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INDIVIDUAL AND FAMILY THERAPY: TOWARD AN INTEGRATION Fred Sander
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INDIVIDUAL AND FAMILY THERAPY: TOWARD AN INTEGRATION Fred Sander
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Copyright 1979,2013 by Jason Aronson, Inc. All Rights Reserved
This e-book contains material protected under International and Fe Copyright Laws and Treaties. This e-book is intended for personal use Any unauthorized reprint or use of this material is prohibited. No part o book may be used in any commercial manner without express permissi the author. Scholarly use of quotations must have proper attribution t published work. This work may not be deconstructed, reverse engineer reproduced in any other format. The entire e-book in its original form m shared with other users. Created in the United States of America For information regarding this book, contact the publisher: International Psychotherapy Institute E-Books 301-215-7377 6612 Kennedy Drive Chevy Chase, MD 20815-6504 www.freepsychotherapybooks.org
[email protected]
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for Joelle, Stephen and Jason
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+('()&2(!(#+ !- "&')#!= 2#/(#0 -% !"# )(!#2&!;2# !"# "-'-+#J;&) 2#+-);!(-. -% !"# -#7(,&) 6-.%)(6! !"# ,2#-#7(,&) %&6!-2+= &'@(/&)#.6# &.7 !"# 2-)# -% +,)(!!(.8 !"# -#7(,;+ 6-',)#J +##. !2&.+&6!(-.&))* 2#%#2#.6#+
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(!)#"*+%,-.%
Interest in the interdisciplinary study of psychology was first stimulat the Department of Social Relations at Harvard twenty years ago. In those
unification of psychology, sociology, and anthropology was still thoug
possible dream. The Kluckohns, Henry Murray, John Spiegel, Talcott Par and my faculty advisor, Kenneth Keniston, gave direction.
Psychiatric training at the Albert Einstein College of Medicine help You're Reading a Preview
sustain that ideal. The chairman offullthe department, Unlock access with a free trial. Milton Rosenbaum, all
the competing biological, psychoanalytic, andTrial social psychiatric approac Download With Free
balanced representation that is rare in present-day training programs.
Barchilon’s teaching of psychoanalytic concepts through the reading of c
novels influenced me in applying this approach to the teaching of family the
MasterIsrael yourZwerling semester with the Scribd supported development of a Free family studies section Read Foron 30this Days Sign up to vote title & The New York Times Useful Not useful became a nationally known family therapy training program. Iconoclastical Special offer for students: Only $4.99/month.
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convinced me that family treatment was a genuine paradigm shift that w
shed new light on psychiatric disorders and offer new therapeutic opportunit
Training at the New York Psychoanalytic Institute was an invaluable
constant reminder that intrapsychic forces are ultimately what make f
systems and patterns as resistant to change as they are. A seminar i
Institute’s Extension School on psychoanalysis and the social sciences le Martin Wangh and Daniel Yankelovich supported the attempt to integrate
psychology with social processes. The contributions made to that semin
Joel Kovel and Leon Balter (who have applied psychoanalytic concepts t
institution of racism and to group behavior) have encouraged me in my att You're Reading a Preview
to apply psychoanalytic ideas to family systems concepts. Another Exte Unlock full access with a free trial.
School seminar, which I chair, on the topic of psychoanalytic theory and f Download With Free Trial
process, has provided further collegial support.
Those who have read individual chapters and offered valuable criticism
encouragement include Martin Bergmann, Charles Socarides, Kurt Ei
MasterEleanor your semester with Scribd Galenson, Lewis Kirshner, Richard Ellman, Peter Buckley, and M Read Free Foron 30 Days Sign up to vote this title & The New York Times Useful Not useful Special offer Nierenberg. for students: Only $4.99/month.
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is reprinted with the permission of John Wiley and Sons. Chapter 7 (The Fa
Therapy Literature) is republished with minor changes from The Prim
Family Therapy edited by Don Bloch, with the permission of Grune and Str
Parts of chapter 8 were originally published in Family Process (vol. 13, n 1974; vol. 17, no. 4, 1978) and are reprinted with permission.
Indebtedness to the innumerable psychoanalysts and family therapists w writings have influenced my thinking will be acknowledged throughout the
My students and patients, who were the least biased by theor
allegiances have helped me keep an open mind regarding the potentialitie the limitations of individual and family therapy. You're Reading a Preview Unlock full access with a free trial.
