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

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City. It was there that Minuchin and his associates, Braulio Montalvo, Bernard G. Guerney, Jr., Bernice L. Rosman, and Florence Schumer (S. Minuchin et al., 1967), began working with inner-city delinquent children, most of whom were Black or Puerto Rican and who came from low-income, often ghettoized families. It is in this work that Minuchin first introduced the concept of structure to family counseling and began to define the function of structure in family systems.

      Minuchin noticed that in troubled families, parents were either overly involved (enmeshed) or detached (disengaged) or both. Both of these structures eroded the parents’ abilities to provide effective leadership in the family. Minuchin came to believe that families had subsystems, and each subsystem had tasks, processes, and interactions that were appropriate to that subsystem but that often got derailed when the boundaries between the subsystems became either diffuse or too rigid.

      Based on his earlier work, Minuchin was asked to be the director of the Philadelphia Child Guidance Clinic in 1965. He brought a number of his associates with him, and in 1967, Jay Haley joined them. Focusing on changing dysfunctional structures, Minuchin (1974/2012) taught colleagues and students through demonstrations on how to join with families, adopting the families’ preferred mode of operation, before attempting to restructure the family by interrupting dysfunctional patterns. His model of joining, assessment, and enactment would become standard practice for family counselors in the 1970s.

      Minuchin transformed the Philadelphia Child Guidance Clinic into a training center for family therapists. Among his many innovations, he also trained community members to be paraprofessional therapists. His emphasis on working with the poor brought other major figures in family counseling into his programs, including Harry Aponte, Jorge Colapinto, and Charles Fishman. In 1981, Minuchin moved back to New York City, where he would eventually establish what is now the Minuchin Center for the Family, a training center currently directed by Jorge Colapinto. In recent years, Minuchin has mellowed a bit, and he has begun to look at family practice as a journey to hope, healing, and transformation (see S. Minuchin et al., 2006, 2007; S. Minuchin & Nichols, 1993).

      Family Systems, Cybernetics, Bateson, and MRI

      Perhaps I should warn you now about this next part of the chapter: It is not going to be easy to understand immediately. So why am I going to talk about systemic thinking and cybernetics at all? Part of the answer is that these concepts, both historically and in current practice, inform the way family practitioners approach their work. Part of the answer is that it will challenge you to move from an individual focus to an interactive one. And part of the answer is that having this knowledge may create new possibilities for the ways in which you will choose to make a difference in the families you see.

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      If we replace any part of the interaction with someone or something else, the interaction would be different. If Ann says to Bob, “You never pick up around the house,” and Bob responds with irritation, “I like it messy; it has a lived-in look,” that is one interaction, and it is characteristic only of Ann and Bob at that moment in time and in that context. Let us say, however, that we replace Ann with Arthur and that Arthur and Bob are gay men who own a home together. Arthur says, “We’re having people over tonight. Maybe we should clean the place up.” Bob responds, but with a bemused tone in his voice: “I like it messy; it has a lived-in look.” Notice that Bob has not changed a thing about the content of his response: He has used exactly the same words. Still the meaning is different because his tone carries a metamessage. Metamessages are directions about how content is to be taken. It may be tempting to say that Bob responds with a different metamessage because of who is speaking, that is, whether it is Ann or Arthur. But such a simplification would not take into account a real difference in relationship, the impact of gender issues or being gay men in a heterosexist society, or even the choices Bob makes in how to focus his attention on what Ann or Arthur might say. Indeed, the minute we try to imply linear cause and effect, we are forced into a simplistic conceptualization that all but loses real meaning.

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      Circular causality is the idea that A causes B, which causes C, which causes D, and so on, and each of these entities (letters) acts on and is affected by every other entity in the system. In a car, which is a closed system, the ignition of gasoline may cause pistons to pump, which generates power for a host of other mechanical parts to move in line with directions received from shifting gears. But at the simplest level, the size of the piston also influences how much gasoline enters the chamber, and a breakdown in any part of the car’s system generally shuts down the whole system. Today modern cars are so complicated that they are regulated and checked by computers, the very machines that first benefited from the development of feedback loops.

      A feedback loop is the process that any system uses to assess and bring correcting information back into the system: These feedback loops either initiate change (called a positive feedback loop) or deter change (called a negative feedback loop). The words “positive” and “negative,” in this sense, are not used to indicate good and bad or right and wrong; these are evaluations that can be asserted only through linear causality. Rather, these terms relate only to whether they promote change (positive) or not (negative).

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