THE FAMILY FIRO MODEL: A MODEST PROPOSAL FOR ORGANIZING FAMILY TREATMENT

This paper presents a model for organizing family issues and family treatment. Schutz's FIRO model is offered as a framework for organizing family issues into inclusion, control and affection categories. Following Schutz's theory of group development, we propose that inclusion, control and affection constitute a logical hierarchy of core issues to be dealt with in treating multiproblem families-inclusion first, then control, and then affection (intimacy). Furthermore, we propose that the FIRO model can be used to organize theories of family therapy. We attempt to demonstrate that different family therapies are best suited for one of the three core issues of family interaction. We advocate an "intelligent eclecticism" based on the premise that when an issue is appropriately matched with a therapy, therapeutic effectiveness should be enhanced. We also discuss implications of our Family FIRO model for clinical practice.     

Latent Models of Family Processes in African American Families: Relationships to Child Competence,Achievement, and Problem Behavior

This study explored the assessment of family processes for a sample of African American kindergarten children, parents, and teachers involved in the EARLY ALLIANCE prevention trial. Using modified versions of the Family Assessment Measure, the Family Adaptability and Cohesion Evaluation Scales, the Family Beliefs Inventory, and the Deviant Beliefs measure, internal consistency analyses along with exploratory and confirmatory factor analyses provided empirical support for a Cohesion factor (cohesion and communication), a Structure factor (support and organization), a Beliefs factor (on family purpose and child development), and a Deviant Beliefs factor. Regression analyses examined the relationship of these measures of family processes to child social and academic competence, problem behavior, and early reading achievement. Family Structure (support and organization) was consistently related to parent‐ and teacher‐reported competence and behavioral outcomes, providing support for this construct as an important aspect of family process. Family Cohesion and communication, along with Beliefs, were also related to youth competence and behavior. None of the family process variables added a unique contribution to the influence upon achievement for these kindergarten children beyond the role of parental education and income. This work begins to examine specific dimensions of family processes and their relationships to important adaptive and less adaptive child outcomes. Other dimensions may be identified and examined in future research with families of color.     

THE FAMILY CRISIS INTERVENTION LITERATURE: WHAT IS MEANT BY “FAMILY”?*

Family crisis intervention is a rapidly growing area of clinical care in family therapy which lacks clear conceptualization, especially with respect to how “family” fits into crisis intervention theory. This paper integrates recent concepts from the family therapy literature into three views: family as background, family as context, and family as a unit. The family crisis intervention literature (56 publications) is reviewed and categorized according to these three views. Clarity in how “family” is viewed and consistency between theory and practice are examined. Recommendations for improving the conceptualization of “family” in family crisis intervention theory and practice are made.     

Resiliency in the Practicing Marriage and Family Therapist

Although burnout in the helping professions is well documented, few studies have examined the phenomenon of the resilient therapist. This study used a grounded theory methodology to construct a theory of therapist resilience. The participants were eight licensed marital and family therapists: five females, three males, all Caucasian, with an average age of 58.9 and an average of 22.6 years of experience who reported feeling energized by the practice of therapy. The theory that was constructed included a central category (Integration of Self with Practice), a paradigm (Trust in Self), and two main categories (Career Development and Practice of Therapy). The process involved an initial calling, a positive agency experience, career corrections, the influence of relationships, and a move to a more flexible environment.     

Moving Up the Continuum of Hope: Developing a Theory of Hope and Understanding its Influence in Couples Therapy

For years therapists have suggested that hope is an important catalyst in the process of change. This study takes a grounded theory approach to address the need for a clearer conceptualization of hope, and to place interventions that increase hope within a therapeutic context so that therapists know how and when to use those interventions. Fifteen active and experienced marriage and family therapists from across the United States participated in hour-long phone interviews about hope in couples therapy. Moving Up the Continuum of Hope emerged as the core category from the grounded theory analysis of the data. This category represents a process, with general and specific conditions and consequences that increase a couple’s level of hope. This study serves as a foundation for future process research on couples therapy, as well as research on hope in other contexts (e.g., individual and family therapy) and with other perspectives (e.g., clients).     

