Creating the Next Wave of Family Therapy

This article is an exploration of family therapy in Australia based on interviews with seven leading Australian family therapists: Max Cornwell, Carolyn Quadrio, Ron Perry, Laurie MacKinnon, Brian Stagoll, Banu Moloney and Jim Crawley. It explores the attributes and qualities of what makes a good family therapist and seeks to understand how the next generation of therapists can generate a new enthusiasm for family therapy.     

‘Such fine families’: photography and race in the work of Caroline Bond Day1

This article examines a collection of family photographs published in an unusual 1932 anthropological study of ‘Negro‐White families’. In the 1920s Caroline Bond Day, a woman of mixed ancestry herself, gathered family histories and photographs of over 300 ‘Negro‐White families’ for her graduate work at Harvard University under eugenicist Ernest Hooton. Day's subjects, recruited from her circles of friends and acquaintances, shared her goals of African American equality and uplift but were often suspicious of her chosen field. Anthropology has often been referred to as the handmaiden of colonialism and racism, and physical anthropology in the late nineteenth and early twentieth centuries was not generally supportive of African American civil rights movements prior to World War II. Nevertheless, about 350 families submitted family histories and photographs and filled out surveys. Some also allowed themselves to be measured with calipers. The published study included over four hundred photographs, which collectively provide a visual mediation between Day's political goals, her exclusive focus on mixed‐race families and her use of physical anthropology and blood‐quantum language. Day's work remains controversial, but continues to be used by scholars, activists and artists in part because of its unique focus and methods.     

The Flipside of Sixpence: Aboriginal Stories of Hope and Reconciliation

This is Colleen Brown's last interview before her untimely death in 2002. The interview continues and extends Colleen's project to educate family therapists about Aboriginal experience and culture. In presenting Cecily's life narrative and painting, Colleen surprises us with a creative message of hope and reconciliation about the stolen generation, because Cecily expresses gratitude to the white family who brought her up. In her own words, Cecily ‘did that painting for me like the others so I could show family therapists what the other side of the coin is, the flipside’. This three‐way conversation between Colleen, Cecily and Glenn provides a contribution to the reconciliation process.     

‘Somebody Else's Roadmap’: Lived Experience of Maudsley and Family‐based Therapy for Adolescent Anorexia Nervosa

The Maudsley and more recent family‐based therapy manualised approaches are positioned by some as the gold standard, evidence‐based therapy for adolescent anorexia nervosa (AN). However, a significant proportion of adolescents and their families either discontinue this therapy and/or find that it simply does not work for them. These adolescents and families are under‐represented in the literature on therapeutic interventions for adolescent AN. This paper begins to address this gap with an in‐depth qualitative case study that explores the lived experience of Maudsley family therapy (MFT)/family‐based therapy (FBT) for one female adolescent (age 14 years) and her family over the period of 3 years (ages 11–14). Although initially handing over the responsibility for her eating was comforting and reinstated a sense of control in the family system, these experiences were not maintained. When she did not progress past the first phase of FBT, she and her family experienced the approach as blaming. She felt silenced and family alliances were weakened. This paper analyses how the family members negotiated and preserved their identities within this disabling context.     

Celebrating Joan Acker: Sociologist,fearless feminist,friend

Joan Acker's life reflects a time when middle‐class women were expected to be satisfied with maintaining the home front, serving husbands and children, not having paid‐work careers. After living “the ideal” for 37 years, Acker took a new path by earning a Ph. D. and producing path‐breaking scholarship that challenged taken‐for‐granted beliefs about gender, family, work, and organizations. Acker spoke “truth to power” and was an academic heroine in posing feminist challenges to injustices involving gender, social class, and race/ethnicity, particularly (but not solely) related to the workplace. This overview lets Joan tell her story and offers reflections on her milestone publications as seen by Pat Martin.     

QUESTIONS AND HINDSIGHT: WORK WITH ZARA,AN ASYLUM SEEKING CARE LEAVER

Psychodynamic ideas are used to think about social work with an asylum‐seeking young woman with mental health problems. Questions are raised about her needs and our response to them in relation to her individual history, the organisation and the wider socio‐economic context. These lead to reflections on adolescence and the leaving care task, non‐dependence, loss of home and homelessness, fear of madness, attitudes to difference and asylum seekers and institutional racism. Failure and learning from it is also a theme.     

New generation of harm‐reduction workers: Helton's concerns

Tracey Helton has been running peer programs for a decade, and involved with harm‐reduction work for two. Her “real” day job is working for San Francisco, a job that includes benefits and enables her to support her children. But it also allows her to run harm‐reduction services “from my closet,” as she puts it. We called her because we wanted to learn more about how she views the field.     

The Suffering Mother and the Miserable Son: Organizing Women and Organizing Women's Writing

This paper examines the contribution of the writing of Julia Kristeva (1941– ) to post‐structuralist ideas about gender in organizations. In particular, it deals with the relationship between her writing and the disciplining of text and, by a parallel movement, with her writings about the body and the regulation of the body. However, it must be said that her writings are ‘extremely difficult and complex, and certainly intimidating and inaccessible to the non‐specialist’ (Lechte 1990, p. 2) but, despite this, Kristeva has come to be considered one of the foremost contemporary French thinkers and her writings have exerted a significant influence on both feminism and postmodernist ideas. Ironically, Kristeva is neither French by birth nor a feminist in the sense that the term is generally understood. Indeed, she has been highly critical of those feminists whom she regards as seeking ‘phallic power’ (Kristeva 1980, p. 208).     

