Family Structure,Father Involvement,and Adolescent Behavioral Outcomes

Research has shown that living away from one's biological father is associated with a greater risk of adverse child and adolescent outcomes; yet, the role of the father‐child relationship in understanding this association has not been directly investigated. This study uses data on biological fathers’ relationships with their children from the 1979 National Longitudinal Survey of Youth (N = 2,733) to assess whether father involvement mediates the relationship between family structure (i.e., father absence) and four measures of adolescent behavior. Differences in father involvement are shown to account for a sizeable fraction of the variance in outcomes by family structure. Father involvement does not affect boys and girls differently but is more beneficial when the father lives with the adolescent.     

USE OF FAMILY IN THE TREATMENT OF SCHIZOPHRENIC AND PSYCHOPATHIC PATIENTS*

Editor's Note. Occasionally, the Journal of Marital and Family Therapy will publish papers of major historical significance to the field of family therapy which, though written long before their appearance in the Journal, have remained unpublished and received little public circulation or attention. Such papers are those which, in the view of the Editor, would have been certain “classics” in the literature of family therapy had they been published when they were written, and which, despite their overdue appearance, are of significant enduring value. The first of these papers, by Dr. C. F Midelfort, appears here. Though essentially isolated from the family therapy movement that was soon to follow, Dr. Midelfort, in fact, published the first book on family therapy. The present article grows out of what was probably the first paper on family therapy ever presented at a psychiatric convention in the United States. In this paper, originally written almost exactly thirty years ago, Dr. Midelfort articulately presents a creative interweaving of an appreciation of the psychodynamics of family relationships with an ego-oriented family approach to severe psychiatric disturbance in one family member. It is an innovative presage of the flexible use of the principles of family dynamics, social psychiatry and biological psychiatry that has been “discovered” only very recently in family therapy with schizophrenics. The paper is introduced by Dr. John E. Bell, to whom the Journal is grateful for bringing it to light.     

Family Therapy … What's in a Name?*

The 2nd Australian and New Zealand Family Therapy Conference, held in Melbourne in July 1992, invited those making presentations to address the Conference theme Family Therapy … what's in a name? In a closing address to a plenary session of the Conference, I used the metaphor of first names (family) and surnames (therapy) to suggest that names are central to issues of identity. Our first name of “family” differentiates us within the larger group who share the surname “therapy”; but what does it mean to belong to the larger group sharing the name “therapy”? Historically, much of family therapy's energy has gone into issues concerned with establishing difference — difference within family therapy in terms of models and approaches, and difference from other approaches to therapy. Yet now perhaps family therapy would benefit from exploring what it shares in common with others who hold the same surname of “therapy”, with the possibility such dialogue could lead to mutual enrichment.     

What's the Use of Family Therapy?

This paper, a plenary address to the Australian Family Therapy Conference, is concerned with the role of family therapy in society and the abuse of professional power. It is argued that family therapy is part of the medicalisation of marriage and the family, through which problems are defined — often inappropriately — as relationship problems and experts (therapists) are created. Aspects of professional power are identified; its pursuit is not in the interests of families, especially those with greatest needs. Proposals to tackle these obstacles are made regarding practice and training in therapy, and the management of professional power.     

Effects of Diverse Forms of Family Structure on Female and Male Homicide

Utilizing 2000 data on 1,618 counties and seemingly unrelated regression, I assess whether family structure effects on homicide vary across family structure measures and gender. There is evidence of robust, multidimensional family structure effects across constructs reflecting the presence of two‐parent families: mother/father absence, shortages of employed men, and nonmarital/teen childbearing. Findings indicate mainly gender similarity in family structural sources of homicide, but subtle gender differences include stronger effects on male homicide patterns and female‐specific mediating effects of the care burden on homicide. Further exploration of diverse family constructs is warranted, but, methodologically, father absence is adequate as a control for family structure. Public policies and social programs aimed at strengthening families could lessen violence among both women and men.     

Integrating Social Justice into the Practice of CBFT: A Critical Look at Family Schemas

Many families come to therapy struggling with the negative consequence of social inequity. Family therapy modalities have been developed to address these negative consequences and attend to power and social equity (Transformative family therapy: Just families in a just society. Boston, MA: Pearson Education; Socio‐emotional relationship therapy. New York, NY: Springer). We argue that many family therapy modalities can be adapted to include social equity (Applying critical social theory in family therapy practice. AFTA Springer Series. New York, NY: Springer Publishing). Specifically, cognitive behavioral family therapy can be used to address the inequality in social systems that negatively affect the family system. We focus on schema formation and suggest an emphasis on societal schemas within the therapy milieu as a tool to help families see how societal inequality can affect the problems faced in family life.     

