Evaluation of Family Therapy: A Comparison of Therapists' and Clients' Views**

In this evaluation of therapy experience for 82 families by brief therapy at Bouverie Clinic to 1976–1977, therapists' and clients' rating of outcome were obtained. After termination of therapy both therapists and clients reported high improvement rates in the presenting problem(s) as well as in the quality of family relationships and in the family's ability to deal with further problems. High agreement was found between therapist’ and clients' ratings of outcomes. Therapists were more favorable than clients in their ratings of change in the presenting problem and in their ratings of change in the quality of family relationships, but not in assessing the change in family's further problem solving ability. At follow-up clients were predominantly satisfied with their therapy experience. In addition, therapists' ability to predict outcome accurately, after the second of therapy, was strongly supported by our finding.     

Lesbian,Gay Male,Bisexual and Transgendered Elders: Elder Abuse and Neglect Issues

ABSTRACT

Unfortunately, due In large measure to our society's still-pervasive social prejudice against and ignorance about sexual orientation and gender minorities, there have been few studies of this population of elders, and virtually no one has examined how this population's culture affects its experience with elder abuse. Based on the author's knowledge of this community and discussions with social workers and domestic violence specialists who serve it, these clients are likely to be more resistant than other clients to accepting services. Greater awareness of the existence and circumstances of lesbian, gay male, and transgendered elders should help protective services staff in building rapport with these clients and in getting them the services and assistance that they need.     

Creative Solutions and Development for Social Workers Treating People with Serious Mental Illness - Contributions from Supervision

Social workers who are engaged in a therapeutic work with clients who have serious mental illness often face specific challenges and find themselves in crisis states in therapy, which stem from the return of the clients’ symptoms and their cognitive impairments as well as social stigma. These crisis states cause dramatic changes in the way social workers mentalize their clients and they are propelled to draw from covert, unformulated, and dissociated knowledge that they have about the client’s experience, which contributes to achieving new, surprising, and creative ways to mentalize the client. Such crisis resolutions enhance therapists’ personal and professional development and serve as an identification model for their clients.     

Commentary on Studying Circular Questioning “In Situ”

In their discursive study of circular questioning in a systemic family therapy session, the authors raise some interesting perspectives on the original Milan therapy team's guidelines for the therapist as the conductor of therapy. By emphasizing circularity from a discourse point of view, they suggest these guidelines can be used to help family members hypothesize about their own perspectives on themselves and the other family members in circular terms, and, drawing upon Cecchin's notion of neutrality, by creating a state of curiosity in their talk and maybe in their minds. Their emphasis on circularity also helps us to become more sensitive to ways in which the natural recursion in language can help us to appreciate the new guiding lines circular questions can suggest with previously spoken elements. If we follow this line of argument, then circular questions can be seen as a critical part of a therapy we can call recursive family therapy in which we use the recursive element of all natural living languages to help our clients to recursively change their language and lives naturally.     

The Impact of Childrens' Divorce on Parents:

Little has been written to date concerning the impact of an adult child's divorce on his or her parents-their anguish, grief, concern, humiliation or even occasional elation. The senior parent's reactions affect their own life cycle development. And within the context of a cybernetic circular systems model of conceptualization about family relations which we adhere to, it is posited that their reactions impact upon their childrens' (and grandchildrens') post divorce readjustment. This article is written to attempt to begin to address this issue and to fill this gap in the literature. It is primarily on the author's combined clinical observations with hundreds of clients and friends and their experiences living through their childrens' divorces. The next step is process and outcome research about this issue.     

Placing Gender in Social Work: The Local and National Dimensions of Gender Relations

This paper argues that as well as being sensitive to wider discourses of gender relations, social workers need to consider the ways in which gender is localised. It is argued that to some extent gender practices vary according to local culture, that gendered identities are often localised and that social workers tend to construct their clients according to images of local men and women. These images tend to be stereotypical but some do also reflect dominant local gendered practices. The paper draws on data from qualitative interviews with social workers and probation officers, as well as the experience of teaching social work students, to illustrate these arguments. Whilst it is argued that the localising of gender is of general relevance, the data come from Wales alone. The author's conclusion is that (amongst other things) anti‐oppressive practice involves recognising the important influence of local stereotypes and challenging them, whilst also acknowledging that gendered practices do vary from place to place.     

