新环境与创造性人格、日常创造性行为以及同伴提名得分相关显著;（3）创造性人格在家庭创新环境和同伴提名之间起完全中介作用,在家庭创新环境和日常创造性行为之间起部分中介作用。     

领悟社会支持对青少年生活满意度的影响

采用问卷法调查了1319名青少年,探讨了领悟社会支持对感恩与青少年生活满意度之间关系的中介效应以及压力性生活事件对此中介效应是否具有调节效应。结果发现：（1）领悟社会支持在感恩与青少年生活满意度之间起着部分中介作用;（2）领悟社会支持的中介作用受到压力性生活事件的调节,压力性生活事件调节了感恩 领悟社会支持 生活满意度这一中介过程的后半路径。因此,领悟社会支持对青少年生活满意度的影响是有调节的中介效应。研究结论对提高青少年的生活满意度具有重要的理论价值和参考价值。     

Family as a source of support under stress: Benefits of greater breadth of family inclusion

Family has profound meaning and represents the most important ingroup for most people, yet, we know very little about how lay perceptions of family affect well-being. In the current work, we examined how lay theories about breadth of family inclusion (i.e., including a broader variety of entities in one’s definition of family) were related to family experiences and to well-being. In Study 1, we found that lay theories about family as including a wider variety of entities (i.e., greater breadth of inclusion) predicted more positive family evaluations, more positive qualities, and greater family importance. In Study 2, we found that greater breadth of family inclusion was associated with greater resilience in the face of stress. Finally, in Study 3 we used an experimental manipulation of breadth of family inclusion, establishing that broader views of family produced greater social needs fulfillment. Implications for the role of ingroup memberships and identities in promoting well-being are discussed.