Domestic Violence Assessment Procedures Among Couple Therapists

Guidelines for addressing domestic violence (DV) in couple therapy have been published, but reports of whether therapists routinely follow these suggestions are few. A national survey of 620 couple therapists randomly selected from American Association for Marriage and Family Therapy members was conducted in 2000 to assess therapists' strategies for assessing DV and selecting a treatment modality when violence is discovered. Less than 4% of respondents indicated consistently following key published guidelines for DV screening (universal screening using separate interviews and questionnaires). A minority indicated that they consider the victim's safety as a factor in treatment modality selection. DV may be under-identified by couple therapists and therapists may be using conjoint therapy with couples for whom such therapy is contraindicated because of relationship violence.     

Systemic Practice in the Time of COVID: Conversations Among Culturally Diverse Therapists

The COVID‐19 pandemic has changed the delivery of clinical services and education of health professionals, including family therapists. This paper distils two separate Zoom conversations between myself (as the lead author) and two eminent family therapists, Professors Maurizio Andolfi and Harry Aponte, where challenges and opportunities for the profession during and after the pandemic are discussed. Creativity and resourcefulness are two important elements therapists and educators have needed to access during the pandemic to find alternative ways to continue to provide clinical services and teaching. Most therapists have transitioned using online technology and various platforms such as Zoom and Skype; for some this has been a somewhat familiar experience, for most it has been a novel one. Key themes emerged from the conversations including the personal and professional ‘lived experiences’ of the pandemic; the financial impact on clients and students; the importance of touch for human social connection; the use of ‘self’ as an instrument of change and alternative platforms of service delivery and teaching. We reflected on what has been lost, such as the nuances inherent in face‐to‐face human interactions, and what has been gained, such as observing families in situ in their own environments.     

Heretical Social Movement Organizations and Their Framing Strategies*

This article is an exploratory study of heretical social movement organizations (HSMOs) and the challenges that they face in framing their issue positions. It examines how identity communities’ core issue positions serve to demarcate the boundaries of authentic group membership, making “heretics” out of community organizations that have contrary positions. It also analyzes how these organizations finesse their heretical status by utilizing specific framing strategies. It illustrates these processes using data on two social movement organizations involved in the American abortion controversy, Catholics for a Free Choice, a Catholic pro‐choice organization, and Feminists for Life of America, a feminist pro‐life organization, during the period between 1972 and 2000. I begin by demonstrating the Catholic and feminist communities’ use of an abortion litmus test to maintain community boundaries. I, then, describe the two organizations’ use of value amplification and boundary framing to frame their “heretical” issue positions both within and against their identity communities, respectively. I conclude by discussing the trend toward orthodoxy in many identity communities and the role of heretical social movement organizations in challenging this trend.     

Strategies Used by Foreign‐Born Family Therapists to Connect Across Cultural Differences: A Thematic Analysis

With the growing diversity in the United States among both clinicians and clients, many therapeutic encounters are cross‐cultural, requiring providers to connect across cultural differences. Foreign‐born therapists have many areas of differences to work through. Thus, exploring how foreign‐born family therapists in the United States connect to their clients can uncover helpful strategies that all therapists can use to establish stronger cross‐cultural therapeutic connections. A thematic analysis was conducted to understand strategies 13 foreign‐born therapists used during therapeutic encounters. Four themes were identified: making therapy a human‐to‐human connection, dealing with stereotypes, what really matters, and flexibility. Findings suggest that developing a deep therapeutic connection using emotional attunement and human‐to‐human engagement is crucial for successful cross‐cultural therapy. Clinical and training implications are provided. Video Abstract     

Identity Management Strategies Among Lesbians of African Ancestry

ABSTRACT

The authors present the results from a study investigating identity management strategies among African-ancestral lesbians within their families of origin. The researchers collected qualitative data from 16 African-ancestral lesbians, which were analyzed using the CQR method. From these responses we examined themes relating to the coming-out experiences, familial support patterns, and the integration and management of lesbian identities within African-ancestral families. We found that participants typically reported positive feelings and attitudes about themselves and their lesbian identities. Although levels of distress experienced during the coming-out process were mixed, our participants consistently endorsed the importance of relationships with family members as a means of more effectively managing their lesbian identities.     