Becoming the Family Archivist

The author describes some of the ways in which conventional amateur family histories fail to portray the emotional realities of family life. Recent trends in biography and autobiography are explored briefly, and the possibility of a family history informed by systemic as well as psychoanalytic insights is considered. The author's own work, A Family in Time, attempts such a history. The author outlines his sources of information, both documentary and oral, and the special challenges posed by their interpretation. The decisions governing the ordering and selection of data for publication are explored, the author's aim being to present the facts in such a way that a systemic conception of family process over time will be implicit in the material. Implications for the author, for the family itself, and for therapists working with intergenerational process are briefly considered.     

Worker skill and client outcome in child protection

The research in child protection and in work with other involuntary clients suggests that the use of certain skills by child protection workers is likely to be related to positive client outcomes. In particular, effective practice involves: helping clients and client families to understand the role of the child protection worker; working through a problem‐solving process which focuses on the client's rather than the worker's definitions of problems; reinforcing the client's pro‐social expression and actions; making appropriate use of confrontation; and using these skills within a collaborative client/worker relationship. This study attempts to identify the extent to which child protection workers make use of these skills and how these skills relate to client outcomes. Data were sought through 50 interviews with child protection workers and 282 interviews with family members. The child protection workers provided information about 247 client families. It was clear that when workers used the skills, their clients had better outcomes—the workers believed their clients showed better progress, the clients were more satisfied with the outcomes and the cases were more likely to have been closed 16 months later. Copyright © 2002 John Wiley & Sons, Ltd.     

Talking about culture in social work encounters: immigrant families and child welfare in Finland

This article aims at analysing the ways in which people talk about ‘culture’ in social work encounters involving child welfare in immigrant families. The empirical material includes conversations between immigrant clients, their social workers and co-operating professionals at six Finnish social service offices, as well as interviews with the persons participating in these meetings. The theoretical and methodological frames of reference are social constructionism and discourse analysis. The study suggests three ways in which the concept of ‘culture’ is used by social workers and their clients: firstly, as a means of explaining ‘the ordinary and normal ways’ of raising children; secondly, as ‘a difficulty’ in the interaction between social workers and clients; and thirdly, as ‘a methodical tool’ in creating dialogue with clients. As far as the practical implications for social work are concerned, it is emphasized that in order to avoid ethnocentric practice or ‘culturalization’ of problems, it is important for social workers to be conscious of the various meanings of ‘culture’ both in their own practice and in the ways their clients employ cultural symbolism.     

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.     

EXPLORING FATHERHOOD: MASCULINITY AND INTERSUBJECTIVITY IN THE RESEARCH PROCESS

Exploring issues of fatherhood with men raises important questions about how identities are produced in the research process, and particularly about the part played by gender when both researcher and ‘researched’ are men. The article draws on the author's recent research with British fathers and makes extensive use of an individual case study, to suggest ways in which defensive and intersubjective processes interact in the production of one man's narrative of fatherhood and in the process of interpretation and analysis. The article's conclusions have implications both for researching masculinity and for working with men.     

Child welfare clients and school satisfaction

Despite long-standing knowledge about child welfare clients' poor educational outcomes, we know less about these vulnerable young people's situation in school. This article addresses school satisfaction among upper secondary students who have been in contact with the child welfare services. These child welfare clients' school satisfaction is compared with their peers' satisfaction. The results from a survey indicated that the majority of child welfare clients were satisfied with school but that they were less satisfied with school than were their peers. The results showed that the association between school satisfaction and positive school experiences explains a large part of this difference. Among students who reported they were doing well in school, had supportive teachers and friends at school, the difference in school satisfaction between child welfare clients and others was small. Among students who did not report similar positive experiences in school, difference in school satisfaction between child welfare clients and their peers was more substantial. These results show that school can be a good place for child welfare clients, but that facilitating support from teachers, increasing opportunities for making friends at school, and working to develop the child welfare clients' academic performances are important as efforts to improve school satisfaction.     

Clients as Teachers: Reciprocal Influences in Therapy Relationships

The value of the continuing education industry for therapists is questioned, as is the usefulness of therapy books and journal articles, as a means of engaging therapists in life‐long learning. Instead, it is argued that our clients are our best teachers and that therapists learn most effectively from their clients. Drawing on research studies with prominent theoreticians and therapists, and on case studies from clinical work, a number of important themes are identified as ways in which therapists are influenced by their therapeutic encounters with their clients. The themes explored in this article include: (1) intimacy and high emotional arousal with clients as we witness profound change; (2) being challenged by clients; and (3) allowing for boundary ‘crossings’ in order to develop more flexible ways of working with clients. The implications for professional development are discussed.     