My wife Joelle, a writer and teacher of writing, has helped make the Download With Free Trial
more readable. Our sons, Stephen and Jason, daily remind me that individua
family forces are always at work, sometimes clashing, sometimes in harmon
At a deeper level the interest in interdisciplinary approaches probably s
Masterfrom your semester withGermany Scribdwith my parents having escaped Nazi when I was twoand h Read Free Foron 30this Days Sign up to vote title & The New York Times Useful Not useful to integrate two languages and cultures. Myparents’difficulties as we Special offer for students: Only $4.99/month.
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fortitude in resettling when they were in their middle years are among
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/0%1 ["Paradigms”] I take to be universally recognized achievements that for a time provide model problems and solutions to a community of practitioners.
— T.S. Kuhn, The Structure of Scientific Revolu Guildenstern: (quietly) Where we went wrong was getting on a boat. We can move, of course, change direction, rattle about, but our movement is contained within a larger one that carries us along as inexorably as the wind and the current — Tom Stoppard, Rosencrantz and Guildenstern Are You're Reading a Preview
We see an enormous drillUnlock tapping the furnace; slowly moving across the full access with a free trial. troughs are five men, all of them young. They wear asbestos hoods and coats which extend to theDownload ground. With SinceFree they all wear glasses under the Trial hoods, it is hard to distinguish between them.
— From the screenplay, The Deer H
When we see Hamlet and hear the hero of that play ask “To be or not to
Masterwe your with Scribd joinsemester countless audiences that have been Read caught up 30 in his struggles Free Foron Days Sign up to vote this title & The New York Times Useful Not useful choices. At the end of the sixteenth century,Shakespeare was portrayin Special offer for students: Only $4.99/month.
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emergence of an individualism that the preceding age would not
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drama their lives are as determined as the toss of a two-headed coin. The pl
fact, opens with, and at intervals is punctuated by, the tossing of a coin
always comes up heads. There is no longer the illusion of personal de
choice, individuality, or even chance. As their ignominious death nears
conclude that “our movement is contained within a larger one that carri
along as inexorably as the wind and current.” They have little autonom
control over their lives, and we can identify with that situation as well as Hamlet’s.
Further reflective of this cultural obsession with how little we can contro
course of our lives is the 1979 Academy award-winning film, The Deer Hu You're Reading a Preview
From the earliest scenes in the steel mill and at the wedding, through Unlock full access with a free trial.
repeated Russian roulette torture sequences in Vietnam, the mass evacua Download With Free Trial
and finally in the singing of “God Bless America,” the individual characte
unable to separate themselves from the pressure of group processes. They
ultimately pull the trigger pointed at their own heads. At about the same tim
Island nuclear accident served to reinforce the foreb MasterThree yourMile semester withreactor Scribd Read Free Foron 30this Days Sign up to vote title & The New York Times Not useful sense of contextual forces over which we have lostUseful control. Special offer for students: Only $4.99/month.
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psychiatric residency, I came to the position that psychoanalytic theory
emerging family systems approaches offered the most compelling explana
of the clinical problems encountered in my work. (In my essentially outp
practice I of course did not see the more severe disorders, in which biolo
determinants can play a more significant role.) Psychoanalytic theory an
family theories, however, continue to be taught as if they are mutually exclu
if not contradictory. Many of my psychoanalytic colleagues wondered
unconscious conflicts could be elicited and worked through in the context
patient’s family. As Freud had remarked early on, it would be like condu
surgery with the patient’s relatives looking on in the operating room. My f
therapy colleagues, on the other hand, wondered how anyone could be treat You're Reading a Preview
Unlock full access with a free trial. isolation from the family. It would be like treating the symptom rather tha
Downloadwere With Free underlying illness. Where dreams forTrial Freud the royal road to
unconscious, Minuchin would claim, seventy-five years later, that symptom
the royal road to family structure. In clinical practice the decision t individual or family therapy was less of a problem, as I have come to view
Master your semester with Scribd modalities as appropriate to different & The New York Times Special offer Nonetheless, for students: Only $4.99/month. whether
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individual or family therapy was conducted, the respe
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that call into question their underlying principles. These underlying princ constitute the paradigmatic nature of any science. His analysis has
relevance for the relationship of the individual and family therapy parad
explored in this book, as psychoanalysis and the emerging family sys theories represent scientific revolutions that have challenged the preceding of viewing mental disorders.
Just as psychoanalysis was resisted in its early development, the fa
systems approaches are now similarly challenged. New models (paradigm
conceptualizing data are inevitably opposed by practitioners of any sc
because of issues of territory and power as well as the psychological comf You're Reading a Preview
espousing accepted views. A new paradigm is experienced as heretical. F Unlock full access with a free trial.
claimed that psychoanalysis was thus revolutionary, comparable to Download With Free Trial
Copernican and Darwinian heresies that had earlier shaken accepted view
human existence. The family systems theories represent the latest challen
egocentric conceptions. Where Freud noted how determined by uncons
forces we were,Scribd the new family systems theories emphasize Masterintrapsychic your semester with Read Free Foron 30this Days Sign up to vote title & The New York Times and thought is determinedby Useful Not useful much of our behavior familial and cultural pat Special offer for students: Only $4.99/month.
