Factors associated with posttraumatic growth among the spouses of myocardial infarction patients
by Mithat Durak
Key Words: cognitive processing, environmental factors, individual factors, myocardial infarction patients, posttraumatic growth, spouses of myocardial infarction patients
To clarify the rationale behind Posttraumatic Growth (PTG), a model by Schaefer and Moos describes the relative... more To clarify the rationale behind Posttraumatic Growth (PTG), a model by Schaefer and Moos describes the relative contribution of environmental resources, individual resources, event related factors, cognitive processing and coping (CPC) on PTG. In the present study, this model was tested with the spouses of myocardial infarction patients with data from various hospitals in Turkey. A structural equation model revealed that neither individual nor environmental resources had indirect effects on PTG through the effect of event-related factors and CPC, while they showed direct effects on PTG. The findings were discussed in the context of the theoretical model.
Film Analizi Yöntemi ile Virginia Satir Aile Terapisi Yaklaşımına Bir Bakış
by Mithat Durak
Satir, family therapy, family homeostasis, communication within family and fi lm analysis
Virginia Satir, the women pioneer of family therapy, introduced an effective therapy to the treatment of various... more Virginia Satir, the women pioneer of family therapy, introduced an effective therapy to the treatment of various problems. In spite of the fact that applications of Satir Family Therapy in different cultures are exemplifi ed in the literature, there is limited number of research related with the applications of this approach in Turkey. In this context, this article mainly aims to review conceptual frame of Satir Family Therapy and to exemplify this approach with the method of fi lm analysis. In this direction, theoretical concepts, role of the therapist, evaluation of families, purpose of therapy and intervention techniques of Satir Family Therapy are described and exemplifi ed with a fi lm analysis of “One True Thing”. As a result, this article will be a resource for professionals either working or continuing their education through strengthening the theoretical frame of the Satir Family Therapy, and an example of the applications of this approach.
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Predictors of treatment attendance among adolescent substance abusing runaways: a comparison of family and individual therapy modalities
by Gizem Erdem
Slesnick, N., Erdem, G., Collins, J., Bantchevska, D., & Katafiasz, H. (2011). Predictors of treatment attendance among adolescent substance abusing runaways: A comparison of family and individual therapy modalities. Journal of Family Therapy, 33(1), 66–84.
Developing a hybrid model of rational-emotive therapy and systemic family therapy
Guterman, J. T. (1991). Developing a hybrid model of rational-emotive therapy and systemic family therapy: A response... more
Guterman, J. T. (1991). Developing a hybrid model of rational-emotive therapy and systemic family therapy: A response to Russell and Morrill. Journal of Mental Health Counseling, 13, 410-413.
Disputation and reframing: Contrasting cognitive-change methods
Guterman, J. T. (1992). Disputation and reframing: Contrasting cognitive-change methods. Journal of Mental Health... more
Guterman, J. T. (1992). Disputation and reframing: Contrasting cognitive-change methods. Journal of Mental Health Counseling, 14, 440-456.
Active Noising: The use of noises in talk, the case of onomatopoeia, abstract sounds and the functions they serve in therapy
(2005) TEXT 25 (6): 745-761.
In this paper I examine an important issue for discursive research. I consider the concept of active noising to... more In this paper I examine an important issue for discursive research. I consider the concept of active noising to provide insight and understanding into the function it serves in interaction. Active noising is defined as deliberate, active, sounds made by participants to represent something specific. This incorporates onomatopoeic terms and other extraneous noises. It is prevalent for participants to employ noises throughout my corpus of family therapy data. Noises work differently for adults and children. Children use noises as a way of orienting to conversational topic and as a way of attempting to engage in the main interaction. Active noising serves the specific function for adults in upgrading a claim by representing to the talk recipient the sounds as they were heard at the time, assisting in the authentication of the point being made.
“She needs a smack in the gob”: negotiating what is appropriate talk in front of children in family therapy
with Nicola Parker published in the Journal of Family Therapy - in press
Tackling the day-to-day challenges of family therapy can prove difficult for professionals. A particular issue arising... more Tackling the day-to-day challenges of family therapy can prove difficult for professionals. A particular issue arising in family therapy is the notion of what is appropriate for children. Families report events from their social world, ‘out there’ to the therapy, ‘in here’. There are occasions where the content is ‘adult’ in nature and this has to be managed in front of the children. On other occasions family members use derogatory or negative descriptions of their children and the children are present. Drawing upon naturally occurring family therapy sessions, we present a discourse analysis of how this is managed through a range of discursive resources. We show that adult family members construct what is inappropriate for children to be exposed to by positioning blame with others. This has implications for how family therapists deal with inappropriateness when children are present while maintaining the equilibrium of therapeutic alliances.
Ongoing processes of managing consent: the empirical ethics of using video-recording in clinical practice and research
with Nicola Parker and Ian Hutcbhy - in press with Clinical Ethics
Using video to facilitate data collection has become increasingly common in health research. Using video in research,... more Using video to facilitate data collection has become increasingly common in health research. Using video in research, however, does raise additional ethical concerns. In this paper we utilise family therapy data to provide empirical evidence of how recording equipment is treated. We show that families made a distinction between what was observed through the video by the reflecting team and what was being recorded onto videotape. We show that all parties actively negotiated what should and should not go ‘on the record’ with particular attention to sensitive topics and the responsibility of the therapist. Our findings have important implications for both clinical professionals and researchers using video data. We maintain that informed consent should be an ongoing process and with this in mind we present some arguments pertaining to the current debates in this field of health care practice.
