TEACHING PROFESSIONAL WRITING TO FAMILY THERAPISTS: THREE APPROACHES

The authors present three educational approaches designed to demystify the writing process and to support better writing skills among family therapists. One framework is an academic course in professional writing, another is a writing seminar for family therapy and physician trainees within a medical school setting, and the third is a 2-hour continuing education writing workshop for family therapists. Each is replicable within a variety of settings.     

THE QUESTION CUBE: A MODEL FOR DEVELOPING QUESTION REPERTOIRE IN TRAINING COUPLE AND FAMILY THERAPISTS

This paper presents a three-dimensional model for teaching questioning to those wishing to develop skills in couple and family therapy. The model breaks questions into their component parts of format (the style of the question: open, closed, forced choice, rating, or ranking); orientation (the person who is being inquired about: self or other), and subject (the content of the question: behavior, feelings, beliefs, meaning, or relationship). The model is presented in the context of our post-Milan version of couple and family therapy training. The model is useful in that it allows students gradually to increase their repertoire of questions in a way that offers step-wise learning and integrates with their existing skills.     

THE FAMILY PSYCHE OVER THREE GENERATIONS: THE GENOGRAM REVISITED*

The genogram is a structured method of taking a three-generational family history. This paper describes a variety of ways the clinician can use the genogram in addition to the standard uses described in the literature. It also demonstrates using the genogram as a quasi-projective technique which reveals unarticulated fears, wishes and values of the individuals comprising the family unit. Practical suggestions as to technique in creating genograms are offered, as well as a discussion of when, with whom and under what circumstances genograms should be undertaken.     

MARRIAGE AND FAMILY THERAPISTS AND THE CLERGY: A NEED FOR CLINICAL COLLABORATION, TRAINING, AND RESEARCH

This article calls for greater collaboration between clergy and marriage and family therapists. It spells out the reasons for potenial collaboration and suggests some specific ways it can occur. Marriage and family therapists acknowledge the highest rates of religious involvement of any metntal health profession, placing them in a unique position to be involved in the continuing education of clergy. There is a clear need for research to understand how marriage and family therapists and clergy can more effectively work together. The dearth of research, training, and collaboration between the two vocations is all the more unfortunate given the clear evidence of the importance of religion in the personal lives of the clients we serve.     

PARTICIPATORY EVALUATION RESEARCH: AN INTRODUCTION FOR FAMILY THERAPISTS

Participatory evaluation research empowers the consumers of services to become leaders in evaluation and change. Participatory research methods have been used widely in developing countries and are consistent with family therapy's recent emphasis on non-hierarchical, empowering, collaborative therapies. In this paper, the authors present several examples of participatory evaluation methods and discuss their applicability to the work of family therapists.     

PREMARITAL SEXUAL COERCION: TREATMENT ISSUES FOR FAMILY THERAPISTS

Premarital sexual coercion is conceptualized as nonconsensual sexual activity between two persons who are not married to each other but who are involved in an intimate relationship with one another. Factors and consequences associated with premarital sexual coercion are presented. Three possible clinical scenarios are discussed, and a case example is presented to highlight the importance of several therapeutic issues, including the need for individual sessions with the victim in order to provide crisis intervention and assess her safety and willingness to continue the relationship.     

WHERE ARE ALL THE FAMILY THERAPISTS? ABUSE AND VIOLENCE WITHIN FAMILIES AND FAMILY THERAPY'S RESPONSE

This paper draws on a wide range of research from different fields to document the epidemic proportions of physical violence and sexual abuse in North American families. It delineates the gender dimensions of this problem, with men being the predominant perpetrators of sexual abuse of both boys and girls, and the major physical abusers in couple relationships. Family therapy's lack of response to the problem, and its conceptual inadequacies in doing so, are challenged. A feminist perspective for thinking about abuse is presented and guidelines for working with it are suggested. A course on treating violence and abuse in families is recommended as a required part of family therapy training.     

TRAINING THE PERSON OF THE THERAPIST IN STRUCTURAL FAMILY THERAPY

Structural Family Therapy needs a training model that integrates the existential, human mutuality of the therapeutic relationship with its technical elements. This paper offers a theoretical foundation for training structural family therapists in the use of self, discusses a model for training, and gives a case example illustrating personal training in a clinical context.     

