Internal family systems therapy for children in family therapy

This article presents a developmentally supported implementation of Internal Family Systems Therapy for school-age children and their families. Relevant developmental characteristics of children are described. Suggestions for working with parents, child-oriented interventions, and a case example are presented.     

The use of puppets in play therapy

As puppets are found in most every playroom, their relevance to play therapy is often taken for granted. This paper reviews the therapeutic value of puppets, detailing the psychological functions they can serve. Clinical technique—how to choose and use puppets—is addressed in both theoretical and practical terms.     

What about the family in family therapy research?*

Family therapists are frequently criticised for not publishing any substantiation of the effectiveness of their therapeutic interventions. This paper discusses why clinicians do not evaluate their work through examining current recommendations for family therapy evaluation, and the effects of these recommendations on the family under study. We provide some criteria specific to the family which will assist clinicians in selecting measurement instruments to evaluate family therapy. These relate to ethics, parsimony and design features of the study. The complexity of family therapy evaluation must be addressed if more clinicians are to do evaluation.     

Therapeutic control in family therapy

This article emphasizes the importance of establishing therapeutic control in family therapy. Therapeutic control is viewed as similar to conducting an orchestra or directing traffic. Problems that interfere with its implementation are related to the limited appreciation by the therapist of understanding the requirements and responsibilities of a leadership role, the lack of knowledge and experience of the therapist, the difficulty in establishing the relationship between presenting problems and family conflicts, being overwhelmed by the perception or expression of strong feelings, discomfort in presenting options. A therapist who is in control of the therapeutic process is able, comfortably and gently, to lead family members, who initially are often in chaos or resistive, to discuss hidden feelings and conflicts. Often, through the therapist's initiative and articulation of understanding of the problems, the family, more relieved than threatemed, is able to focus on major issues.     

Dream analysis in family therapy

Theoretical and practical aspects of dream analysis in family therapy are explored with case examples. The dream is considered tobe a disguised communication and it is used to aid in diagnosis and treatment. The dream is shown to be of special value with families who block communication or only appear to be cooperative. It is used to explore the unconscious elements of family life. Deciphering the dream helps to open new possibilities of communication within the family.     

Selfobject functions of the family: Implications for family therapy

The application of Self-Psychology theory to family functioning adds to our models of understanding and intervention in family therapy. This article develops a theory of the family as a supraordinate selfobject and explores diverse clinical applications of the theory. The family as a selfobject matrix enhances the self development of the child by the provision of continuity through the maintenance of proximity over time, and by an enhanced quality and quantity of selfobject responsiveness for the individual. This application of Self Psychology theory has wide implications for family therapy with children in foster care, family therapy with elderly couples coping with dementia in one spouse, and family therapy as a component of treatment with suicidal adolescents.     

Research in play therapy: A 10-year review in Taiwan

This study represented a 10-year review of 86 master's theses and doctoral dissertations on play therapy that had been conducted in Taiwan from 2002 to 2011. Particular attention was directed to the intention of research, the traits of participants, the characteristics of play therapy, and the research methods. Results indicated that the most frequently studied population was children and adolescents (54.6%), followed by play therapists (25.6%), parents/care-givers of children (16.3%), and teachers of children (1.2%). Findings revealed the types of research were qualitative (n = 59; 68.6%), quantitative (n = 7; 8.1%), and mixed methods (n = 20; 23.3%). Results are discussed concerning implications for counselor educators and further research on play therapy.     

Limitations of family therapy

Summary This paper concerns inself with therapeutic difficulties in marital and family therapy due to an inability to resolve value discrepancies between the therapist and the family in question. The guarded prognosis due to lack in motivation to change is reinforced by the presence of chronic pathology, cultural differences, and the unwillingness or inability of the family/couple to engage in a valid therapeutic contract. This is especially true when acting-out adolescents are involved. This, and the limitations imposed by an agency and a private practice setting, is exemplified to two case illustrations. Clinical course, details, and psychodynamics are discussed as are the pros and cons of treating such families. Recommendations concerning modifications in techniques of intervention are made. The cases lead to the conclusion that while traditional (or even untraditional) psychotherapeutic procedures are likely to prove ineffective, an analysis of negative outcomes might help to devise strategies to cope with such families and lead to further theory building. References to the pertinent literature are made.     

The spiritual genogram in family therapy

Spiritual and religious issues often surface during marital and family therapy. In this article, I describe a spiritual genogram that is a multigenerational map of family members' religious and spiritual affiliations, events, and conflicts. Used as a tool in family therapy, the spiritual genogram enables clients to make sense of their families' religious/spiritual heritage and to explore the ways in which their experiences impact present couple or family issues.     

Centering the voices of international students in family studies and family therapy graduate programs

In this article, we report the results of a survey that accessed the perceptions of family studies and family therapy international master's and doctoral students across the United States. Our goals included giving collective voice to the experience of international students and gathering their suggestions for improving programs. Themes that emerged from responses to open- and closed-ended questions included feeling (mis)understood and (de)valued; forming personal connections and experiencing marginalization; the importance of including international perspectives in curricula; considering the relevance/transferability of knowledge; and attending to barriers to learning. Based on the results, we share suggestions for improving family studies and family therapy graduate programs relative to program planning, curricula revision, teaching strategies, and faculty development.     

The use of theory in family therapy research: a content analysis of family therapy journals

Ninety-five studies from Family Process and Journal of Marital and Family Therapy were evaluated with regard to their use of theory. While a majority of the articles were judged to use theory in either an explicit or an implicit manner, 42% did not appear to draw on theory in either the introductory or discussion sections. Studies that used qualitative methods appeared to use theory more frequently and explicitly than those using quantitative methods alone. Systems theory was found to be the most common conceptual framework, followed by feminism. We conclude that the link between theory and research in family therapy needs strengthening and suggest that the role of theory in family therapy be reexamined.     

Ethics and family therapy: the case management of family violence*

All family therapists, and especially Milan-style systemic therapists, have been trained to take a neutral stance regarding family issues, based on a circular causality model of family interaction. Therefore, when therapists deal with family violence, their ability to perceive individual responsibility for unethical behavior is weakened or suppressed. In fact, this ability is the primary tool in developing effective treatment planning in cases of family violence: The actively physically abusive man needs to be in individual and/or group therapy, not conjoint or family therapy. The ethical judgment of the therapist is what determines the limits of family therapy.     

The use of color-coded genograms in family therapy

A variable color-coding system has been added to the standard family genogram. Characteristics or issues associated with a particular presenting problem or for a particular family are arbitrarily assigned a color. The family is then asked to mark each family member with the colors that represent characteristics that fit. Advantages of the color-coding are presented, followed by clinical examples of the color-coding as an assessment tool and as a family task during treatment.     

Depression movement in family therapy with depressed adolescents

Family therapists presume, observe, and predict that depression can move from member to member in the family system depending upon the dynamics of the system as a whole. When an adolescent who is depressed begins to improve in family treatment, many family therapists have reported that the parents will often begin to experience an increase in their level of depression. This observation has been reported but has not been objectively measured. In this clinical study of four families, adolescent and parental depression during family therapy is measured to determine if depression movement does occur during family treatment. Results indicate that in three of the four families the parents did initially show depression level increases reactive to improvement in the adolescent. Such findings are supportive to the idea that some forms of adolescent depression often do serve a family system function.