Preserving Family Therapy's Legacy

Originating as a plenary address, this article reviews the enduring contribution of family therapy, and asks how it might best be preserved into the future, given that family therapy itself is no longer seen as ‘newsworthy’. The author makes three recommendations: that all future social workers be trained to conduct a three‐session structured family assessment; that all future family therapists be required to participate in a Yalom‐type group therapy experience; and that one member of every child mental health and child protection team be trained to convene and chair interagency case conferences capable of building trust and working towards open communication. A rationale for the three recommendations is provided, in terms of key principles common to family and group work.     

‘Family ideology’: identification and exploration

The issue of ‘family ideology’ has been systematically ignored by a majority of ‘family¹ scholars whilst it has been taken for granted by a minority. The following study arises from the author's attempts to explore the issue of alternative theoretical approaches to the analysis of family life’.² Increasing numbers of contemporary researchers concur in recognising the diversity of ‘family forms’ and the inappropriateness of speaking of ‘The Family’.³ Despite these recognitions many researchers find themselves re-adopting the term ‘The Family’ in their discussions and especially in the titles of their work. For example. Segal clearly recognises that the ‘traditional family model’ no longer reflects the reality of our lives (1983, 11) and yet the title of her book is What is to he done about THE FAMILY? (emphasis added). One reason for the re-importation of the idea of ‘The Family’ may be found in the rather limited nature of previous conceptualisations of ‘family ideology’. With the exception of Barrett (1980), recognitions of ‘family ideology’ tend to be conceptualised in terms of sets of partisan beliefs supporting a particular ‘family form’. Thus the concept of ‘The Family’ is rarely regarded as being problematic in itself, rather attention is paid to the presumed virtues or deficiencies of the particular form of ‘The Family’ which is assumed to be prevalent. Notwithstanding the recognition of ‘family diversity’ or the inappropriateness of the term ‘The Family’, nearly all discussion becomes a straightforward attack upon, or defence of. ‘The Family’.⁴ Only very rarely does analysis avoid this trap and question whether ‘The Family’ really exists to be attacked or defended; thus Collier et al. have asked ‘Is there a Family?’ (1982) and the present author has asked ‘Do we really know what “The Family” is?’(Bernardes, 1948a). The objective here is to identify and explore a specific conceptualisation of ‘family ideology’. The aim is to avoid engaging in attacks upon, or defences of, ‘The Family’ but rather to address the ideological context of such debates themselves, especially in respect of the assumed existence of ‘The Family’. It is hoped that this approach will stimulate a much more critical examination of ‘family ideology’ and the concept of ‘The Family’. More generally, the attempt to conceptualise ‘family ideology’ in this much broader sense is seen as a pre-requisite for the development of an alternative theoretical approach to the analysis of ‘family life’.     

Family centres

SUMMARY. Family centres have multiplied in number of late but as yet analytical studies about them are few. In this paper the results are presented of interviews with the staff, users and ‘outsiders’ of three centres. From this it is possible to deduce three models of family centres. The models are then used to discuss how they serve differing kinds of consumers and how each best fits into the statutory and voluntary sectors This article is based on material contained in Boh Holman's hook Putting Families First: Prevention and Child Care, to be published by Macmillan Education in 1988. It appears here by permission of the publishers     

‘Doing things with words’: Sociology and ‘Family Policy’ debates

In examining ‘family policy’, previous work on ‘family ideology’ is developed to demonstrate that ‘traditional family sociology’ has been ‘doing things with words’. In this area sociology, far from being innocuous, has had real impact upon society and may well have been oppressive and deeply reactionary.     

Therapeutic Maps For Therapeutic Mazes: The ‘Time Sphere’ as an Interventive Mapping of Family Movements in Context

In this paper I want to describe the use of a technique which I have termed the ‘Time Sphere’. The combination of a life cycle model with the chronological mapping of closeness–distance has allowed for useful consideration of various relational events not previously explored by the family or therapist. By sharing the information visually with the client family we are able to explore context, family of origin influences and life cycle transitions within an extended family model. Ultimately my hope is to develop this model further as a creative means of exploring how family patterns and relationships are repeated, and how context is ultimately the key to understanding. To preserve confidentiality, my ‘case’ is an amalgam of several real client families.     

