First Episode Psychosis: A Magical Realist Guide Through Liminal Terrain

This paper presents a narrative of a client, ‘Eva’, who experienced what is termed by psychiatry a first episode psychosis. As a family and relationship counsellor practicing narrative therapy with its backdrop of post‐structuralism and curiosity of exploring new entry points for narratives of identity, I tentatively sought new ways to engage with Eva's story. My endeavour in meeting with ‘First Episode Psychosis’ is described through adopting a listening position from a reading of magical realist literature. This extends Michael White's political exploration of ethnographer Arnold van Gennep's liminal spaces (in the rites of passage metaphor) to understand units of experience, units of meaning, and the fluidity of identity in psychosis, which is contextualised as a response to events in the client's story.     

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.     

Family Therapy: Inner,Outer and the Issue of Pathology

This paper sets out to examine the relationship between ‘the inner’, ‘the outer’, and ‘the issue of pathology’ in the family therapy field. It begins with the observations that ‘pathology’ has become a rarely mentioned issue in family therapy, and ‘what is wrong’ is increasingly located in ‘the outer’: the family ‘game’, ‘linguistic activity’ or ‘the cultural discourse’. At the same time, family therapy often hosts forums in which presenters are ‘attacked’ for not seeming to hold the ‘correct view’. The paper considers these phenomena in tandem, looks at the matter of ‘method’, and applies James Hillman's critique of psychoanalysis to family therapy. The suggestion is that family therapy has been blinded by its own metaphor of ‘seeing’, symbolised and literalised in the one way screen. Alternative metaphors privileging intuition, feeling and aesthetics are put forward, before discussion points are raised, and before this paper on therapy concludes poetically, or this paper concludes that therapy may be poetry.     

Grieving for mestizaje: alternative approaches to Maya identity in Yucatan,Mexico

This article takes as its point of departure the highly contested theoretical terrain of ‘Maya’ identity in Yucatan, Mexico. Set in the physical terrain of a state psychiatric hospital, this article uses a framework of identity culled from the narrative of a young woman, ‘Claudina’, committed to its wards, to argue that being ‘in-between’ categories of ethnic identity, an experience she characterises as a painful sense of ambiguous loss, can be fruitfully analysed using an analytical framework of ethnic identity introduced by Claudina herself. Specifically, I argue that categories of identity culled from Claudina's story – mestizaje and elegancia – represent a valuable opportunity to think about how power dynamics and relationships operate in situations of ambivalent identities and social suffering. To this end, I use Claudina's language as a point of departure for understanding the lived experience of everyday life in Yucatan today.     

An Invitation to Openness‡

In reflecting on the content of the Adelaide conference, this closing address reviews three themes that have seemed implicit to the author in this and other recent conferences. The adoption of parental metaphors for therapy and the ethical demands that this overtly places on practitioners are discussed. The growing interest in psychoanalytic theories for family therapy is commented on in the light of family therapy theory's absence of a ‘body’, the soma. Lastly, the issue of the therapist's therapy (to have or not to have) is considered as recurring ‘corridor talk’ that may benefit from open discussion in family therapy forums.     

Technological sensibilities and the cyberpolitics of gender: Donna haraway's postmodern feminism

In this article, I discuss the far reaching implications of Donna Haraway's cyborg feminism for social and cultural theory. I argue that it allows us to re‐think the collapse of modernity not so much as the death of the social and the death of the subject, but as the eclipse of ‘Modern Man’ as the ‘natural’ anchorage of views from nowhere. Highlighting the inevitable particularism of embodiment, her notion of the cyborg marks the possibility of differential politics which combine critique with agonistique. Such an alliance could serve as particularly effective way of working through the challenge of postmodernity without either surrendering to ‘anything goes’ liberal pluralism or the romantic desperation of nihilistic fatalism.     

The Quest for Family and The Mobility of Modernity in Narratives of Postwar British Emigration

In this article I focus on ways in which the postwar generation of British migrants to Canada and Australia construct their stories as epic struggles with family themes of both loss and triumph at the centre. While, during the postwar years, there is among some migrants evidence of the emergence of a more adaptable, sojourning ‘mobility of modernity’, most life stories told by the migrants suggest a more traditional pattern in which family themes dominate. In these narratives postwar migrants structure their accounts along traditional ‘epic story’ lines reminiscent of Oscar Handlin's long superseded thesis about dislocation in the old country, alienation in the new and ultimate triumph over material and cultural obstacles. But the ‘epic’ quality of these stories is deeply attached to family themes; the disruption of family networks and attempts to rescue the old or create new ones are central to the way the migration experience determines the structuring of life memories. The very act of migration focuses attention on its impact on kinship. The predominantly urban, nuclear family form of postwar British migration does contrast sharply with more traditional rural patterns based on extended family movements and ‘chain migration’. But British migrants' emphasis on the ‘quest for family’ and the refashioning of migrant identity in their narratives underlines the coexistence of traditional themes within countervailing trends towards the mobility of modernity.     