Bush's War on Sexual Health and Defensive Strategies Against It

Abstract

Since George W. Bush became President of the United States in 2001, his administration has presided over a far-reaching campaign attacking sexual and reproductive rights. This paper examines three facets of this campaign-the promotion of abstinence-only education; a general attack on condom use; and a campaign against sex workers-and offers strategies for advocates of sexual and reproductive rights to counter these measures.     

Morality Politics vs. Identity Politics: Framing Processes and Competition Among Christian Right and Gay Social Movement Organizations

This paper applies a social movement organization framing analysis to conflicts between gay-rights and Christian Right groups over issues of lesbian, gay, and bisexual inclusions in public education. As groups representing each side entered this new arena of debate over gay rights, they applied strategies they had used in other arenas. Both sides have pursued inflexible, polarizing strategies that target their constituencies and have relinquished the opportunity to offer new and creative understanding of their positions and to reach a potential new audience. This shows how opposing frames can become mutually reinforcing constraints.     

Family Mediation: A Guide for Family Therapists

Family therapists often see separating parents who need to agree on co‐parenting arrangements. This article provides a guide to current research and practice in family mediation. The limited available research suggests mediation is a useful approach for some separated parents and their children, but often is not successful with highly conflicted parents, parents with mental health problems, parents struggling to accept the separation from their partner, or parents with unrealistic co‐parenting expectations. We analyse ways in which mediation might be enhanced, and discuss the potential roles of family therapists to support separating families to negotiate positive co‐parenting.     

Strategies of Stigma Resistance Among Canadian Gay-Identified Sex Workers

Abstract

The purpose of the current study was to explore how sex workers (specifically, gay-identified Canadian men working primarily, though not exclusively, as independent escorts) combat the pervasive negativity that surrounds their profession. Semi-structured interviews were conducted with 9 men, a majority of whom were targeted through escort review boards. Interviews were transcribed verbatim and analysed for themes of “stigma resistance.” Four themes were identified: (1) escorting is volitional (i.e., one isn't forced to work as an escort, rather it is a choice one makes); (2) escorting is a profession (i.e., the client is a customer and the escort a service provider); (3) the escort is in control during client/escort interchanges; and (4) escorting is distinct from, and better than, street prostitution. Directions for future research and limitations of the current study are outlined.     

Psychoanalysis: A Traveller's Guide for Family Therapists

ROLL UP, ROLL UP! AirFreud is pleased to announce a special and spectacular Around-The-World Package for Down Under Family Therapists. Psychoanalytic ideas are being rediscovered in your field and you may like to encounter these first hand, in the places and spaces where the ideas arose. Visit first Vienna, the city of Freud's love-hate and his adopted home: see Freud's apartment, in a fashionable Viennese suburb, home now to the Sigmund Freud Museum. Then on to Paris, La Rive Gauche and the Sorbonne. Hear the echo of Jacques Lacan's Seminar resound along the famous boulevardes. Experience the stirrings of 1968. Then to London and feel the tension that still exists between the Anna Freud Clinic and the Tavistock, just as in the days of Miss Freud and Mrs Klein. Then whisk across the Atlantic to New York and then on to Los Angeles. Follow the footsteps of the psychoanalytic diaspora from Hitler's Germany to the security and comfort of forward-looking middle-class America. Along the way friendly tour guides will provide you with plenty of information. In the Handy Travel Pack, there are useful summaries of major theoretical writings, a map, and a splendid bound journal is included for your own notes and observations. No prior knowledge is assumed; take an open mind and enjoy the journey.     

Training Family Therapists: Creating a Learning Experience

This article describes the structure of a Three Day Residential Workshop for experienced therapists. We were concerned that workshops for family therapists often failed to provide a sense of continuity and movement from one interview to the next. We also felt that workshops, through their process, imply an expectation of uniformity in style that may inhibit the creativity and spontaneity of the therapists. We therefore chose the Growth Model of family therapy as we experimented with a format that: (a) used sequential interviews which broke some well established rules of role-playing, (b) utilized a team approach as a useful tool in furthering the learning experience, and (c) exposed the participants to a variety of therapy styles. In this article we seek to Illustrate those components of the workshop that proved successful and those areas which needed to be changed in order to make it a more effective learning experience. We conclude with specific recommendations regarding the structuring of such workshops.     

