Studying Circular Questioning “In Situ”: Discourse Analysis of A First Systemic Family Therapy Session

The present article focuses on the study of circular questioning “in situ,” that is, in the context of the discursive arena of an actual first systemic family therapy session. Two typical circular questions are selected, and discourse analysis heavily drawing from the discursive action model is deployed with the aim to highlight their function in the context of therapist and family members' problem talk. The analysis demonstrates the gradual building of two respective patterns, which both exhibit signs of shifts toward the instillment of a systemic epistemology in relation to problem talk: a shift from homogeneity to heterogeneity in family members' voices, which legitimizes the existence of different viewpoints within a system, and a shift from the construction of an accusation toward its deconstruction, which challenges the linear perception of causality underlying the accusation, thus introducing a more circular perspective. Implications are discussed in relation to contemporary, constructionist systemic family therapy practice, and reference is made to the methodological “promises” and challenges of the deployment of discourse analysis for the scrutiny of systemic family therapy therapeutic techniques and tools under a discursively informed light.     

Pathological Gambling and Couple: Towards an Integrative Systemic Model

This article is a critical literature review of pathological gambling focused in the family factors, particularly in the couple dynamics. Its main goal is to develop an explicative integrative systemic model of pathological gambling, based in these couple dynamics. To achieve that aim, a bibliography search was made, using on-line data bases (e.g., EBSCO Host) and recognized books in pathological gambling subject, as well as in the systemic approach in general. This process privileged the recent works (about 70 % of the reviewed literature was published in the last decade), however, also considered some classic works (the oldest one dates back to 1970). The guiding focus of this literature search evolves according to the following steps: (1) search of general comprehension of pathological gambling (19 references), (2) search specification to the subject “pathological gambling and family” (24 references), (3) search specification to the subject “pathological gambling and couple”(11 references), (4) search of systemic information which integrates the evidence resulted in the previous steps (4 references). The developed model is constituted by different levels of systemic complexity (social context, family of origin, couple and individual) and explains the problem as a signal of perturbation in the marital subsystem vital functions (e.g., power and control) though the regularities of marital dynamics of pathological gamblers. Furthermore, it gives theoretical evidence of the systemic familiar intervention in the pathological gambling.     

IMPASSE AND CHANGE: A SYSTEMIC/STRATEGIC VIEW OF THE THERAPEUTIC SYSTEM*

This paper examines how clients and therapists, together, create impasses or change. First, the general concept of a “therapeutic system” (therapist-plus-client) is briefly reviewed. Second, a model is described that synthesizes systemic and strategic ideas about therapeutic systems. Third, a series of questions based on this model is proposed for analyzing and resolving impasses. Finally, application of this framework is illustrated with a case.     

Evaluation systemischer Strukturaufstellungen im OrganisationskontextEvaluation of Systemic Structural Constellations within an Organizational Context

This article deals with the evaluation of systemic structural constellations within an organizational context. Twelve participants experienced a systemic structural constellation which differed in the kind of constellation (single constellation, constellation with representatives) using a topic from an organizational context. The participants were surveyed by questionnaire and/or interview on their estimation of perceived usefulness, effectivity of the method and practicability of the solution as well as on their perceived self-efficacy at three points in time. A high perceived usefulness, effectivity of the method, practicability of the solution was noticed independently from the kind of constellation. For the “variable perceived self-efficacy” significant differences appeared for the kind of constellation and the time interval as well. Overall, this study gives empirical evidence for the effectiveness of systemic structural constellations used in an organizational context.     

Systemic Therapists' Experience of Powerlessness

In this article we explore and discuss the relevance of the concept of powerlessness in systemic practice. The views and concerns of systemic trainees' groups are compared with those of experienced therapists'. We interviewed 12 experienced systemic therapists and investigated what made them feel powerless and how they dealt with it. Extracts from interviews are quoted and summarised in the text. We argue that therapists' powerlessness is a marginalised subject in the systemic approach and that open discussion about the topic would enhance therapists' self‐reflexivity and contribute to a fuller understanding of the part that power and powerlessness play in the therapeutic relationship. We consider the place of gender, culture and wider sociopolitical contexts in the experience of therapists' powerlessness. Finally we discuss the implications of our findings for systemic therapy, training and supervision.     