The Flipside of Sixpence: Aboriginal Stories of Hope and Reconciliation

This is Colleen Brown's last interview before her untimely death in 2002. The interview continues and extends Colleen's project to educate family therapists about Aboriginal experience and culture. In presenting Cecily's life narrative and painting, Colleen surprises us with a creative message of hope and reconciliation about the stolen generation, because Cecily expresses gratitude to the white family who brought her up. In her own words, Cecily ‘did that painting for me like the others so I could show family therapists what the other side of the coin is, the flipside’. This three‐way conversation between Colleen, Cecily and Glenn provides a contribution to the reconciliation process.     

Keeping open by re‐imagining laughter and fear

Speaking to the debate on the nature of critique, this article is about the struggle to produce an account when listening to and retelling stories. It begins with the disconcertment over listening to a coherent story that emerges in interviews about the development of performance indicators for Dutch hospital care. The indicators are presented as solutions to the problem of unruliness in the healthcare world. Drawing on Helen Verran's work on generative critique I slow down the ‘problem‐solution‐found’ plot. Instead of contrasting the apparently coherent stories with the complexities of an ‘underlying’ practice of healthcare, I hold on to my initial disconcertment so that ‘fleetingly subtle’ interruptions become entry points for generative critique. Taking Eduardo Viveiros de Castro's understanding of the relation that fear and laughter have to alterity, I show how fear and laughter permit generative critique within seemingly coherent stories. In the case of indicator development, the interviewees ‘laugh away’ what they consider alter from quality and safety in healthcare: having no control over what is going on, polyglotism instead of a common language, and inaction as opposed to taking one's time. Paying attention to disconcerting interruptions generates sensitivity and questions rather than yet another set of (critical) problem‐solution‐found answers. How can ridiculed (laughed away) subjectivity be acknowledged as important entry points for including alterity in supervision? And how to position the acknowledgement, not as an antidote, but as a way of rendering the fear of alterity generative? Nurturing sensitivities is crucial for keeping open, which means resisting both the sticky tendency of normalizing accounts and the fallacy of misplaced concreteness. I conclude that keeping open by re‐imagining critique resonates with the creativity of collective life in actual times and places. Thereby it offers a promising potential for doing worlds differently.     

Thinking About the Emotional Interaction of Therapist and Family

The emotional interaction of therapist and family has been difficult to explore within the field of systemic family therapy. This paper looks at ways of thinking about this process. As a starting point, I take some feelings I had with three families in the course of therapy. These are used to illustrate some concepts from analytic therapy which address the emotional interaction of therapist and family. The kind of theoretical space and guidance offered within systemic family therapy is then explored, and it seems that the Milan frame gives some space for thinking about the process but offers little guidance as to exactly how this might be done. This is a paper about practice, though it's primarily a theoretical discussion. There is no aim of establishing a ‘correct’ way of understanding the emotional interaction of therapist and family.     

Family Therapy is Just One Option

I trace my development as a family therapist from being a single model worker in systemic family therapy to a more eclectic approach. The context of my work is children's services and private practice. Failure to appreciate when one method of therapy is more suitable than another can lead to family therapy being applied when it is not indicated. The dangers in such mistakes and a lack of careful assessment that includes the ‘feeling state’ of the therapist are illustrated by case vignettes. A possible effect of some therapy techniques is to create a ‘distance’ from clients and to shield the therapist from their emotional distress. I outline situations where I would not use family therapy.     

Anthropology, class and the 'big heads': an ethnography of distinctions between 'rough' and 'posh' amongst women workers in the UK pottery industry

In the context of the take‐over by a global corporation (Royal Doulton) of a family‐owned and run pottery factory in Longton Stoke‐on‐Trent, known as ‘Beswick’, and the subsequent re‐structuring of production, this paper explores the way in which women pottery workers make social distinctions between the ‘rough’ and ‘posh’, ‘proper paintresses’ and ‘big heads’ which cut into and across abstract sociological notions of class. Drawing on ethnographic data I show that for these working class women, class as lived is inherently ambiguous and contradictory and reveal the ways in which class is gendered. I build on historical and sociological studies of the pottery industry, and anthropological and related debates on class, as well as Frankenberg's study of a Welsh village, to develop my argument and draw analogies between factory and village at a number of levels. My findings support the view that class is best understood not as an abstract generalising category, but in the local and specific contexts of women's working lives.     

Learning at the edge

This article describes the metaphors persons used to describe their experiences within a three year training project in family therapy. Questions were posed of trainees that had asked them to describe their experiences of training as if they represented the title of a book, movie or journal article. Responses reveal how they construct or ‘story’ their experiences from both a first and second-order cybernetic perspective.     