EFFORTS TO INCORPORATE SOCIAL JUSTICE PERSPECTIVES INTO A FAMILY TRAINING PROGRAM

This paper describes the efforts of the faculty of the Family Institute of New Jersey in recent years to develop a collaborative family training program that takes into account issues of gender, race, culture, class, and sexual orientation. We have come to realize how strongly traditional approaches have been skewed in the direction of the dominant culture--white, male, heterosexist, and prioritizing the needs and experience of the middle and upper classes. We have attempted to modify our teaching, supervision, reading lists, and overall training approach to challenge trainees and ourselves to move toward broader, strength-based, and equity-based multicultural perspectives in our training. We describe our vision, how we incorporate it into our program structure, and a few of our training initiatives.     

THE SOLUTION-ORIENTED GENOGRAM: A COLLABORATIVE APPROACH

Developed primarily by Bowenian intergenerational therapists, genograms have evolved into largely atheoretical tools used by many therapists. Given that constructivist-based therapies have become the most popular genre of contemporary family therapies (Sprenkle & Piercy, 1992), the author examines how genograms can be used to augment a solution-oriented approach. Specific interventions, case examples, and potential problems associated with such an approach are discussed, along with potential implications for family-of-origin work.     

THE AAMFT-HEAD START TRAINING PARTNERSHIP PROJECT: ENHANCING MFT CAPACITIES BEYOND THE FAMILY SYSTEM

This paper summarizes the experience of a two-year project to promote partnerships between 12 graduate Marriage and Family Therapy (MFT) training programs and their 12 local Head Start partners. The American Association for Marriage and Family Therapy (AAMFT) awarded 9 grants to MFT-Head Start partnerships that had established relationships with each other prior to the project. Three MFT-Head Start pairs that had no preexisting relationship but wanted to develop one received planning grants. The partnership project provided an exciting opportunity for MFT faculty and interns to integrate family systems theory into larger organizational settings and to enhance the capacity of MFTs to serve disadvantaged, low-income, culturally diverse families and the community agencies that work with them. Preparing MFT students to intervene and respond systemically both in organizations and with the families they serve represents a viable alternative to more traditional approaches to MFT that limit the focus to the family system. Survey results and interview data reflect the rich experiences of MFT faculty and supervisors, MFT interns, and Head Start staff. Implementation issues are discussed and recommendations are made to improve the collaboration between MFTs and community-based agencies such as Head Start.     

HEALTHY FAMILY FUNCTIONING: WHAT THERAPISTS SAY AND WHAT FAMILIES WANT

The findings from a questionnaire survey of 208 non-clinical family members about their views of the nature of a healthy family are presented. These results are compared to the results of a previous study of family therapists' perceptions of healthy family functioning. Differences and similarities between these two samples are discussed, and the results are considered in light of the findings of another major independent study of healthy family functioning.     

EMERGENCY PSYCHIATRY AND THE FAMILY: THE DECISION TO ADMIT

The author's work with families presenting to a psychiatric emergency service points to the prominence of families' wishes that one family member be hospitalized. The pressure on the cliniciancan be extreme. A number of studies in the literature on the decision to admit contain similar observations emerging from varied methodologies and vantages. The author draws from clinical practiceand the literature to focus on an interpersonal dimension to emergency interventions. Awareness ofinterpersonal forces upon mental health clinicians is crucial to allow mature balancing of the many factors involved in the decision making process. An integration of family and systems thinking into the practice of emergency psychiatry can enhance comfort and effectiveness in many difficult crisis situations.     

FROM THE CRADLE TO THE GRAVE: AUSTRO-MARXISM AND CULTURAL STUDIES

The political theory and practice of Austro-Marxism provided an understanding of culture as an area of political conflict and as a class-based way of life. As a cultural and educational movement, Austro-Marxism defined the framework for transdisciplinary extramural cultural studies. An Austro-Marxist cluster defined by a number of scholars associated by political orientation and an alternative form of academic institutionalization emerged in interwar Vienna. This cluster disagreed with the paternalistic claim of leading representatives of the SDAP. Nevertheless, the SDAP defined the pluralistic framework for the formation of Austrian cultural studies. Socialist-oriented scholars such as Otto Neurath, Edgar Zilsel, Paul Lazarsfeld and Marie Jahoda developed a materialistic idea of culture focused on the social conditions of cultural practices. Furthermore, they provided a profound understanding of mass culture and popular culture.