What Novice Family Therapists Experience During a Session… A Qualitative Study of Novice Therapists' Inner Conversations During the Session

“What do novice family therapists experience during a session with a couple or family?” This is the central question in this article. A videotape‐assisted recall procedure was used to study novice family therapists’ inner conversations. The therapists' reflections were analyzed using thematic analysis. This resulted in a coding system that distinguishes four main domains: (a) reflections concerning the self; (b) reflections about the therapy process; (c) reflections on emotions about the family members; and (d) managing the session as well as own emotions. The study furthermore revealed that during a session, novice family therapists experience strong emotions, such as self‐criticism and irritation. Both emotions may encompass dangers, as well as opportunities for the therapeutic alliance and the process.     

Achieving Growth and High Quality by Strategic Intent

Can nonprofits simultaneously pursue continuous rapid growth and maintain high-quality delivery of services? This article is the story of the five-year experience of one nonprofit that has attempted to apply the concept of “strategic intent” to its operations in pursuit of this question. The idea of continuous rapid growth seemingly dismisses the possibility of continued high quality. But in a day when expansion of quality services is needed in many segments of the nonprofit sector, the notion of the possibility of rapid growth in services with high quality is of great interest.     

The Single‐Parent Family and the Family Therapist: About Invitations and Positioning

Single parent families sometimes represent specific challenges to family therapists. In this article a dialogical frame with important concepts such as voice and positioning is proposed to reflect on family therapy practice. This frame is used to reflect on a common invitation in family therapy with single‐parent families: the invitation to take the place of the absent parent. A case of family therapy with a single‐parent family is presented in order to illustrate the importance of flexibility in the therapist's positioning and the way the therapist's experiencing can be used as an empathic bridge to create a dialogical space in which the important issues at stake can be addressed.     

"In search of a tale they can live with": about loss, family secrets, and selective disclosure

Several authors have written about family secrets in the family therapy literature in interesting ways. According to these authors, the questions “who knows the secret?” and “who does not know the secret?” are central. In the present study, we have qualitatively analyzed the documentary film Familiegeheim (Family Secret) by the Dutch director Jaap van Hoewijk. The film shows van Hoewijk’s investigation into the death of his father in 1974 and tells the story of a family in which the suicide of the father is kept secret from the three children. Our analysis of the film highlights the complex ways in which families deal with sensitive issues like loss, grief, and suicide. The concept of family secrets seems to poorly capture this complexity, focusing one‐sidedly on the destructive effects of withholding delicate information. The concept of selective disclosure is proposed as an alternative. Selective disclosure refers to the complex processes involved in dealing with the dialectic tension between sharing information and keeping it secret. The concept is not only focused on the destructiveness of secrecy but, in addition, also makes room for an appreciation of the caution with which family members deal with sensitive family issues.     

Making Sense of Multi‐Actor Dialogues in Family Therapy and Network Meetings

In recent years, a number of family therapists have conceptualized psychotherapy as a dialogical activity. This view presents family therapy researchers with specific challenges, the most important of which is to find ways of dealing with the dialogical qualities of the multi‐actor dialogues that occur, for example, in family therapeutic conversations. In this article, we propose some preliminary ideas concerning qualitative investigations of multi‐actor dialogues. Our aim is to work toward an integration of Bakhtin’s theoretical concepts with good practices in qualitative research (e.g., dialogical tools and concepts of a narrative processes coding system) in order to make sense of family therapy dialogues. A specific method that we have called Dialogical Methods for Investigations of Happening of Change is described. This method allows for a general categorization of the qualities of responsive dialogues in a single session, and also for a detailed focus on particular sequences through a microanalysis of specific topical episodes. The particular focus is on the voices present in the utterances, the positioning of each speaker, and the addressees of the utterances. The method is illustrated via an analysis of a couple therapy session with a depressed woman and her husband.