WHY FAMILY THERAPY SHOULD GO BEYOND HOMEOSTASIS: A KUHNIAN REPLY TO ARIEL,CAREL AND TYANO

The thesis of “Beyond Homeostasis” is (a) that the discourse of family therapists unquestionably shows that family therapists have tended to see homeostasis as a trait of families; and (b) that such a view of homeostasis is inconsistent with the systemic paradigm. Therefore, family therapy should go beyond such an understanding of homeostasis. Ariel et al. may have failed to grasp this argument; they have certainly chosen to ignore it. Ariel et al. have provided a logical empiricist explication of the nonsystemic version of homeostasis which is portrayed in the discourse of family therapists. I still argue that family therapy should go beyond such an understanding of homeostasis.     

Family Therapy: A Client-Centered Perspective

>This article first critiques therapist-directed approaches to family therapy in the light of research findings on therapist variables (empathy, warmth, genuineness) associated with positive outcomes in psychotherapy. Second, two polar opposite positions in family therapy — psychodynamic and family systems — are examined and found to have much in common. The two approaches are based on a pessimistic view of the family, which is seen as an intractable unit, resistant to its own growth. Third, an alternative, phenomenological view of the family is developed, which more optimistically assumes the family to be motivated for enhancement and growth. Finally, a client-centered approach to family therapy is described.     

Family Therapy into the 21st Century: Can we Work our Way out of the Epistemological Maze?

Family therapy is a generic term used to describe a paradigm within the helping professions that encompasses a range of competing approaches which share a common view about the importance of family to maladaptive behaviours and disorders. The various family therapies have evolved rapidly over the last three decades, at a time when society has been attuned to innovation, and eager to try new products. Thus, they soon found a niche in the partial void created by the demise of some of the previously dominant psychological paradigms. While collectively the family therapies have been demonstrated to be generally efficacious as a treatment approach, the last two decades have witnessed an avalanche of theorising and conceptualising that has created an epistemological maze through which practitioners must find their way. In this paper we ask whether this trend is moving the family therapies too far away from the core issues involved in the helping professions.     

Family Changes in the Context of Lowest-Low Fertility: The Case of Japan

Abstract: Japan has currently one of the lowest-low fertility rates in the world. Low fertility in Japan is due to the extreme postponement of marriage and childbearing, and their weak recuperation in women in their 30s, as well as very low levels of cohabitation and extra-marital fertility. Both changing and unchanged aspects of families are related to lowest-low fertility in Japan. Although premarital sexual activities have increased, women's contraceptive initiative is very weak: they may be connected with weak partnership formation. "Parasite singles", "freeters", or "NEETs", probably related to weak family formation, have increased, but they may be connected with strong filial bondage derived from the traditional family system, i.e. Women have been normatively, educationally, and occupationally emancipated, but gender norms are currently divided in half among Japanese people, which may deter the revising of working conditions for women with children, leading to delaying family formation among working women. Lowest-low fertility conversely brings about family changes. Its direct effect is the increase of lifetime celibacy and childless couples, which may jeopardize the universality of families. Its indirect effect is through policy response to low fertility as well as labor shortages and population aging: recently, both family and labor policies have been strengthened to make it easier for working women to continue their jobs after marriage and childbirth, which might in turn promote family formation in Japan.     

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 Law and Family Systems: Multidisciplinary Training for Professionals

The Family Court in New Zealand has become the crucible for the mixing of legal and mental health professionals. Low key workshops convened by family therapists for multidisciplinary groups have made successful use of family therapy models and expertise to provide a base for the conciliation and mediation alternative to the adversary system so common in law and in earlier family litigation. Enhanced cross-disciplinary understanding and morale appear to have accompanied the more formal learnings in family therapy, and the programme as detailed is included as one possible structure on which such experiences might be offered by other therapists in other places.     

Therapeutic Alliance; A View Constructed by a Family Therapy Team

Therapeutic Alliance is a construct which may have value for a family therapy team and influence its day to day practice. This paper discusses whether family therapeutic alliance can be observed, described and measured, and gives an account of the development of the Family Therapeutic Alliance Scale (FTAS) by a brief strategic family therapy team. Our focus is on the use of statistical technique as a means of clarifying the team's construct of therapeutic alliance, informing the team process without being the final arbiter in development of the scale. The second stage outlines the investigation of the usefulness of the construct with a wider group of family therapists. In individual psychotherapies measures of therapeutic alliance have been shown to predict outcome. Our early work suggests this is also true for family therapies and the FTAS may be a predictor for outcome in family work.     

Gene - Environment Interplay, Family Relationships, and Child Adjustment

This paper reviews behavioral genetic research from the past decade that has moved beyond simply studying the independent influences of genes and environments. The studies considered in this review have instead focused on understanding gene - environment interplay, including genotype - environment correlation ( rGE) and genotype × environment interaction (G × E). Studies have suggested that rGE is an important pathway through which family relationships are associated with child adjustment. Also important are direct causal influences of family relationships on child adjustment, independent of genetic confounds. Other studies have indicated that genetic and environmental influences on child adjustment are moderated by different levels of family relationships in G × E interactions. Genetically informed studies that have examined family relations have been critical to advancing our understanding of gene - environment interplay.     

