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320 pages, Paperback
First published December 1, 1977
However thoroughly ideas and theory are presented, there is bound to be questionable doubt about their efficacy in practice. No more does this problem present consistently than in the realm of psychotherapy. Nevertheless, skepticism and doubt may be viewed as beneficial reactions to any assertion presented without significant and necessary research. Additionally, the issue of methods in research, and the intense inevitability of quantifiable metrics may result in either an over-mechanization or an under-appreciation of the complexity involved within the theoretical realm. Such is the case with this tremendously valuable text.
Originally published in 1977, the text is robust in experiential language yet lacking in quantitative verification. Regardless, the techniques and methods utilized and explained throughout the example of a family case study are richly humanistic and detailed exemplars of the complex quality of the therapeutic encounter. Whereas individual therapy may be appropriate for the person who wants to be comfortable with themselves, family therapy – as expressed throughout the text – serves the function of supporting the individual in learning to live with others. Hence, before a person can be ready for the psychological change required in individual therapy, they may first need to be unshackled from the controlling mechanism accentuated by the symbiotic family milieu.
In initially approaching this text, I will readily acknowledge that I place a passionate emphasis on individuality and the freedom of choice. Notwithstanding this comportment, I remained open to the approach through which the experiential attitude to family counseling magnifies the position of the individual in their lived world. Whereas freedom (autonomy) and choice (responsibility), in my opinion, are extremely essential aspects of the counseling process, I detected that I may have overlooked the important function that the family serves in constructing and sustaining the structures through which the individual has become themselves. Therefore, uncovering the structure, the tone, and the patterns involved in the family system, may be more significant than the resultant problem presenting in the individual. This leads to an important question that, up until this point of my studies, I have neglected to ask; viz., “are all individual psychotherapy patients simply scapegoats of family stress” (Napier & Whitaker, 1988, p.55)? Generally, I comprehend this text to be an attempt at affirmatively answering this question.
In deliberating how the preceding question may be answered affirmatively, the text begins by clarifying the structures of the family systems theory and expands this understanding to a statement of the generative presentation of the basic conflict that,
Every family is a miniature society, a social order with its own rules, structure, leadership, language, style of living, zeitgeist. The hidden rules, the subtle nuances of language, the private rituals and the dances that define every family as a unique microculture may not be easy for an outsider to perceive at first glance, but they are there (Napier & Whitaker, 1988, p.79).
Ultimately, the therapeutic argument presented by the text culminates in identifying decisive moments when people’s lives shift. Occasionally, these shifts are imperceptible by others but represent substantial progress within the individual. Nevertheless, these shifts do not originate from within an individual therapist, nor do they have a genesis from within the family conceptualization. However, these influential shifts may best be understood and experienced through the process of family therapy. For example, when transformation happens (individual therapy), those outside of the therapeutic relationship may not be aware of the importance of the shift, nor may they be accepting of the accompanying change.
However, when this shift happens, in the presence of significant others (the family), it may be more easily recognized as part of the process of becoming and accepted as a pivotal breakthrough in the development of individuation. Additionally, there is a principal maxim of family therapy that further supports the above assertions, “the family will try to do to the therapist what they do to each other” (Napier & Whitaker, 1988, p.182). This means that the family system, whether unconsciously or unwittingly, will attempt to pull the therapist into their operational world; “The pattern one knows is…the pattern one knows” (Napier & Whitaker, 1988, p. 222). Further, “One of the ways we try and resolve the problems that we inherit from our families is to repeat them when we grow up and form our own families” (Napier & Whitaker, 1988, p. 258).
Ultimately, for the interested reader, the interwoven account of therapy and technique reveals the complex, raw, and enigmatic side of humanity. The interposition of general theoretical discussions into the case narrative seamlessly flows together. Consequently, this text is one that I can feel comfortable in recommending to a wide array of people (not just therapists) and, at the same time, keep as a professional reference.
Happy Reading!
References:
Napier, A.Y. & Whitaker, C. (2002). The family crucible. New York, NY: Quill.