When Worlds Collide: Young People,Drugs and ‘Responsible Adulthood’

Young people's behaviours which are problematic to parents and therapists are also found in the wider adult community. Here these behaviours are often accepted as normal and legitimate, and as such they may occur even in the lives of these same parents and therapists. This paper considers some of the issues this raises in working with young people and their families.     

Nurturing Nature: Exploring Ecological Self‐of‐the‐Therapist Issues

Much has been written about the systemic effects of families and culture on individual well‐being. Seldom discussed, however, are the systemic effects of our relationship with the larger ecological system in which all families and cultures are embedded. A case is made for the importance of nature in family therapy. Furthermore, before therapists can effectively address ecological issues in therapy, they need to address various ecological self‐of‐the‐therapist issues that will influence their clinical practice. A series of questions are asked to help guide therapists in this exploration, and practical suggestions for incorporating nature into MFT clinical practice, training, and research are made.     

Being Authentically American Indian: Symbolic Identity Construction and Social Structure among Urban New Indians

This study investigates the individual and group level reconstruction of a racial‐ethnic identity. Specifically, we investigate the experience of “new Indians,” or people who did not previously identify as American Indian, but are now reclaiming this racial‐ethnic heritage. Because many new Indians lack both official (tribal and/or federal) recognition of their Indian status and the phenotypic traits associated with Indians in popular culture, their authenticity as American Indians is often questioned in interactions with others. We document how new Indians work to reconstruct the symbolic meaning of authentic Indianness by emphasizing specific values and actions rather than biological lineage. Moreover, we demonstrate how new Indians achieve interactional validation of their redefined Indian identities in the context of a proximate social structure.     

Disowned by the Ownership Society: How Native Americans Lost Their Land

Over the past five centuries, Europeans have enclosed the global commons and, in the process, incorporated whole continents of aboriginal land. Some scholars argue that Indians in North America were spared the ravages of compulsory enclosure, having sold their land to non‐Indians through willing‐seller transactions and benefited from federal government trust and treaty policies. Moreover, where enclosure existed, it is widely believed to have ended as Indians converted to agriculture, thereby internalizing hard work, sedentary life styles, and allotted ownership. This study disputes such historical accounts and suggests a wave of new enclosures in accordance with recent U.S. Department of Agricultural minority lending policies. By discriminating against Native American farmers and ranchers, the federal government has enabled the erasure of title, livelihood opportunities, and cultural identity among Indian farming and ranching communities. Evidence from the Fort Berthold Reservation of North Dakota reveals the complex complicity of the federal government in Indian land erasure and points to a changing reservation geography that, even now, makes castaways of agrarian Indians.     

Families in the Time of the Pandemic: Breakdown or Breakthrough?

The COVID‐19 pandemic has taken a toll on all individuals and their families around the world. Some suffer more adversely than others depending on their unique developmental needs, resources, and resilience. However, instead of breaking down, many families and therapists have hunkered down to cope with this ‘wicked’ situation as it continues to evolve. This article examines the unique challenges and opportunities of COVID‐19 for families at different life developmental stages, as well as the challenges and opportunities for systemic therapists as they venture into unfamiliar territory. Through a case example and by integrating recent literature related to this pandemic, we apply three key and interconnected systemic themes (unsafe uncertainty, family life cycle, and social diversity) to discuss the challenges and opportunities for families and therapists, respectively. We are optimistic that there are many possibilities as families and therapists draw on, and often reinvent, currently available resources to navigate their course in this pandemic. We also find that while the pandemic continues to present unsafe and uncertain situations, there are new ways of being and behaving, especially when families and professionals work together collaboratively. Despite formidable challenges, there are many opportunities, both within families and communities that cut through different social contexts related to family, culture, economics, and even politics. Families and therapists could endure better when they are more cognisant of how and what these contexts may impact and offer them.     

Improving Functioning of the Remarried Family System

This report presents salient issues for therapists in understanding and treating the remarried (Rem, second, blended, reconstituted or step) family. The structure of the remarried family is differentiated from that of the intact family. Specific treatment goals for Rem families are elaborated and various treatment modalities advocated. The need to include former spouses and to consider the meta family system are discussed. Common reactions and difficulties engendered in therapists when working with Rem systems are explicated.     

