Family Social Work: The Past and the Present

SUMMARY

It is easy to blame the dysfunction of a family member on his or her behavioral patterns. I use the title, “It's the Relationship, Stupid!” not to talk down to family therapists, but to remind myself that the source of dysfunction is usually family relationships, especially the marriage relationship. This article gives several case studies for practical application of therapy techniques that focus on developing the “WE” of the family unit. One practical technique that I developed is a communication typology. The married couple (and family members) are divided into “Painters” and “Pointers.” This typology explains much of the conflict and mis-communication that leads to the breakdown of the “WE.” This article also presents dysfunction within the individual as a relationship problem and introduces the concept of the “spirit” of the individual as expressing the relationship the person has with self.     

Vital Lines Drawn From Books: Difficult Feelings in Alison Bechdel's Fun Home and Are You My Mother?

This article examines the representation of a transnational archive of queer books in Alison Bechdel's graphic memoirs Fun Home and Are You My Mother? for the insights it provides into the role of reading in making sense of the often difficult “felt experiences” of lesbian life. In both memoirs, books serve an important narrative function in the portrayal of Alison's lesbian identification and its complex emotional entanglements with the lives of parents who are trapped—killed even, in the case of the father—in the wastelands of patriarchy and heterosexual expectation. The article argues that in this complex family dynamic in which “sexual identity” itself is a problem and emotions remain largely unspoken, books act as fragile conduits of feelings, shaping familial relationships even as they allow Alison to contextualize her life in relation to historical events and social norms. Reading books allows her to understand the apparently U.S.-specific history of her family in relation to a wider queer history in the West.     

Desegregating Love: Transnational Adoption,Racial Reparation,and Racial Transitional Objects

Transnational adoption involves the intersection of two powerful origin myths—the return to mother and to motherland. In this case history of a Korean transnational adoptee, Mina, problems relating to Asian immigration, assimilation, and racialization are central to her psychic predicaments. Mina mourns the loss of Korea and her Korean birth mother as a profoundly intrasubjective and unconscious affair. Her losses trigger a series of psychical responses that reconfigure Freud's notions of melancholia not as pathological but an everyday (racial) structure of feeling and Klein's theories of good and bad objects as good and bad racialized objects, as good and bad racialized mothers. Mina's case also draws attention to the analyst as a raced subject. The “public” fact of the analyst's and the patient's shared racial difference, and the “public” nature of the analyst's pregnancy during the course of the patient's treatment, constitutes the analyst, to reformulate Winnicott, as a “racial transitional object” for Mina. As such, Mina “uses” the analyst to manage her envy and to transition into a reparative position for race, one allowing her to create space in her psyche for two “good-enough” mothers-the Korean birth mother as well as the white adoptive mother.     

Marital Therapy,EMDR, Herman's Model of Recovery from Trauma The Journey of One Woman and Her Family

Judith Herman (1992, page 183) delineates a three stage model of recovery from trauma: 1) Safety, 2) Remembrance and Mourning, 3) Reconnection. She criticises current treatment methods for their failure to make a difference in the “constrictive symptoms of numbing and social withdrawal … and marital, social and work problems do not necessarily improve”. Family therapy has been criticised often for insufficient focus on emotion and general sensations. This case analysis will illustrate how these shortcomings can be successfully addressed with the use of marital counselling and EMDR. The use of multiple treatment approaches contributed to one client's resolution of recent trauma due to a car accident, of past crises due to marital infidelity and early childhood abuse, with significant changes for her in her current family as well as in her family of origin. Theoretical implications for “family therapy” are raised.     

Celebrating Joan Acker: Sociologist,fearless feminist,friend

Joan Acker's life reflects a time when middle‐class women were expected to be satisfied with maintaining the home front, serving husbands and children, not having paid‐work careers. After living “the ideal” for 37 years, Acker took a new path by earning a Ph. D. and producing path‐breaking scholarship that challenged taken‐for‐granted beliefs about gender, family, work, and organizations. Acker spoke “truth to power” and was an academic heroine in posing feminist challenges to injustices involving gender, social class, and race/ethnicity, particularly (but not solely) related to the workplace. This overview lets Joan tell her story and offers reflections on her milestone publications as seen by Pat Martin.     

