Specific Cases,Techniques and Approaches; Narrative Behaviour Therapy? Integration in Practice1

This is a clinically‐oriented paper which seeks to describe the integration of narrative and cognitive‐behavioural approaches in working with children and adolescents. It is suggested that a CBT model can be augmented by typical narrative manoeuvres. For example, it is often helpful to relieve children as quickly as possible of the ‘problem‐saturated story’ with which they and their parents enter therapy. The narrative approach of ‘externalising the problem’ can achieve this within the first session, and helps the family to a) find a good working relationship with the therapist, b) clarify goals, and c) embrace the possibility of change. The use of CBT and narrative therapy in conjunction is illustrated by a case study of obsessive compulsive disorder in a young adolescent girl.     

Counselling and Psychotherapy: Is There a Difference? Does It Matter?

The terms ‘counselling’ and ‘psychotherapy’ are often employed in a loosely interchangeable way, especially in Australia. Where distinctions are made, there has been little agreement on what each term should cover. This article examines several axes on which ‘counselling’ might potentially be distinguished from ‘psychotherapy’; the most promising basis for such a distinction seems to be whether or not the mode of work attempts to access the unconscious. On this basis, several modalities currently termed ‘therapy’ would in fact be classed as types of ‘counselling’, including those modalities of family therapy which aim to engage clients at the level of conscious behaviour change and restructuring. Consideration of how new professionals are trained lends support to a continuum, with short‐term, problem‐focused conscious‐oriented approaches at one end, and longer‐term, transference‐focused, unconscious‐oriented approaches at the other, the dividing line coming at the point where trainees learn the skill of ‘immediacy’.     

The Discursive Performance of the Alliance in Family Therapy: A Conversation Analytic Perspective

Following the ‘discursive’ turn in family therapy, the attention of practitioners shifted towards understanding how culture and language shape meaning‐making in therapy. In this article, we demonstrate how conversation analysis (CA) can be used to examine the processes and outcomes of systemic/constructionist practice. We used CA to study collaborative interactions of a renowned constructionist therapist Karl Tomm and one client‐family. Viewing collaboration as a pivotal aspect of the therapeutic alliance, we demonstrate how the ‘split’ within‐system alliances were developed and sustained in the course of therapy and how they were discursively transformed into ‘intact’ alliances. The therapist's efforts to align with perspectives of family members (and subsystems) seemed pivotal in this process.     

Like a Parent and a Friend,but Not the Father: A Qualitative Study of Stepfathers’ Experiences in the Stepfamily

Research about the experience and position of stepfathers in stepfamilies is scarce. Using data from semi‐structured interviews with eight stepfathers, we aim to explore how stepfathers experience family life and their relationships with their (step)children and extended family members (biological father and grandparents), as well as how they describe their position within the stepfamily. Interpretative phenomenological analysis revealed three main themes: most participants saw themselves ‘like a parent and a friend.’ While none of them considered themselves as ‘the father’ – this position being assigned to the biological father – they described acting like a parent or a father figure in their relationships with the children. Secondly, despite some difficulties in the initial stages of formation of their new families, most participants described a positive evolution over time and were satisfied with their current family situation. Thirdly, the stepfather's positioning towards non‐cohabiting family members such as the biological father and grandparents added complexity but was managed well. Research findings are discussed in light of the current family therapy literature on working with stepfamilies.     

The ‘animal‐advocacy agenda’: exploring sociology for non‐human animals

This paper focuses on sociology and the study of human non‐human animal relations. Using as a catalyst referees' comments on a previous paper about experiments using non‐human animal subjects, in this present paper three problematics are identified and discussed. These problematics centre on the ‘acceptable’ content of sociological inquiry, the ‘permissibility’ of advocacy‐oriented sociology, and the ‘admissibility’ of non‐human animal‐advocacy to advocacy‐oriented sociology. The three problematics are explored through the lens of reflexive and critical sociology. Two central questions are raised: first, should sociology include the study of non‐human animals and secondly, can sociology advocate for non‐human animals? The paper concludes with an affirmative response to both of these questions. The paper ends by stressing that sociology has so much to offer the study of human non‐human animal relations. Professional sociologists have a key role to play in enabling this work to move from margins to centre in published sociology.     

Support programmes for Roma children: do they help or promote exclusion?

