PERSONAL AUTHORITY IN THE FAMILY SYSTEM: DEVELOPMENT OF A QUESTIONNAIRE TO MEASURE PERSONAL AUTHORITY IN INTERGENERATIONAL FAMILY PROCESSES*

This paper reports a series of studies on the development of the Personal Authority in the Family System (PAFS) questionnaire. The PAFS questionnaire is designed to measure family processes based on aspects of current intergenerational family theory (Williamson, 1981, 1982b). Eight scales which measure concepts such as differentiation/fusion, intimacy/isolation, and personal authority/intimidation in the three-generational context comprise the questionnaire. Study 1 indicates that the scales have good internal consistency and good test-retest reliability. Correlations with other measures of family processes provide validity for some of the PAFS scales. Study 2 confirms the underlying factor structure of the PAFS questionnaire and supports the construct validity of the scales. Implications for intergenerational family theory and applications in research and clinical practice are discussed.     

THE AGE ONSET OF PERSONAL AUTHORITY IN THE FAMILY SYSTEM

The present research explored Williamson's position that relational patterns indicative of Personal Authority in the Family System (PAFS) occur during the fourth and early fifth decades of life. Participants were 232 university student volunteers. Individuals age 30 and above reported less triangulation with their nuclear families and less intimidation and less intimacy with their parents than the under age 30 group. These results provide some support for the view that differentiation is more clearly discernible in the fourth and fifth decades of life than in earlier years. Canonical correlations revealed that as age increases, the amount of variance accounted for by nuclear family triangulation, intergenerational intimidation, and integenerational intimacy increases, supporting Williamson's position that age is a significant factor in achieving several relational patterns indicative of PAFS.     

A MODEL FOR TRAINING PRACTICING PROFESSIONALS IN FAMILY THERAPY*

This paper offers a model for high quality training in family therapy. The unique aspects of the Family Consortium's model are that it: (a) is aimed at practicing professionals; (b) emphasizes structural family therapy principles with strategic and experiential elements; (c) is geared secondarily toward training members as effective peer consultants and trainers; and (d) uses an awareness of the isomorphic nature of training, therapy and family transactions. Part I describes the practical organization structure of the Consortium. Part II discusses the current theoretical philosophy and training approach of this evolving group. Examples are given of how the Consortium has dealt with specific training issues.     

SUGAR AND SPICE, TOADS AND MICE: GENDER ISSUES IN FAMILY THERAPY TRAINING

Whereas family therapists have become increasingly aware of gender as a central organizing principle in how we think about families, few methods have been presented to help trainees and clinicians articulate how to adress gender. Four experiential exercises (including gender survival messages, gender framed circular questions, and process observation sheets) that can be used in training and adapted for use with clients are described. What we have learned about gender from our families of origin, the larger culture, and in the construction of family therapy models can be examined with these activities.     

PERSONAL AUTHORITY IN FAMILY EXPERIENCE VIA TERMINATION OF THE INTERGENERATIONAL HIERARCHICAL BOUNDARY: PART III—PERSONAL AUTHORITY DEFINED, AND THE POWER OF PLAY IN THE CHANGE PROCESS

Present transgenerational family therapy theory is analyzed, and it is suggested that individuation is on a continuum with fusion-triangulation (family systems theory), that relational ethics are on a continuum with invisible loyalties (contextual family therapy), and that there is in fact but one continuum, so that these terms are well-nigh interchangeable. Individuation-relational ethics is presented in a (Hegelian) dialectic with intimacy; and personal authority in family experience is offered as the synthesizing construct in this dialectic. The change process in transgenerational family therapy is briefly noted. It is suggested that playfulness, including paradox and absurdity, is an effective intervention into the intense emotionality of inter generational work. A framework for and sequence of playful interventions are described.     

TRAINING THE PERSON OF THE THERAPIST IN STRUCTURAL FAMILY THERAPY

Structural Family Therapy needs a training model that integrates the existential, human mutuality of the therapeutic relationship with its technical elements. This paper offers a theoretical foundation for training structural family therapists in the use of self, discusses a model for training, and gives a case example illustrating personal training in a clinical context.     

HEALTH CARE REFORM IN THE UNITED STATES: IMPLICATIONS FOR TRAINING AND PRACTICE IN MARRIAGE AND FAMILY THERAPY

Americans are spending 12-14% of their income on health care, and costs are rising about 11-12% per year. These increases are fueled by many social problems and are not limited strictly to health matters. Many alternatives have been examined to limit the rapidly increasing costs. The long-term results of these efforts are likely to be a reduction in health care benefits for many and the continued development of a two-tier system of health care. This article addresses the place of mental health care in general and marriage and family therapy in particular in the emerging system. Suggestions for training and practice for the new health care system are given.     