Unlocking the family secret in family play therapy

Family play therapy combines play therapy with family systems therapy. When family secrets are revealed in a family setting, with play to cushion the family's anxiety, families have the opportunity to resolve long-standing intrapsychic and interpersonal difficulties that impede the psychological well-being of both children and parents. Family play therapy effectively reduces symptomatic behavior in children in an age-appropriate manner—an advantage over family therapy that may be geared to adult cognitive levels. It also gradually shifts the family to a systems perspective of its problems in a non-threatening way, thereby facilitating the child's connection to his or her primary caretakers.Ms. Eaker is a psychotherapist in private practice in Family Systems Theory, and therapist for the United Federation Teachers' Stress Management Program and various Employee Assistance Programs, and a PhD candidate.     

Effectiveness of the Coral Tree Family Service family inpatient unit: a longitudinal study exploring change in family functioning

Child mental health disorders represent a major burden to public health in Australia due to high prevalence rates, the widespread impact across domains, and the potential for difficulties to persist into adolescence and adulthood. Extensive evidence exists for the use of parent management training and cognitive behavioural therapy to treat difficulties experienced by children; however, a proportion of children do not benefit as expected from these treatments. The use of complementary therapeutic approaches and variations to the mode and intensity of existing intervention is warranted; family inpatient units represent a unique example of this. The aim of this study is to evaluate the effectiveness of a well-established Australian inpatient unit that admits the whole family, for children aged 12 years and younger referred with mental health, behavioural, or emotional difficulties. This study's longitudinal within-subject study design utilised routinely collected outcome data from the systemic clinical outcome and routine evaluation, 15 item (SCORE-15)—a valid and reliable measure of family functioning—from a sample of 980 participants attending the Family Residential Program. This study reported significant improvement in family functioning across all outcome variables between baseline and post-intervention, with no variables returning to pre-intervention levels at follow-up. Clinically significant changes in overall family functioning showed that 37% of participant scores moved from the clinical range at baseline to the nonclinical range post-intervention. This study represents the first empirical evaluation of the Family Residential Program, and the reported results provide compelling evidence for the program to effect improvement in family functioning for families with long-standing and severe difficulties. Poor rates of questionnaire completion following intervention frequent the literature base of family inpatient units, with low post-intervention (56%) and follow-up (12%) rates evident in this study. This study uniquely contributes to the growing evidence base of family inpatient units using rigorous evaluation methods.     

Over 1000 Aluminium Cans for Forty Dollars: The Provisioning Contributions of Older Children from the Perspectives of Welfare‐Reliant Lone Mothers

In this article, as a child and family mental health therapist, I connect the feminist concept of ‘provisioning’ and the experiences of ‘young carers’ to critically examine the family care contributions made by older children living in poverty. I present the findings of a qualitative study consisting of two focus groups in which ten (n = 10) welfare‐reliant lone mothers living in Toronto, Canada described the nature and significance of the contributions made by their older children (11–17 years old) to help their families ‘make ends meet’. Using grounded theory, two main categories emerged: (1) the nature of the provisioning by older children, and (2) the significance of the contributions. The implications of the findings suggest that mental health approaches with older children living in poverty inappropriately misrepresent and pathologise their emotional distress and family contributions.     

Beyond enmeshment: evidence for the independence of intrusiveness and closeness-caregiving in married couples

In a 1996 article on family theory, we (Green & Werner) proposed that family enmeshment should not be equated with high cohesion and that the construct of enmeshment fails to discriminate between two distinct relationship processes: Closeness-caregiving and intrusiveness. In this study, our model of these two independent dimensions of family connectedness was tested by assessing spouses from 264 couples, using the California Inventory for Family Assessment (CIFA). The CIFA scales showed acceptable reliability. Significant interspouse validity correlations also were obtained. As predicted by our theory, factor analyses distinguished dimensions of intrusiveness (blurring of boundaries) from dimensions of closeness-caregiving (such as warmth and nurturance). On all but two factors, behaviors of only one spouse (but not of both) had interpretable loadings. That is, in most areas, the two spouses' behaviors did not load together to form meaningful factors. The latter finding suggests that family systems theory--with its central notion of reciprocally contingent behaviors between family members--may be useful in understanding only a few dimensions of spouses' behavior (such as reciprocal aggression) whereas personality-in-context theories may be better for understanding most other dimensions (such as warmth and nurturance).     