This article critically examines current education programmes for Roma primary school students in the Czech Republic and the impact of these programmes. The research described here, based on in‐depth case studies, challenges popular beliefs in the ‘success’ of Roma oriented programmes, as well as the stereotypical negative images of Roma parents. The studies also explore the dilemmas experienced by teaching staff and their views of both Roma and the majority ‘non‐Roma’ children.     

Favoured Free‐time: Comparing Children’s Activity Preferences in the UK and the USA

This study presents a comparative study of the free‐time activity preferences of 9‐ to 11‐year‐old children in the UK and USA, as drawn by them in art workshops. Six themes emerged relating to sport, outdoor play, family/peers, media, special occasions and other (indefinable) activities. The children’s talk about their drawings revealed additional preferences for ‘obsessive hobbies’, ‘doing nothing’, relationships with others, and the local environment. Whilst the emergent patterns displayed strong cross‐cultural similarities in free‐time activity choices and participation, as well as compliance with the conventional construction of ‘childhood’, the findings were context‐specific and locally inflected.     

Managing Development for Results: A Role for Results‐oriented Public Expenditure Management

Can results‐oriented approaches to public expenditure management function in low‐income countries? Do they have a role in securing the implementation of poverty reduction strategies? And can they assist donors in ‘managing aid for results’? Findings from seven countries suggest that they can work in environments with mediocre discipline in budget and public finance management and a degree of uncertainty caused by macroeconomic instability, but not when there is excessive ‘informality’ and instability. With political will and a strong finance ministry, they have proved valuable tools in ensuring the coherent expansion of pro‐poor programmes and their delivery through autonomous local governments. However, they have yet to become effective in improving public administrations' accountability to parliament and to non‐governmental stakeholders.     

Being Confined within? Constructions of the Good Childhood and Outdoor Play in Early Childhood Education and Care Settings in Ireland

This study is based on a study of the experience of the outdoors in early childhood education and care settings in Ireland. Central to the analyses are the inter‐linkages drawn between constructions of a ‘good’ childhood, and children’s ‘need’ for outdoor play, as well as the contradictions which arise around competing discourses of safety and protection versus play and autonomy in the structuring of children’s everyday lives. The findings indicate that the outdoors is increasingly marginalised in young children’s everyday experiences. Conclusions are drawn with reference to the implications for the development of real and meaningful outdoor play experiences for children in early childhood education and care settings.     

Habits and orders of everyday life: commensal adjustment in Anglo‐French couples

This paper examines processes of habit reshuffling and change in different contexts of household formation, looking specifically at habits regarding eating and commensality. It is based on a study of 14 couples, each with one English and one French partner, half of whom live in France, half in England. We examine the interplay between partners, their determination to eat together as a couple, and the various ‘orders’ associated with their commensal pact (diets, routines, extra‐marital commensality), both when they start as couples and as parents of young children. We draw on the specificity of cross‐national couple experience to cast light on processes of adjustment – to one another, and to the new country of residence for the migrant partner. In particular, we explore the potential of notions of ‘split’ and ‘solid’ ‘patrimonies of incorporated habits’, ‘re‐shuffling’ of habits and dispositions, and ‘habit memory’, to characterize the dynamics of habits at play in each of the orders under scrutiny. Overall, the paper contributes to the analysis of habit as the ‘stuff’ of orders of everyday life.     

A Conversation With Virus X: Outing a Malevolent and Subversive Force in Parents' Lives

The following conversation describes a narrative means of uncovering (or ‘deconstructing’) some of the invisible forces that undermine parents' capacities in caring for their children in preferred ways. In the authors' experience, parents can be hugely resourceful and provide a clear account of what they ‘should’ be doing, yet seem unable to act upon their own good advice — it is as though an external agent, named below as ‘Virus X’, prevents them from being the parents they would like to be. Through naming this external agent, identifying its influences and noticing parents' acts of resistance in the face of these influences, antidotes to Virus X can be developed. This paper describes the development of such an approach within a child behaviour management group. In keeping with the playful approach encouraged by narrative therapy, the authors of this paper join forces to act as investigative journalists in exposing Virus X to the readers.     

Consumer‐directed personal assistance and ‘care’: perspectives of workers and ventilator users

‘Consumer‐directed personal assistance’ has been a central tenet of the North American Independent Living Movement since its inception. There is, however, surprisingly little research that explores how consumer‐directed assistance gets played out in practice. We conducted a qualitative study that explored the relationships between disabled ventilator users and their personal support workers (PSWs) in supportive housing environments in Ontario, Canada. The results show that while all participants agreed that they adhered to the philosophies of ‘independent living’ embedded in ‘consumer‐directed personal assistance’, how this was understood and enacted varied considerably. Narrow interpretations focused on the task‐oriented aspects of PSWs’ work, while broader interpretations included interpersonal aspects of care, respect and mutuality. We discuss how a conceptualization of consumer‐directed personal assistance can be elaborated to accommodate a notion of ‘care’ while retaining the core tenets of the independent living philosophy.     