"In search of a tale they can live with": about loss, family secrets, and selective disclosure

Several authors have written about family secrets in the family therapy literature in interesting ways. According to these authors, the questions “who knows the secret?” and “who does not know the secret?” are central. In the present study, we have qualitatively analyzed the documentary film Familiegeheim (Family Secret) by the Dutch director Jaap van Hoewijk. The film shows van Hoewijk’s investigation into the death of his father in 1974 and tells the story of a family in which the suicide of the father is kept secret from the three children. Our analysis of the film highlights the complex ways in which families deal with sensitive issues like loss, grief, and suicide. The concept of family secrets seems to poorly capture this complexity, focusing one‐sidedly on the destructive effects of withholding delicate information. The concept of selective disclosure is proposed as an alternative. Selective disclosure refers to the complex processes involved in dealing with the dialectic tension between sharing information and keeping it secret. The concept is not only focused on the destructiveness of secrecy but, in addition, also makes room for an appreciation of the caution with which family members deal with sensitive family issues.     

The ideology of small family

Data are obtained and analyzed from 4232 rural families of handloom weavers in Karnataka state, India. 60.20% families are small families with 6 or fewer family members, of whom 25% have 3 members. 96.78% of small families have only one occupation. 30.50% of large families and 12.42% of medium sized families have more than one occupation. About 74% of families have income under the poverty line (under Rs 3500/year). 83% of small families are under the poverty line. The dependency ratio of small families is 1:2. 33% of all dependents are found among small families which are below the poverty line. 82% of dependents in small families are in small families under the poverty line. Almost 50% of dependents belong to small families. Small families are found to have slightly lower levels of education, although average level of education is very similar regardless of family size. The findings are used as evidence that small families do not necessarily augment the economy and that economic, educational, and cultural thresholds may be necessary before small family size affects economic development and improves the general well-being of family members. The social system that the small family is operating in is considered an important factor affecting the quality of life of the family.     

‘I Will Not Leave My Baby Behind’: A Cook Island Māori Family's Experience of New Zealand Māori Traditional Healing

Traditional healers in many parts of the world have used family focused understandings and interventions well before the emergence of western family therapy theory and practice. This paper gives a detailed account of New Zealand Māori traditional healing work with a Cook Island Māori family in which the eldest daughter was in considerable distress as were her family, who believed that she had become maki tūpāpaku (possessed). This account is told from the perspectives of the child psychiatrist, the traditional healer and the mother of the family. While the intervention bears a superficial resemblance to western family therapy approaches, the theoretical foundation reflects the traditional healer's New Zealand Māori world views in which spiritual understandings are paramount, and concepts of mana, tapu and mauri ¹ guide him in the family healing process. The single session described here can be viewed as an indigenous family therapy intervention involving six generations of family members, both living and deceased, in the one room. Conclusions: Indigenous communities have called for traditional healers to be employed alongside child mental health workers and family therapists who work with their communities. Close and sincere collaboration between an indigenous traditional healer and a health professional can offer a family in distress healing possibilities that may not be available to them in conventional child mental health or other family therapy settings.     

Succession of Stem Families in Rural Japan: Cases in Yamanashi Prefecture

The aim of this paper is to clarify how Japanese rural families have continued and changed from a viewpoint of generational succession. The survey from which data was collected was conducted principally in Yamanashi prefecture, Japan. Three main points will be focussed on: members, property, and ideology. Almost 40% of family members surveyed continued to live together with their parents after marriage. However, they did not necessarily succeed the family farm. The ways in which they live together and farm their land have become more diverse. It is still very common for the entire family property to be inherited and succeeded by only one child in accordance with the Ie system. Despite the fact that family structure is changing greatly in present times, many farming families continue to adopt this system of inheritance. Ideologies concerning ceremonial matters and human relationships remain strong, but have weakened with regard to land inheritance. Our results suggest that the family's desire for succession was stronger in cases where multiple generations cohabited.     

Growing Up in A Single Mother Family and Student’s Tardiness: A Cross-National Study Exploring the Moderating Role of Family Resources

Research shows that growing up in a single-parent family has a negative effect on children’s educational level, whereas the relationship between family structure and test scores is less consistent or even nonexistent in some countries. Some authors suggested that something besides cognitive ability is responsible for the poorer school outcomes of children from nonintact families. In this study, we focus on a noncognitive outcome, in this case student tardiness, which is one of the components of problematic absenteeism. Using PISA 2003 data from Australia, Austria, Belgium, Canada, Denmark, Finland, France, Germany, Greece, Italy, New Zealand, Norway, Portugal, Spain, Sweden, the United Kingdom, and the United States, we find that children who grow up in a single-mother family have greater chances of arriving late for school in 16 of the 17 countries analyzed. Some studies have analyzed the extent to which the effect of growing up in a single-mother family is compensated by a high level of family resources. However, these yield mixed findings, which can be attributed to the differences between the countries studied. With the exception of Bernardi and Radl (2014), to our knowledge no study analyzes the heterogeneity of family structure effects using a cross-national approach. We find that in most of the 17 countries analyzed, a high level of family resources, such as home possessions, cultural resources, mother’s occupational and educational level, and mother’s type of work, do not compensate for the harmful effects of growing up in a single-mother family on children’s school tardiness.     

