Dangerous Liaisons: The Time Is Out of Joint

ABSTRACT

Anne is an older woman, with a history of severe, complex trauma, including abandonment and multiple rounds of sexual abuse, which started in her early childhood and was followed by sexual exploitation in a previous experience of therapy. In this article I discuss her treatment with me in the context of the #MeToo movement and the rest of the current troubling sociopolitical constellation. I argue that when tanks crash into our bedrooms and transform them into battlefields, seismic psychic change occurs: catastrophic or healing or both. I also contemplate the nature of the psychoanalytic contract between patient and therapist, as well as the limits of the psychoanalytic endeavor in the face of massive social and historical trauma, “when the time is out of joint” (Shakespeare, “Hamlet”).     

The “diseased” activist's body as the site of trauma: Anti-racist struggles and the postrace academy

This paper is an autoethnographic account of the “racialized activist body” in the White academy and in tandem the bio-politics and bio-ethics of its right to be an affective body or to possess its senses against the trauma of anti-racist struggles in higher education institutions. The paper argues that in the postrace university, the “activist body” birthed through trauma becomes a conduit for the pain of others enacting it as a site for the deposition and transmutation of trauma in the quest for racial and social justice. It employs Bracha Ettinger’s notion of “matrixial borderspace” to examine the interplay of social relations between of the activist body and other traumatized subjects in the provision of care as an activist. Two narratives unfold in the paper fusing the articulations of the main text with the paratext to unleash the tumultuous psyche of the activist and her journey of voicing resistance in her anti-racist struggles. In the process, the activist body emerges as a “diseased site,” overloaded with the trauma of others, yet numbed in its inability to reconnect with its own corporeality and professional identity in its interface with White governmentality. The paper asserts that anti-racist struggles reassemble the activist body, tightly welding it with exhaustion which manifests in the pervasiveness of racial battle fatigue in the ivory tower.     

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.     

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.     

Behavioral treatment of marital discord

Many techniques derived from various family therapies such as filial therapy (Stover & Guerney, 1967), conjugal therapy (Ely, 1970), conjoint parent/child therapy (Wertheim, 1959), conjoint marital therapy (Haley, 1963; Satir, 1964, 1965), and conjoint family therapy (Satir, 1964, 1965) have recently been incorporated into the practice skills repertory of clinical social workers. Of all of these approaches the behavioral view has a substantial pool of accumulated data to support its wide use in practice (Jacobson & Martin, 1976). However, virtually no detailed explanation of the behavioral view appears in the social work literature, thus hindering its application. To alleviate this deficiency this article reviews the following topics: basic philosophy; behavioral exchange and marital satisfaction; development of marital conflict; clinical implications; clinical assessment; tools for intervention; and procedural guidelines for the treatment process.     

Theories of Family Treatment

“Theory” in the social sciences may be defined as “Systematically organized, lawlike propositions about society and social life leading to hypotheses that produce a high rate of positive affirmation.”¹ No such theory exists in the subject area of “family”, generally much less in “family therapy”.     

The Clinical Uses of Video Therapy in the Treatment of Childhood Sexual Trauma Survivors

The power of visual images, combined with the increased availability of video taping equipment, has dramatically expanded the use of recorded images in psychotherapy over the past three decades. However, it appears that earlier video feedback techniques may not have fully capitalized on this modality's potential for catalyzing therapeutic change. Further, we have found scant literature on the use of video therapy in the treatment of adult survivors of sexual trauma. Drawing conceptually from a trauma model, as well as from cognitive behavioral and systemic/cybernetic frameworks, this article describes the therapeutic use of video therapy in the treatment of childhood sexual abuse. In video therapy, the patient is directed to independently view video recordings of therapy sessions to help correct cognitive and affective distortions resulting from trauma. How these distortions develop within the context of an incest "family trance" and how they are connected with processes of conditioning and programming are discussed. Further, the use of video therapy for marital therapy, perpetrator confrontations, and addressing suicidal impulses is described. The need for further empirical research is highlighted.     