Para-Modern Family Therapy: Deconstructing Post-Modernism

As in the arts and humanities and other social sciences, post-modernism is quickly gaining orthodoxy in family therapy. This paper presents a social-realist and deconstructive critique of recent post-modern thought in family therapy. From the perspective of the French philosopher Jacques Derrida, it suggests that family therapy is neither modern nor post-modern, but both/and these alternatives, that is, para-modern. In deconstructive thought, philosophical dualities like realism/social constructionism, cybernetic/post-cybernetic, systemic/narrative co-exist in an absurd double logic. Like writers of literature, the para-modern family therapy ‘puts forward’ a theory or method not as an ideology of truth, but as a play of irony. She/he works simultaneously inside and outside family therapy discourse, open to a wide range of images and metaphors.     

The Experiences of Parents of Adolescents in Family Therapy: A Qualitative Investigation

While understanding clients’ experiences in family therapy is becoming increasingly important, we know very little about how the parents of adolescents in family therapy perceive and experience this process. The current study uses a multicase qualitative design and constructivist theoretical framework to describe the experiences of 15 parents of adolescents attending family therapy in private practices. Constant comparative analysis revealed four core categories that described parents’ therapeutic experiences: (a) pretherapy presentation, (b) supportive therapeutic climate, (c) family therapy process, and (d) reflections on the therapy experience. The implications of study findings for clinicians and researchers are presented and discussed.     

Family Social Work Practice: Onward to Therapy and Policy

ABSTRACT

In a recent article published in the Journal of Family Social Work McNeece (1995) argued that family therapy has no interest in or relevance for social policy interventions. Through the presentation of several arguments he constructs an irreconcilable dichotomy between policy and practice, suggesting that therapeutic interventions are responsible for pulling resources away from the development of effective social policy interventions. This paper challenges the dichotomy between policy and practice and presents an alternative view concerning the relationship between social policy and family therapy. The increasing importance of family policy in family therapy is summarized and a new trend within marriage and family practice, policy as practice, is discussed. Current family practice literature and personal case examples are used to provide alternative viewpoints to three main points that were presented by McNeece concerning family therapy practice, and the therapy/policy interface. Finally, the current practice context of managed care is used to illustrate the interdependence of practice and policy, and the need for a new understanding concerning family practice.     

Perceived family impact of volunteering among reintegrating post-9/11 Veterans

Family issues are common among returned post-9/11 Veterans. Traumatic brain injury (TBI), post-traumatic stress disorder (PTSD), and depression are each independently related to divorce whereas community ties and social support are protective factors for the family during reintegration. Evidence from elders on the benefits of one intervention, community volunteering, may indicate “spillover effects” of these benefits into the family. Few measures exist to assess the impact of military Veteran volunteering on the family. The authors report (1) an adaption of a benefits measure from elders to Veterans, (2) its preliminary reliability and validity, and (3) differences among subgroups. Reintegrating post-9/11 Veterans (N = 346) who completed a 6-month, stipended volunteer program were surveyed. Perceived impact of volunteering on the family was assessed after completion of the program using an 11-item self-report measure. Rank-based nonparametric tests were used to detect significant differences among subgroups. Preliminary findings support the scale’s adaptation to Veterans, internal consistency, and construct validity. At least one perceived family impact indicator differed significantly (p < .05) between subgroups based on demographic and psychological factors. Veterans in this civic service program perceived that their volunteering may have affected their families.     

The Aboriginal People: Literary Perspectives

There continues to be a worrying lack of material about family therapy with Aborigines, despite the massive difficulties experienced by Aboriginal people. A notable exception has been from Geraldine Slattery, whose original paper Transcultural Therapy with Aboriginal Families: Working with the Belief System was published by the Journal in 1987. Here Geraldine reviews two recent publications by University of Queensland Press, which has a long record of publishing about our Aboriginal citizens. While these books are not specifically focused on family therapy, their central relevance will be obvious. — Editor.     

The Ecological Perspective Revisited*

Family therapy inaugurated a radical change in the way many emotional and psychiatric problems are understood. ‘Systems thinking’ dictated that the individual needed to be seen within a larger systemic context if his/her behaviour was to be understood and effective intervention carried out. The logical extension of this way of thinking is to argue that the family itself must be viewed within a wider context. This perspective has appeared a number of times in the family therapy literature, particularly in the ‘ecological’ tradition. Utilising an ecological perspective can, however, lead to a new and less clearly defined role for the therapist, and there are thus good pragmatic reasons working against its adoption.     

The concept of Children in Need: The answer or the problem for family support?