“Our Own Little Language”: Naming and the Social Construction Of Alzheimer's Disease

Social meanings and cultural definitions attached to illness, disability, and aging have a powerful influence on the development and operations of medical care as well as the social, behavioral, and therapeutic processes occurring within these settings. Specialized care environments designed to meet the needs of what some would argue is a dramatically increasing population worldwide, those with Alzheimer's disease, have been dominated by a medical model of care where treatment of disease has primacy over person. In contrast to the medical model, the Certified Nursing Assistants (CNAs) at Starrmount (pseudonym) Alzheimer's Unit have socially constructed an alternative to the medical model of care through what I argue is the use of language and a process of “naming and reframing.” In this “different world,” as the CNAs call the world of the Unit, the resident is depicted as a socially responsive actor with a surviving self that is to be treated with respect. Using a symbolic interactionist framework, this paper examines the CNAs' construction and use of a “language of openings”—that is, the language arising out of the lifeworld of the residents—as the counterpoint to the “language of limits” of the medical model. Spoken everywhere but nowhere inscribed as “official” knowledge, this “little language,” as the CNAs speak of it, is the fundamental medium for social interaction in the Alzheimer's Unit.     

Representations of “the West,”“Japan,” and “the Periphery” in the Discourse of Lafcadio Hearn Studies

The purpose of this article is to analyze representations of “the West,”“Japan,” and “the Periphery” in the discourse of research on Lafcadio Hearn (“Hearn studies”) from pre‐war Japan. The nature and construction of nationality will be analyzed by examining where the representations of “the West,”“Japan,” and “the Periphery” intersected. During the 1900s, researchers in the field of Hearn studies recognized that “Japan” lacked—and thus sought—a universality similar to what existed in “the West.” The tone of the discourse shifted during the 1910s through 1920s however, and what came to be emphasized was “Japan's” peculiarity. By the 1930s through 1940s, “Japan” aimed to show to “the West” a new universality that was different from what existed in Europe and America. Yet simultaneously, in order to legitimize its representation of its self, “Japan” portrayed “the Periphery” as an object that was both excluded and absorbed or appropriated into that image. On the one hand, “Japan” received and internalized the Orientalist viewpoint of “the West.” In fact, “Japan” was always conscious of its self‐image as something to display to “the West.” On the other hand, in order to create that self‐portrayal, both a representation of “the Periphery” and a reflection from that same “Periphery” were essential. While representations of “Japan” were produced, reproduced, and reinforced through interactions with “the West” and “the Periphery,” the intersecting behavior of these three entities also points to a residual ambiguity in “Japan's” nationality. By analyzing the discourse in Hearn studies, this paper reveals how the interaction between “Japan” and the two others of “the West” and “the Periphery” helped construct and destabilize its nationality.     

Separation Crises in Over-Attached Families

Families are described as “over-attached” whose members respond anxiously to the otherwise normal unfolding of separation-individuation processes and in the absence of past traumatic separations. It is observed that “anxious attachment” occurs with over-availability just as with under-availability of attachment figures and that attachment is an intra-familial process as well as a dyadic one. A reformulation of Bowlby's attachment theory is required in order to encompass this systemic perspective, and to allow also for the integration of intrapsychic and extrapsychic process. Bowlby's control systems model need not stand in opposition to either systemic or psychoanalytic thinking.     