Adolescents’ Views on Families as Metaphors in Hong Kong: Implications for Pre‐counselling Assessment

This interpretative study aims to offer metaphors that describe family meanings from the adolescent’s perspective by encouraging them to give a metaphor with their own explanation on a self‐administering essay form. This study has three objectives: to explore the family meanings as a metaphor from the Hong Kong adolescent’s perspective; to reveal any common and unique features of these metaphors; and to search for the possibilities of collecting metaphors from adolescents as a pre‐counselling assessment tool. The 12 participants for this study were referred to me for family counselling because of poor self‐esteem, loss of life goals or ineffective relationships with their parents. Based on the 12 metaphors, the following five themes can be discerned: (i) gender role in a family, (ii) Chinese culture in a family, (iii) heat in a family, (iv) security in a family and (v) the family as honey and a loan company. Based on the above five themes, there are some common metaphors (e.g. a warm place, honey, a shelter, a boat shelter, a chick and a hen, a volcano, a fire, an oven and a loan company), trans‐cultural and unique metaphors (e.g. a wet market and ‘Kung Fu’ experts), and those that are culturally specified. Both strengths and limitations of collecting and analysing metaphors were discussed.     

The demobilization of diaspora: history,memory and ‘latent identity’

In the context of sustained interest in the mobilization of diasporic identities, I consider how and why diasporic identities might be demobilized over time. I use the case of an Indian Pakistani community in the UK and the USA (sometimes referred to as ‘Bihari’) to examine how historical memories of conflict are narrated in diaspora and the impact this has on the presence or absence of ‘diasporic consciousness'. The significance of memory in diasporic and transnational communities has been neglected, especially where the narration of historical events is concerned. The impact of forgetting has received particularly scant attention. I argue that, in the absence of this story, important lessons about the role of history in the formation of community are obscured. In this example, the ‘latent’ identities created on diaspora's demobilization help us to unpick the dyadic relations of ‘home’ and ‘away’ at the heart of essentialist conceptualizations of the concept.     

EARLY CINEMA'S HEYDAY OF COPYING

Between 1895 and 1909, new American film entrepreneurs complained that ‘copying’ was out of control. Although ‘copying’ may have been widespread, and sometimes referred to as ‘theft’, it was more a worldwide industry practice than an extralegal operation. Before the 1909 US court case that decided the question of copyright in the motion picture, movie producers copied in an attempt to meet the demand for product. My discussion of the notion of ‘copying’, however, is somewhat ambiguous in that I need to make the term cover motion picture print duplication (‘duping’) as well as remaking. Framed by Lawrence Lessig's statement about the contemporary period, ‘copyright is out of control’, I wonder here if today's excessive use of copyright could be foretold in the way in which early cinema pioneers talked about the order that regulation would bring to the new industry. I ask, more specifically, if this early period of unfettered reproduction can tell us anything about contemporary conditions in which the technological capacity to duplicate has outstripped the state's capacity to regulate duplication.     

The Therapist's Imagination of Self in Relation to Clients: Beginning Ideas on the Flexibility of Empathic Imagination

The therapist's capacity to imagine is one specific part of the endeavour of empathy which lies at the heart of the processes of the therapeutic relationship. This article offers beginning ideas about the significance of therapist's imagination of self in relation to her/his clients in the task of trying to understand their experience. In seeking to ‘understand’ the experience of others, the therapist is able to move between an imagination of sameness/identification with the client/s, and an imagination of difference/‘foreignness’. The family therapy orientation of curiosity and ‘not‐knowing’ relies on the imagination of self as different to our clients; more traditional understandings of empathic connection rely more heavily on the imagination of sameness/identification with clients. This article argues that flexibility in the therapist's use of self in moving between these positions allows an expanded capacity for therapeutic connectedness. These ideas have special valence in the practice territories of impasse and intercultural therapy.     

Constructing Clean Dreams: Accounts,Future Selves,and Social and Structural Support as Desistance Work

This article investigates the discourse individuals use when talking about desisting from criminal offending. I analyze the links between offenders’ accounts of past negative behavior, their construction of their possible “clean” future selves, and the social and structural conditions in which they were raised and continue to be embedded. Applying Scott and Lyman's (1968) framework on accounts and Markus and Nurius's (1986) framework of possible selves to interview data with twenty‐eight criminal offenders, I illustrate how excuses for past behavior provide a way for people to distance themselves from their past selves in attempts to preserve or re‐create a possible self that is still worthy to be redeemed in the future. This discourse becomes one mechanism that motivates individuals to change their lives—but it can be short‐lived. The analysis highlights how limited structural opportunities influence individuals’ lifestyles and behaviors, how individuals approach the desistance process even in the face of structural deprivation, and how they attempt to sustain this desistance process.