Expanding the Horizons of Forgiveness Therapy: A Cross-Cultural Application with a Bedouin-Arab Woman

This paper highlights forgiveness therapy, a therapeutic approach that has received limited attention in the social work literature. This study represents a beginning exploration of its cross-cultural application. Theoretical and empirical perspectives on forgiveness and forgiveness promoting psychotherapy are provided, and Enright’s pioneering process model is delineated. A case study of the utilization of forgiveness therapy with an Israeli Bedouin-Arab woman who experienced a traumatic interpersonal injury within the polygamous family is presented. LaRoche and Maxie’s guidelines for conducting cross-cultural psychotherapy are utilized to examine important dynamics that emerge in the case study. These authors’ recommendations, which are consistent with a process-oriented conceptualization of culture, as well as intersectionality, appear potentially useful for informing the transcultural application of forgiveness therapy. Future research questions and directions related to the utilization of forgiveness promoting psychotherapy with diverse populations are considered.     

Maintaining the Gains: What Worked in the Year after Brief Family Therapy

Brief family therapy, including single session therapy, is widely used to provide a timely and responsive service for children with emotional and behavioural problems. However, there is surprisingly little information about how these children and families fare in the longer term. The brief family therapy program described here was directed toward children with problems of moderate severity. Child Behaviour Checklists (CBCL) were completed by parents before, three months after, and twelve months after therapy; 110 parents also participated in semi‐structured telephone interviews twelve months after therapy. Parents' CBCL ratings showed a significant decrease in children's problems after therapy, which were maintained over the subsequent year, although some children continued to experience difficulties. Parents generally found brief therapy a helpful experience. Ways to strengthen the preventive possibilities of brief therapy work will be identified at both a practical and conceptual level.     

自闭症儿童家庭干预方法的研究

对自闭症儿童家庭的调查发现，自闭症儿童的家长获得干预方法的途径主要来源于咨询机构的老师；家长熟悉的干预方法包括行为治疗法、感统训练法、药物治疗法、游戏疗法等：家长认为有效的干预方法是行为治疗法与感统训练法，认为无效的干预方法为药物治疗法与功能分析法。建议家长在选择干预方法时综合考虑家庭环境、儿童的特点、自身的学历水平和职业特点等多方面因素；干预方法的使用要立足于自闭症儿童的实际感受，服务于儿童生活质量的提高．注意干预的生态效度以及学科跨领域的合作。     

Unlocking the family secret in family play therapy

Family play therapy combines play therapy with family systems therapy. When family secrets are revealed in a family setting, with play to cushion the family's anxiety, families have the opportunity to resolve long-standing intrapsychic and interpersonal difficulties that impede the psychological well-being of both children and parents. Family play therapy effectively reduces symptomatic behavior in children in an age-appropriate manner—an advantage over family therapy that may be geared to adult cognitive levels. It also gradually shifts the family to a systems perspective of its problems in a non-threatening way, thereby facilitating the child's connection to his or her primary caretakers.Ms. Eaker is a psychotherapist in private practice in Family Systems Theory, and therapist for the United Federation Teachers' Stress Management Program and various Employee Assistance Programs, and a PhD candidate.     

The Clinical Effects of Massive Psychic Trauma in Families of Holocaust Survivors*

For years we have been treating numerous concentration camp survivors in the psychiatric clinics and hospitals of Israel. In recent years we have been seeing increasing numbers of the second generation suffering from a wide spectrum of emotional disorders, personality disturbances, borderline and psychotic states which are clearly related to the long-term effects of massive traumatization in the survivor parents. These effects are manifest in four inter-related areas of disturbance within the family—the parents' mental state, the family atmosphere, inter-personal functioning in the family and specific distortions in the parent-child interaction. Excessive talking about holocaust experiences to children, or the opposite —lack of communication, avoidance and denial of these experiences—are patterns frequently found in the children of survivors who seem to be most affected by the massive traumatization of the parents. It is postulated that therapy of the survivor parents can modify the transmissions of affects to the children. Family therapy is indicated whenever possible.     

Trying to Comfort the Parent: A Qualitative Study of Children Dealing With Parental Depression

In this article, we look at children’s experiences of parentification in families in which one of the parents is hospitalized for depression. Children (7–14 years old) and their parents were invited for a family interview. Using thematic analysis, we constructed a general framework of 14 children’s experiences, guided by the explorative research question: How do children experience parental depression and how do they experience their own caregiving in the family? The thematic analysis revealed eight themes. One of these themes (trying to comfort the parent) was selected for a microanalysis in one family interview. Our study illustrates the process of overt negotiating of caretaking between parent and child with an underlying moral dilemma and related emotions. The dynamic of children hiding their worry can be seen as an answer to the parent’s expressed wish to not burden her children. These dynamics are situated in ongoing debates in family therapy literature, and some suggestions for therapeutic practice are formulated.     

