S Y S T E M IC T H I N K I NG A ND P R A C T I CE S E R I ES Series Editors: DAVID CAMPBELL & Ros DRAPER Multiple Family Therapy: The Marlborough Model and its Wider Applications ElA ASEN, NEIL DAWSON & BRENDA MCHUGH MULTIPLE FAMILY THERAPY Other titles in the Systemic Thinking and Practice Series edited by David Campbell & Ros Draper published and distributed by Karnac Bentovim, A. Trauma-Organized Systems. Systemic Understanding of Family Violence: Physical and Sexual Abuse Boscolo, L., & Bertrando, P. Systemic Therapy with Individuals Burck, C & Daniel, G. Gender and Family Therapy Campbell, D., Draper, R., & Huffington, C. Second Thoughts on the Theory and Practice of the Milan Approach to Family Therapy Campbell, D., Draper, R., & Huffington, C Teaching Systemic Thinking Cecchin, G., Lane, G., & Ray, W. A. The Cybernetics of Prejudices in the Practice of Psychotherapy Cecchin, G., Lane, G., & Ray, W. A. Irreverence: A Strategy for Therapists' Survival Dallos, R. Interacting Stories: Narratives, Family Beliefs, and Therapy Draper, R., Gower, M., & Huffington, C. Teaching Family Therapy Farmer, C Psychodrama and Systemic Therapy Flaskas, C, & Perlesz, A. (Eds.) The Therapeutic Relationship in Systemic Therapy Fredman, G. Death Talk: Conversations with Children and Families Hildebrand, J. Bridging the Gap: A Training Module in Personal and Professional Development Hoffman, L. Exchanging Voices: A Collaborative Approach to Family Therapy Jones, E. Working with Adult Survivors of Child Sexual Abuse Jones, E., & Asen, E. Systemic Couple Therapy and Depression Robinson, M . Divorce as Family Transition: When Private Sorrow Becomes a Public Matter Smith, G. Systemic Approaches to Training in Child Protection Wilson, J. Child-Focused Practice: A Collaborative Systemic Approach Work with Organizations Campbell, D, Learning Consultation: A Systemic Framework Campbell, D. The Socially Constructed Organization Campbell, D., Coldicott, T., & Kinsella, K. Systemic Work with Organizations: A New Model for Managers and Change Agents Campbell, D Draper, R., & Huffington, C. A Systemic Approach to v Consultation Cooklin, A, Changing Organizations: Clinicians as Agents of Change Haslebo, G., & Nielsen, K. S. Systems and Meaning: Consulting in Organizations Huffington, C, & Brunning, H. (Eds.) Internal Consultancy in the Public Sector: Case Studies McCaughan, N., & Palmer, B. Systems Thinkingfor Harassed Managers Credit Card orders, Tel: +44 (0) 20-8969-4454; Fax: +44 (0) 20-8969-5585 Email: [email protected] MULTIPLE FAMILY THERAPY The Marlborough Model and Its Wider Applications Eia Asen, Neil Dawson, & Brenda McHugh Foreword by Introduction by Salvador Minuchin Alan Cooklin Systemic Thinking and Practice Series Series Editors David Campbell & Ros Draper KARNAC LONDON NEW YORK First published in 2001 by H. Karnac (Books) Ltd, 118 Finchley Road, London NW3 5HT A subsidiary of Other Press LLC, New York Copyright © 2001 Eia Asen, Neil Dawson, & Brenda McHugh. The rights of Eia Asen, Neil Dawson, & Brenda McHugh to be identified as the authors of this work have been asserted in accordance with §§ 77 and 78 of the Copyright Design and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. British Library Cataloguing in Publication Data A CLP. for this book is available from the British Library ISBN: 978 1 85575 277 1 10 9 8 7 6 5 4 3 21 Edited, designed, and produced by Communication Crafts www. karnacbooks.com Printed and bound by Antony Rowe Ltd, Eastbourne CONTENTS EDITORS' FOREWORD vii FOREWORD by Salvador Minuchin ix ABOUT THE AUTHORS xiii PREFACE XV INTRODUCTION by Alan Cooklin xix CHAPTER ONE Developing a contextual approach 1 CHAPTER TWO Multiple family therapy—history and concepts 11 CHAPTER THREE Developing a day unit for families 19 CHAPTER FOUR The Family School 49 v Vi CONTENTS CHAPTER FIVE Applications of the Marlborough Model 67 CHAPTER SIX Skills and techniques in multiple family therapy 83 Epilogue 107 REFERENCES 113 INDEX 118 EDITORS' FOREWORD T he Systemic Thinking and Practice Series is very pleased to publish its first contribution from the Marlborough Family Service in London. For readers who may not know, this is a pioneering centre that has uniquely applied systemic approaches to work in the community. This highly respected institution has been in the forefront of developing services for child-protection cases, school-based interventions, and family therapy for ethnic minority communities. But the one service that established its reputation for family work, and has stood the test of time, has been the Family Day Unit, which brings troubled families together to learn from one another. Readers may be aware that there is a growing interest in the family therapy field to know more about what families can learn from each other. This seems to be a logical extension of the idea that the family has the expertise to solve many of its own prob lems. If, then, this is true, why not let families support each other through sharing experiences and find new solutions by pooling their repertoire of successful strategies? vii viii EDITORS' FOREWORD This is exactly what the Marlborough Family Service has been doing for years, but now three of their long-standing staff mem bers have taken it upon themselves to describe what they do and to conceptualize why certain approaches seem to work in certain settings, such as the recently established centre in Germany which is based on the Marlborough model. One important feature of this writing is that all of the conclusions are based on years of expe rience. The book describes innovative work with a range of family problems, such as marital violence, eating disorders, educational problems, and child abuse. For example, family groups may spend time together reviewing videotapes of their child-rearing activi ties, or they may convene self-help groups to share responsibility for assisting other families. We think that readers will find this a refreshing, innovative approach to our most challenging cases and will be enthused by the possibilities that arise when families work together. David Campbell Ros Draper London, 2001 FOREWORD T his short book is written in simple language but describes an extraordinary process: the efficient meandering of the Marlborough Family Service staff, in which they have con tinually created innovations in the delivery of services while re maining fully committed to the well-being of their client families. In 1976, Alan Cooklin started this process by joining Maxwell Jones's experiments and ideas about the therapeutic community with Bateson's concept of systemic thinking. They were odd bed fellows indeed to use as the base for developing an "institution for change"—a day hospital to work with multi-problem families, who generally attracted multiple providers that, in the end, were ineffective in multiple ways. When, at the end of the 1970s, I went to London on sabbatical and was invited by Cooklin to consult with the staff, I found an institution ahead of its time. I directed most of my efforts towards helping the staff integrate the family therapy team, inspired by systemic thinking, with the school and Family Day Unit, which was guided more by pragmatic and educational ideas. The staff also borrowed from my work an orientation towards challenge ix