Attitudes,Knowledge, and Behavior before and after an Undergraduate Health and Lifestyle Course

Abstract

“Marital and Family Therapy for Troubled Physicians and Their Families: A Bridge over Troubled Waters,” Ira D. Glick, et al. Because individual therapy for troubled physicians has been notoriously difficult and often ineffective, we report our experience using a treatment—marital therapy—newly applied to such problems in the medical community. The sample involved 13 male physicians and their spouses with emotional difficulties in themselves and/or their relationships. After marital treatment, there was substantial improvement in more than 92% (12/13) of the physicians, their spouses, and/or their marital relationships. (Journal of the American Medical Association 1984;251:1855–1858.)     

‘Bad Therapy’ as a Training Technique: An Empirical Analysis

The purpose of the present study was to gather empirical data to examine the usefulness of an intriguing training technique called “bad therapy”. The technique, developed by Lang (1980, 1982), is utilized in a role-play setting for experienced therapists who are having difficulty with specific clients showing little improvement. The therapist is instructed to disregard his or her usual style of treatment, and instead, within a role-play format with a colleague who plays the part of a client, to try an alternative style of treatment. This new treatment, termed “bad therapy”, instructs the therapist to try to make the client worse rather than better. Interestingly, reports from both the role-play therapist and client indicate that the “bad therapy” session was considered more beneficial than the therapist's usual mode of treatment. As well as empirically investigating Lang's assertion, the present study also attempted to look at different perspectives of bad therapy. Is “bad therapy” a directive to be harmful and destructive, or is it a suggestion to be more daring and to take more risks? Subjects were 56 therapists who formed twenty eight pairs of therapist-client dyads. First, each pair conducted a “session” where the therapist performed his or her typical therapy. Then, therapists in one group (N= 11) were given directives to try to make their clients worse rather than better (“destructive” set), while therapists in another group (N=11) were told to say and do things that they wished to, but never dared (“daring” set). Finally, six therapists were told to simply repeat their usual type of therapy (“control” set). Results indicated that clients perceived the destructive and daring groups differently with the daring group being perceived more favourably, yet more authoritarian. Similarly, therapists perceived the daring and control groups more positively than the destructive group. The results are discussed in terms of training techniques and current trends in psychotherapy.     

Quantity and Quality: A More Nuanced Look at the Association Between Family Work and Marital Well-Being

The current study uses family systems and gender theories to look at three forms of family work (housework, emotion work, and child care) and their association with marital satisfaction and burnout. Data were taken from a sample of dual-earner mothers and fathers parenting preschool-age children. First, relationships between the quantity of family work performed and marital well-being were established. Then, measures related to the perceived “quality” of child care provided by a spouse (childcare appraisals and, for wives, maternal gatekeeping) were added to the statistical model. Overall, emotion work was the most influential predictor of women’s marital well-being. For fathers, the perceived quality of care provided by mothers was most significant for marital well-being.     

An Interview with Laurie MacKinnon,PhD, 2012 ANZJFT Special Award Recipient and A Personal Tribute by Kerrie James

In this interview with Laurie MacKinnon, MSW, PhD, the 2012 ANZJFT recipient of the Special Award for Distinguished Contributions to Family Therapy, Julie Beauchamp discusses with Laurie her perspective on family therapy in Australia, the significance of feminism and family of origin work for family therapy, her writing and memorable experiences, collaboration with Kerrie James and her integration of a trauma perspective into couple and family therapy.     

Women and Weight: A Treatment Programme for Both Normal and Overweight Women Preoccupied by Eating and Related Issues

In this paper a guide to group therapy for women with chronic concerns about overweight, body image and eating behaviour is described. The first level of therapy constitutes a ten-week course designed to help women break obsessional preoccupation with eating, weight and body image. A dilemma is posed so that women see themselves struggling paradoxically for social conformity for thinness on the one hand and to provide nurture and food on the other. The contributions of social environment, early learning and family tradition, present family structure and inappropriate treatment modalities are examined. The second level of treatment is designed for severely obese women who have succeeded in breaking the obsessional concern with eating behaviour. This level focuses on family of origin restraints as well as on current family and particularly marital restraints to weight loss. The preliminary outcome studies have been encouraging but long-term results are not yet available.     

MAKING MULTICULTURALISM RELEVANT FOR MAJORITY CULTURE GRADUATE STUDENTS*

The revised accreditation standards for marriage and family therapy programs (Manual on Accreditation, 1988) require that the curriculum reflect an emphasis on “issues of gender and ethnicity as they relate to marital and family therapy” (p. 13). Training approaches that are described in the professional literature tend to emphasize an understanding of ethnic minorities while deemphasizing the trainee's own ethnic and cultural roots. As such, training lacks dynamic integrity for the white, middle-class trainee. This paper describes a rationale for addressing the ethnic and cultural background of all family therapy trainees and provides training activities to accomplish this end.     