Exploring the Place of Forgiveness Therapy in Social Work Practice

This paper examines the potential contribution of forgiveness therapy to social workers who may often encounter clients who have experienced severe interpersonal injury, or who have inflicted significant harm upon themselves or others. Basic theoretical and empirical perspectives on the processes and dynamics of forgiveness, as well as an introduction to forgiveness therapy, are provided. A case example demonstrating the application of forgiveness therapy in a social work setting is utilized to underscore points of convergence and potential divergence between this innovative therapeutic approach and important social work values and practice concepts. Research directions that may promote the further incorporation of forgiveness and forgiveness therapy into social work are indicated.     

Forgiveness and therapy: a critical review of conceptualizations, practices, and values found in the literature

This article is a critical review of how forgiveness is conceptualized in the family therapy, counseling, and clinical psychology literature. A systematic analysis of themes in a fairly comprehensive set of texts was carried out. Three main dimensions emerged along which therapist authors' viewpoints can be located: essentiality, intentionality, and benevolence. Therapy practices and values that correspond with positions along these dimensions are presented. The analysis reveals that greater exploration is needed regarding how forgiveness is related to diversity (e.g., gender, culture, religion, etc.), marginalization, and relations of power. Our objective is to provide a conceptual map for clinicians so that they might locate their own thinking about forgiveness and be better equipped to work sensitively with the forgiveness views and values of their clients.     

SIBLING THERAPY WITH MULTIPROBLEM FAMILIES*

Most family therapy deals with the parent-child system. However, with chaotic multiproblem families, this often is not possible. When parents refuse to, or cannot, participate in the therapy, working with just the siblings (Sibling Therapy) offers one way to provide help to troubled children. When parents offer inconsistent or inadequate nuturing, seeing the children together is a way of developing or strengthening the bonds among them and teaching them how to be available to each other. This article proposes setting treatment goals that are consistent with the cultural and family styles of these children, describes methods for developing caring and cohesion, and presents techniques for working with these children.     

We Don't Need Your Help,But Will You Please Fix Our Children

A Bowen Family Systems therapist employs concepts of triangles and the family projection process to view a child's symptoms as embedded in the broader family patterns. This article will examine the dynamics of two family therapy cases where parents anxiously asked for their children's symptoms to be fixed. These cases will be used to explore the common presentation in child and adolescent mental health, where the parents are concerned for their children but are also keen not to open their own ‘can of worms’. The presenting problem in the first case was violent hostility between adolescent sisters and in the second case was an adolescent's anorexia. Drawing on client feedback, I reflect on the therapy process behind the divergent outcomes. In case one, the parents were willing to address their own troubled relationship and family of origin, while in case two, the parents discontinued therapy when family of origin dynamics began to be explored. The article suggests how the therapist can evoke parents' curiosity about their role in anxious family patterns, without them feeling blamed.     

Achieving Competent Family Practice with Same-Sex Parents

Abstract

Due to the increasing recognition of same-sex marriage in different jurisdictions and growing numbers of parents raising children in the context of a same-sex relationship, it is becoming ever more important for family therapists to attain clinical competence in working with families headed by same-sex parents. This paper takes as its premise that good intentions and general acceptance of diversity are not sufficient in working with this population of families. Rather, clinical competence rests on experience working with lesbian and gay clients and knowledge of the impact of heterosexism on parenting in the context of same-sex relationships. Equally critical to competent family therapy practice is a theoretical framework that pulls together complementary concepts from different bodies of theory to analyze family structures and functions in the social context of heterosexism. To this end, this paper reviews family systems theory, structural social work, ecological systems theory and queer theory with an eye to culling complementary constructs relevant to working with same-sex parents. Specific aspects of family functioning such as maintenance of boundaries around and within families and role differentiation between parents are then explored using this theoretical framework. Finally, implications for the clinician working with families led by same-sex parents are reviewed.     

Raising the Stakes in Child-at-Risk Cases Eliciting and Maintaining Parents' Motivation

This paper, the third in a series concerned with family therapy in cases involving children at risk of abuse, describes an approach to maximising parents' interest and commitment to therapy. After overviewing the difficulties faced by therapists in working with parents who are notorious for their ‘resistance’, we provide guidelines for minimising the negative consequences of notification and for constructing therapeutic leverage in order to elicit and maintain parents' motivation throughout the course of therapy.     