Lesbian Parenting: Insiders' Voices

Lesbian parenting has entered the public arena over recent years via debates regarding access to fertility services and adoption, legal recognition of same‐sex parents and children's rights (McNair, 2002). Research in the area has been published for over 20 years, with an increasing shift towards delineating diversity rather than proving the legitimacy of these families. The ANZJFT — the major mouthpiece for Australian family therapists — has made curiously little contribution to the literature on lesbian parenting. The lack of discussion leaves trainees and family therapists largely ignorant about the lived experience of lesbian family life. This paper goes some way to filling this gap. We present data gathered from 151 Australian lesbian parents who answered questions about their own and their families' perceived strengths. Despite the constraints and challenges of living within a heteronormative and homophobic society and dealing with discrimination and legal, political and social non‐legitimation, this group of lesbian parents expressed great pride in raising well‐adjusted and happy children. They also described their families as thoughtfully planned, proud, accepting and celebratory of diversity and difference, flexible in gender roles, and as having interesting, supportive, extended kinship networks that included a wide range of positive role models for their children.     

The Family,The Statutory Worker and the Therapist Working Together for Change

Myths have developed for some therapists and statutory workers that have prevented or interfered with their forming a satisfactory working relationship. In such a climate, families tend to remain confused and disempowered and become more dependent on the authority of the legal and statutory system. This paper describes work with one particular family and a local Community Services, Victoria social worker, where these issues were addressed in a way that allowed the workers to be clear about their roles and enabled the parents to resume their responsibility for parenting. The emphasis in this article is on practice issues.     

The Role of Mobile Phones in Family Communication

Whilst there is a wealth of research into family communication and family relationships, there is little information about whether (and if so how) mobile phones have impacted on these processes. The authors’ study involved individual semi‐structured interviews with 60 families, including parents/carers and young people aged 11–17, to investigate this further. The interviews explored how mobile phones are used in family communication; participants’ views about the benefits and disadvantages of mobile phone use; and issues around safety, surveillance and privacy. The findings show that young people and parents see mobiles as a key way for families to keep in touch, and to monitor and ensure young people’s safety. However, some participants felt there was a downside to this, in relation to some young people either withdrawing into their own social worlds, or having a false feeling of security as a result of having a mobile. Gender differences in views and usage were also found. The paper concludes with some general comments about the role of mobile phones in family life.     

Class, authenticity and the transition to higher education for mature students

The stated UK Government policy on Higher Education is to attract increasing numbers of non‐traditional applicants to Higher Education. Mature students are positioned as key within this policy initiative. However, the statistics suggest that recent policy changes have made it more rather than less difficult for non‐traditional students to attend university. This paper explores some of the sociological and psychological processes which make working‐class transitions to higher education problematic by focusing on the narratives of 23 mature students attending an inner London Further Education college. It is argued that class, although mediated by gender and ethnicity, always counts in the transition process. Also, within the working‐classes there are different class fractions with differing priorities in relation to risk, challenge and fitting in. These solidarist and individualist fractions within the working‐classes result in differing priorities, attitudes and actions in relation to the higher education choice process.     

Stemming the Tide of Trauma Systemically: The Role of Family Therapy

The initial section of this article describes the frequency with which people are exposed to various forms of traumatic stressors and the limitations of linear thinking in both assessing and treating the consequences of traumatic exposure as reported by the Institute of Medicine. The middle section of the article identifies the research and theory that supports the utility of systemic thinking and action in working with traumatised systems, especially families. The final section includes an outline of a protocol for family therapists and other systems‐informed practices to help traumatised families and other systems. A critical part of the protocol is that it meets the standards of trauma‐informed practice reflected by the Green Cross Academy of Traumatology and the International Society of Traumatic Stress Studies (ISTSS) guidelines, and the six criteria for evaluating treatment approaches. These criteria include do no harm, exposure titration control, reciprocal inhibition tuning, quantity and quantity of training, fit and fidelity and evidence of effectiveness.     

Clinical and Supervisory Considerations for Transgender Therapists: Implications for Working with Clients

Transgender therapists have unique and valuable perspectives into how gender organizes the therapeutic process. Currently, in the MFT field, there is discussion of the cisgender therapist's experience in the therapy room, but no known articles on the transgender therapist's experience. This article provides insight into the experiences of transgender therapists around issues of self‐disclosure, social locations of both therapist and client, and clinical supervision. Drawing from our clinical experiences as transmen, we highlight special considerations for working with cisgender, queer, and transgender clients. Implications for supervision of transgender therapists are also discussed. As more gender diverse students seek MFT training, there is an urgent need to acknowledge their perspectives. This article is a call for beginning conversations in this direction.     

Adoption and Family Therapy

The aim of this article is to sensitise family therapists to adoption. A major assertion of the paper is that adoptive families are different from biological families. The family therapy context is a natural framework for examining these issues, as adoption affects and alters both birth and adoptive families, and adoption‐related problems occur within the context of the extended family system. The differences between intra‐racial (socially‐motivated) and inter‐racial adoptions are discussed, as well as the differences between closed and open adoptions. The study of families affected by adoption provides a model for other family forms, such as stepfamilies, foster families and families who form through new birth technologies.     

