Australian Family Therapy: Have We Lived Up To Our Mission Statement?

In 1983 the Fourth Australian Family Therapy Conference had the theme ‘Merging the Streams — Integrating Trends in Family Therapy’. In his keynote address Brian Stagoll outlined concerns regarding the nature of family therapy as it was then developing in Australia. This article revisits some of these themes to see where we have come from, where we are heading and which topics continue to be ignored. Evidence is drawn from articles that stood out for me in the Australian Journal of Family Therapy (later the Australian and New Zealand Journal of Family Therapy) and selected relevant papers from the 1983 conference itself. Finally, I speculate upon possible reasons for the absence of discussion on certain issues, most strikingly: systemic influences upon indigenous Australians, farm families, working with children in families, certain aspects of gender, the systemic implications of addiction; and environmental impacts on families now and for the future. The danger for family therapy is becoming stuck in a closed system that ignores the wider system.     

ANZJFT Symposium: What are the Core Learnings of Family Therapy?

Five experienced Australian and New Zealand family therapists and trainers seek to answer the question: ‘What key concepts and core learnings should be part of any family therapy training course?’ They debate the usefulness of making ‘shopping lists’ of core concepts, the importance of considering trainers' and trainees' contexts in the formation of their values and perspectives, and the distinctive role of Family of Origin work in training, clarifying central themes. Three experienced trainers respond to the issues raised.     

Coming of Age — A Personal Perspective*

The age of Australian family therapy would place it as an adolescent rather than as one who has ‘come of age’. Using the metaphor of the life stage of adolescence, an assessment is made of cognitive and personal development, separation and autonomy, and peer relationships. It is suggested that while specific progress has been made in most areas, peer relationships are characteristic of a younger stage. The paper concludes with the challenge of the future — to move forward with adolescent limitations or to mature further and ‘come of age’.     

Cultural Issues in Therapy: On the Fringe

This paper argues that issues of culture have occupied a fringe position in the thinking and practice of most Australian family therapists. Starting with a definition of culture as epistemology, it examines factors pertaining to government policy, demography and the experience of migration to argue the relevance of a cultural perspective in mainstream family therapy discourse. The paper then looks at two central consequences for family therapy and training — cultural oppression and maintaining the status quo — if a cultural perspective continues to be neglected. It then proposes ways that therapists can introduce a cultural perspective in their thinking and clinical work. The paper concludes with a case vignette which illustrates some of the ideas.     

Therapeutic Responses to Domestic Violence in Australia: A History of Controversies

This paper reviews controversies about domestic violence occurring in heterosexual relationships discussed in the Australian context by practitioners and academics and published in the Australian & New Zealand Journal of Family Therapy over the past three decades. Controversies arose in relation to the provision of therapeutic interventions for domestic violence, primarily in individual and couple counselling and group programs. After a literature review, the following controversial issues are identified: (1) the role of patriarchy: Is a patriarchal culture the main cause of domestic violence? (2) Systemic family therapy and gendered violence: Does systemic family therapy hide men's responsibility for domestic violence? (3) Therapeutic and educational interventions for domestic violence: Does therapy turn a ‘crime’ into a ‘psychological problem’? (4) Men as victims: Do both men and women perpetrate domestic violence in equal measure? (5) It takes two to tango: What part do women play in eliciting men's violence?     

‘Next Steps’ for Equality?: The Impact of Organizational Change on Opportunities for Women in the Civil Service

The ‘Next Steps’ restructuring programme (1988) has had a fundamental impact on the management and organization of the Civil Service, and on the practice of equal opportunities. The fragmentation of the service into semi-autonomous agencies has resulted in greater managerial autonomy in relation to staffing issues. Equality initiatives such as part-time and flexible working patterns, ‘family friendly’ policies, women-only training programmes and the provision of nurseries are coming under threat due to increased discretion over decision-making in these areas. Other aspects of restructuring — such as ‘downsizing’— have resulted in a reduction of the middle management layer, making it more difficult for women to breach the ‘glass ceiling’ and access senior posts. The persistence of a hostile managerial sub-culture to equal opportunities has been instrumental in pushing equality issues to the bottom of the agenda in the current climate of change because of ‘more important’ organizational pressures. Within this context, equality of opportunity for women in the Civil Service has reached a critical stage.     

Family Constellation — A Therapy Beyond Words

Family Constellation, a psychotherapeutic approach associated with the name Bert Hellinger, has become a popular yet also controversial form of systemic therapy in the German‐speaking therapy community. ‘Family Constellation’ (Familienstellen) means the individual client's physical‐emotional positioning and re‐positioning of substitute family members in relation to each other, with help of a therapeutic group. Family Constellation is a one‐session approach that addresses family‐of‐origin issues. The therapeutic process is highly experiential, utilising multiple sensory modalities. Hellinger locates his model within phenomenology, and his practice has roots in several therapy schools. His model offers complementary therapeutic techniques in our ‘languaged’ world of family therapy.     

