An Introduction to Family Therapy D Fourth edition o w n lo Fourth edition ad e d b y Fourth [ F “This latest edition is for many a bedrock of the family therapy field and it ac edition u continues to get better and remain relevant. The clear, concise style makes lty o it accessible for many readers at different levels of study. Equally, this is the f N u text I reach for when someone asks: ‘What is family therapy?’ The family A rsin therapy field needs texts of this quality, it inspires both learners and n g, C teachers in equal measure.” h ia Billy Hardy, The Family Institute, University of South Wales, UK I ngm n a t i U n r iv Tohf eth feo ucrotrhe ecdointicoenp otsf iAnfno rImntirnogd fuacmtiiolyn tthoe rFaapmy ialyn Tdh seyrsatepmy ipc rporvaidcetisc ea,n c oovveerrviniegw od ersity 5 the development of this innovative field from the 1950s to the present day. u .62 .1 c 5 8 The book considers both British and International perspectives and includes the t .11 latest developments in current practice, regulation and innovation, looking at io 7] a these developments within a wider political, cultural and geographical context. n t [07 The fourth edition also contains: /1 8 • t /16 New material on CBT and Systemic Family Therapy o ]. C • New chapter on Emotions and Attachments as the Driving Force in F opy Family Systems a righ • m t © New chapter on System Formulation and Formulating M c • Fully revised chapter on Couple Therapy, which includes new material on il Gra y w legal and political issues impacting on couple relationships as well as -H sections on the Gottman Method, Emotionally Focused Couple Therapy (EFT), T ill G The Politics of Passion, The Exeter Model and Integrative Couple Therapy h lob a • New sections on outcome evidence base in the Research and Evaluation e l Ed chapter ra ucatio Lists of key texts and diagrams, suggested reading organized by topic, and p n H o practical examples and exercises are also used in order to encourage the reader y An Introduction lding to explore and experiment with the ideas in their own practice. s, L L This book is key reading for students and practitioners of family therapy and Ru C. N ssyosctieaml wico prkra acntidc eth aes hweelplli nags tphroosfee sfsrioomns twheh of iedledasl owf ictho ufanmseilllyin igss, upessy.chology, di D ot to be a to Family Therapy re RPulydmi oDuatlhlo Us nisiv Perrosigtrya dmomcteo rDailr etrcationri nagn dc oPurrosfee sisno cr liinni cCaliln picsaycl hPosylocghyo. loHgey i so na ltshoe llos distribu a consultant clinical psychologist and teaches on several family therapy a ted training courses. nd or m Rcoovoensr tD rtirhbaeup tleiaorsn tis st thaoi r ttthhye eyr eadaperivsse.t ,lo tpemacehnetr oafn fda msuilpye arvnidso cro wuphloe htahes rmapayd ein m Barijtoari n Ros D Systemic Theory and Practice odified in an ra y w a per y witho u t p e rm Rudi Dallos and Ros Draper issio n www.openup.co.uk . D o w n lo a d e d b y [ F a c u lty An Introduction to Family Therapy o f N u rsin g SYSTEMIC THEORY AND PRACTICE , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 Fourth edition 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F An Introduction to ac u lty o f N u Family Therapy rsing , C h ia n g m a i U n iv e SYSTEMIC THEORY AND PRACTICE rsity 5 .6 2 .1 5 8 .1 1 7 Fourth edition ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M Rudi Dallos and Ros Draper cG ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u Open University Press lty o McGraw-Hill Education f N u McGraw-Hill House rsin Shoppenhangers Road g, C Maidenhead hia n Berkshire gm a England i U SL6 2QL niv e email: [email protected] rsity 5 world wide web: www.openup.co.uk .6 2 .1 and Two Penn Plaza, New York, NY 10121-2289, USA 58 .1 1 7 ] a t [0 First published 2000 7 /1 Second edition 2005 8/1 6 Third edition 2010 ]. C First published in this fourth edition 2015 op y Copyright © Rudi Dallos and Ros Draper 2015 righ t © All rights reserved. Except for the quotation of short passages for the M c purposes of criticism and review, no part of this publication may be Gra w reproduced, stored in a retrieval system, or transmitted, in any form, or by -H any means, electronic, mechanical, photocopying, recording or otherwise, ill G without the prior written permission of the publisher or a licence from the lo b Copyright Licensing Agency Limited. Details of such licences (for al E reprographic reproduction) may be obtained from the Copyright Licensing du c a Agency Ltd of Saffron House, 6–10 Kirby Street, London, EC1N 8TS. tio n H A catalogue record of this book is available from the British Library o ld in IISSBBNN--1130:: 907-383-0-5-3236-455246-4954-4 gs, LL C eISBN: 978-0-335-26455-1 . N o Library of Congress Cataloging-in-Publication Data t to b CIP data applied for e re d Typeset by Transforma Pvt. Ltd., Chennai, India istrib u te d o r m o d ifie d in Fictitious names of companies, products, people, characters and/or data that a n y may be used herein (in case studies or in examples) are not intended to w a represent any real individual, company, product or event. y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u Praise for this book lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a “This latest edition is for many a bedrock of the family therapy field and t [0 7 it continues to get better and remain relevant. The clear, concise style /18 /1 makes it accessible for many readers at different levels of study. Equally, 6]. C this is the text I reach for when someone asks: ‘What is family therapy?’ o p y The family therapy field needs texts of this quality, it inspires both learners rig h and teachers in equal measure.” t © Billy Hardy, The Family Institute, M c G University of South Wales ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u Contents lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a List of figures and tables xiii t [0 7 About the authors xv /18 /1 Foreword to the Fourth Edition xvii 6 Preface xix ]. Co p y Acknowledgements xxii rig h t © M Introduction 1 cG ra w Experiences of systemic and family therapy 1 -H A family’s view 1 ill G Two therapists’ views 4 lob a What is the ‘family’? 5 l E d u The family life cycle 7 ca tio Allowing the family a voice 9 n H The organizing framework of this book 10 old Key texts offering a historical overview of systemic ing and family therapy 14 s, LL C Setting the scene – 1950s 15 . No t to 1 The first phase – 1950s to mid-1970s 27 be re d Cultural landscape 27 istrib Influential people and ideas 28 u te d Seeds of systemic and family therapy 28 o Systemic thinking – from intrapsychic to interpersonal 32 r m o d Systems theory – biological analogy 33 ifie d Emergent properties of a system 34 in a Circularities 34 ny w Triads, triangulation, and conflict detouring 37 a y Rules, pattern, and process 39 with o u t p e rm issio n . D o viii CONTENTS wn lo a d e d Feedback 40 b y Family coordination through communication 40 [ F a c Double-bind concept 40 ulty Meta-communication 41 of N Open and closed systems 42 u Family homeostasis 42 rsing , C Family life cycle 43 h ia Practice 45 ng m Structural family therapy 45 ai U Beliefs and structures 46 niv e Therapeutic orientations 47 rsity Directive stance 48 5 .6 Strategic family therapy 50 2.1 5 Beliefs and premises 53 8.1 1 Strategic tasks 55 7] a Commentary 57 t [0 7 Gender and shifting inequalities of power 57 /1 8 /1 Normative assumptions of life-cycle models 59 6 Key texts 59 ]. Co p y Skill guides 60 rig h Family sculpting 60 t © Family tree and time line 62 M c G Reframing 65 ra w -H 2 The second phase – mid-1970s to mid-1980s 66 ill G Cultural landscape 66 lob a Influential people and ideas 68 l E d u Second-order cybernetics 68 ca tio Meta-communication 69 n H Communication 70 old The person as private ‘biosphere’ 73 ing Intention 73 s, LL C Beliefs and actions in triads 73 . N o Ecological perspective – multiple systems 75 t to Observing systems 75 be Practice 75 red Hypothesizing 75 istrib u Reframing 76 ted o Co-construction of shared histories 78 r m Commentary 78 od Moral and political implications 79 ified in Power 80 a n y Milan approach 80 w a Positive connotation 81 y w Key texts 82 ith o u t p e rm issio n . D o CONTENTS ix wn lo a d e d Skill guides 83 b y Teamwork 83 [ F a c Hypothesizing 84 ulty Positive connotation 86 of N Circular questioning 87 u Transformational change 88 rsing , C h 3 The third phase – mid-1980s to 2000 89 ia n g m Cultural landscape 89 ai U Theoretical perspectives 90 niv e Connections and links to the first and second phases rsity of systemic family therapy 92 5 .6 Influential people and ideas 93 2.1 5 View of the person – construction of experience 96 8.1 1 Practice 99 7] a Brief solution-focused therapy 100 t [0 7 Reflecting teams 102 /1 8 /1 Narrative therapies 103 6 Externalizing problems 104 ]. Co p y Writing 105 rig h Feminist therapies 105 t © Power and the construction of reality 106 M c G Culturally available stories 107 ra w Commentary – feminist orientations 108 -H Key texts 110 ill G Skill guides 112 lob a Consultation 112 l E d u Externalizing the problem 113 ca tio Collaborative inquiry 114 n H Reflecting processes 116 old Relevance and usefulness 116 ing s, L L 4 Emotions and attachments as the driving force in C family systems 118 . No t to Emotions and early family therapy concepts 121 be Triangulation 121 red The double-bind 122 istrib u Attachment theory 124 ted o Attachment as a fundamental instinct 124 r m Attachment strategies 126 od Internal working models and representational systems 128 ified in Choice and autonomy: corrective scripts and representational systems 130 a n y Attachment and trauma 131 w a Family life cycle and attachments 133 y w Attachments: from dyads to triads 134 ith o u t p e rm issio n .