Reproducing the Home in Robert Tressell's The Ragged Trousered Philanthropists and D. H. Lawrence's Sons and Lovers

This paper examines a central concern in the texts of The Ragged Trousered Philanthropists (1914) and Sons and Lovers (1913)—the figure of the home and the mother within it. Situating the author's preoccupation with the domestic interior alongside contemporary social concerns about the houses of the working-classes and the nature of the familial relations that went on within them, I argue that the ways of seeing into the house in these texts are intimately related to the place of the embodied author. Tressell and Lawrence's habitation of the class structure—their lived relation to the places of class—determines their reproduction of the working-class home and accounts for the different ways in which it is used in each of the novels, as symbol of the body politic and site of psychological longings respectively.     

Development of children's understandings of physical disabilities and stigmatization in a Japanese cultural context: Reflections of children in second through sixth grades

Stigmatization associated with disability is a culturally widespread social justice issue. Elementary school age is an important period for children to develop positive attitudes toward people with disabilities. This study examines Japanese elementary school-aged children's developing perceptions of disability and stigmatization. Following interactions and discussion about disabilities with the author, a guest teacher who uses a wheelchair, 118 typically-developing Japanese children in second through sixth grades provided written reflections on physical disability and stigmatization. Children in all grade levels described both positive and negative aspects of disability. Younger children's responses, however, were relatively positive, focusing on concrete examples of life in a wheelchair. Older children's responses focused more on challenges, and articulated their feelings and thoughts about disability in greater detail. Some older children also used the author's disability narratives to describe how they had overcome their own challenges that were not necessarily related to disability. Such differences in children's responses by grade levels are discussed in the context of Japanese socialization practices that emphasize sensitivity to stigmatization as well as empathy to maintain interpersonal relationships. Implications of Japanese cultural cases to professionals in Western countries also are discussed.     

THERAPEUTIC INTERVENTIONS IN LIFE-THREATENING SITUATIONS*

Therapists who encounter life-threatening behavior in their clinical practice are at risk in providing interventions which do not take into account the systemic effects of their interventions. Specifically, therapists are likely to engage in “more of the same” behavior with clients who present with suicidal or homicidal threats. This paper presents two case studies that employed therapeutic methods derived from the systemic therapy of the Palo Alto group. In these case studies, the author illustrates the importance of the therapist's ability to speak the client's language in formulating an intervention that has the potential for reducing the likelihood of actual violence. The first case illustrates the use of the client's world view about her situation to assist her in dealing with domestic violence. The second case presented describes the use of systemic interventions in the case of a young woman known to have made homicidal threats. The author discusses the appropriateness, as well as the ethical issues, of the techniques described. Also offered, is a discussion clarifying the theoretical underpinnings of the clinical work presented and an amplification of some of the ideas originally presented by the Palo Alto group.     

Rethinking ‘Rethinking Convergence/Culture’

Responding to the September 2011 special issue on ‘Rethinking Convergence Culture’, this essay seeks to identify ways that the author's thinking about convergence and participatory culture have shifted over time, often in ways that are closely aligned with the issue's contributors. Throughout the essay, the author addresses the links between cultural and political participation, the challenges in using new media in support of democratic change, the ways that institutional power structures continue to exert strong influence on our culture despite or perhaps because of significant expansion of who has access to the means of cultural production and distribution and the challenges and opportunities for doing cultural theory in an era of neo-liberal capitalism.     

Elite Analysis in Applied Research on Women in Communist Society

The problems associated with the use of elite analysis for women in Communist Party states are discussed under two categories: (1) problems connected with elite analysis in general as it pertains to women, such as the relevancy of current definitions of politics and the identification of women elites; and (2) problems associated with doing research in Communist countries. These include the difficulties inherent in information gathering, the reliability and comparability of data, the sophistication of research methods, and, based on the author's interview experience, the relative unity of the interview in countries with a dominant prevailing ideology. Continued research on women elites in the Communist Party states is urged for the development of more precise comparative categories on the ways women access and manage power, and for a more thorough cross-cultural understanding of the relation between the socialization of women at home and the impact of public support for women seeking power.     

Marital Therapy — Practical Approaches to Longstanding Problems*

This paper details a practical guide to the therapy of certain longstanding marital problems. Bateson's (1972) notions of schismogenesis and restraint provide the basis for an understanding of these problems and their presentation for therapy in terms of a classification of processes. A series of hypotheses, derived from this classification of processes, is developed for highly competitive marriages, dominant/submissive marriages and for marriages with closeness/distance problems. These hypotheses enable the therapist to avoid inadvertently participating with couples in ways that perpetuate these problems. Intervention procedures that enable the therapist to participate with couples in ways that favour a more mutually satisfying resolution of such problems are discussed.