‘Seeking permission’: an interviewing stance for finding connection with hard to reach families

Aggett, Percy; Swainson, Mary; Tapsell, Dave

doi:10.1111/j.1467-6427.2011.00558.x

Cited by 15 publications

(19 citation statements)

References 40 publications

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“…The therapists described the following changes. They: became convinced of the value of home‐based treatment; realized that working with language alone is not always useful; realized that therapy sessions are not always useful to the client; became better at engaging the family and building more realistic views about what they could provide and what the family wanted from them; created a team ethos that emphasized teamwork; engaged in ‘permission‐seeking’ practice (Aggett et al ., ) and positioned themselves ‘alongside the family’. …”

Section: Resultsmentioning

confidence: 99%

“…Sutherland () defined ‘power’ in therapy sessions as ‘the advancement of one's own perspective in a conversation’ (p. 202). Concerning the issue of power, Aggett et al ., () also described the ‘permission‐seeking stance’ as the therapist's actively putting the family in charge rather than accepting the family's invitation to let the therapist make the decisions.…”

Section: Discussionmentioning

confidence: 99%

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Ideas of the change process: family and therapist perspectives on systemic psychotherapy for children with conduct disorder

Morino

2018

Journal of Family Therapy

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This report is based on a small‐scale qualitative study exploring therapist and client perspectives on the therapeutic change process in home‐based family therapy for children with conduct disorder. The study consisted of focus group discussions with therapists, interviews with client families and audiotaped therapy sessions. The findings suggested that home‐based therapy (home visits) was effective in improving hard‐to‐reach clients’ access to help, resources, and opportunities, as well as the therapists’ access to invaluable information about their clients. Home‐based therapy also helped the therapists to develop professionally, making it possible for them and their clients to engage in different power relationships, which were seen by both parties as one of the principal motivating forces and important aspects of the change process. In addition, exploring clients’ perspectives appeared to be useful. Practitioner points The process of engaging with hard‐to‐reach families starts in the context of specific therapist‐client power relationships with the therapist encouraging the family to take charge Home‐based therapy is useful for children with conduct disorder Home‐based therapy provides children, family and therapists with information, resources, opportunities and good access, which are not always available in customary clinical settings

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ideas of the change process: family and therapist perspectives on systemic psychotherapy for children with conduct disorder

Morino

2018

Journal of Family Therapy

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“…When we see families in their homes we experience an inversion in the usual power relationship between therapist and client, in which we have to ‘ask permission’ to enter their space (Aggett, Swainson & Tapsell, ). This can be a personal challenge to therapists, which a colleague described as a challenge to develop personally and to find more authentic ways for relating: ‘we're put in an uncomfortable position and that's good for us … we're more aware, more respectful, more human.…”

Section: What Is Therapy In the Family Home Like For Therapists?mentioning

confidence: 99%

Family Therapy in the Real World: Dialogical Practice in a Regional Australian Public Mental Health Service

Hartman

Courcey

2015

ANZ J of Family Therapy

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This paper describes the development of a family therapy service in a regional Australian public mental health service for children and adolescents, using a service model of therapy in the family home which draws on the 'dialogical' and 'collaborative' principles of Seikkula, Anderson and others. The implementation of this service has incorporated training, peer supervision and reflective practice, which has been congruent with dialogical and collaborative principles. Clinicians from a wide range of backgrounds and levels of experience have had a positive experience of learning to work in a dialogical framework. The 'Mobile Family Therapy Team' consists of around 20 clinicians (nurses, allied health clinicians, consultant psychiatrists and trainee psychiatrists) who work in teams of two or three, and who work with one to four families each. Most therapy is conducted in the family home, and clinicians experience this as rewarding but also challenging. This service model is seen as acceptable and accessible to families. Our experience has been that this form of family therapy has been a useful and effective component of treatment for families with complex, severe and high risk problems who have not benefited from previous interventions. Many of these families would not have accessed traditional clinic-based family therapy. We see supervision and reflective practice as essential to the sustainability of this service.Keywords: child and adolescent, family, systemic, dialogical, collaborative, therapy Key Points1 Delivering therapy in the family home provides a rich context for understanding and engaging with families. 2 Core elements of a dialogically informed family therapy include therapists working within a 'not-knowing' stance, management of strong emotions in the session and utilising practices of public reflecting conversations within the co-therapy team. 3 This is an effective use of resources in a public sector mental health setting as it is useful for families who are 'stuck' with complex and severe problems, which have not responded to simpler interventions. 4 A congruent dialogical approach to supervision and reflective practice is an appropriate and helpful way for clinicians to learn and become confident in the practice of collaborative and dialogically informed family therapy.

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“…Further stressors can be low socio‐economic status, poor educational attainment, substance dependency, ethnic minority status, and high prevalence of aggression, drug dealing and gang culture in the community. Such an amalgam of mutually reinforcing stress factors creates challenges that can require specifically adapted therapeutic methodologies (Aggett et al ., ; Van Lawick and Bom, ). Public services in the UK are confronted with many of these multi‐stressed families.…”

Section: Introductionmentioning

confidence: 99%

Multi‐stressed families, child violence and the larger system: an adaptation of the nonviolent model

Jakob¹

2016

Journal of Family Therapy

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Non Violent Resistance (NVR) aims to change family relationships, when children and young people show violent, aggressive or self‐destructive behaviour. Trauma in multi‐stressed families necessitates an adaptation of the original NVR approach in order to meet these clients' specific therapeutic needs when child violence arises. The author has developed such an adaptation. This article gives an overview of the larger system aspect of the adapted NVR model, illustrating how NVR core principles are applied to help family members develop a sense of safety within the larger system, so the nuclear family itself can become a safe and supportive recovery environment. Practitioner points By differentiating between interaction patterns, parents identify safe supporters within the larger system to help develop effective responses to harmful child behaviour Therapeutic conversation centres parents’ own formulation of their support needs, in order to regain their voice and experience personal agency Effective resistance to problem behaviour grows by engaging other adults in ways that facilitate parents’ access to internal and interpersonal resources

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‘Seeking permission’: an interviewing stance for finding connection with hard to reach families

Cited by 15 publications

References 40 publications

Ideas of the change process: family and therapist perspectives on systemic psychotherapy for children with conduct disorder

Ideas of the change process: family and therapist perspectives on systemic psychotherapy for children with conduct disorder

Family Therapy in the Real World: Dialogical Practice in a Regional Australian Public Mental Health Service

Multi‐stressed families, child violence and the larger system: an adaptation of the nonviolent model

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