Marriage and family systems in Nigeria

"The study focuses on traditional marriage and family patterns in Nigeria and consequences of change for Nigeria. The study identifies directions of change, rate of change, and the causes of change in marriage and the family. An attempt is made to point out that recent changes in the [status] of Nigerian women may recast marriage and the family in new and different molds. It appears the Nigerian family is moving slowly towards the western nuclear family model."     

Dsm-iii-R and the family therapist: ethical considerations

DSM-III-R has gained popularity in many segments of the mental health field. Family therapists have generally not found its approach to assessing problems to be helpful in the planning of therapy, yet, are often forced to use it due to the requirements of third-party payers. This raises several ethical and practical concerns, e.g., the incompatibility of orientations between DSM-III-R and family therapy, the stigma associated with diagnosing, being asked to misrepresent diagnoses to third-party payers, and the competency of some family therapists to make DSM-III-R diagnoses. Short- and long-term strategies to deal with these ethical dilemmas are also presented.     

Deconstructing heterosexism: becoming an LGB affirmative heterosexual couple and family therapist

The purpose of this article is to propose a three-step model to help heterosexual therapists become more aware of the influence of their own heteronormative assumptions, heterosexual privileges, and heterosexual identities on the therapy process. This article also provides definitions of concepts central to the practice of affirmative therapy with lesbian, gay, and bisexual clients and strategies that therapists and clients can use to deconstruct heterosexism in the context of therapy.     

Values in the role of the family therapist: self determination and justice

Recently, there has been renewed interest in the role of values in family therapy. A number of theorists agree that there is an inherent ethical dimension in all forms of therapy, because therapy necessarily involves influencing others in accord with a set of values. In cultures that value self determination, a potential conflict arises between the therapist's inherent moral influence and protecting the client's self determination. This article identifies that dilemma and investigates how different treatment approaches resolve it as they attempt to promote justice in the family.     

Gay and lesbian couples in therapy: perspectives for the contemporary family therapist

This paper outlines the major concerns of gay and lesbian couples who seek therapy. Presenting problems are classified as either internal to the relationship or as external (contextual) ones that reflect the influence of oppressive cultural and gender biases. Throughout the article, distinctive therapy methods are described that address the unique concerns of lesbian and gay couples, with special sensitivity to heterosexist and homophobic bias.     

Marriage and family therapy faculty members' balance of work and personal life

A sense of imbalance is common among both professors and therapists, though few studies have been published examining the work and personal life balance of those who work in both professions simultaneously. Using in-depth telephone interviews, this study examined the work and personal life balance of 16 marriage and family therapy (MFT) faculty members. Results showed that six were satisfied with their balance, six were dissatisfied, and four were "middle of the road." Men, older participants, and those who were in their career longer were more likely to report feeling satisfied with their balance. Internal indicators of their balance included family and workplace messages, health indicators, feelings of contentment, and congruence with personal values. Child and relationship status, tenure status, and gender issues also impacted their sense of balance. Specific balance enhancers and reducers were highlighted, and participants discussed coping strategies and recommendations for other MFT faculty members. Clinical, training, and career implications are discussed.     

Burnout among mental health professionals: special considerations for the marriage and family therapist

Burnout is a syndrome consisting of physical and emotional exhaustion resulting from negative self-concept, negative job attitudes, and loss of concern for clients. This research study explores potential predictors and prevalence of burnout among marriage and family therapists (MFTs). It evaluates the Maslach Burnout Inventory (MBI) to establish its applicability to MFTs. Our sample of 116 Clinical Members of the American Association for Marriage and Family Therapy responded to a mailed questionnaire including demographic information and the MBI. Overall, our sample reported low-to-moderate ranges of burnout. Differences were noted in degrees of burnout across job settings. Predictors of clinician burnout include hours worked per week and job setting. Factor analysis indicates that the MBI is an appropriate assessment tool for measuring burnout among MFTs. Implications for clinical practice are discussed.     

Marriage and family therapists working with couples who have children with autism

Current research about families and couples who have children with autism is discussed using the Double ABCX model as a guide. A case study is presented along with recommendations for therapists who work with couples who have children with autism. Marriage and family therapists are encouraged to use the Double ABCX model as both an assessment tool as well as for intervention. More research and effective therapists in this area are needed in order to keep up with the rising rates of families that include children diagnosed with autism.     

The role of the family therapist in supportive services to families with handicapped children

The family therapist can play a critical role in assisting families of handicapped children develop positive functioning patterns. In this paper the author identifies a number of typical interactional difficulties found in these families together with the unique challenges they place before the family therapist and strategies that she has found to be effective in working with them on their relationship problems.     

The impact on the family therapist of a focus on death, dying, and bereavement

Recognizing the growing numbers of family therapists who are choosing a focus on death, dying, and bereavement, this article addresses the nature of the commitment required--as well as the gifts and challenges presented by work in this area. Particular attention is given to therapists' vulnerability to compassion fatigue and/or vicarious traumatization, both of which are described and discussed. A variety of strategies for individuals and institutions, aimed at supporting professionals and preventing problems, are considered. It is concluded that as family therapists focus on self-care as well as client care, they have the potential to increase not only their effectiveness but also to enhance their own well-being. Implications for training and for research on this topic also are considered.     