Lost in Translation? Embracing the Challenges of Working With Families From a Refugee Background

This article describes the difficulties a mainstream family therapy service experienced in working with families from a refugee background. The experience of six therapists and five bicultural workers, who are also the referring agents, was captured in focus groups, and the reflections that emerged shaped a four‐part approach for working with families from a refugee background. Live consultation, either by the family therapist or bicultural worker, is suggested as a way to marry the expertise of family therapists who are not cultural ‘insiders’ with the ‘lived experience’ and cultural expertise of bicultural support workers. The process of reflecting on therapeutic failure resulted in several principles for working therapeu‐tically with families with a history of refugee trauma, unmet resettlement needs and family relationship challenges. These include maintaining a flexible approach to therapy, ascertaining a clear understanding of the referral context, defining an explicit therapeutic contract from the first session, being mindful of the important role that language plays and terminating therapy if it is contra‐indicated.     

Transcultural Differentiation: A Model For Therapy With Ethno‐culturally Diverse Families

This article evolved out of the writer's experience of being an immigrant, a systemic thinker, and a therapist involved in working with individuals and families from many different cultures. It proposes a model of ‘transcultural differentiation’, drawing on Western notions of separation‐individuation (Mahler) and differentiation of self (Bowen), but arguing that these concepts may have equivalents within non‐Western philosophies (e.g. Indian cultural beliefs). The model suggests that families co‐existing with both a culture of origin and an adoptive culture must inevitably change, and that in this process, they necessarily evolve into entities which transcend both culture of origin and adoptive culture. Implications for therapy are explored; in particular, it is argued that the therapist's awareness of, and sensitivity to, the transcultural experience may be more crucial than whether or not she/he shares the client's culture of origin.     

Developing culturally effective family-based research programs: implications for family therapists

Recently, some family scholars have developed greater sensitivity to the relative neglect of families of color in clinical and empirical research. Consequently, a proliferation of research elucidating many nuances of ethnic families has come to the forefront, containing a wealth of knowledge with useful implications for family therapists and other mental health providers. The findings of these studies hold enormously important implications for how family therapists can better engage and accommodate families of color in therapy. In this article we discuss some of the etiological and methodological issues associated with planning, conducting, and disseminating family-based prevention and intervention research programs with ethnic minority families.     

Technology,Relationships, and Problems: A Research Synthesis

The advances in technology alter the ways we interact with each other. For some, the use of technology can facilitate a relationship; for others, technology can complicate aspects of a relationship. The purpose of this research synthesis is to summarize current research exploring the ways in which technology impacts relationships negatively. Eight studies were reviewed across the following areas: preoperational definitions, sample, methodology, control of extraneous variables, causal influence, generalizability, validity of statistical findings, and conclusions. Implications for authors, researchers, and therapists working with couples and families struggling with technology issues are discussed.     

Expatriate paternalistic leadership and gender relations in small European software firms in India

The study examines how European managers deliver paternalistic leadership in two small IT companies in India, a collectivist, high-power-distance culture where private lives are largely influenced by extended families. In particular, gender aspects are discussed in relation to recruitment and attrition, working hours and leave policies, and building company culture. These small companies experience a different set of challenges from those faced by the big multinationals, and they meet them in different ways, often translating Western management ideas to fit the Indian context. This article shows how managers of these two companies, with their European background, adapt their leadership to the Indian setting and how they handle gender issues. While some degree of paternalistic leadership appears to be a necessity in the Indian context, introducing European ideas of low power differences and regulated policies creates a mix which is appreciated by the employees.     

Stages of Change Theory in Family Therapy for Sibling Sexual Assault

Family therapy understands the benefits of therapeutically supported dialogue amongst family members when there are challenging themes and topics that need to be discussed. This paper is an attempt to explore ways that family therapists can work with family members who are thrust into therapy rather than ‘voluntarily’ signing up for it. It applies ideas from the drug and alcohol field such as Stages of Change theory and Motivational Interviewing. The paper explores how these ideas and approaches might help family therapists to formulate a concept of resistance and to make helpful dialogue more likely. They are applied to families experiencing sibling sexual assault, where they become involved with a legal response that necessitates a therapeutic intervention.     

Treading the Path of Anticipatory Bereavement: Working with Families with a Dying Member in an Acute Care Medical Setting

The aim of this paper is to consider issues related to working with families with a dying member in an acute medical setting, using the framework of the Bower Place family therapy approach. The literature on individual and family anticipatory bereavement processes is reviewed and the Bower Place methodology of family therapy is outlined. A case example is used to illustrate the application of the methodology to a family facing the death of one of its members. The author highlights the need for therapists to consider second order cybernetic issues when working in this context.