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A Brief History of Family Therapy
PSYC5790 Family Counseling: Theory and Practice
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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
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Cybernetics (1940's) Multiple Disciplines
Physics, Math, etc. (initially hard sciences) Organization, patterns, processes vs. matter, material, and content Feedback mechanisms Communication
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WWII Interdisciplinary approach Man and machine together (as a system)
Teleology - purposive behavior
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Gregory Bateson (40's & 50's) Anthropologist
Translated language of “science” into social science and communication terms Translated psychology into communication terms
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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
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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
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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
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Murray Bowen Psychoanalyst Mother/child symbiosis
Hospitalized both! Then whole families Developed major theoretical approach
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Carl Whitaker Psychiatrist “Atheoretical” (very unorthodox)
“Experiencing with families” Conference where local families brought in and demos done “Psychotherapy of the absurd”
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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
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Lyman Wynne Schizophrenia research Family importance Communication
pseudomutuality pseudohostility Hospitalized families
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Ivan Boszormenyi-Nagy
Hungarian psychoanalyst (MD) Founded family therapy department in Philadelphia (1957) Intergenerational focus “Ethical redefinition of the relational context”
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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?)
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Christian Midelfort Psychoanalyst Family therapist
One of the first books on family therapy (1957)
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Salvador Minuchin Argentinian child psychiatrist
Wiltwyck School for Boys Juvenile delinquent boys Low income, inner city
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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”
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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
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Golden Years (‘70-85) Centers “Masters” Separation
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Psychodynamic Bowen Boszormenyi-Nagy Ackerman
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Experiential/Existential
Whitaker (atheoretical) Kempler (Gestalt) Satir (humanistic) (warmest, “feelingest”)
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Structural School Salvador Minuchin Structural family therapy
Male juvenile delinquents inner city, low income, ghetto Structural family therapy
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Strategic Jay Haley Milan Group Milan Italy
Strategic approach, with a twist Palazzoli, Boscolo, others
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Additional Schools Communications Behavioral and Cognitive-Behavioral
MRI Satir Behavioral and Cognitive-Behavioral
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Post Golden Years (1985 - ?) Critiques Social Constructionism
Integration Pluralism Theoretical Integration Technical/Systematic Eclecticism
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Contemporary Themes Cultural sensitivity PTSD in all forms
Including spirituality and religion PTSD in all forms Managed care Evidence-based practice Others
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Sociology of Psychology
Fragmented ideas Coming together of ideas Unique Coherent Theory Separation and Differentiation Absorption
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Multidisciplinary Anthropology Counseling Demography Economics
Education History Home Economics Human Development Law Psychoanalysis Psychology Public Health Religion Social Work Sociology
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