The New Zealand Family Court: its structure and process

SUMMARY. During the last decade the New Zealand Family Court has been central to the transformation of key aspects of Family Law. It has provided a forum for conciliation, thus enabling the resolution of family conflict without recourse to the formal adjudicative process. Conciliation, coupled with a diminution in the use of adversarial techniques by lawyers., have combined to take the bitterness and recrimination out of family breakdown. The Family Court has therefore succeeded in enhancing the welfare of children. These two articles are based on papers given to the Family Courts Campaign Conference, May 1989     

The Centrality of the ‘Family Dispute Resolution’ Process to the Separating Family,the Community and the Administration of Justice

The International Convention on the Rights of the Child sees family as the fundamental unit of society and aims to ensure that children grow up in ‘an atmosphere of happiness, love and understanding.’ Incorporated as an object of the Family Law Act 1975, the Convention guides the outcomes and informs the way that the Family Law Act should be interpreted and applied. Wherever possible, adherence to the Convention requires not litigation, adversarial contest, and determinative processes, but facilitative dispute management and dispute resolution processes. This is because ‘happiness, love and understanding’ can only be provided by parents and by families themselves – not by a court. In this address I examine the extent to which the family law system supports facilitative processes in general and family dispute resolution (FDR) in particular. I consider the tensions between legal processes and self‐determination and outline a series of benefits that derive from the default use of FDR processes.     

The Adversarial Legal Process and Divorce:

This study investigated the effects of the adversarial legal process per se upon the psychological adjustment of children of divorce. A highly controlled sample, including 23 fathers and 39 mothers, divorced for an average of 2.8 years, and a total of 103 children, was investigated. Parents were interviewed independently to assess the family system pre- and post-divorce. Divorce, as a function of the adversarial process, was categorized and entered, together with the age of child and the measures of family functioning, into a multiple linear regression. The Rutter A (2) Scale measured child adjustment. The ROLES dimension of family functioning, both pre- and post-divorce, as well as an acrimonious divorce, contributed significantly to the psychological maladjustment of children, indicating that the adversarial process does not "serve the best interests" of the child. It is recommended that the adversary process be replaced by a system of divorce mediation, via Family Courts.     

美国学校教育变革中家庭参与的多维转向

家庭参与一直是美国学校教育革新的重要特质,直接影响到父母与相关教育者的态度与行为方式,对青少年儿童的成长有着决定性的影响。伴随着美国社会政治经济的发展变革,家庭参与一直是美国教育管理理论研究与政策分析的主要实践兴奋点。从美国教育变革的视域下回顾家庭参与的发展,发现该主题经历着不断演进的历程,在理论分析与政策实践方面呈现出不同维度的转向。这种转向深刻地反映了美国教育变革与其经济社会的互动规律,也折射出蕴含其中的美国历史文化传统,并昭示出未来美国教育变革中家庭参与发展的基本趋势。     

Addressing Urban African American Youth Externalizing and Social Problem Behavioral Difficulties in a Family Oriented Prevention Project

Summary

The current article examines the secondary effects of an inner-city Community-University Collaborative HIV-Prevention and Adolescent Mental Health Family Program (CHAMP) in reducing externalizing (i.e., aggressive and rule-breaking behavior) and social problem behaviors for children with significant levels of externalizing behavior. Data were provided by parents for a sample of 50 youth assigned to the CHAMP Family Program and 299 comparison children. Among the CHAMP Family Program participants at pretest, 40% (n = 20) of parents reported their children exhibited significant levels of externalizing behavior. Among the comparison group, 38% (n = 113) of parents reported their children exhibited significant levels of externalizing behavior. There was a significant reduction in child externalizing scores for children in the CHAMP Family Program from pretest to posttest, bringing their mean scores of externalizing behavior from clinical to sub-clinical levels. Posttest only comparisons revealed that children in the CHAMP Family Program had significantly lower externalizing behavior scores than children in the comparison group. Analyses of child social problems indicated mixed results. Implications for urban mental health and prevention programs are discussed.     