Therapists’ Responses to Treatment Termination: An Inquiry into the Variables that Contribute to Therapists’ Experiences

The study investigates predictors of emotional responses to treatment termination in a sample of 48 professional social workers and 92 student social workers in Israel. The findings show that the respondents found treatment termination to be moderately difficult, and client initiated terminations to be especially difficult and to bring in its wake particularly negative emotions. They also show that the aftermath of the termination was related to the process. The less abrupt the termination, the more control the therapists had over the termination process, the more central the therapeutic relationship was to them, the more they attained the therapeutic goals, the less they believed that the therapy had failed, the more choice they had in the treatment termination, and the more they wanted the termination, the more positive self-feelings the therapist reported. The paper suggests that treatment termination is better viewed as a transition than a loss and discusses the clinical implications of the findings.     

Kinship Strategies and Self-Sufficiency Among Single Mothers by Choice: Post Modern Family Ties

This article discusses findings from an on-going study of 50 single mothers by choice: women aged 21 to 50 when they become mothers, who are self-supporting economically, and who have chosen to become mothers as unmarried women. The interviews include women (both heterosexual and lesbian) who vary widely by race and social class. We argue that this group of women demonstrate ways of maintaining economic self-sufficiency—relying neither on the state nor on a male provider—through creative efforts at networking, resource sharing, and non-economic exchanges. We find that the route the women take to motherhood (adoption, known donor pregnancies, anonymous donor insemination, or accidental pregnancy) has a strong impact on the makeup of specific kin relationships between the mothers, their children, and others; yet all the mothers strategically forge or foster close ties which enable them to raise their children independently.     

The Evolution Of Circular Questions: Training Family Therapists

This article describes a procedure for training family therapists in the clinical application of circular questioning as developed and implemented at the Marriage and Family Therapy Clinic at the University of Iowa. A pragmatic taxonomy of circular questions is presented; instructional handouts designed to facilitate the use of these questions within the trainee's initial interviews are included.     

Social Inclusion of Refugee and Native Peers Among Adolescents: It is the Language that Matters!

This study investigated the role of refugee status and language skills for adolescents’ inclusion or exclusion decisions in hypothetical intergroup scenarios. 100 German adolescents (Mage = 13.65 years, SD = 1.93) were presented three scenarios in which groups of adolescents are planning leisure time activities, and peers from their own country (Germany) versus another country (Syrian refugees) with either good or bad German skills want to join them. Whereas adolescents’ inclusion decisions did not differ between the German protagonist and the Syrian one with good German skills, the Syrian protagonist with bad German skills was less likely to be included than either of the other two. These findings have implications for understanding the role of language in adolescents’ inclusion decisions.     

Medical Family Therapists in Action: Embracing Multiple Roles

Medical family therapy (MedFT) is a growing area of interest within the field of marriage and family therapy. Its practice necessitates a shift from conventional family therapy practices to include diverse ways of providing care. Literature highlights approaches for patients with specific illnesses and for particular healthcare contexts. Less is understood about frameworks for treating patients with different illnesses across settings. Contributing to the growing discourse surrounding MedFT, we present a role‐based practice framework that identifies six consistent roles, Therapist, Brief Interventionist, Health Coach, Patient Advocate, Consultant to Health Professionals, and Trainer specific tasks associated with each. We describe the skills needed to perform each role and describe how we move fluidly between roles to provide comprehensive care.     

Role‐Playing and Playing Roles: The Person,Player, and Persona in Fantasy Role‐Playing

In fantasy role‐playing games, participants collectively create and play fantasy personas in an imaginary universe by using a vast system of rules that function as guidelines for make‐believe action and interaction. Consequently, role‐playing games obligate participants to occupy a liminal role located in the boundaries of persona, player, and person. This study, based on approximately ninety hours of participant observation and forty interviews with thirty role‐players, explores how role‐players actively negotiate these symbolic boundaries: how role‐players carve out distinct spheres of meaning between themselves, their fantasy personas, and status as players of these games. It also illustrates how these distinctions fail. Boundaries erupt and role‐players prove unable to compartmentalize themselves so discretely. Through the lens of these games, we can examine simplified and exaggerated dynamics and entertain the possibility that we are all players located at the liminal margins between the people we believe ourselves to be and the personas we perform in situated social encounters.