Adult’s Involvement in Children’s Participation: Juggling Children’s Places and Spaces

While children and young people’s participation is a well‐established research field, much less has been written about the roles that adults play in supporting this participation. This article examines the involvement of adults within participatory forums in English schools and local authorities. Drawing on empirical data from research on children’s participation in pupil and civic councils, the article discusses the complex and sometimes contradictory pressures on adults in their advisory roles with young participants. The article goes on to explore these roles within a broader conceptual framework that counterposes children’s ‘places’ with children’s ‘spaces’.     

Seeking to Engage ‘Hard‐to‐Reach’ Families: Towards a Transferable Model of Intervention

This paper describes an exploratory evaluation of the Peers Early Education Partnership ‘Room to Play’, an innovative and experimental ‘drop‐in’ service seeking to attract and engage ‘hard‐to‐reach’ families in one of the most deprived areas of a Midlands city. Located in a shop unit of a busy community shopping centre, it offers play and learning activities for children, and provides opportunities for parents to talk to practitioners in a neutral and supportive environment. Through a mixed methods design, the authors attempted to document the core components of a potential transferable model of intervention, within challenging research constraints.     

Notions of self: lived realities of children with disabilities

To research children’s notions of self, semi‐structured interviews, drawings and focused group discussions were used with 14 children with mobility ‘impairments’ aged 11–16 years. The objective was to capture children’s ‘lived realities’. Findings illuminated immense variation and fluidity in children’s understanding of ‘disability’. Children desired to appear similar to ‘non‐disabled’ children. Most attributed ‘disability’ to existential causes. Parents’ ambivalent attitudes and societal reactions to ‘disabled’ children are discussed. The study points out the unremitting hope and potential of these children, which is often silenced by the overarching ‘negativism’ that surrounds ‘disability’.     

The Milan Principles of Hypothesising,Circularity and Neutrality in Dialogical Family Therapy: Extinction,Evolution, Eviction… or Emergence?

The primary aim of the three Milan principles of hypothesising, circularity and neutrality was to proffer an effective methodology for interviewing families, with a secondary aim of casting off the stereotypical personal therapist qualities such as intuition, charisma and concern. The progression of the principles from the original Milan model through to contemporary approaches is intriguing. The following article consists of two sections. First it tracks the progression of the three principles through the Milan, post‐Milan and postmodern approaches to family therapy. Given their recursive nature, they are revealed as responsive to developments in theory and practice, as well as the influence of the wider societal context. The second section of the article explores hypothesising, circularity and neutrality in the contemporary approach of dialogical family therapy. The relevance of the three principles to the therapeutic process, the therapeutic role and the therapeutic relationship is considered. Such an exploration does not seek definitive answers or ‘truths’, but seeks to conceptualise a vague ‘knowing’ that there is continual learning and growth in grappling with the tensions in this field, in remaining ever curious, in asking the questions …     

What is Important to Young Children Who Have Cancer While in Hospital?

This paper reports on a participatory research project exploring children’s experiences and views of cancer care services. It focusses on findings from interviews conducted with 10 children aged four and five years old. Play and puppets were used to help children express their views. The themes elicited reveal important aspects of hospital care for young children, such as having ‘lots of toys’ available and that ‘mummy and daddy are near’. The use of play and puppets as a data‐collection method is discussed, along with the implications of findings for the care and support of young children who have cancer.     

Family Support as a Gang Reduction Measure

Recent public concern about youth gangs in Britain has prompted a narrow, almost stereotypical, range of US‐derived policy responses. This paper argues that family support is an unexplored but potentially effective gang reduction tool, but in order to overcome persistent concerns regarding misidentification, stigmatic labelling and policy misdirection, programmes must not only be ‘good science’ but also be non‐punitive, acceptable to families and context‐sensitive. Beginning with a discussion of the grounds for intervention, the paper identifies likely barriers from the point of view of the parents of gang members, and from these, derives necessary standards for effective support. The paper describes some promising (‘public health oriented’) and unpromising (‘criminal justice oriented’) programmes, and argues for more ‘gang‐sensitive’ family support and a related research agenda.