How Therapists Discuss Causality with Families in an Integrated Family Management and Therapy Service, a Qualitative Study with Focus Groups

Newman, Andrew; Burbach, Frank R.; Reibstein, Janet

doi:10.1007/s10591-012-9227-1

Cited by 4 publications

(10 citation statements)

References 30 publications

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“…Valuing multiple perspectives and understanding each other's positions were additionally helpful for both clients and family, a finding which resonates with other research (Allen et al , ; Newman et al , ). The integrated nature of the FI (Burbach and Stanbridge, ; Burbach, ) clearly emphasizes the therapeutic uses of exploring multiplicity.…”

Section: Discussionsupporting

confidence: 81%

“…Burbach and Stanbridge's () integrated FI approach is based on identifying such cycles. Newman et al () describe how using interactional cycles helped to create a shared non‐blaming understanding of the maintenance of psychosis, empowering families to change. The current study highlights how families began to consider, develop and practice new behaviour, improving their relationships and the emotional atmosphere.…”

Section: Discussionmentioning

confidence: 99%

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Exploring the process of family interventions for psychosis in relation to attachment, attributions and problem‐maintaining cycles: an IPA study

Rapsey¹,

Burbach

Reibstein

2015

Journal of Family Therapy

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This study sought to understand how the experience of family interventions (FI) for psychosis helped family members to develop their thinking about their attachment experiences and the attributions made about a relative, and how these discussions helped to inform their understanding about problem-maintaining cycles, that is, the interactional way in which difficulties could be maintained. Ten individuals who had attended an FI service participated in a semi-structured interview. The transcript analysis used interpretative phenomenological analysis. The analysis yielded four themes: a supportive therapeutic relationship and safe therapeutic space; understanding patterns of relating and identifying when family interactions become unhelpful; making sense of psychosis and developing a sense of agency. The FI was experienced as helpful in bringing about changes in the way family members construed each other and psychosis, and this influenced patterns of relating.Practitioner points • A safe therapeutic space for both client and family can help them discuss sensitive issues, restore emotional connections and reach better understandings of psychosis. • Exploring family relational experiences, attachment and attributions can be helpful in gaining understanding of how problems in psychosis are maintained. • Family intervention can help families identify helpful versus unhelpful interactions and make positive changes. a Clinical Psychologist, Somerset Partnership NHS Foundation Trust, Foundation House,

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Exploring the process of family interventions for psychosis in relation to attachment, attributions and problem‐maintaining cycles: an IPA study

Rapsey¹,

Burbach

Reibstein

2015

Journal of Family Therapy

Self Cite

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“…Empirical evidence suggests that these attributions entail discrepancies (Pottick and Davis, 2001). Such discrepancies have been discussed in the context of research (Newman et al, 2013) and theorizing (Stanton and Welsh, 2012) about systemic family therapy approaches, as it presents a challenging case due to their epistemological preference for circular causality. On the one hand, family members enter therapy with causal attributions of a linear, causal type, often engaging in blaming characterological features of the identified patient (Stancombe and White, 2005;Stratton, 2003a).…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, the attributional quality of problem talk is still largely unaddressed. The systemic quest for neutrality and the related pursuit of relational responsibility (McNamee and Gergen, 1999) have been criticized as potentially allocating blame on family members, while the therapist attempts to exonerate the identified patient from blame (Anderson, 1986;Newman et al, 2013;Wolpert, 2000). At the same time, other authors (Stancombe and White, 2005;Stratton, 2003a) have argued that family therapists have been unwilling to explore the potentially blaming aspects in their own premises.…”

Section: Introductionmentioning

confidence: 99%

“…At the same time, other authors (Stancombe and White, 2005;Stratton, 2003a) have argued that family therapists have been unwilling to explore the potentially blaming aspects in their own premises. Thus, the topic of causal or blaming attributions in systemic family therapy problem talk has been inadequately researched (Newman et al, 2013;Wolpert, 2000).…”

Section: Introductionmentioning

confidence: 99%

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Blame, responsibility and systemic neutrality: a discourse analysis methodology to the study of family therapy problem talk

Patrika

Tseliou

2015

Journal of Family Therapy

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In this article we present discourse analysis of initial systemic family therapy sessions, focusing on family members' responses to therapists' attempts to introduce a systemically neutral, relational perspective on their troubles, by means of circular questioning and the final team message. The article draws from a qualitative study of family therapy problem talk with a sample of nine videotaped first and second sessions with six families and four therapists. The sessions were transcribed verbatim and subjected to discourse analysis following the discursive action model. Our analysis indicates that family members may decode the therapists' discursive moves as attributing blame or responsibility to them and engage in further blaming of the identified patient. We conclude by raising the implications of the present research study for the latent attributional work in clinical practice. We also stress the potential of discourse analysis methodology for studying blaming actions and for enhancing reflexivity about our models and practices.Practitioner points • Family members may decode therapists' attempts for introducing a systemically neutral perspective as allocating blame to them for the presenting problem(s). • Practitioners should be reflexive about their potentially blaming discursive contributions in therapeutic dialogue. • Discourse analysis methodology can enhance clinicians' reflexivity about their contributions in therapeutic dialogue.

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Psychotherapy as making

McLeod

Sundet

2022

Front. Psychol.

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Historically, research and practice of psychotherapy have been conducted within conceptual frameworks defined in terms of theoretical models. These models are in turn guided by meta-theories about the purpose of psychotherapy and its place in society. An image of psychotherapy that underpins much contemporary practice is the idea that therapy operates as an intervention that involves the implementation and application of a pre-existing theoretical model or set of empirically validated procedures. The present paper introduces the idea that it may be valuable to regard psychotherapy not as an intervention but instead as a process of making, in the sense of offering a cultural space for the co-construction of meaningful and satisfying ways of living that draw on shared cultural resources. We offer an overview of what a therapy of making might look like, followed by an account of theoretical perspectives, both within the psychotherapy literature and derived from wider philosophical and social science sources, that we have found valuable in terms of making sense of this way of thinking about practice. Our conclusion is that we need something in addition to theory-specific and protocol-driven therapies, in order to be able to incorporate the unexpected, the not-before-met perspective, event or practice of living, and to be open towards the radically new, the given, and the unknown.

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How Therapists Discuss Causality with Families in an Integrated Family Management and Therapy Service, a Qualitative Study with Focus Groups

Cited by 4 publications

References 30 publications

Exploring the process of family interventions for psychosis in relation to attachment, attributions and problem‐maintaining cycles: an IPA study

Exploring the process of family interventions for psychosis in relation to attachment, attributions and problem‐maintaining cycles: an IPA study

Blame, responsibility and systemic neutrality: a discourse analysis methodology to the study of family therapy problem talk

Psychotherapy as making

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