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Parents’ Resistance of Anticipated Blame through Alignment Strategies: A Discursive Argument for Temporary Exclusion of Children from Family Therapy

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The Palgrave Handbook of Child Mental Health

Abstract

In this chapter, we utilise a discourse perspective to explore ways in which parents manage therapeutic alignment in family therapy. As therapy is an activity which relies heavily on the use of language (McLeod, 2001), we use a language-based analytic approach to explore child mental health, particularly as discourse analysis is most appropriate for looking at family therapy processes (Roy-Chowdhury, 2003). In this chapter, we present a case for the deliberate temporary exclusion of children in the initial stages of a series of therapeutic sessions. The purpose of this temporary exclusion is to provide opportunities for therapists to engage in active solution-focused alignment with parents in order to provide a foundation and set boundaries for later work with the whole family. We also argue that while this initial session with parents is taking place, the child could be otherwise engaged in a session of their own so that the child’s perspective and expectations are also managed effectively.

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References

  • Aspland, H., Llewelyn, S., Hardy, G., Barkham, M., & Stiles, W. (2008). Alliance ruptures and rupture resolution in cognitive-behaviour therapy: A preliminary task analysis. Psychotherapy Research, 18(6), 699–710.

    Article  PubMed  Google Scholar 

  • Avdi, E., & Georgaca, E. (2007). Discourse analysis and psychotherapy: A critical review. European Journal of Psychotherapy and Counselling, 9(2), 157–176.

    Article  Google Scholar 

  • Beauchamp, T., & Childress, J. (2008). Principles of biomedical ethics (6th edition). Oxford: Oxford University Press.

    Google Scholar 

  • Berg, I., & Steiner, T. (2003). Children’s solution work. New York: W. W. Norton and Company.

    Google Scholar 

  • Cooklin, A. (2001). Eliciting children’s thinking in families and family therapy. Family Process, 40(3), 293–312.

    Article  PubMed  Google Scholar 

  • Dallos, R., & Draper, R. (2010). An introduction to family therapy: Systemic theory and practice (3rd edition). Berkshire: Open University Press.

    Google Scholar 

  • Edwards, D., & Potter, J. (1992). Discursive psychology. London: Sage.

    Google Scholar 

  • Foley, V. (1974). An introduction to family therapy. New York: Grune and Stratton.

    Google Scholar 

  • Goldenberg, H., & Goldenberg, I. (2008). Family therapy: An overview (7th edition). USA: Thompson Brooks.

    Google Scholar 

  • Hartzell, M., Seikkula, J., & von Knorring, A. L. (2009). What children feel about their first encounter with child and adolescent psychiatry. Contemporary Family Therapy, 31, 177–192.

    Article  Google Scholar 

  • Hawley, K., & Weisz, J. (2003). Child, parent, and therapist (dis)agreement on target problems in outpatient therapy: The therapist’s dilemma and its implications. Journal of Consulting and Clinical Psychology, 71(1), 62–70.

    Article  PubMed  Google Scholar 

  • Hutchby, I., & O’Reilly, M. (2010). Children’s participation and the familial moral order in family therapy. Discourse Studies, 12(1), 49–64.

    Article  Google Scholar 

  • Jefferson, G. (2004). Glossary of transcript symbols with an introduction. In G. H. Lerner (Ed.), Conversation analysis: Studies from the first generation (pp. 13–31). Amsterdam: John Benjamins.

    Chapter  Google Scholar 

  • Johnson, L., & Thomas, V. (1999). Influences on the inclusion of children in family therapy: Brief report. Journal of Marital and Family Therapy, 25, 117–123.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E., Holland, L., & Crowley, M. (1997). Family experience of barriers to treatment and premature termination from child therapy. Journal of Consulting and Clinical Psychology, 65(3), 453–463.

    Article  PubMed  Google Scholar 

  • Korner, S., & Brown, G. (1990). Exclusion of children from family psychotherapy: Family therapists’ beliefs and practices. Journal of Family Psychology, 3(4), 420–430.

    Article  Google Scholar 

  • Lund, L., Zimmerman, T. S., & Haddock, S. (2002). The theory, structure, and techniques or the inclusion of children in family therapy: A literature review. Journal of Marital and Family Therapy, 28(4), 445–454.

    Article  PubMed  Google Scholar 

  • McLeod, J. (2001). Qualitative research in counseling and psychotherapy. London: Sage.

    Google Scholar 

  • Miller, L., & McLeod, E. (2001). Children as participants in family therapy: Practice, research, and theoretical concerns. The Family Journal: Counseling and Therapy for Couples and Families, 9(4), 375–383.

    Article  Google Scholar 

  • Muntigl, P. (2013). Resistance in couples counselling: Sequences of talk that disrupt progressivity and promote disaffiliation. Journal of Pragmatics, 49(1), 18–37.

    Article  Google Scholar 

  • Nichols, M. (1996). Treating people in families: An integrative framework. New York: Guildford.

    Google Scholar 

  • Nichols, M., & Schwartz, R. (1991). Family therapy concepts and methods. Needham Heights, MA: Allyn and Bacon.

    Google Scholar 

  • O’Reilly, M. (2013). ‘We’re here to get you sorted’: Parental perceptions of the purpose, progression and outcomes of family therapy. Journal of Family Therapy, doi: 10.1111/1467-6427.12004.

