Family Therapy: Whys and Wherefores
History of the Field
Family therapy is a relatively young field that evolved in the latter part of the 20th century. Its beginnings are associated with several key figures who, in different parts of the United States from the 1930s through the 1950s, began challenging the conventions of psychiatry by including whole families in the therapy of individuals. These early family therapists recognized the powerfully shaping influence families have on the development of children and adults and sought to find ways to harness that power in the service of therapeutic treatment. Most of these early therapists went against the grain of the psychotherapeutic establishment. Many were charismatic and colorful figures whose ideas at the time seemed revolutionary.
Family therapy derived its theoretical foundations from the emergent, cross disciplinary body of knowledge called systems theory. Systems theory proposes that all phenomena are interconnected and cannot be known without reference to their context. Simply put, there is nothing-no person, no thing-that stands apart from its networks of relationships. Individuals cannot be understood without reference to their past and present relationships, especially their families. This idea had real importance for early family therapists who were seeking a new and more effective ways of helping. As family therapy developed, attention was paid to the effect of other significant influences on families, including such areas as culture, ethnicity, religion, and socioeconomic class.
Family Therapy Today
In the early days, family therapy sought both to explain why people developed problems, and to create an effective method of treatment. Family therapists today focus on how family members have a mutually shaping influence on one another. Families are seen as social groups whose members "belong to one another" and "fit together" in ways that range from optimal to problematic. Family therapists do not look at families as "causing problems," but are rather more interested in the family patterns of interactions that perpetuate and influence problems. These days family therapists appreciate the complex multiple influences that affect family members. Attention is paid, as always, to family interaction, but therapists have a greater appreciation for the effects of individual differences in such areas as temperament and cognitive organization.
What to Expect
Family therapy is a unique experience. For family members to sit down together and reflect on who they are and how they are as a family is an unusual process for most families. Families entering family therapy should expect that their therapist will take ample time to get to know them. She will do this by asking questions and inviting all members to describe their experience and perspective. Some family therapists use a tool called the genogram to make a visual map of family history, patterns, problems and themes. Once the therapist has gotten to know you, she will work collaboratively with you to make changes in the patterns of interaction that are relevant to the problem. These patterns of interaction involve behaviors, thought processes, emotions, and meanings that are influenced by and, in turn, influence the family as a whole. The therapist will work towards eliciting, accessing and utilizing inherent family strengths and resources to help you make changes. The goal of family therapy often goes beyond the resolution of discrete problems towards the fostering of growth and well-being for all family members.
Reprinted with the permission of the NYU Child Study Center. © NYU Child Study Center.
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