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.     

Beyond Division: Convergences Between Postmodern Qualitative Research and Family Therapy

Starting from examples of postmodern research and therapeutic practice, we raise the question on the role of the research-therapy dichotomy within these approaches. The article aims to show the profound convergence between postmodern ethnographic research and constructionist, collaborative therapeutic approaches on a double, epistemological and practice level. First, we point out their converging development toward narrative and constructionist epistemologies. Second, an inquiry into the core features of these disciplinary activities' goal, process, and expert role reveals their profound convergence into a dialogical practice in which the boundaries between research and therapy are radically transgressed. We conclude by questioning the implications and acceptability of this convergence for researchers' and therapists' understanding of their practices.     

HAVING A SECOND-ORDER MIND WHILE DOING FIRST-ORDER THERAPY

An overemphasis in the literature on distinguishing the first- and second-order therapeutic perspectives has produced a schism within the field of family therapy. This article attempts to bridge that schism. The view of language that informs dialectical psychology is used to construct a both-and framing of the first-and second-order perspectives, a framing which renders intelligible how it is that one can have a second-order mind while doing first-order therapy. A case example is used to illustrate what such a therapeutic posture might look like in practice.     

Theory and Practice of Systemic‐Dialogical Therapy

Systemic‐dialogical therapy originates from an evolution of Milan systemic therapy, through a reflection on Bakhtinian dialogue and on power and knowledge dynamics in therapeutic sessions. The model considers both emergent patterns in human interaction and the dialogical nature of human exchanges in which emotions play a relevant part. Such theoretical considerations prompted the creation of specific practices, such as emotional micro‐hypothesising, considering heteroglossia in the session, dialogue with the context, finding one's place in the relational network, and fostering relational responsibility in both therapist and clients. The practice of systemic‐dialogical therapy is illustrated by a clinical case study.     

Contested Notions of Issue Identity in International Public Relations: A Case Study

The Open University's circuit of culture model, which comprises a melding of critical or cultural and postmodern perspectives, encompasses 5 central discursive moments: regulation, production, consumption, representation, and identity. Using the World Health Organization's smallpox eradication campaign as a case study, we gathered data from a wide variety and in-depth collection of materials to examine how the moment of identity informs our understanding of international public relations practice and theory by recasting identity as a central, discursive concept within public relations.     

A Study of a Network Meeting: Exploring the Interplay between Inner and Outer Dialogues in Significant and Meaningful Moments

The present study is part of a series of qualitative studies focusing on dialogic practice in southern Norway. In this article, we present a qualitative study of a network meeting focusing on the interplay between the participants' inner and outer dialogues. The network meeting is between an adolescent boy, his mother and two network therapists, the same adolescent case discussed previously in this journal by Bøe et al. ( 2013 ). The aim of this study is to explore how the interplay between inner and outer dialogues contributes to significant and meaningful moments for the interlocutors. A multiperspective methodology is used that combines video recordings of a network meeting and participant interviews with text analysis. Our research found the interplay has an important role in understanding the emergence of significant and meaningful moments in therapy. A one‐sided focus on participants' utterances or inner dialogues was insufficient to explain their significance and meaning to the interlocutors. A dialogical approach provides a theoretical frame and concepts that are useful in investigations of therapeutic conversations.     

Teacher Careers and Inhabited Institutions: Sense‐Making and Arsenals of Teaching Practice in Educational Institutions

This article advances emerging scholarship that emphasizes the benefits to new institutional theories of organizational functioning offered by empirical research rooted in the tradition of symbolic interactionism. I present evidence from in‐depth interviews with teachers from three high schools to show how individuals' perspectives about pursuing institutional goals are filtered through their accumulated experience working within those institutions. Findings show teachers develop what I call “arsenals of teaching practice” as they accumulate work experience, and this process creates a key source of difference by career stage among teachers that shapes their instructional decisions. I discuss implications for understanding the relationship between policy and practice, and extend existing theory of inhabited institutions by identifying a key way that people's sense‐making through experience drives institutional functioning.     

Children's Participation,Childhood Publics and Social Change: A Review

Progress in the implementation of children's participation rights in England is reviewed and situated within a broader agenda of social change. The article argues that much of the energy for ‘change for children’ has resided within a governance pathway across policy, practice and research. An alternative perspective is offered by re‐connecting children's rights debates to those of social movements and asking whether childhood publics are possible, what they might look like and where they might be found. It is concluded that a cross‐national and longitudinal perspective grounded in everyday life is likely to provide a more nuanced understanding of the change for children.     