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This view is not a new one. Various philosophies and religions hav
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“consciousness raising” comparable to the “unconsciousness raising” o psychoanalytic mode. I have chosen to illustrate some of the questions raised by this therapeutic paradigm in the discussion of several dramatic plays. Often it
artist who intuits and reflects these creative revolutionary conception
ourselves. For example, the family systems revolution was anticipated by
Eliot in The Cocktail Party. Party. In 1969, in the midst of teaching and learnin
rudiments of family therapy, I saw a revival of this play and had been expe
an esoteric evening removed from clinical concerns. Though psychiatrist
frequently portrayed on the stage, I was unprepared to see one treating a f
group. In perusing the program notes I saw that the play was first produc
1949, just before the family therapy movement began, and introduced the into a course on the literature of family therapy. For some time I had
imaginative literature as a way of teaching this new field (see chapter 7), an book in part grows out of this approach.
Master your semester with Scribdreread Hamlet More recently I had occasion to reread Hamlet Free and discovered that it b Read For 30this Days Sign up to vote on title & The New York Times Useful Not useful illustrates the conflict Special offer for students: Only $4.99/month.
anytime. of the individual and family Cancel therapy paradigms than
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examines the paradigm shift in the question, What is the matter with “What matter with Hamlet?”?
Chapter 2 discusses the emergence of family therapy as reflected i
Cocktail Party and Party and introduces some theoretical questions and technical prob raised by this new modality. Areas of overlap between religion psychotherapy are also reexplored. In treating a family group, the th e therapist
finds himself called upon to nurture, advise, judge, or guide, thereby assu
quasi- priestly functions. These all imply transference demands tha
individual psychoanalytic approach seeks to resolve primarily thr interpretation rather than through gratification or enactment. Having introduced the central notion of the shift to the family as unit of
and treatment we turn in chapter 3 to the interrelationship of indiv personality development and the family life cycle. This is explored
discussion of the role of childlessness in Edward Albee’s Who’s Afra
Virginia Woolf? In complex ways each person’s person’ s experience in his fami
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“psychological birth” process have been implicated in psychiatry’s most el disorder, schizophrenia. In Eliot’s play The Family Reunion a young
recovers from his hallucinatory psychosis through corrective experiences wi
old friend and an aunt. Eliot deals throughout with individuation and symb
while also underlining the difficulties with separation and change so frequ encountered in families with a “schizophrenic” member.
In the next part (chapters 5-7) relevant psychoanalytic and family th
writings are introduced. Freud’s writings on marriage and the family
reviewed in chapter 5 to show that, despite the insistence on the indiv
modality, psychoanalytic theory is deeply grounded in the interplay o
individual and his or her family. Chapter 6 expands upon this by n psychoanalytic writers who have more recently considered in detail the int between intrapsychic and interpersonal forces. Chapter 7 describes an
course for family therapy trainees that include the writings of those f
therapists and theorists who dispense with psychoanalytic concepts. The st thus exposed to the fermenting, Masterisyour semester with Scribddiverse, & The New Times familyYork therapy. Special offer for students: Only $4.99/month.
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treatment of a very small number of patients. The integration of psychoan
theory with some of the emerging family systems concepts would greatly ex treatment possibilities while also contributing to further advances in theory. In the last part we turn to some application and integration of
modalities. In chapter 8 we discuss the clinical theories and approach
various family therapists. Haley, Minuchin, Bowen, and Whitaker are vi
from the perspective of the individual approach. In chapter 9 we move from
family dramas of the stage to those that present themselves to the clinician
chapter reviews those factors that influence and bias the choice of individu
family therapy before turning to two brief cases that illustrate the use of f
therapy in rather commonly occurring individual/family crises. In one cas
treatment is brief and self limited; in the second, family treatment prepare
ground for more extensive individual treatments. These cases suggest po criteria for the use of these modalities. Finally in chapter 10 we turn to another play, Oscar Wilde’s Salome
Masterisyour semester with Scribd also the libretto of Strauss’s opera, to show Read howupFree individual and interper Foron 30this Days Sign to vote title & The New York Times Useful Not useful concepts can$4.99/month. complement Special offer for students: Only
Cancel anytime. one another. The play brings us full circle back t
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