Anality: News From the Front

“Anality: News From the Front” is a critical commentary on Jeffrey Guss's (this issue) paper, “The Danger of Desire: Anal Sex and the Homo/Masculine Subject” and Stephen Botticelli's “Clinical Example.” In her analysis of Guss's argument, Sedgwick situates the dangerous potential of transgressive anal desire as “a revolutionary flash-point to be sought out and exploited” and highlights what she views as Guss's underlying assumption: that “danger is now altogether a thing to be decried and avoided.” Her response to Botticelli is a lively imagined relationship to Botticelli as a therapist, based on his clinical observations documented in “Clinical Example.”     

The Phenomenon Of The Public Wife: An Exercise In Goffman's Impression Management*

Approaching the topic of American leader-image from the perspective of politics-as-theater (political communication as exchange of symbols), this paper examines a taken-for-granted visual symbol which a national political leader is invariably expected to present: a wife. Her contributions to her husband's “impression management” techniques (Goffman, 1959) are studied in Goffman's “defensive” categories of dramaturgical loyalty, dramaturgical discipline, and dramaturgical circumspection. This analysis suggests that the visible presence of a wife in public leadership rituals offers the public voter or viewer important reassurances or symbolic guarantees about her husband's “morality”—and, therefore, his appropriateness for public trust. She has become a necessary partof his public performance because of our everyday need for “cultural absolutes” (Furay, 1977) in the image of our leadership figures.     

"Active" and "Passive" Resettlement: The Influence of Support Services and Refugees' own Resources on Resettlement Style

This paper explores the process of resettlement among recent refugees in Perth, Western Australia. We propose four refugee resettlement styles created through the interaction of a number of factors. These factors can be clustered as: (1) the social features of refugees (their human, social, and cultural capital), and (2) the host society's responses to refugee settlers (Australia's resettlement policy and services and the broader influence of the host society's responses to refugees). We propose that refugees approach their resettlement in predominantly active (“achievers” and “consumers”) or passive (“endurers” and “victims”) ways and that these are differentially successful strategies. Medicalization of the refugee experience in Australia is a factor that may influence refugees to adopt a passive “victim role”, so we propose that a greater emphasis during early resettlement should be placed on refugees' own culturally defined priorities such as employment and stable housing. The argument developed in this paper is supported by data from two qualitative research projects conducted in Western Australia. The fieldwork consisted of interviews, focus groups, and participant observation, and targeted refugees from the former Yugoslavia and the Horn of Africa who arrived in Australia during the 1990s and 2000s, as well as resettlement service providers.     

Troubling Whiteness: Commentary on Harris's “The House of Difference”

This article focuses on Harris's (this issue) understanding of racialized subjectivity as a socially constructed phenomenon where fantasies about race are transmitted intergenerationally. I was raised as a “white” South African and I had two vivid associations to Harris's proposal that a “psychose blanche,” an invisible repository of unsignified, racially inflected thoughts, feelings, and selves exists at the heart of “whiteness.” In both cases I recalled a scene from my youth where I was taught that whites in apartheid South Africa deserved punishment and would receive this “come the revolution.” These lessons were crucial building blocks in the formation of my racialized subjectivity, and I describe and interrogate them in an attempt to add further variety and color to the landscape that Harris so deftly draws as she resignifies her “whiteness.”     

Talking or Keeping Silent About Parental Mental Health Problems—A Grounded Theory of Parents' Decision Making and Experiences with Their Children

This grounded theory study explored parents' experiences of responding to their children's need for understanding parental mental health concerns. Fifteen parents with severe and enduring mental health difficulties participated in the study. The findings suggest four main social processes that influence parents' talk with their children about parental mental health issues, namely “Protecting and being protected,” “Responding to children's search for understanding,” “Prioritizing family life,” and “Relating to others.” Implications of the findings for clinical practice and future research are considered. In particular, the need for more family‐orientated services where parents experience parental mental health problems is highlighted.     