The Single‐Parent Family and the Family Therapist: About Invitations and Positioning

Single parent families sometimes represent specific challenges to family therapists. In this article a dialogical frame with important concepts such as voice and positioning is proposed to reflect on family therapy practice. This frame is used to reflect on a common invitation in family therapy with single‐parent families: the invitation to take the place of the absent parent. A case of family therapy with a single‐parent family is presented in order to illustrate the importance of flexibility in the therapist's positioning and the way the therapist's experiencing can be used as an empathic bridge to create a dialogical space in which the important issues at stake can be addressed.     

Dialogue and creativity: The generative dialogical perspective in therapy

The generative perspective in therapy understands relations and dialogue as a generative social space where participants can promote innovative resources and possibilities for themselves, and their relations and circumstances, along with new social ecologies. It focuses on the creative dimensions of human relationality. This epistemological and clinical perspective has a heuristic value that allows us to discern and work with micro dialogues—micro processes of creative, generative dialogues—in the ongoing dialogue, mindful of the opportunities for creativity and innovation they provide. The generative perspective promotes creative processes and transformations to help clients build possible and viable futures when faced with problems, conflicts and challenges. It involves the dialogical and relational co-creation of resources and possibilities, and actions for implementation. The perspective is illustrated with a therapy process involving a 3-year follow-up. The paper includes a section where differences and similarities between dialogical perspectives are presented.     

Frameworks for Practice in the Systemic Field: Part 2 — Contemporary Frameworks in Family Therapy

This is the second of two articles to map the landscape of practice theory in systemic family therapy. The first article gave a particular chronology of the development of family therapy practice theory, beginning with the frameworks that emerged in the 1960s‐1970s and then tracing the transitional decade of the 1980s. The convergences of three sets of influences — ecosystemic epistemology, the feminist challenge and postmodernist ideas — led to the changed landscape of post‐1990 practice theory. This second article picks up at this point, mapping four contemporary influential approaches in Australian family therapy — the Milan‐systemic, narrative and solution‐focused frameworks, and the dialogical perspective. Social constructionist and narrative ideas together constitute the dominant common theory influence in the post‐1990 practice frameworks, although intersected and used in different ways in the different frameworks. Throughout the history of the development of practice theory, context and relationship remain the enduring parameters of the systemic family therapy field.     

Integrative Family Therapy With Childhood Chronic Illness: An Ethics of Practice

A challenge for contemporary family therapists is negotiating differences between modern and postmodern frameworks in the practice context. Modernists espouse a systemic metaphor; use evidence‐based and interventive approaches, including strategic, structural‐ or solution‐focused techniques, and believe in the therapist's knowledge, expertise and power to influence individuals or families to change. On the other hand, postmodernists follow a social constructionist, dialogical or narrative paradigm, which identifies the main ingredient of therapy as language, conversation, understanding and the therapist's ‘not knowing’ stance in eliciting a person's expertise and story Yet many practitioners adopt a middle way between these paradigm polarities, one that is less theory‐driven and more pragmatic, flexible, integrative and practice‐based. This is consistent with evidence‐based practice and research demonstrating common factors across all therapies. The value of preserving systemic thinking in family therapy is recognised while reaching forward to a postmodern social constructionist and dialogical approach. The article describes this integrative stance in family therapy as paramodern based on an ethics of practice. This is illustrated by a detailed case study of integrative family therapy, which addresses anxiety, anger and sleeping issues associated with a chronic childhood illness called Perthe's disease.     

Becoming Dialogical: Psychotherapy or a Way of Life?

After birth the first thing we learn is becoming a participant in dialogue. We are born in relations and those relations become our structure. Intersubjectivity is the basis of human experience and dialogue the way we live it. In this paper the dilemma of looking at dialogue as either a way of life or a therapeutic method is described. The background is the open dialogue psychiatric system that was initiated in Finnish Western Lapland. The author was part of the team re‐organizing psychiatry and afterwards became involved in many different types of projects in dialogical practices. Lately the focus has shifted from looking at speech to seeing the entire embodied human being in the present moment, especially in multifarious settings. Referring to studies on good outcomes in acute psychosis, the contribution of dialogical practice as a psychological resource will be clarified.     