Love is Not All You Need: A Revolutionary Approach to Parental Abuse

This case story is a composite of similar family situations where the parents were at risk of harm from their teenage children and commonly the father/step‐father has moved out of home leaving the mother to parent the children on her own. Several of these cases involved physical threats to the lives of the parents. These referrals occurred in a Child, Adolescent and Family Mental Health Service and a Family Therapy NGO between 1985 and 2005. This approach is offered as a complement to the widely published ‘non‐violent resistance’ approach of Haim Omer and his colleagues. We hope it goes some way to address what Lavi‐Lavavi et al ( 2013 , Journal of Systemic Therapies, 32(4), 79–93). describe as ‘the mother's plight’:

The plight of the mother continues to present a major challenge… We are also seeking ways to allow the mother more breathing space, help her to disengage from abrasive conflicts, acknowledge her contribution and sacrifice, and provide her with vantage points that may help her recognize and enhance small improvements. Hopefully, these measures will enable women to evolve from unacknowledged victims to pillars of the family’ (p. 92).

     

‘Drawing the Circle That Takes Them In’: Liz Mackenzie in Conversation

Liz Mackenzie's involvement with family therapy began in 1978 at the Psychiatry Department of the Adelaide Children's Hospital. She contrasts the field then and now, naming some of the dysfunctional facets of family therapy. She became manager of a specialist foster/residential program in the non‐government sector, definitely the most difficult, extending and satisfying period in her working life. In 2007, she is back where it began for her, in the (renamed) Women's and Children's Hospital, working in a Child and Adolescent Community Health team     

Bringing Two Worlds Together: A Collaborative Interview With JoEllen Patterson

JoEllen Patterson is Professor in the Marital and Family Therapy Program at the University of San Diego. She is also an Associate Clinical Professor of Family Medicine and Psychiatry at the University of California, San Diego, directing a medical family therapy clinic embedded in a Family Medicine residency (equivalent to General Practice in New Zealand). She also works in Pediatrics and Reproductive Medicine at UCSD. At present her work involves training family therapy students and family medicine residents to do interdisciplinary work using a biopsychosocial model. Research suggests that our bodies are influenced by our mental health; our immune systems and cardiovascular systems seem especially susceptible to mind‐body interplay. JoEllen is particularly interested in how family functioning influences the mind‐body system. In 2003, JoEllen Patterson received a Fulbright Senior Scholars award to visit the Wellington School of Medicine and Health Sciences, and the Child, Adolescent and Family Service in Lower Hutt, New Zealand. She spent two weeks between the clinical service and the academic department, teaching, consulting and advising. I was lucky enough to arrange this posting and to spend time with her during it.     

A Journal of Family Social Work conversation with Monica McGoldrick,LCSW

Monica McGoldrick and Judith Siegel converse about Monica’s decision to become a social worker, her interest in families, key people who influenced her along the way, and the inspiration for her work on ethnicity in family therapy.     

Everyday Violence in Central America as Seen Through the Life of One Woman

Everyday violence in Central America assumes diverse forms, with the structural violence intrinsic to the poverty and inequality in the region being the most predominant. The life story of Andrea embodies many elements of that violence, as it led to her entering the labor force as a child, to her having her own children early, and to her employment in the service sector. But, Andrea came of age during a revolution in her country—that waged by the Sandinistas in the 1980s—which provided her family with resources of both a material and non-material nature. The changes it wrought, however, were not deep enough to transform the opportunities of the next generation and were undercut in its aftermath. Hence, Andrea’s aspiration for her children to have different lives from her own required her emigration to achieve it. Yet, it was also the revolution, in the form of a network that emerged from it, that made possible her work abroad in Italy. She was able to earn enough there to provide the education for her children that she sought. Drawing on an oral history I collected from Andrea, this article portrays the challenges she confronted, the ways she addressed them, and how her life course has been produced by the interaction between these phenomena. In addition to telling her story and describing the ways in which structural violence colored it, the article highlights the broader social, economic, and political dynamics that make this about more than just one woman.     

14‐Month‐olds anticipate others’ actions based on their belief about an object's identity

Past research has accumulated evidence regarding infants’ false‐belief understanding, measuring their gaze patterns or active helping behaviors. However, the underlying mechanisms are still debated, specifically, whether young infants can compute that others represent the world under a certain aspect. Such performance requires holding in mind two representations about the same object simultaneously and attributing only one to another person. While 14‐month‐olds can encode an object under different aspects when forming first‐person representations, it is unclear whether infants at this very age could also predict others’ behavior based on their beliefs about an object's identity. Here, we investigate this question in a novel eye‐tracking‐based unexpected‐identity task. We measured 14‐month‐olds’ anticipatory looks combined with their looking time, using a violation‐of‐expectation paradigm. Results show that 14‐month‐olds look longer to an actor's reach that is incongruent with her false belief about the identity of an object compared to a congruent reach. Furthermore, infants correctly anticipated the actor's reach based on her false belief. Thus, as soon as infants represent dual identities they can integrate them in belief attributions and use them for consequent behavioral predictions. Such data provide evidence for the flexibility of false‐belief attributions and support proposals arguing for infants’ rich theory‐of‐mind abilities.     