The Family and Social Networks of Recently Discharged Foster Youth

Many youth leave foster care with disrupted relationships with family and others in their social networks. Previous research has documented the severe adversity that former foster youth face in the transition to young adulthood. Some of these difficulties are at least partially related to a lack of social support that results from frayed relationships. The purpose of this research was to examine the role that social support plays in the transition to adulthood. It was hypothesized that foster youth with higher levels of social support would make more successful adaptations to early adulthood than youth without that support. Ninety-seven former foster youth were followed for 2 years. Youth reported low levels of “feeling close to parents,” but higher levels of “closeness” were expressed for other relatives. Findings were mixed. Organizational involvement and having many “close” friends were associated with better outcomes. On the other hand, family contact and family support was inversely associated with resiliency. The implications of these findings are discussed.     

Affective disorders

Unipolar depressive disorders are especially common among persons presenting with marital and family problems, rendering their impact on the treatment of marital and family problems of interest to every marriage and family therapist. The current paper describes empirically based decision making rules for determining who may benefit most from marital and family therapy interventions. Using well-controlled outcome research, it is concluded that both marital therapy and parenting interventions can play an important role in the treatment of many but not all depressed persons. Predictors of treatment response are discussed and recent epidemiological research is used to examine the size of the population that may respond especially well to marital therapy. Future directions for research are suggested and public policy implications are discussed.     

Residency training and the later use of marital and family therapy in psychiatric practice

Marital and family therapy training during psychiatry residency was compared to later use, in practice, for 87 psychiatrists. Respondents reported modest to minimal amounts of training in residency but practiced marital and family therapy with a variety of problems, identified a spread of effect to other treatment modalities, and preferred marital and family therapy second only to individual therapy. These results suggest a trend towards incorporating marital and family therapy into psychiatry and also indicate levels of training which must be exceeded in order to achieve basic competency.     

The influence of individual,marital, and family therapy on high utilizers of health care

Research has shown that people reduce their use of health care after individual, marital, and family therapy, which is known as the "offset effect." However, little research has been done to learn if high utilizers of health care reduce health care usage after therapy. Medical records of research participants (n = 65) from a health maintenance organization (HMO) were randomly selected and examined for 6 months before, during, and after therapy. Persons who received individual, marital, or family therapy all reduced their health care use after therapy, with the largest reductions coming from those participants who had some form of conjoint therapy.     

Decolonizing my hair,unshackling my curls: an autoethnography on what makes my natural hair journey a Black feminist statement

ABSTRACT

There is unquestionably a buzz in US Black women’s communities about a trending “natural” phenomenon. Sales of chemical relaxers (sometimes dubbed “creamy crack” among the US Black community) have dropped 34 percent since 2009, while sales of “natural” hair care products that promise to non-chemically enhance or beautify “natural” curls are up exponentially. Corresponding to the rise in sales of “natural” hair care products are beauty blogs, YouTube instructional videos and supportive social groups—such as “natural hair” meet-ups, which have organically emerged for, and been mostly created by, Black women as a tool to support and nurture women as they take this journey. In this article, I use Black feminist P.H. Collins’s work because her understanding of the relationship between knowledge, consciousness and empowerment provides a framework or point of departure for grasping my own lived experience of going “natural” with regards to modes of oppression and methods of resistance.     

“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.”     

Doing Fatherhood Online: Men's Parental Identities,Experiences, and Ideologies on Social Media

Online discourse about parenting has grown with the expansion of social media technologies. With a community of “dad bloggers” developing in North America, further investigation into how men write about fatherhood on the Internet is needed. In this article, I present a qualitative analysis of 201 blog posts written by 40 dad bloggers. Adopting a social psychological perspective, I examine how fatherhood is constructed across lines of identity, experience, and ideology. My findings illustrate how dad bloggers reinforce and reshape family discourses in their writing about parental role models, becoming a father, work–family balance, generativity, and “good” and “bad” dads. Social media use is discussed as a part of fathering in everyday life and as a tool to display, promote, and normalize involved fatherhood.