Mother-Writing and the Narrative of Maternal Subjectivity

This essay discusses how writing from a maternal perspective can construct maternal subjectivity in a linguistic form. Maternal subjectivity is understood as the aggregate of subject positions, or “representations,” experienced by a woman who is a mother. Writing can form connections between subject positions, including those which have been split off or denied because of culturally induced ambivalence, to establish a subjectivity that is multiple rather than split. Through a reading of Mary Gordon's novel, Men and Angels, I show how the text's narrative structure, as it represents a mother's discourse with her own mother, her discourse with herself, and her discourse with her child, incarnates the plurality of self positions that mothers possess and constructs a relationship or “grammar” between them. By evoking this complex maternal subjectivity, mother-writing can be understood as a gesture toward recognition–both within the text, for its characters, and outside the text, for the mother/writer.     

“And Let the Grove,If Not the Parlour,Stand”: Home,Memory, and Gender in Mary Leapor's “Crumble-Hall”

ABSTRACT

This article focuses on Mary Leapor's “Crumble-Hall” and attempts to shed light on her gendered/class poetics. It argues that the poet uses the house as a metaphor for gendered (male) and social class (gentry) dominance as well as that through memory she assumes (poetic) control over it, demolishes and remakes it, thus forging her female/literary identity. The article also demonstrates that Leapor makes use of both social and psychological space in her poem. By appropriating the country-house convention, she creates a dialectical relationship between external space—the architectural structure; and internal space—the kitchen maid's unconscious; and points out that as the former crumbles, the latter stands because of the significance it acquires. Indeed, her memory of Crumble-Hall not only spawns years of suppression and hardship but also becomes the stepping-stone for her rebellion as well as for the creation of her verse. Her poetic empowerment is projected through the image of the grove surrounding the country house, a multifaceted symbol signifying the interrelation of home, memory, and female literary production. Overall, Leapor re-creates the past glory of the gentry house, depicts her subservient state, conveys her subversion, and finally, establishes her newfound identity as a female poet, all within the framework of fragmented memories. Consequently, she succeeds in promoting the need for gendered and class transgression, in the hope that her sisters can bring about the “crumbling” of their own “house” and remake their “home.”     

Early African American Social Welfare Pioneer Women

Abstract

This article uses selective aspects of the careers of Ida Bell Wells-Barnett, Lugenia Burns Hope, Elizabeth Ross Haynes and Janie Porter Barrett to provide a critical overview of the ways that African American women addressed the needs of their communities through social welfare services during the early part of the twentieth century. Furthermore, the article also shows how individual and collective forms of empowerment helped to build private social institutions to address the community's needs.     

All Ages and None: Commentary on Helene Moglen's Ageing and Transageing

Helene Moglen's article is especially welcome, given the paucity of psychoanalytic reflection on ageing. She usefully describes possible ways of managing the losses of ageing through accessing the multiple, decentered self-states embedded in our personal histories. However, I have some queries on her use of contrasting psychic topologies. In particular I wonder whether she is sometimes in danger of seeing images of former selves as being associatively “recovered” in the work of mourning that might be better seen as the more illusive “production” of presumptively anterior contexts and states of mind in the present. I also question how successfully Moglen's positioning of her notion of “transaging” somewhere between “transgender” and “transsexuality” serves to loosen up the vicious binary between “young” and “old. I would appreciate closer attention to the dreaded “feminization” of old age, noting the toxic sexism permeating cultures of ageing. Nevertheless, Moglen offers an excellent opening into this troubling topic.     