‘Lady,Leave My Culture Out of It!’ An Interview With Nada Miocevic

Nada Miocevic is a social worker and family therapist who trained at Zagreb University in Croatia and at Melbourne University in Victoria, Australia. She completed her training in family therapy in 1975 at the Bouverie Centre, Melbourne. Since migrating to Australia in 1967, her work with migrant and refugee families has taken her throughout Australia and overseas. Currently she is in private practice. Her work involves conducting training courses in supervision and supervision of supervision, as well as her continuing work with families who experience long‐term illnesses.     

Adult Daughters whose Mothers Come Out Later in Life: What is the Psychosocial Impact?

SUMMARY

When a family member comes out, it is a process not only for that individual lesbian but also for their entire family. Adult daughters whose mothers come out later in life have distinctive paths to navigate. This article reports findings of an interview study with six daughters who were adults when their mothers came out to them. Most daughters felt they emerged from childhood with an open mind about sexual identity, but had no idea about their mother's lesbianism until told by her. Half the participants questioned the role of women in their lives after their mother came out. Five of the six have a very close relationship, or have become closer, with their mother, since her coming out.     

18‐Month‐Olds Predict Specific Action Mistakes Through Attribution of False Belief,Not Ignorance,and Intervene Accordingly

This study employed a new “anticipatory intervening” paradigm to tease apart false belief and ignorance‐based interpretations of 18‐month‐olds’ helpful informing. We investigated in three experiments whether 18‐month‐old infants inform an adult selectively about one of the two locations depending on the adult’s belief about which of the two locations held her toy. In experiments 1 and 2, the adult falsely believed that one of the locations held her toy. In experiment 3, the adult was ignorant about which of the two locations held her toy. In all cases, however, the toy had been removed from the locations and the locations contained instead materials which the adult wanted to avoid. In experiments 1 and 2, infants spontaneously and selectively informed the adult about the aversive material in the location the adult falsely believed to hold her toy. In contrast, in experiment 3, infants informed the ignorant adult about both locations equally. Results reveal that infants expected the adult to commit a specific action mistake when she held a false belief, but not when she was ignorant. Further, infants were motivated to intervene proactively. Findings reveal a predictive action‐based usage of “theory‐of‐mind” skills at 18 months of age.     

Jeopardy: A Grandmother's Story

This article is written in the genre of creative nonfiction. It brings the reader into the dreaming, peridreaming, and waking mind of a grandmother whose normative expectations for her son's marriage and family disintegrate. It is neither an autoethnography nor a memoir. Its intents are (1) to unpack some of the consequences of an alternative child‐raising ideology on three generations and (2) to widen the scope of symbolic interactionist writing and theory by embodying the tenets of SI rather than talking about them.     

Work and Family in the 21st Century: Four Research Domains

During the last half of the 20th century, married women with children moved into the labor force in large numbers. This change, which occurred throughout the industrialized world, dramatically altered work, family, and gender roles. Working parents today juggle demanding jobs and busy family lives and find it increasingly difficult to balance these activities. Work‐family conflict has become a pressing social issue. This article examines four areas of social science research on work and family, including: work‐family conflict, spillover, and multiple roles; work‐family policies in organizations; effects of work on family life; and cross–national research on work and family. Although much is known about all of these topics, more research is needed to address the work‐family challenges of the 21st century.     

Multidimensional Family Therapy: A Science‐Based Treatment System

MDFT is a family‐based intervention for adolescent substance abuse and associated mental health and behavioural problems (Liddle, 2010). Integrative in several ways, MDFT uses an ecological or contextual conceptual framework to understand the developmental tasks of teens and their families. Research‐derived knowledge about risk and protective factors, and proximal causes, correlates and contributors to adolescent drug and related problems inform clinical thinking and interventions with every case. A multisystems approach, MDFT assesses and intervenes in four areas: (1) the adolescent as an individual and a member of a family and peer network; (2) the parent(s), both as individual adults and in his or her role as mother; father or caregiver; (3) the family environment and family relationships, as manifested in day‐to‐day family transactional patterns; and (4) extrafamilial sources of influence such as peers, school and juvenile justice. Interventions are made within and coordinated across domains. Progress in one area or with one person has implications for and use in others. Individual meetings with parent(s) and teen set the stage for family sessions, and family meetings may offer content and new outcomes that need to be brought to extrafamily meetings with juvenile justice or school personnel. MDFT was developed and tested as a treatment system rather than a one‐size‐fits‐all approach. A treatment system offers different versions of a clinical model that vary according to factors such as clinical sample characteristics (older versus younger adolescents, juvenile justice involved versus no involvement in juvenile justice systems), and treatment parameters (type of clinical setting and treatment dose).