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.     

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.     

ETHNIC IDENTITY DEVELOPMENT OF INTERNATIONALLY ADOPTED CHILDREN AND ADOLESCENTS: IMPLICATIONS FOR FAMILY THERAPISTS

The life story of the internationally adopted child tends to be an emotional one. How the story is tole and retold in the family can have lasting consequences for the child's adjustment and well-being. In telling the story, parents are faced with a qunique challenge: To what extent is it desirable to encourage their children, who adready struggle with identity issue related to adoption, to identify with their cultures of origin? Therapists working on these issues with multiethnic adoptive families can find little guidance in the family systems literature. To fill this gap, the present article reviews the literature on racial/ethnic identity development and the available research on ethnic identification, self-esteem, and the psychological adjustment of cross-ethnically adopted children and adolescents. Implications for practice include developmental considerations, identifying chldren and families at risk, and recommendations for those in need of intervention.     

ABUSE AND VIOLENCE: THE DARK SIDE OF THE FAMILY AN INTRODUCTION

This is a very upsetting topic we are taking on here. It is a dangerous topic. It is polarizing. It is very, very important.     

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.     

PARTICIPATORY EVALUATION: NAVIGATING THE EMOTIONS OF PARTNERSHIPS

This paper describes the processes involved in evaluating a Sure Start programme in one inner city area. The evaluation was set up in the spirit of participatory action research in which the researchers aimed to work in partnership with key stakeholders to both enable and sustain supportive evaluative processes. The evaluation supported the aspirations espoused by the national Sure Start agenda to improve the lives of children under four, their parents and communities through an expressed commitment to partnership working. The paper draws on ethnographic reflections to describe and analyse the processes involved in setting up the evaluation over two years. Issues of trust, ambiguity and conflict associated with partnership working are explored. In particular the emotional components of relationships required to work in partnership are described as a means of managing ambiguity and conflict and promoting trust. Emotional labour is taken as a conceptual starting point to analyse the relationships and the organisational conditions required to sustain partnerships. Further psychoanalytic and sociological studies are drawn upon to aid the analysis and in particular to understand the emotional components of partnerships in the relatively uncharted waters of inner city regeneration work.     

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 TASK INTERVIEW: A TOOL FOR CLINICAL RESEARCH IN FAMILY INTERACTION

The Family Task Interview (FTI) is a multiple task interview administered by tape recorder and designed to elicit clinically relevant family interaction. The FTI has been designed to improve on previous similar instruments and a series of studies to evaluate its validity, reliability, and acceptability have been carried out. Further psychometric and practical evaluation is necessary, but results so far suggest that the FTI is a well standardized and easily administered instrument which is useful for research where assessment of family interaction using direct observation is required.     

WHAT FAMILY THERAPISTS MIGHT LEARN FROM CHILD PSYCHIATRY

Recent articles in child psychiatry in America are reviewed, with emphasis on those studies ofinterest to family therapists. Major areas covered include: normal development, deviant development, and the impact of trauma. Differences from the "family therapy" literature include: multi-causal explanations, respect for scientific studies, reviews of progress in knowledge, and a deep-rooted ethical commitment to the welfare of children.     

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.     

THE CULTURAL GENOGRAM: KEY TO TRAINING CULTURALLY COMPETENT FAMILY THERAPISTS

Training programs committed to the development of culturally competent family therapists must discover ways to raise cultural awareness and increase cultural sensitivity. While awareness involves gaining knowledge of various cultural groups, sensitivity involves having experiences that challenge individuals to explore their personal cultural issues. This article outlines how the cultural genogram can be used as an effective training tool to promote both cultural awareness and sensitivity.     

THERAPISTS' PERSONALITIES AND THEIR EVALUATION OF THREE FAMILY THERAPY STYLES: AN EMPIRICAL INVESTIGATION

This study examined the relationship between beginning therapists' personalities and their evaluations of three divergent family therapy styles. Sixty clinical and counseling psychology students completed the Adjective Checklist (Gough & Heilbrun, 1983) and rated videotaped therapy sessions conducted by Bowen, Minuckin, and Whitaker. Adjective Checklist ratings of each subject were also obtained from three friends/family members. Self-rated personality factors of dominant-masculinity and, to a lesser extent, nurturant-femininity were significant predictors of subjects' ratings of the tapes. Gender was a factor in ranked ratings of the tapes. Other-rated personality traits were not significant predictors. Implications for therapy training and supervision are discussed.     

DEVELOPMENTAL LESSONS OF SEASONED MARITAL AND FAMILY THERAPISTS: A QUALITATIVE INVESTIGATION

Little has been published regarding the development of therapists during their professional careers. This qualitative research study explored the development of seasoned marriage and family therapists (MFTs) in order to identify important events and themes in their personal and professional lives. The main developmental theme that emerged was the integration of their personal and professional selves. Information gained from this study might be useful in understanding the self of the therapist within training and supervision and might partially provide a map of the possible transitions facing MFTs along their developmental journey.     

WHAT'S HAPPENED TO FAMILY INTERACTION RESEARCH? AN HISTORICAL ACCOUNT AND A FAMILY SYSTEMS VIEWPOINT

The origins and evolution of family interaction research are outlined in order to examine the apparent lag in the field after the initial hopes and enthusiasms of the 1960s. It is argued that family interaction research naturally drew upon the methodology of social psychology and that there was an insufficient integration of the implications of the clinical viewpoint of family systems theory into research procedure. A discussion is presented of some central concepts in scientific psychology, drawing conclusions as to how they can be broadened for the special field of family research. An experimental method for evaluating the public verifiability of complex clinical notions is described, and a number of recent investigations are scrutinized in the light of our critique. It is concluded that there are grounds for being optimistic that the gap between clinical and research thinking can be bridged, making the assessment and refinement of abstract and intricate concepts discovered in clinical procedures accessible to scientific experimentation.