Rehearsals in Citizenship: BBC Stop‐Motion Animation Programmes For Young Children

This paper examines new managerial discourses and practices in which the dialectic of labour is reconstructed as a series of acts of self‐understanding, self‐examination and “self‐work”, and through which the “self qua self” is constituted as the central object of management technologies. We interrogate concepts such as “excellence”, “total quality”, “performance”, “knowledge”, “play at work” and “wellness” in order to decipher the ways in which managerialism deploys what we term therapeutic habitus, and projects a new horizon of “human resourcefulness” as a store of unlimited potentialities. We invoke management’s wider historical–cultural context to situate managerialism within the framework of modernity as a cultural epoch whose main characteristic is what we term “derecognition of finitude”. It is the modern synthesis — with the “self” at the centre of its system of values — that provides the ground for current elaborations of subjectivity by managerialism. The paper examines how current vocabularies and practices in organizations use “work” to rearticulate discursively the human subject as an endless source of performativity by configuring work as the site of complex and continuous self‐expression. Management thus acquires a new discursive outline: instead of appearing as an authoritarian instance forcing upon workers a series of limitations, it now presents itself as a therapeutic formula mediating self‐expression by empowering individuals to work upon themselves to release their fully realized identity.     

Time in the Therapeutic Domain

This paper sets out to examine theoretically the role that “time” plays in therapy. It proceeds by investigating the appearance of “time” in the therapeutic literature: specifically, research regarding the efficacy of brief therapy and attendance of clients in therapy, psychoanalytic concepts of “time”, family therapy's recent emphasis on the future and conceptualisations available about “time” and its role in problem formation and resolution. A summary of these findings precedes a discussion emphasising the problems of crisis, irreversibility and chronicity. The conclusion re-emphasises the need for a multi-modal approach to any future theorising on “time” in the therapeutic domain.     

The Inseparability of “Career” and “Personal” Counseling

In this article it is argued that “career” and “personal” counseling should not be viewed as different types of counseling because: (a) the holistic philosophy of counseling emphasizes helping “whole” persons whose lives contain many important and meaningful roles; (b) recent research on the implications of gender and race for career development further demonstrates the inseparability of our career and “personal” lives; and (c) there are numerous commonalities in the “career” and “personal” counseling process.     

No ‘Magic Bullets’: Children,Young People,Trafficking and Child Protection in the UK

Trafficking of children and young people has become an increasingly debated issue in the UK, with official statistics often considered to reflect only the “tip of the iceberg” of cases. Identification of a child as “trafficked” relies upon referral to designated “first responders” and “competent authorities” within a National Referral Mechanism (NRM). This article explores the complex undertaking of identifying a child as “trafficked”. It is suggested that, like any other form of child protection, in cases of “trafficking” there are unlikely to be “magic bullets” providing immediate answers to why children are not always seen as being exploited and/or abused and consequently identified as “trafficked”. Drawing on findings from two qualitative studies into understandings of trafficking amongst agencies working with children, it is suggested that identifying “trafficking” of children could be enhanced if a broader range of agencies had roles in the process, particularly those working within community engagement frameworks in positions to form crucial relationships of trust with children.     

The Aural and Moral Idylls of “Englishness” and Folk Music

The idea of “Englishness” is explored as an historical social construction that is subject to ongoing negotiation. Important features of “Englishness” are embedded in the sacralized symbolism of the “rural idyll,” which represents traditional English values. “Landscapes” and “soundscapes” are utilized to construct personal and national identities in periods of “revivalism.” By viewing English folk music through an interactionist framework, responses to the music build upon earlier collective works that have shaped traditional song. “Englishness” is problematized as either an inclusive, or exclusive, identity. Ideational artifacts thus provide a foundation for social action.¹     

Negotiating the “Global” within the Global Playscapes of Mount Everest*

Within the anthropology of tourism, “tourist” and “local” are often used to conceptualize social relations constitutive of international tourism, where “First World” mobile subjects visit stationary “Third World” “Others.” Globalization, as both discourse and condition, is changing the contours and conceptualizations of tourist spaces. In this paper, I show how “the global” is negotiated by different subjects, and how recreational mountain climbers from Nepal negotiate their identities as “locals” as well as global, mobile, travel subjects within “the global playscapes” of Himalayan mountaineering. I suggest that the question of who can be a tourist within a globalizing world should be closely examined.     