This paper attempts to describe and assess the impact of the 1989 Children Act on the family support aspects of statutory child care social work. Having outlined some of the ideological challenges to family support work, it goes on to trace the main themes in the relevant professional and research literature. The family support clauses of the 1989 Children Act are outlined followed by a brief account of the dominant concerns which preceded their implementation. The findings of a recently completed study of the implementation of the Children in Need clauses of the Act, are described and brief conclusions drawn about the way in which the more negative outcomes might have been minimised, by counter-balancing the requirement for social workers to prioritise access to services, by a more robust dissemination of research findings about family support.     

Why Are So Many (If Not Really All) People and Families Disturbed?*

Many personal and family problems grow out of our not knowing how to process an intricate network of dualities, contradictions, dilemmas, paradoxes, and momentums that are intrinsic to the human condition rather than resulting from “disturbance” or pathology. What we have been learning in family therapy is that the processing of both “right” and “wrong” ways, or “good” and “bad” behaviors, is more likely to yield health and growth, whereas failures to process these dualities are far more the culprit of emotional disorders than bad or wrong behaviors as such. What really becomes important in family life is not the ability to stay out of trouble, but to get out of trouble, that is the ability to process conflicts and dilemmas and unfairness constructively. This way of looking at families helps us to account for and integrate many of the hard empirical findings that have been gathering now for twenty years in family therapy.     

Tolstoy and The Heroes of Family Therapy

This paper presents Tolstoy's view of history in ‘War and Peace’ against the background of recent post-modern developments in philosophy and family therapy. Family therapy, like philosophy, is now caught between a modernist and a post-modernist outlook, between ‘systematising’ or traditional scientific tendencies, and ‘edifying’ or literary practices. The former is represented by the idea of the family as a system and the latter in a metaphor of therapy as conversation. It is proposed that the edifying philosopher is sounding very much like the family therapist of the 1990s. Both share a newer metaphor of keeping the conversation going, and the idea that therapy is philosophy and philosophy a therapy. The discussion is grounded in Tolstoy's understanding of heroes in history and some implications for family therapy.     

The Mother-in-Law Mystique: A Tale of Conflict,Criticism and Resistance

While women have been described in various disciplines as the kin keepers of family relationships, empirical data show that the greatest rivalry in newly constructed heterosexual families exists between two women: the mother-in-law and the daughter-in-law. Numerous rituals are employed across cultures in order to ease the expected tension between these two rival women. Yet, the topic seems to have been overlooked by feminist and family therapy research alike. Inspired by Bowen's (1978) concept of differentiation of self and Linn's (1998) and Gilligan's (Linn & Gilligan, 1990) ideas of the resisting self, the present study examines these female rivals as moral critics in the war zone of the family. The study sample consists of 14 mothers-in-law, daughters-in-law, and sons/husbands, belonging to five Israeli families of diverse cultural origin. Gilligan's Listening Guide was used to assess how participants saw the dilemmas of their situation, adopted a critical distance, and formed an authoritative moral voice.     

Medical Family Therapists in Action: Embracing Multiple Roles

Medical family therapy (MedFT) is a growing area of interest within the field of marriage and family therapy. Its practice necessitates a shift from conventional family therapy practices to include diverse ways of providing care. Literature highlights approaches for patients with specific illnesses and for particular healthcare contexts. Less is understood about frameworks for treating patients with different illnesses across settings. Contributing to the growing discourse surrounding MedFT, we present a role‐based practice framework that identifies six consistent roles, Therapist, Brief Interventionist, Health Coach, Patient Advocate, Consultant to Health Professionals, and Trainer specific tasks associated with each. We describe the skills needed to perform each role and describe how we move fluidly between roles to provide comprehensive care.     

WHAT IF FAMILY THERAPY WERE A KIND OF PSYCHOTHERAPY? A READING OF THE HANDBOOK OF PSYCHOTHERAPY AND BEHAVIOR CHANGE*

Editor's Note. This piece by Grunebaum is not an “original article,” although his approach to presenting Garfield and Bergin's Handbook to a family therapy audience is certainly original; it does not meet the usual requirements as apiece for the “Connections” section of the Journal, although it certainly does forge such connections with the mental health world beyond family therapy; and it is not a typical “book review,” and thus, is appropriately described in its subtitle as a “reading,” rather than a review. It is a most creative demonstration of the fact that family therapists can learn a good deal of practical value from their colleagues who are “outside” our field.     

Consumer Feedback from Short Courses in Family Therapy: a New Zealand Report

Questions are emerging regarding the usefulness and efficiency of the present ad hoc and haphazard manner of providing short courses in family therapy. This paper reports on the responses of 105 participants in different types of short seminar-workshops to a mailed, evaluation questionnaire. The characteristics of those attending, their expectations, reported satisfaction and changes in practice following attendance are explored. Felt needs for further training are also reported. Suggestions are made to consumers, organisers and leaders of courses and to all interested in family therapy training regarding possible future directions in short, informal course provision. The need for more detailed study to test out these suggestions and other issues raised is highlighted.