Relative foster parents of HIV-affected children

The HIV epidemic is one of the reasons for an increase in relative foster care. Most children of HIV-infected parents are not infected, but both the children and their caregivers are affected by the parent's illness. Twenty-eight caregivers participated in an exploratory, qualitative study of the permanency planning needs of HIV-affected relative foster parents. Of the caregivers, 17 disclosed that the foster child's parent was HIV-infected; 11 caregivers did not report HIV infection in the immediate family. HIV-affected caregivers' greatest need was a more adequate response from social workers and therapy services for the children; nonaffected caregivers needed financial assistance most. More HIV-affected caregivers were considering permanency than nonaffected caregivers. Child welfare workers and relative foster parents need training on HIV's effect on the families so that appropriate services can be accessed as early as possible.     

Young people's time use and maternal employment in the UK1

This paper analyses the relationship between young people's time use and maternal employment in the United Kingdom (UK). Two dimensions of young people's time use are important for understanding the impact of maternal employment. The first of these is family context. This concerns the time young people are near their parents or not. The second relates to young people's activity patterns. Combining information from both dimensions is necessary to provide a comprehensive overview of the impact of maternal employment on young people's time use. The paper demonstrates that young people's time use is associated with maternal employment both in terms of activity patterns and family context. Young people with employed mothers spend more time alone with a father, and more time with neither parent. More specifically, young people with mothers employed fulltime (FT) spend significantly more time watching TV than those whose mothers are not employed, especially when they are not near any parents. There is a negative association between FT maternal employment and the time young people spend in achievement‐related activities, concentrated in time when alone with a mother. Unlike time in leisure activities or time watching TV, time in achievement‐related activities when in the presence of a father does not increase to compensate for the loss in time spent in achievement‐related activities when alone with a mother.     

上海家庭教育的现状及发展思考

上海家庭教育既表现出典型的现代化趋势，也存在不符合现代家庭教育发展理念的若干问题，主要表现在：家庭治理模式向现代民主型模式转变，但部分家长的教养态度依然不够民主；父母对孩子成长的关注与孩子的心理需求存在较大偏差。父母最关心孩子的学习成绩，而孩子最希望父母关注他们的内心想法；亲子活动较少，孩子与父母的沟通意向不强，网络聊天对孩子的影响对亲子沟通方式提出了挑战。建议通过重新认识家庭教育的独特作用与功能定位；提高家庭教育的文化含量，建设和谐文化；加强家庭教育指导，满足多样化的家庭教育需求；加强平台建设，完善学校、家庭、社会“三位一体”合力育人机制等方式提升家庭教育质量。     

Intergenerational Contact and the Life Course Status of Young Adult Children

This study examined how the life course status of young adults—whether they have a romantic partner and whether they have children—is related to how often they have contact with their parents. Hypotheses were tested using recent data from the Netherlands Kinship Panel Study. The main sample included 1,911 young adults between the ages of 18 and 34. Results suggest that young adults’ entrance into cohabitation and marriage is associated with less face‐to‐face contact with parents. Young adults with children of their own tend to see their parents more frequently than young adults without offspring. Findings are congruent with the family life course perspective, contending that family relationships are related to the life course status of individual family members.     

Emotionally Focused Family Therapy and Play Therapy for Young Children Whose Parents Are Divorced

ABSTRACT

Divorce is common and can pose risks to those involved. Although divorce affects all parts of the family system, young children face extraneous challenges due to their unique developmental stage and limited cognitive ability. Emotionally focused family therapy (EFFT) works to enhance attachment bonds by restructuring a family’s negative interaction cycle and can be useful for repairing relationships between parents and their children who are suffering negative effects of parental divorce. Whereas adults have the skills to express themselves verbally, young children often use imaginary play to convey their emotional experiences and unmet attachment needs. By using play therapy techniques within an EFFT framework, adults and children can better communicate their perspectives concerning difficult life events such as parental divorce.     

Children Living With Uninsured Family Members: Differences by Family Structure

Despite increased access to insurance through the Patient Protection and Affordable Care Act of 2010, uninsurance rates are expected to remain relatively high. Having uninsured family members may expose children to financial hardships. Eligibility rules governing both private and public health insurance are based on outdated expectations about family structure. Using 2009–2011 data from the National Health Interview Survey (N = 65,038), the authors investigated family structure differences in family‐level insurance coverage of households with children. Children living with married biological parents were the least likely to have uninsured family members and most likely to have all family members covered by private insurance. Controlling for demographic characteristics and income, children in single‐mother families had the same risk of having an uninsured family member as children in married‐parent families. Children with cohabiting biological parents had higher rates of family uninsurance than children with married biological parents, even accounting for other characteristics.