“Discrimination” versus “Unfair Treatment”: Measuring Differential Treatment and its Association with Health

There is consistent evidence of the health‐harming effects of discrimination. However, it remains unclear whether discrimination contributes to persistent racial and ethnic health disparities. One hindrance to documenting the association between discrimination and health disparities is ongoing methodological issues, particularly the role of question wording in assessing self‐reports of discrimination. Using two nationally representative surveys, we investigate whether the prevalence, distribution, and mental and physical health consequences of differential treatment vary by question wording—”discrimination” versus “unfair treatment.” We find that “unfair treatment” yields greater reports of everyday forms of differential treatment relative to reports of “discrimination,” while the latter yields greater reports of major forms of differential treatment. In addition, the negative effect of “unfair treatment” on mental health is stronger than that of “discrimination,” while the latter has a stronger negative effect on physical health. However, the effect of question wording on reports of differential treatment and its association with health is largely unique to non‐Hispanic whites. We conclude that unfair treatment and discrimination reflect distinct concepts that should not be used interchangeably.     

“I” and Self-Consciousness in the Japanese Language and in Sociology

Abstract It is often said that the Japanese lack the firm consciousness of “self” namely, they yield to groups and are absorbed in an anonymous state. Some ascribe this to the Japanese language, in which the first and the second person are expressed by various pronouns (or, in many cases, are even omitted) in accordance with the relationships between persons. By contrast the Westerner's “I,” which is usually the only pronoun for the first-person, is rarely omitted. They conclude from this that the Japanese individual does not possess as clearly defined a conception of “self” as does the Westerner. Underlying this issue are the fundamental, interwoven questions of language and self-consciousness: does “self” really exist, and does the analysis of the I in language pertain to the first question? This paper discusses these questions by considering Wittgenstein's argument that “I” does not refer to self-consciousness: rather, “self” is a metaphysical reification of “I.” These problems concern sociology, in which the “subject” of action has been the focal point of methodological arguments. I will show that Meadian interactionism and critical theory are deeply rooted in the metaphysical, subjectivist understanding of “I,” while ethnomethodology offers a perspective which overcomes both subjectivism and objectivism for studying communication.     

Clients' Attributions of the Presenting Problem and the Therapeutic Alliance in Couple Therapy: Systemic Versus Intrapersonal Perspectives

The therapeutic alliance is central to couples' therapy success. The current study examined associations between couples' initial agreement and causal attributions of the presenting problem and changes in the therapeutic alliance. To test study hypotheses, 85 couples were recruited from a university training clinic focused on couple and family therapy. Couples completed an intake questionnaire concerning their attribution of the presenting problem, either as systemic or individual, and therapeutic alliance was assessed at the end of sessions 2–8. A dyadic multilevel model revealed that a disagreement in the couple's attributions of the problem (with one viewing it as systemic, the other as individual) was associated with a larger initial discrepancy in the couple's therapeutic alliance, as well as a decline in the discrepancy over time. Findings were discussed in the context of systemic family theory, with implications for improving assessment, treatment, and psychoeducation aimed toward couples in distress.     

“Whistleblower” or “Renegade”: Definitional Contests in an Official Inquiry

This paper addresses the interpretive dynamics of official inquiries. Beginning with an ideal-typical sketch of congressional investigations, the discussion traces a portrayal of public problems by a committee of the House of Representatives. This leads to the analysis of a hearing in which committee factions struggled to define an Air Force administrator as a “whistleblower” or a “renegade.” The hearing is understood as a “certification ceremony” that rhetorically transformed staff discoveries into allegedly definitive evidence. It is concluded that the paper's conceptual approach can be applied to diverse inquiries that combine documentary research with interrogation of witnesses to generate authoritative findings.