A Re-examination of Defining Moments in Vygotsky's Work and Their Implications for His Continuing Legacy

This article argues for the idea of different moments in Vygotsky's work while highlighting combinations of ideas and concepts that were particularly emphasized in distinct moments of his work. After Vygotsky's death, these moments were not considered a theoretical system in development, either in former Soviet psychology or in Western interpretations of his work. Vygotsky's legacy seems to have been mostly reduced to one concrete focus of his work, mistakenly identified as cultural-historical theory. The overemphasis of selected aspects of Vygotsky's work resulted in an overshadowing of other ideas that have remained relatively “unknown” until fairly recently. In this article, previously underemphasized elements in Vygotsky's psychology, such as emotions, fantasy, imagination, personality, and the generative character of human psyche, are emphasized. A consideration of these elements offers new and refreshing alternatives to Vygotsky's legacy. These previously underemphasized elements are markedly represented in Vygotsky's first and third moments. Furthermore, in the third and final moment of his work, the category of sense opened up a completely new perspective for a systemic and complex approach to understanding the human mind.     

The Interacting-Reflecting Training Exercise: Addressing the Therapist’s Inner Conversation in Family Therapy Training

In recent years several authors have made a beginning in describing therapeutic conversations from a dialogical perspective. Training and supervision, however, have not yet been addressed from a dialogical perspective. In this article, an experiential training exercise is described that is focused on the basic dialogical skills of the trainee: respectful inquiry and constructive reflecting. Rather than teaching and instructing, this training exercise is aimed at staging a dialogue. The trainees are invited to take part in this dialogue, as they are encouraged to experiment with new positions and new ways of encountering others, and as their different voices tell of their experiences, of the things they have learned, and of the new perspectives that have opened up for them. Leaning on ideas about the therapist’s inner conversation (Rober, 1999, 2005b) and stressing the importance of polyphony, dialogism, and tolerance for uncertainty, the training exercise described in this article is consistent with a dialogical and postmodernist frame, as described by Seikkula and Olson (2003) .     

The embodied mind: Contrasting visions

This article presents a critical examination and discussion of 2 arguments in support of the embodied mind position as developed within the philosophical literature of the Cognitive Linguistics paradigm. Employing the dialectical Materialist approach of Evald Ilyenkov (1997), closely allied to the cultural‐historical and activity theory traditions, the article argues that neither Lakoffs cases of reasoning from “typical examples” nor Thelen and Smith's (1994) example of dynamic cognition undermine a Materialist perspective on cognition as a process of knowing the objective properties of an independently existing reality.     

Theory,practice and use of self in the open dialogues approach to family therapy: A simple complexity or a complex simplicity?

In the family therapy literature there is increasing interest in the dialogical approach, particularly as it becomes well‐grounded in psychotherapy research. One embodiment is ‘open dialogues’, which has developed over a 30‐year period in Western Lapland, Finland. This paper outlines my experience of visiting Keropudas Hospital in Tornio, Finland, the birthplace of open dialogues. It explores the seven theoretical principles of open dialogues, associated elements of clinical practice, and the therapist use of self. The author utilises these aspects to reflect on dialogical moments through words and images based on three conceptual themes, which illustrate the relevance of open dialogues for family therapy practitioners and their contexts.     

Environmental Sustainability and Social Work: A Rural Australian Evaluation of Incorporating Eco-Social Work in Field Education

Climate change poses significant threat to the wellbeing of global society. Addressing this change has as yet generated no fixed blueprint for social work practice and education. This paper reports on a formative evaluation of one Australian initiative to address this transformative opening in social work field education. Prompted by service users' and workers' experience of the impact of drought, a rurally located social work course team amended the field education curriculum to include a focus on Environment and Sustainability. This learning goal was added to the existing learning goals derived from the Australian Association of Social Workers (AASW) Practice Standards. Students and field supervisors were surveyed on their experience of meeting this new learning goal. While most expressed confidence in understanding the concepts involved, they clearly lacked assurance in interpreting these in practice encounters. Considering their qualitative input suggests that this topic is making a transition from being on the margins of social work to becoming mainstream. Their open-ended responses indicate that the incorporation of environmental sustainability into practice is at a threshold stage of development. Further enactment of eco-social work at the local level is concluded to be supported by using a transformative learning framework in facilitating critical reflection and collaborative dialogue for effective change.     

Beyond common factors: multilevel-process models of therapeutic change in marriage and family therapy

A number of scholars have proposed the common factors perspective as the future direction of marriage and family therapy (MFT). Although intuitively appealing, the case for the common factors perspective is not as clear-cut as proponents portray. In its current form, the common factors perspective overlooks the multilevel nature of practice, the diversity of clients and settings, and the complexity of therapeutic change. In contrast, comprehensive process-based change models are an alternative to the limitations of common factors. In this article, we consider the limitations of the common factors perspective and propose the necessary and sufficient components and processes that might comprise comprehensive, multilevel, process-based therapeutic change models in MFT.