A SURVEY OF TRAINING OPPORTUNITIES FOR PREDOCTORAL PSYCHOLOGY INTERNS IN MARRIAGE AND FAMILY THERAPY

The major clinical training experience for future psychologists is the one-year predoctoral internship. The purpose of this study was to determine the extent of marriage and family therapy training available to predoctoral psychology interns. All identifiable internship programs were surveyed to determine training opportunities for doctoral psychology students interested in marriage and family therapy training. A questionnaire was developed and mailed to all predoctoral internshipslisted in the 1983–84 Internship Programs in Professional Psychology (IPPP) and 18 additional sites known to offer marriage and family therapy training. Results indicate that relatively few psychology internships offer substantial training in marriage and family therapy. A listing of internships offering significant levels of training was developed.     

DEVELOPING A PERSONAL INTEGRATION IN FAMILY THERAPY: PRINCIPLES FOR MODEL CONSTRUCTION AND PRACTICE

This paper sets forth generic guidelines for the clinician to observe in building and practicing a personal integrative method in family therapy. Principles are articulated around five foci: (a) the need for a personal paradigm, (b) the assimilation of aspects of scholastic approaches, (c) the role of the person of the therapist, (d) the adaptation of the model to specific cases, and (e) the pathways toward the development of a personal integrative model. An informed view of integrative practice is emphasized, in which a theoretical base is created, strategies and techniques are related to this paradigm, and the treatment of specific cases is linked to the general model.     

EMPIRICAL VALUES AND THE CULTURE OF FAMILY THERAPY*

The research-clinical practice connection is weak in family therapy. Some have argued, in an inordinate ideological and political tone, that traditional research methods are inappropriate for family therapy. This position mischaracterizes modern day clinical researchers and research. In presenting 10 key dimensions of the research-clinical practice issue in family therapy, this paper addresses some of these misrepresentations. If research and practice are to interact more productively, a major commitment, the scope and implications of which have not yet been realized, will need to be made. Actualizing the research-practice link is a training problem and a fundamental professional issue. Progress in this realm would change the particulars of clinical practice as we know it. These processes will involve nothing less than remaking the culture of family therapy.     

AGING AND FAMILY THERAPY: PREVALENCE OF AGING ISSUES AND LATER FAMILY LIFE CONCERNS IN MARITAL AND FAMILY THERAPY LITERATURE (1986-1993)

To what extent are gerontological issues addressed in the marital and family literature? In answering this question, the authors conducted a content analysis of 873 articles published in the Journal of Marital Family Therapy, Family Process, Family Systems Medicine, and the Journal of Family Psychology during an 8-year period beginning in 1986. Only 3.2% (n = 28) of these articles contained explicit emphasis on aging issues and later life family concerns. Furthermore, there was no significant trend in the number of gerontologically focused articles published during this period. The paper describes the content of the 28 aging-focused articles, including the types of presenting problems mentioned, the relational contexts of these problems, and the types of family therapy theories represented. Included in the content analysis were the proceedings of the annual national conferences of the American Association of Marital and Family Therapy from 1986 to 1993. Only 2.3% (n = 37) of the regular conference sessions had an explicit aging focus, as did 1 of the 29 plenary sessions and 1 of the 40 Master Series® sessions. Used as a gauge of gerontological interest and awareness of late life issues, the implication of these findings is that the family therapy community is still engaged in “comming of age.”     

THINKING LIKE A FAMILY THERAPIST: A MODEL FOR INTEGRATING THE THEORIES AND METHODS OF FAMILY THERAPY*

We present a classification system which presumes that information about families can be seen from three different perspectives (historical, interactional, and existential) and that treatment proceeds from three approaches (understanding, transformation, and identification). Using this scheme, we discuss how theories from different schools of thought are substantially overlapping, show that families may respond according to principles other than those the therapist had in mind, indicate how traditional links between certain evaluation perspectives and approaches are unnecessarily limiting, and define two current poles or modes in family therapy (the “ingenious” and the “involved”), suggesting indications for the use of each mode. Various teaching benefits of the scheme are outlined.     

THE INTERPERSONAL CONTEXT OF OBJECT RELATIONS: IMPLICATIONS FOR FAMILY THERAPY*

Psychodynamic theory and family systems theories have come to represent competing orientations in the understanding of human behavior. This paper extends the quest for an integration of these perspectives. This is done by mapping ideas from one orientation onto constructs from the other. Case examples illustrate the ideas and demonstrate how inner dynamics and interactional behavior dovetail to create systemic and personal crises. Clinical implications highlight the need (a) for psychodynamic therapists to recognize the contextual forces that activate personality structures and (b) for systems therapists to recognize the idiosyncratic meanings of interactional behaviors.     

TOWARD THE IDENTIFICATION OF VARIABLES FOR EVALUATING FAMILY THERAPY WORKSHOPS*

If the field of family therapy is to improve the quality of its continuing education, a useful measurement of workshop quality must be developed. In a preliminary step towards this goal, 14 expert subjects from the field of family therapy were interviewed to identify variables and relationships that can be hypothesized to influence the quality–as assessed by participants–of family therapy workshops. This paper reports the opinions of the subjects, using counts and quotations to convey as much of the raw information as space allows, and presents the methods through which the information was organized by the authors into four categories and 58 (assumed to be interdependent) variables.