Spanning Borders,Cultures, and Generations: A Decade of Research on Immigrant Families

The authors review research conducted during the past decade on immigrant families, focusing primarily on the United States and the sending countries with close connections to the United States. They note several major advances. First, researchers have focused extensively on immigrant families that are physically separated but socially and economically linked across origin and destination communities and explored what these family arrangements mean for family structure and functions. Second, family scholars have explored how contexts of reception shape families and family relationships. Of special note is research that documented the experiences and risks associated with undocumented legal status for parents and children. Third, family researchers have explored how the acculturation and enculturation process operates as families settle in the destination setting and raise the next generation. Looking forward, they identify several possible directions for future research to better understand how immigrant families have responded to a changing world in which nations and economies are increasingly interconnected and diverse, populations are aging, and family roles are in flux and where these changes are often met with fear and resistance in immigrant-receiving destinations.     

Developing and Maintaining Foster Family Identity Through Foster Parents’ Identity Work

There are hundreds of thousands of children in foster care in the United States, nearly a majority of whom are placed with nonrelative foster parents (U.S. Department of Health and Human Services, 2015). Few scholars (e.g., Nelson, 2014) have explored the communicative process through which a sense of family is created and maintained in foster families, despite the potential positive impact that developing a foster family identity may have on foster family functioning. The purpose of the present study was to understand the communicative strategies that foster parents use to create family identity. Data from interviews with 18 current and former foster parents revealed that through their talk inside and outside of the family, foster parents engaged in integrating biological and foster families, ritualizing, explaining, labeling family roles, and reframing. I discuss the importance of these findings for foster families.     

Family Therapy and the Alienation Syndrome*

This paper reviews the increasing separation of the contemporary family from the community in terms of the sociological concept of alienation. It proposes that there is compelling evidence that the isolation of the nuclear family exerts a pathological influence on the mental health of families and of individual family members; that family therapists have paid minimal attention to the isolation in their zeal to develop effective techniques for altering intra-familial processes; and that the family therapy movement has the potential for exerting a significant corrective impact on the social forces which further the isolation of contemporary families.     

FAMILY THERAPY RESEARCH AND THE “NEW EPISTEMOLOGY”*

Epistemological critiques of the theory and practice of family therapy recently have also been brought to bear on mainstream strategies and methods of research in family therapy. In this paper, it is argued that standard research methods are the only ethically responsible means presently available by which we can assess the efficacy of family therapy. It is also argued that standard research models have already provided data of practical relevance to clinicians, patients and public policy makers and should not be abandoned in haste. Finally, it is argued that there are insufficient grounds for divorce between the “new epistemology” and standard research, since commonplace research designs and methods are far more compatible with systemic thinking than some observers have suggested.     

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。     

Care Diamonds and Welfare Regimes in East and South-East Asian Societies: Bridging Family and Welfare Sociology

This paper tries to bridge the micro-level analyses of social networks for "care" provision which have been conducted in the field of family sociology, and the macro-level framework on welfare mix which has been developed in the area of welfare sociology, because the options for creating social networks are given to individuals by society. A group of Asian researchers including the author have conducted comparative research on social networks for childcare and elderly care in six Asian societies, namely Korea, China, Taiwan, Thailand, Singapore, and Japan. To reexamine the results, the author draws diagrams of the care diamonds in each society for each type of care (childcare or elderly care) to show the balance between four sectors (the state, market, family and relatives, and the community) which determines the pattern of welfare mix. The most prevalent pattern in Asian societies today is the pattern with a large family and relatives sector and a large market sector. We can interpret it as a familistic welfare regime combined with liberalism. However, Japan alone shows a pattern close to pure familism because the development of the market sector is restricted by immigration policies prohibiting the employment of foreign domestic workers. Unlike other Asian societies which were exposed to the global market before the family could become a closed organization and marketization of care work took place easily, in Japan, where the modern family system had been established, both socialization and marketization of care work have stagnated.     

Patients' Perspective on Family Therapy for Anorexia Nervosa: A Qualitative Inquiry in a Chinese Context

This article presents a qualitative study of the subjective experiences of 24 Chinese adolescents and young women who have been suffering from anorexia nervosa and who have received family treatment from a university‐based family treatment centre in Hong Kong. In‐depth post‐treatment interviews were conducted and have been transcribed and thematised using content analysis. The narratives that have emerged have facilitated hearing the clients' and their family members' voices, especially in the areas of (a) perceived concepts of family therapy, (b) the perceived therapeutic relationship and its linkage to positive change, (c) perceived intervention strategies as employed in family treatment, and (d) the participants' own role in problem‐solving. The study has enabled the author to refine the family treatment model, which has been adapted from the Micucci's (1998) model, with additional components introduced by the author to enhance family treatment in a Chinese context.