Theory and Practice of Couples and Family Counseling. James Robert Bitter

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Imago Counseling With Couples

       Key figures: Harville Hendrix, Helen HuntSimilar to emotionally focused therapy with couples, imago therapy is built on an understanding of the breaches that occur in attachment and resulting childhood wounds. Hendrix notes that couples will often search through all possible partners who might be good for them to pick someone similar to people with whom they have unfinished business. In so doing, they look to the partner to stretch beyond the limitations of the original wounding relationship. To the extent that each partner can do this, the marriage or coupling becomes a path to wholeness. Imago therapy is built on identifying childhood wounds and then using highly structured dialogues to help the couple connect and fully engage with one another.

      As you read these differing approaches to couples and family practice, know that it is impossible to integrate all of them. Some ideas and conceptualizations fit together better than others. It is enormously hard, for example, to see how social constructionist models and structural-strategic models might merge when the roles and functions of the family practitioners are so different. Similarly, it is hard to imagine how experiential models might be integrated with cognitive behavior therapy. But perhaps these last two statements only reflect my lack of imagination. Maybe you will see the thread that can be used to stitch such an integration into your own personal tapestry of family counseling.

      I have attempted to write this book as if we were having a conversation. It still contains all the references you will need to further consider each topic, but its most important function is to invite you into the world of couples and family counseling and to consider whether this kind of work is right for you. Any kind of work in the helping professions, whether it is counseling, psychotherapy, or family practice, requires personal development as well as professional skills. There are many professions in which it is possible to be competent without addressing who we are as people—for example, engineering, visual arts, mathematics, or the sciences—although even these career fields are enhanced by personal develop ment and growth. In the helping professions, and especially in family practice, who you are as a person is central to everything you do: You are the instrument that provides the catalyst for change.

      The integration chapter presented at the end of the book relies in part on the development of different perspectives or lenses in counseling practice. These lenses (sometimes called metaframeworks; Breunlin et al., 1997; Pinsof et al., 2018) allow you to consider a couple or family from many angles and to develop a more holistic, context-embedded view of the family and its members. Different approaches will help you assess and understand the purposes for which couples and families interact; their communication processes; sequences or patterns of interaction; the organization and rules that govern the family; the developmental stages of the family; and the gender, cultural, and societal issues that may be affecting client relationships. And all of them will have some impact on how you develop your own self-awareness.

      I often think of multiple perspectives in the same way I might look at a tree—or any object for that matter. At a great distance, a tree looks almost flat, as if it were painted against some pastoral background on a canvas. As I approach the tree, it begins to take on shape and texture; I can see the cylindrical roundness of its trunk and limbs, the shape of the leaves, and even the texture of the bark. When I get close enough to touch the tree, I can feel the differences in these textures and imagine its history, how long it has been here, and what it has been through to attain the shape and posture that it currently holds. I can walk around the tree, and in some cases I can even crawl up into it. I can feel the muscles in my own body stretch and contract as I pull myself up from limb to limb. I can feel the wind blowing through the tree and over my face and hands. For a while, I am part of the tree, and still I am different and not part of the tree.

      Although this metaphor works for me in terms of thinking about the many perspectives that can aid me in knowing and understanding a couple or family, it also invites me to consider my relationship to the tree in terms of change. Should I simply get to know the tree and then let it be? Do I think of it as a tree I just happened to encounter, or is it a tree placed in my care? Does it need pruning, and, if so, in what way? Does it need fertilizer, and, if so, what kind and how much and at what time in its development? Is it indigenous to the area in which it is rooted and in the company of other trees just like it? Or has the tree been transplanted from another place, another climate, or another context? Would I see this tree differently if I were different—for instance, if I were not a man but a woman, or if I were not oriented toward an individual tree but rather saw this tree in relation to all other trees in the area or that had ever been? Am I stretching this metaphor too far?

      I wonder what metaphor for working with couples and families you could generate. I also wonder whether the metaphor will be the same or different when you finish reading the various theories presented in this book. Imagining is not such a bad way to start any journey. What do you imagine couples and family practice might be like?

      Perhaps the most difficult adjustment counselors living in Western cultures make is adopting a systems perspective, which goes against all of the values and experiences associated with individualism, autonomy, independence, and free choice. In the more collectivist cultures of Asia, interdependence, family embeddedness and connectedness, hierarchies of relationship, and multigenerational—even an-cestral—perspectives inform daily experiences and cultural views: A systems perspective seems normal there. Yet even in Western cultures—indeed, in all parts of the world—humans are born into families, and most people spend their lives in one form of family or another. It is in these families that individuals discover who they are. Families and systems are where people grow and develop, survive tragedies, and celebrate accomplishments and good times. Few of us do any of these things alone.

      As we get older, we move into other systems (the school, the church, the community, and society in general). For most of us, the family still serves as a home base, the place to which we constantly return and from which we evaluate people and processes in the other systems we encounter. The often unspoken rules and routines of the family give us a sense of constancy and familiarity in life; hopefully, they also provide us with a feeling of safety and a sense of what it means to be functional and capable of handling the tasks and challenges of life.

      Bioecological Systems Theory

      A family is a system within many other systems, and even the system of the family has subsystems. In fact, one way of looking at individual human beings is to see the person as a system, a psycho-social-biological system with interacting parts and processes that constitute who they are. Many different developmental psychologists and social scientists have examined how we become uniquely human. The Russian developmental psychologist Lev Vygotsky (van der Veer, 2007), for example, believed that everything from thoughts and emotions to creativity develops in relationship to primary caregivers, a view that is supported by current neuroscience (Schore, 2012). The great field theorist Kurt Lewin (2010) examined the effects of leadership on personal and social effectiveness. In turn, these two pioneers in developmental/social psychology influenced the work of Urie Bronfenbrenner.

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