Challenging stereotypes of British-Asian women's experiences of work and family life

Kalminder Kaur describes herself as ‘married, I've got 2 girls; 10 and 7 years old now, and we're Sikhs. I went to university and did my first degree in Biology and my PhD in Biology and Engineering. The job I've got at the moment is with a water company. I am a Water Treatment Specialist.’

Kalminder was talking to researcher Baljit Kaur Rana about British-Asian women's experiences of the work-family interface. What Kalminder has to say raises many questions about stereotypical images of British-Asian women, their working lives and related community issues. This article seeks to highlight the significance of changes that have recently started to become more commonplace in the organisation of Asian family life in Britain. It is evident that increased awareness about these changes is of considerable significance to employers, as well as in relation to other families and the wider community. Debate continues about how women juggle work and family commitments, and Kalminder's account draws attention to the ways in which cultural background can blur the boundaries further. In practice however, many families respond effectively to very complex demands.     

Training experiences of international doctoral students in marriage and family therapy

Recognizing mental health needs of diverse populations, emphasizing cultural diversity, and recruiting ethnic minority students are important foci of current of marriage and family therapy training programs. However, the profession has made little progress in identifying the needs and experiences of its international students and practitioners. This research examines the experiences of doctoral-level international students across the areas of theory, clinical training, supervision, practice, and research. A qualitative methodological approach was used to explore the research questions. Thirteen in-depth interviews were conducted. Findings revealed that most respondents experienced some adjustment problems, want more academic and career support, and need increased recognition for their cultural differences. Recommendations for training international students are included.     

Marriage and family therapists evaluate managed mental health care: a qualitative inquiry

This study examined the experiences of 26 marriage and family therapists working in managed mental health care. A qualitative strategy was used to explore therapists' perspectives regarding practice in a managed care environment. Using an open-ended, semi-structured, mailed questionnaire four themes emerged from the data. These are the adaptations of clinical practice, issues of treatment duration/abandonment, effects of managed care on the therapeutic relationship, and issues of diagnosis. Recommendations are drawn from the findings and discussed.     

Marriage and family therapists and psychotropic medications: practice patterns from a national study

A national sample of marriage and family therapists (MFTs) was used to describe practice patterns of MFTs whose clients use psychotropics and to compare medicated and nonmedicated clients. Marriage and Family Therapists (n=283) reported on 195 medicated and 483 nonmedicated adult clients. Clients (n=375) rated their improvement and satisfaction with treatment. Results showed that 91% of MFTs treat medicated clients, and these clients accounted for 25% of MFT cases. Medicated clients were most often seen in individual therapy, had more serious medical problems, and showed greater cumulative improvement in relational functioning. Therapists from MFT educational backgrounds had fewer medicated clients than MFTs from other educational backgrounds.     

Employee experiences with family and medical leave: A case study

This article examines employee experiences with family and medical leave policies at an urban public transportation union work site in the United States. The case study focuses on the leave experiences among a sample population of 91 primarily African-American women transit workers, including reasons for taking or not taking leaves, decisions regarding how much leave time to take, and work impacts experienced after returning from leaves. The case study found that all respondents with new babies or ill children took leaves, as did 78% of those with illnesses and 39% of those with ill family members. Among those eligible to take leaves, the most frequent reason for not doing so was the lack of wage replacement. Knowledge of leave policies was minimal and not associated with the likelihood of leave-taking. These findings are discussed in terms of their workplace and community implications, including the need to expand the length and types of family leave coverage, the need for government-mandated paid leave, approaches for increasing employee knowledge of leave rights, and the need for continued research into leave experiences of minority populations.     

Postmodernism in marriage and family therapy training: doctoral students' understanding and experiences

The purpose of this study is to advance our understanding of how doctoral students perceive postmodernism's influence in the field of Marriage and Family Therapy (MFT). According to the literature, postmodernism has had a profound impact on many fields, including MFT. However, tracking of how postmodernism is actually being rendered in theory, research, practice, and training warrants investigation. This study utilized focus group interviews to investigate the perceptions of MFT doctoral students. Findings suggest that while participants are attracted to postmodern tenets, they also report feeling a mixture of liberation and excitement with confusion and fear regarding how postmodernism is influencing MFT models of therapy.     

Dis-integrated policy: welfare-to-work participants' experiences of integrating paid work and unpaid family work

Using a critical feminist theoretical lens, we followed 17 families for one year – as they attempted to make the transition from welfare to work – eliciting narrative accounts of their day-to-day lives. We used an institutional–ethnographic methodology to analyse the data. Our study shows that the juncture at which unpaid caring work and paid employment meet may be more difficult to negotiate for low-income lone-parent families than for coupled, middle-class employed families. Findings reveal that the unpaid work that happened on the edges of a paid work day, what we refer to as ‘the work outside the work’, took considerable time and energy for participants, making it difficult for them to procure and/or sustain employment. This was due to a number of factors including their limited access to economic and non-economic resources, and the complex nature of their lives, including struggles with day-to-day functioning and childcare arrangements. These challenges, combined with the realities of the low-income labour market made it difficult, if not impossible, for most participants to effectively integrate work and family. These findings suggest that the dis-integrated nature of welfare-to-work policies, which overlooks the actualities of low-income parents’ lives, limits families’ ability to become self-sufficient.