Research into Practice/Practice into Research; How a Practice‐based Research Network Might Work

Last issue, I wrote some more about Practice Based Research Networks as a model that could be followed for applied clinical research in family therapy settings. What I would like to do now is to choose an area of interest and show how it might be worked up into a PBRN. This is necessarily going to be a limited example because at this stage there is a ‘network’ of one — I am effectively talking to myself right at the moment — but it will still serve as a demonstration.     

Frameworks for Practice in the Systemic Field: Part 2 — Contemporary Frameworks in Family Therapy

This is the second of two articles to map the landscape of practice theory in systemic family therapy. The first article gave a particular chronology of the development of family therapy practice theory, beginning with the frameworks that emerged in the 1960s‐1970s and then tracing the transitional decade of the 1980s. The convergences of three sets of influences — ecosystemic epistemology, the feminist challenge and postmodernist ideas — led to the changed landscape of post‐1990 practice theory. This second article picks up at this point, mapping four contemporary influential approaches in Australian family therapy — the Milan‐systemic, narrative and solution‐focused frameworks, and the dialogical perspective. Social constructionist and narrative ideas together constitute the dominant common theory influence in the post‐1990 practice frameworks, although intersected and used in different ways in the different frameworks. Throughout the history of the development of practice theory, context and relationship remain the enduring parameters of the systemic family therapy field.     

Art,Science and Curiosity: Research and Research Methodologies in Australian Family Therapy 1979–2000

This article presents an historical analysis of the development of research and research methodologies in an Australian context. The Australian and New Zealand Journal of Family Therapy was chosen as the site of the analysis. The first section of data consists of the articles that represent themselves as ‘research’ in the period from 1979 (the journal's inception) to 2000. These texts have been analysed using bibliometric analysis. The second section of data consists of commentary articles about research in family therapy. This data has been analysed using discourse analysis. Overall, I have been interested in how family therapists have defined ‘research’; how family therapists have chosen to inquire; representations of the researcher in Australian family therapy; associations between theoretical or clinical developments and the methodologies that have been chosen for inquiries. Findings from the study reveal very limited representations of research in the journal for the period under review, and an apparent struggle for family therapists to undertake a discussion about what research actually is. Questions are raised around how this has occurred, and some ideas are presented as to how research knowledges can be included in debates around theory diversity in family therapy.     

On Learning and Teaching Family Therapy

This paper explores some ideas about the process of learning to be a family therapist. It considers the questions: how does one learn to think like a family therapist? How is family therapy best taught? How is it learned? The author's experiences in learning and teaching are described. It is argued that family therapy differs from other approaches to therapy in some fundamental respects, and that learning to ‘be’ a family therapist is a different kind of task than learning to be a practitioner of other therapeutic approaches. The paper examines some key theoretical constructs, especially the idea of ‘levels’ of thinking, which are seen as central to both the learning and practice of family therapy.     

Frameworks for Practice in the Systemic Field: Part 1 — Continuities and Transitions in Family Therapy Knowledge

This is the first of two articles to map the landscape of practice theory in systemic family therapy. In this first article, the representation of knowledge for practice is explored, and an argument is made that while frameworks remain important, the relationship to them is now more conditional and pragmatic. A particular chronology is offered of the development of family therapy practice theory frameworks, beginning with the frameworks that emerged in the 1960s to the 1970s. An analysis is given of the important transitions in the 1980s and three sets of influences in this decade — ecosystemic epistemology, the feminist challenge and postmodernism — are identified. This reading emphasises hidden continuities in the transition, despite the seemingly discontinuous shifts in practice theory from the beginning of the 1980s to the beginning of the 1990s. Context and relationship are identified as the enduring parameters of systemic family therapy knowledge, though understandings of context and relationship have been recast in the contemporary (post‐1990s) practice theory. The second article will explore the four contemporary influential approaches in Australian family therapy — the Milan‐systemic, narrative and solution‐focused frameworks, and the dialogical perspective — and point to intersections in practice ideas and integrative movements.     

Social and family responsibility or self-interest?

Mothers’ increasing labour market participation is posed as a key aspect of a growing trend towards individualization — both for ill and for good. In ‘for ill’ versions, mothers’ employment is regarded as undermining commitment to family relationships and leading to a loss of community. In ‘for good’ versions, family and community relationships become contingent upon values of equality and respect. ‘Preference theory’ modifies the individualization thesis, with a posited distinction between mothers in full-time employment with ‘work-centred’ identities and those with part-time work who want ‘adaptive’ or ‘home-centred’ identities. This paper examines such issues, drawing on qualitative case study research on mothers employed full and part time in a hospital and an accountancy firm in the UK. It considers how the variable work ethos of organizations, and the ways mothers engage with these, can interact with their engagement in family and community relationships. In particular, it suggests that employment can be as much about social obligation in a local community, and commitment and obligations to family, as about individualized self-provision and options.     