Developments in Family Psychiatry in the United Kingdom

In the United Kingdom, Family Psychiatry began at the Ipswich Hospital, in 1949, mainly as a reaction to the then prevailing practice of child psychiatry. The family became the unit not only of theoretical formulations, but also of clinical psychiatric practice. Family psychopathology is understood in terms of real experience; family diagnosis is arrived at by taking into account the total dysfunctioning of the family, and family therapy, a part of Family Psychiatry, is applied with the aim of benefiting the family as a whole. Developments in the inpatient field have followed. The efforts of a number of British workers have been directed to the problem of schizophrenia and the family.     

‘I Just Don't Agree’: A Voice-Oriented Analysis of An IFPS Case of Alleged Child Maltreatment

In contrast to the many outcome studies of Intensive Family Preservation Services (IFPS), little is known about the underlying personal and relational dynamics of family crisis interventions. This article focuses on the core evolving dynamics of the changing self-presentations of a parent involved in an intensive home-based family preservation case of alleged child maltreatment. Three key family intervention sessions were videotaped and transcribed including both verbal and nonverbal behavior. The Listening Guide Method – a theoretically flexible, qualitative, relationally oriented method of in-depth interpretative analysis – served as our guide for this case analysis. In the processes of change toward a jointly constructed meaningful narrative on responsibility and self-care, two key elements emerged as playing a pivotal role: (1) the momentum of a potential referral of children to out-of-home care that precedes the start of an IFPS intervention and (2) the rhizomatic or root-like intertwinement of the voices of both parent and therapist with respect to the rationale for any involvement of society in the family. We argue that discourses on imminent placement in the context of family preservation deserve a genuine and valuable position in the initial discourse of a family therapist when entering a family in the context of crisis intervention. Both in understanding and driving any processes of change, we may need to reconsider our own willingness to step into the blending interplay of discourse and counter-discourse with our clients on the subject of our often drastic intervention. Consequently, we may read this narrative analysis as an invitation to reflect on the conceptualization of ‘client readiness’ in psychotherapy and to shift our thinking on preconditions for therapy from a client's readiness toward a therapist's attentiveness to listen.     

Studies of the maintenance of subsidized foster placements in the Casey Family Program

The Casey Family Program provides a planned, long-term approach to subsidized foster care for the underachievers of the child welfare system. Its concept is a marriage of what foster care professionals know about effectively helping children and what managers know about effectively running organizations. The purpose of our studies of The Casey Family Program was to determine whether the outcomes of its foster placements were predictable from factors that could be known, at least in principle, at the time the placements were made. We built statistical models of placement maintenance based upon characteristics of (a) the foster child; (b) his or her biological family; and (c) the foster family. We used two main sources of data to construct models: archival material on the child and his or her biological family, and caseworker ratings of various aspects of the child and his or her foster family. Information was derived from a sample of 51 children served by the Montana Division of The Casey Family Program to build the models, which in general provided accurate predictions of placement outcomes. The models were then cross-validated with a sample of 55 children from the Idaho Division. There was a substantial amount of shrinkage in the variance accounted for in the cross-validation sample, but outcomes remained largely predictable. To determine whether predictions of placement outcomes could be based upon brief assessments of factors that could be evaluated at the time placements were made, a third study was undertaken. The results of that study implied that ratings of salient characteristics of foster children and foster families based upon as little as a single day's observation could be used to effectively predict placement outcomes. Several aspects of these studies deserve special emphasis. First, the research confirmed that the children served by the Montana and Idaho divisions of TCFP were among the underachievers of the child welfare system whom Jim Casey desired to reach. It also confirmed that the Montana and Idaho divisions were doing an effective job of serving those children. Their placements were generally stable and both foster children and foster families were rated as functioning at levels that ranged from acceptable to good.(ABSTRACT TRUNCATED AT 400 WORDS)