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A Brief History of Family Therapy

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1 A Brief History of Family Therapy
PSYC5790 Family Counseling: Theory and Practice

2 Historical Context Others: Horney, James, Barker, Goldstein Freud Jung
Implicit family influence Jung Wholeness Synthesis of opposites Adler Behavior in context Family structure Really did a lot of family therapy Sullivan Personality inseparable from interpersonal Therapist as a part of this (not “observer”) Fromm-Reichman Extended Sullivan Schizophrenic Family Therapy “Schizophrenogenic Mother” (1948) Allport Acknowledged social/contextual nature Lewin Field Theory Dewey and Bentley Context Relation of observer/observed Others: Horney, James, Barker, Goldstein

3 Cybernetics (1940's) Multiple Disciplines
Physics, Math, etc. (initially hard sciences) Organization, patterns, processes vs. matter, material, and content Feedback mechanisms Communication

4 WWII Interdisciplinary approach Man and machine together (as a system)
Teleology - purposive behavior

5 Gregory Bateson (40's & 50's) Anthropologist
Translated language of “science” into social science and communication terms Translated psychology into communication terms

6 Gregory Bateson (2) Communication Theory Paradox Logical types
Levels of communication Conflicted levels Schizophrenia Schizophrenogenic mothers (communication) Double-bind hypothesis Key concept is that psychopathology is interpersonal, not intrapsychic

7 Post WWII Zeitgeist Lots of Support for Research Faith in science
Cybernetics (physics) Systems theory (biology) Lots of Support for Research Think tank Exploration/experimentation

8 Nathan Ackerman Child psychoanalyst “Grandfather of family therapy”
Family focus in treatment Child and mother Role relationships Home visits Still rather individual actually both Family Process Journal

9 Murray Bowen Psychoanalyst Mother/child symbiosis
Hospitalized both! Then whole families Developed major theoretical approach

10 Carl Whitaker Psychiatrist “Atheoretical” (very unorthodox)
“Experiencing with families” Conference where local families brought in and demos done “Psychotherapy of the absurd”

11 Theodore Lidz MD (psychiatrist) Schizophrenia, too
Family role in disorder Development beyond childhood Attacked Freudian conceptualizations (did it well) Described marital dynamics schism and skew

12 Lyman Wynne Schizophrenia research Family importance Communication
pseudomutuality pseudohostility Hospitalized families

13 Ivan Boszormenyi-Nagy
Hungarian psychoanalyst (MD) Founded family therapy department in Philadelphia (1957) Intergenerational focus “Ethical redefinition of the relational context”

14 John Bell [One of] the first doing family therapy
Saw family as problem, not individual Used group dynamic stuff to conceptualize families (what other literature was there?)

15 Christian Midelfort Psychoanalyst Family therapist
One of the first books on family therapy (1957)

16 Salvador Minuchin Argentinian child psychiatrist
Wiltwyck School for Boys Juvenile delinquent boys Low income, inner city

17 The Stage Is Set Previous thoughts and thinkers set stage for formal articulation of theories Paradigm Shift (60's) Kuhn: Scientific Revolution From People to “Schools”

18 MRI (not really a school at first)
Major players cycled through MRI Bateson, Satir, Haley, Weakland, Jackson, Fisch, others Legitimized family therapy Communication approaches Strategic Family Therapy Brief Treatment Program

19 Golden Years (‘70-85) Centers “Masters” Separation

20 Psychodynamic Bowen Boszormenyi-Nagy Ackerman

21 Experiential/Existential
Whitaker (atheoretical) Kempler (Gestalt) Satir (humanistic) (warmest, “feelingest”)

22 Structural School Salvador Minuchin Structural family therapy
Male juvenile delinquents inner city, low income, ghetto Structural family therapy

23 Strategic Jay Haley Milan Group Milan Italy
Strategic approach, with a twist Palazzoli, Boscolo, others

24 Additional Schools Communications Behavioral and Cognitive-Behavioral
MRI Satir Behavioral and Cognitive-Behavioral

25 Post Golden Years (1985 - ?) Critiques Social Constructionism
Integration Pluralism Theoretical Integration Technical/Systematic Eclecticism

26 Contemporary Themes Cultural sensitivity PTSD in all forms
Including spirituality and religion PTSD in all forms Managed care Evidence-based practice Others

27 Sociology of Psychology
Fragmented ideas Coming together of ideas Unique Coherent Theory Separation and Differentiation Absorption

28 Multidisciplinary Anthropology Counseling Demography Economics
Education History Home Economics Human Development Law Psychoanalysis Psychology Public Health Religion Social Work Sociology


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