Kelly at CCSAD: AA works,but most severe patients need treatment

On Sept. 6, as the remnants of Hurricane Dorian were heading for Cape Cod, the Cape Cod Symposium on Addictive Disorders' (CCSAD's) plenary speaker John F. Kelly, Ph.D., Elizabeth R. Spallin Professor of Psychiatry in the Field of Addiction Medicine at Harvard Medical School and the founder and director of the Recovery Research Institute, gave the 1,100 attendees — many of them representatives of the treatment field — some welcome news: 75% of people who once had a problem with drugs and alcohol are now in remission. “Think about that,” said Kelly, who has become a mainstay of the speaker circuit in the addiction field. “This disorder has a good prognosis, despite, sadly, the opioid crisis.”     

Eunuchs for the Kingdom of Heaven: Constructing the Celibate Priest

This paper looks at the way sexual teachings and power transactions are interconnected, so that misogyny, homophobia, and a penitential code regulating sexuality enforced through confession provide the scaffolding for a hierarchical system, run by celibate males. It is a system that feminist theologian Elizabeth Schüssler Fiorenza (1999) has termed “Kyriarchy” or “the rule of the emperor/master/lord/father/husband over his subordinates” (p. 114). The paper reviews the historical evolution of the Church's teachings on sex and gender that have not only created the context for the recent pedophilia scandal, but, have pervaded Western thinking about these matters.     

“She was a little bit unrealistic”: Choice in healthcare decision making for older people

This paper examines autonomy, choice, options, and power in healthcare decision making for older people. Using discourse analysis and a case study from data gathered as part of an ethnographic field study we critique a common conceptualization of healthcare decision making as patients choosing from an array of options offered by healthcare providers. A discourse of “giving options and being realistic” used by healthcare providers is contrasted with the experience of a single patient's transitional care from hospital to home after hip fracture. This illustrates how a wide variety of actors, institutions, values, and resources take precedence in determining a discharge destination. While the accounts given by healthcare providers cast patient choice in respectful terms, an ethnographic approach illustrates that the “choices” are structured by a discourse which simplifies the complexity of what is offered and who gets to choose. In the case study the patient's choice was subjugated by expertise and institutional concerns; her options were largely illusory; and her autonomy was “at risk” due to her age, poor health, and limited resources. We use Foucault's ideas about discourse and governmentality to question the scope of agency in healthcare decision making. We argue that the conceptualization of informed patients making autonomous choices acts as “misdirection” which deflects problem solving and discussion away from a productive examination of the differences between healthcare system offerings and client needs. We conclude by posing questions to reorient the debate surrounding healthcare decision making for older adults and recommend a more participatory approach to designing social services.     

A Barrenness or Body and Theory: An Analysis or Infertility

This essay tracks the vicissitudes of woman's analysis during her three year attempt to become pregnant, and in her own words, “to become a real mother”. As a lesbian daughter of heterosexual parents, she attempted to “cure” her infertility, and redress her self- perceived sexual sins through compliance with a fantasy of heterosexual completion. This fantasy came to be seen as a diversion from the more difficult task of re-engaging with a symbolic oedipal dilemma and bearing parricide guilt.     

Skimming the Milk,Cajoling the Soul—Embodiment and Obscenity in Sexuality: Commentary on Muriel Dimen's Paper

Responding to Dimen's bringing together the vagaries of disgust, embarrassment, and shame lurking in sexuality, I translate “Eew” into abjection. I emphasize the “otherness” of sexuality mainly through the paradoxes of the body, which can figure as a chunk of flesh, demurring in a state of “facticity” (thingness), but which can also be(come) the house of the soul, the carrier of one's spirit, one's unique individuality and subjectivity.

To capture the other's ineffable subjectivity, we have to “cajole” his or her spirit to come and dwell on the body, particularly its apertures and skin. By caressing and arousing the other, we can transform the obscenity that inheres potentially in the sexual experience into the most transcendent and ecstatic event. Abjection, “Eew,” occurs when mutual understanding, which is the embodiment between two people, fails. When embodiment collapses into being only body, it is obscene and disgusting.