Family Therapy: Inner,Outer and the Issue of Pathology

This paper sets out to examine the relationship between ‘the inner’, ‘the outer’, and ‘the issue of pathology’ in the family therapy field. It begins with the observations that ‘pathology’ has become a rarely mentioned issue in family therapy, and ‘what is wrong’ is increasingly located in ‘the outer’: the family ‘game’, ‘linguistic activity’ or ‘the cultural discourse’. At the same time, family therapy often hosts forums in which presenters are ‘attacked’ for not seeming to hold the ‘correct view’. The paper considers these phenomena in tandem, looks at the matter of ‘method’, and applies James Hillman's critique of psychoanalysis to family therapy. The suggestion is that family therapy has been blinded by its own metaphor of ‘seeing’, symbolised and literalised in the one way screen. Alternative metaphors privileging intuition, feeling and aesthetics are put forward, before discussion points are raised, and before this paper on therapy concludes poetically, or this paper concludes that therapy may be poetry.     

The ‘ordinary’ family as a resource for single parents—on the Swedish contact family service

This article reports on some important results from a qualitative study, which mainly focused on the topics of family notions and notions of ‘good parenthood’, and their impact on the Swedish ‘contact family service’. The service is provided to help mostly single mothers—with scarce social networks that lack the ability to provide support—to get relief from constant care-giving for one or two weekends a month. The three parties—client families, contact families and the social workers that handled the cases—have been interviewed (a total of 54 interviews) about their experience of their own parenthood and family life as well as their notions in general, for example of a ‘normal’ and an ‘ideal’ family. The interaction and influence of these notions on shaping the contact family service were studied. The article comes to the conclusion that the design of the contact family service needs further consideration on the family ideals that are reproduced in the service. With the nuclear family as the norm, the burden of a lone parenthood will increase.     

Moving mountains armed only with a teaspoon: the work of a ‘centre of excellence’ for residential child care

The Centre for Residential Child Care was established in 1994 as a direct result of the Scottish Office report ‘Another Kind of Home—A Review of Residential Child Care’. In 1997, the Kent report ‘Children's Safeguards Review’ praised its work. The role of so-called ‘centres of excellence’ has at times been queried. This paper seeks to clarify what have been the issues that have faced the Centre, how it has resolved them and what it has found to be key areas of work which have helped the development of good practice. The creation and experience of this Centre is described, its genesis, structure and work outlined, and comments made about what can be deduced from this experience about the role of so-called ‘centres of excellence’ in improving the quality of direct practice.     

What's the Use of Family Therapy?

This paper, a plenary address to the Australian Family Therapy Conference, is concerned with the role of family therapy in society and the abuse of professional power. It is argued that family therapy is part of the medicalisation of marriage and the family, through which problems are defined — often inappropriately — as relationship problems and experts (therapists) are created. Aspects of professional power are identified; its pursuit is not in the interests of families, especially those with greatest needs. Proposals to tackle these obstacles are made regarding practice and training in therapy, and the management of professional power.     

Habla Mi Idioma? An Exploratory Review of Working Systemically with People from Diverse Cultures: An Australian Perspective

This paper presents a review of the literature informed by both grounded theory and phenomenology, which explores how culture is addressed in the family therapy field with particular emphasis on Australia. The primary aim of the study is to identify the issues and relevant publications that can inform and guide Australian family therapists in working with clients from culturally and linguistically diverse backgrounds. The secondary aim is to provide recommendations that may inform research directions and clinical practice. The results indicate that this challenge is not unique to Australia; indeed the issue is ubiquitous across the Western world. This paper attempts to provide an impetus for future dialogue and to precipitate discussion around the development of a culturally sensitive approach in the Australian family therapy field.     

The Impact of Family Therapists’ Adult Attachment Styles on Their Career Choice and Approach to Therapy: An Interpretive Phenomenological Analysis

Attachment theorists have highlighted the role of the therapist in providing a ‘secure base’ for therapy. This raises the question of how therapists with insecure as well as secure attachment styles manage the integration of their personal experience and their therapeutic work. This study explored the relationship between family therapists’ adult attachment styles, influences on their career choice and their approach to therapy. Participants’ (n = 11) attachment styles were previously assessed using the self-report Experiences in Close Relationship questionnaire. Three participants were assessed as having a ‘secure’ attachment style; three were ‘preoccupied’, three ‘fearful’ and two ‘dismissing’. They were interviewed about their practice and the impact of past or current relationships on their development as therapists. Interpretive Phenomenological Analysis was used to analyse the verbatim accounts into cluster of master themes and subthemes. The analysis identified two master themes: understanding one’s self and the impact of family of origin experiences, and the integration between personal experiences and therapeutic work. There were differences in responses relating to the therapists’ attachment styles. Therapists with ‘secure’ adult attachment styles were aware of their challenges and able to utilise their experiences in their practice and respond sensitively to their clients. Conversely, those with ‘insecure’ styles have difficulties in mentalisation and in using counter-transference responses in their practice. We suggest that family therapists, social workers and others engaged in therapeutic work with families should undertake an exploration of the ‘self’ of the therapist in the context of their own family relationships and adult attachment styles as part of their training and continuing professional development.