Thinking About the Emotional Interaction of Therapist and Family

The emotional interaction of therapist and family has been difficult to explore within the field of systemic family therapy. This paper looks at ways of thinking about this process. As a starting point, I take some feelings I had with three families in the course of therapy. These are used to illustrate some concepts from analytic therapy which address the emotional interaction of therapist and family. The kind of theoretical space and guidance offered within systemic family therapy is then explored, and it seems that the Milan frame gives some space for thinking about the process but offers little guidance as to exactly how this might be done. This is a paper about practice, though it's primarily a theoretical discussion. There is no aim of establishing a ‘correct’ way of understanding the emotional interaction of therapist and family.     

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.     

Drawing Family Boundaries: Children's Perspectives on Family Relationships in Rural and Urban Ethiopia

This article explores how children conceptualise and practice family relationships in two social settings in Ethiopia. Based on ethnographic data, it discusses (i) how urban and rural children construct family; (ii) what family activities children do and which social positions they assume; and (iii) the convergence and divergence of meanings and practices of family relationships between urban and rural Ethiopia. The analysis demonstrates how ‘normative family’ and actual ‘family practices’ are shaped by socio‐cultural, material and spatial contexts. Insights drawn also reveal the complex ways in which access to material resources, geographical distance, rural‐urban locations and cultural traits such as patterns of marriage and child relocation practices shape family relationships.     

The Discursive Performance of the Alliance in Family Therapy: A Conversation Analytic Perspective

Following the ‘discursive’ turn in family therapy, the attention of practitioners shifted towards understanding how culture and language shape meaning‐making in therapy. In this article, we demonstrate how conversation analysis (CA) can be used to examine the processes and outcomes of systemic/constructionist practice. We used CA to study collaborative interactions of a renowned constructionist therapist Karl Tomm and one client‐family. Viewing collaboration as a pivotal aspect of the therapeutic alliance, we demonstrate how the ‘split’ within‐system alliances were developed and sustained in the course of therapy and how they were discursively transformed into ‘intact’ alliances. The therapist's efforts to align with perspectives of family members (and subsystems) seemed pivotal in this process.     

A Pilot Study to Explore the Influence of the ‘Safety First Assessment Intervention’ on the Family Environment

The family environment is considered an important influence on a young person's well‐being. The ‘Safety First Assessment Intervention’ is a model of care that considers and incorporates the importance of family environment when assessing and managing distressed young people. This pilot study explores the influence of the ‘Safety First Assessment Intervention’ on the family environment of young people referred to Child and Adolescent Mental Health Services. A pre‐ and post‐design was used, with families completing the Family Survey before and after their assessment/intervention. The Family Survey was correlated with a validated measure of family function, the APGAR, and pre‐intervention. Significant changes in multiple dimensions of family environment, including reduced level of distress for the adult, increased level of distress for the young person, improved sense of how the family felt the adult was managing currently, and improved confidence in family communication were found. There was no significant change in how the adult understood their role in helping the young person manage their distress. A thematic analysis showed trends in the current concerns for young people and adults as well as the difficulty young people in distress have in identifying their strengths. This pilot study demonstrates that the ‘Safety First Assessment Intervention’ can influence the family environment in a positive way and highlights the importance of using a family‐based approach for distressed young people.     

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.     

Founding the New‘Family Studies’

By developing the concept of Multidimensional Developmental Pathways, the potential social policy consequences of such theorising are explored. In moving towards conceptualising the actual needs of people and the unity of their lives we can consciously (rather than unconsciously) contribute proposals for rebuilding social policy. With a view to generating further interest in alternative theoretical approaches to the analysis of ‘family life’, three theorems are then proposed. These three theorems constitute the first step in founding the New‘Family Studies’.     