    Google Scholar 

  • O’Reilly, M., & Parker, N. (2012). ‘She needs a smack in the gob’: Negotiating what is appropriate talk in front of children in family therapy. Journal of Family Therapy, doi: 10.1111/j.1467-6427.2012.00595.x.

    Google Scholar 

  • O’Reilly, M., & Parker, N. (2013a). You can take a horse to water but you can’t make it drink: Exploring children’s engagement and resistance in family therapy. Contemporary Family Therapy35(3), 491–507.

    Article  Google Scholar 

  • O’Reilly, M., & Parker, N. (2013b). Unsatisfactory saturation’: A critical exploration of the notion of saturated sample sizes in qualitative research. Qualitative Research, 13(2), 190–197.

    Article  Google Scholar 

  • Parker, N., & O’Reilly, M. (2012). ‘Gossiping’ as a social action in family therapy: The pseudo-absence and pseudo-presence of children. Discourse Studies, 14(4), 457–475.

    Article  Google Scholar 

  • Potter, J. (1996). Representing reality: Discourse, rhetoric, and social construction. London: Sage.

    Book  Google Scholar 

  • Potter, J. (2004). Discourse analysis as a way of analysing naturally occurring talk. In D. Silverman (Ed.), Qualitative research: Theory, method and practice (pp. 200–221). London: Sage.

    Google Scholar 

  • Rober, P. (1998). Reflections on ways to create a safe therapeutic culture for children in family therapy. Family Process, 37, 201–213.

    Article  PubMed  Google Scholar 

  • Roy-Chowdhury, S. (2003). Knowing the unknowable: What constitutes evidence in family therapy? Journal of Family Therapy, 25, 64–85.

    Article  Google Scholar 

  • Roy-Chowdhury, S. (2006). How is the therapeutic relationship talked into being? Journal of Family Therapy, 28, 153–174.

    Article  Google Scholar 

  • Ruble, N. (1999). The voices of therapists and children regarding the inclusion of children in family therapy: A systematic research synthesis. Contemporary Family Therapy, 21(4), 485–503.

    Article  Google Scholar 

  • Safran, J., Muran, C., Samstag, L., & Stevens, C. (2001). Repairing alliance ruptures. Psychotherapy, 38(4), 406–412.

    Article  Google Scholar 

  • Sommerfeld, D. (1989). The origins of mother blaming: Historical perspectives on childhood and motherhood. Infant Mental Health Journal, 10, 14–24.

    Article  Google Scholar 

  • Sori, C. F., & Sprenkle, D. (2004). Training family therapists to work with children and families: A modified DELPHI study. Journal of Marital and Family Therapy, 30(4), 479–495.

    Article  PubMed  Google Scholar 

  • Strickland-Clark, L., Campbell, D., & Dallos, R. (2000). Children’s and adolescents’ views on family therapy. Journal of Family Therapy, 22(3), 324–341.

    Article  Google Scholar 

  • Thompson, S., Bender, K., Lantry, J., & Flynn, P. (2007). Treatment engagement: Building therapeutic alliance in home-based treatment with adolescents and their families. Contemporary Family Therapy, 29(1/2), 39–55.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tseliou, E. (2013). A critical methodological review of discourse and conversation analysis studies of family therapy. Family Process, 52(4), 653–672.

    Article  PubMed  Google Scholar 

  • Turns, B., & Kimmes, J. (2014). ‘I’m NOT the problem!’ Externalising children’s ‘problems’ using play therapy and developmental considerations. Contemporary Family Therapy, 36(1), 135–147.

    Article  Google Scholar 

  • White, M. (2007). Maps of narrative practice. New York: Norton.

    Google Scholar 

  • Withnell, N., & Murphy, N. (2012). Family interventions in mental health. Berkshire: Open University Press.

    Google Scholar 

Recommended reading

  • • Avdi, E., & Georgaca, E. (2007). Discourse analysis and psychotherapy: A critical review. European Journal of Psychotherapy and Counselling, 9(2), 157–176.

    Article  Google Scholar 

  • • Dallos, R., & Draper, R. (2010). An introduction to family therapy: Systemic theory and practice (3rd edition). Berkshire: Open University Press.

    Google Scholar 

  • • Edwards, D., & Potter, J. (1992). Discursive psychology. London: Sage.

    Google Scholar 

  • • Parker, N., & O’Reilly, M. (2012). ‘Gossiping’ as a social action in family therapy: The pseudo-absence and pseudo-presence of children. Discourse Studies, 14(4), 457–475.

    Article  Google Scholar 

  • • Tseliou, E. (2013). A critical methodological review of discourse and conversation analysis studies of family therapy. Family Process, 52(4), 653–672.

    Article  PubMed  Google Scholar 

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© 2015 Nikki Kiyimba and Michelle O’Reilly

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Kiyimba, N., O’Reilly, M. (2015). Parents’ Resistance of Anticipated Blame through Alignment Strategies: A Discursive Argument for Temporary Exclusion of Children from Family Therapy. In: O’Reilly, M., Lester, J.N. (eds) The Palgrave Handbook of Child Mental Health. Palgrave Macmillan, London. https://doi.org/10.1057/9781137428318_30

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