Multidimensional developmental pathways: a proposal to facilitate the conceptualisation of ‘Family Diversity’

This analysis takes Elder's work on the life-course as a starting point. Two proposals are made: (1) That the sociological use of the concept of ‘the family’ should be restricted to indicate only the occurrence of everyday usage; (2) That the notion of the ‘family life-course’ be replaced by the notion of individual life-courses coinciding upon developmental pathways. In this way the idea of a central type of ‘the family’ is made redundant and we are required, instead, to discover when and why participants refer to a particular developmental pathway as being ‘a family’. This approach not only facilitates the conceptualisation ‘family diversity’ but also compels researchers to engage the rich complexity of everyday life.     

Between “Families in Trouble” and “Children at Risk”: Historicising “Troubled Family” Policy in England since 1945

The launch of the Troubled Families Programme in 2011 has thrown into sharp relief how governments develop policies and practices to intervene in the lives of so‐called ‘troubled families’. Commentators were quick to make comparisons with historic efforts to rehabilitate ‘problem families’ in the post‐war period. However, beyond discursive similarities, there are also marked continuities in how family policies have been developed and implemented. This review narrates the rise, fall and rise of concern about ‘problem’ and ‘troubled’ families in England in the context of anxieties about child and family welfare, and the appropriate response of the state.     

‘Who is in Your Family?’ Italian Children with Non‐heterosexual Parents Talk about Growing Up in a Non‐conventional Household

The paper presents findings from explorative research conducted in Italy with seven 9‐ to 12‐year‐old children with non‐heterosexual parents. The aim was to find out how children describe their family structure, how they talk about their family with peers, and how they experience peers' attitudes towards non‐heterosexual families. Findings show that children have a flexible and inclusive representation of family and they disclose selectively with their peers who don't always consider homosexuality normal and homoparental families ‘real families’. The paper concludes by suggesting that institutional recognition for same‐sex parenting would support children in the everyday work of negotiating diversity.     

‘Riding the Wave’: Working Systemically with Traumatised Families

This paper draws on the authors’ clinical experience as family therapists, working predominantly with families who have experienced trauma such as sexual abuse, physical abuse and neglect, to demonstrate that taking a systemic trauma‐informed approach is a powerful therapeutic modality that can facilitate positive outcomes for all family members. The paper discusses the impact of trauma on relationships, and then outlines a rationale for a trauma‐informed, systemic approach with those traumatised families who are, at times, challenged by excessively heightened behaviour and emotional dysregulation. Drawing from parenting research, it includes a discussion of the place of parent work and how this can be integrated with systemic family work. Key constraints and considerations are highlighted followed by a discussion of key interventions the authors have found useful in building a clinical framework for this work, including what is critical for the therapeutic process. While working with traumatised families is complex and challenging, offering a safe place for families to be in the presence of each other's pain and ‘ride the wave’ of emotions can be a powerful path to recovery.     

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.     

Constructions,reconstructions and deconstructions of ‘family’ amongst people who live apart together (LATs)

This article explores how people who live apart from their partners in Britain describe and understand ‘family’. It investigates whether, and how far, non‐cohabiting partners, friends, ‘blood’ and legal ties are seen as ‘family’, and how practices of care and support, and feelings of closeness are related to these constructions. It suggests that people in LAT relationships creatively draw and re‐draw the boundaries of family belonging in ways that involve emotionally subjective understandings of family life, and that also refer to normative constructions of what ‘family’ ought to be, as well as to practical recognitions of lived family ‘realities’. This often involves handling uncertainties about what constitutes ‘family’.     

Stages of Change Theory in Family Therapy for Sibling Sexual Assault

Family therapy understands the benefits of therapeutically supported dialogue amongst family members when there are challenging themes and topics that need to be discussed. This paper is an attempt to explore ways that family therapists can work with family members who are thrust into therapy rather than ‘voluntarily’ signing up for it. It applies ideas from the drug and alcohol field such as Stages of Change theory and Motivational Interviewing. The paper explores how these ideas and approaches might help family therapists to formulate a concept of resistance and to make helpful dialogue more likely. They are applied to families experiencing sibling sexual assault, where they become involved with a legal response that necessitates a therapeutic intervention.