Children’s participation and the familial moral order in family therapy
Co-authored with Ian Hutchby (2010) in Discourse Studies, 12 (1) 49-64
This article examines discourse practices surrounding children’s participation, non-participation, and the ‘moral... more This article examines discourse practices surrounding children’s participation, non-participation, and the ‘moral order’ of the family in the setting of family therapy consultations. The analysis focuses on two central issues. First, the relationship between therapists’ questions, the speaker selection techniques built into those questions, and the responses produced by family members. Second, the relationship between turn-taking and the linguistic features of person deixis in disputes that emerge around children’s orientation to implicit accusations in the talk of other participants about them. The findings reveal how a familial ‘moral order’ is often at the root of how children’s competence as participants is managed by the parents, the therapist, and the children themselves.
Should children be seen and not heard? An examination of how children’s interruptions are treated in family therapy
(2006) Discourse Studies. 8 (4): 549-566.
This work adds to the growing literature on children’s talk and the extensive research on interruptions by combining... more This work adds to the growing literature on children’s talk and the extensive research on interruptions by combining the two. I investigate children in the institutional context of family therapy and their interactions with the parents and therapist. Drawing upon 22 hours of natural family therapy data and 4 families I use a discursive approach. I note that children are not attended to when they try to interrupt unless they persist and then the acknowledgement is negative. I show that when main topic is about extremes of behaviour the child’s none relevant interruption is ignored. There are occasions however when the child interrupts with a topic relevant issue and these are usually attended to. This research has wider implications for therapeutic practice and children’s role in therapy. There is a need for further study of children’s interruptive discourse practice as research in this area is limited.
The complaining client and the troubled therapist: A Discursive investigation of family therapy
(2005) Journal of Family Therapy 27: 371-393.
In this paper I examine two important issues for family therapy research. I attend to the concept of complaints,... more In this paper I examine two important issues for family therapy research. I attend to the concept of complaints, highlighting the conversational structure they take in a family therapy setting. I do this by outlining how clients construct their complaints and examining how the family therapist receives them. Data is taken from a corpus containing four different families and two different therapists and is subjected to discursive analysis in order to provide a rich analysis of not just what is happening in the talk but how it is happening. I conclude that complaints are not received as useful to the therapeutic process, despite their constructed importance to the client and therefore there are wider implications for therapy and professionals more generally, particularly implications for multi-agency communication.
Who’s a naughty boy then? Accountability, family therapy and the ‘naughty’ child.
The Family Journal: Counseling and therapy for couples and families. 15 (3): 234-243.
In this paper I explore the concept of the ‘naughty’ child through a language-based approach in order to examine how... more In this paper I explore the concept of the ‘naughty’ child through a language-based approach in order to examine how it is employed in a family therapy context. Using discursive psychology, twenty-two hours of family therapy are investigated to examine how children with behavioural/conduct problems are constructed within this institutional setting. The members of the interaction construct either the child or the behaviour as naughty as a way to manage accountability and provide an assessment of the child. It is concluded that the concept manages accountability for the parents and the children. Discussions of implications for labelling and therapy are considered.
What value is there in children’s talk?’ Investigating family therapist’s interruptions of parents and children during the therapeutic process.
Journal of Pragmatics. 40: 507-524. (2008)
In this paper, I explore the ways in which family therapists interrupt their clients during the process of therapy.... more In this paper, I explore the ways in which family therapists interrupt their clients during the process of therapy. Family therapy involves multi-party talk and allows for the possibility of overlapping speech, side conversations and interruptions. I focus here on speech acts that occur in the middle of another speaker’s turn and can be treated as an interruption. The family therapist interrupts the clients in different ways. When interrupting an adult/parent client the interruption is accompanied by politeness or an apology. When interrupting the children in the family, though, the interruptions are different. The family therapist makes no apology and does not orient to the speech act as being interruptive. Here, I investigate, through a discursive analysis, how these interruptions are constructed and treated.
Challenging Cases for Experienced Therapists
Journal of Gay & Lesbian Mental Health, 15(2):180–199, 2011
Journal of Gay & Lesbian Mental Health, 15:180–199, 2011
Challenging Cases for Experienced Therapists... more
Journal of Gay & Lesbian Mental Health, 15:180–199, 2011
Challenging Cases for Experienced Therapists
Katherine Rachlin, Ph.D. Private Practice, New York, New York, USA and Arlene Istar Lev, LCSW-R, CASAC Choices Counseling and Consulting, Albany, New York, and Albany School of Social Welfare, New York, New York, USA
The authors, both experienced gender therapists, engage in an interactive discussion of two cases that involve ethical dilemmas and complex psychological presentations. Three themes are discussed: (1) writing letters of recommendation for hormonal or surgical treatment when the clinical presentation involves complicating factors, (2) providing support for transgender persons who are not expressing their authentic gender and choose to remain closeted, and (3) the flexible use of the World Professional Association for Transgender Health’s (WPATH’s) Standards of Care. The authors each present a case and then discuss various strategies that are affirming of transgender identities.
KEYWORDS transgender, transsexual, crossdresser, nontransitioning, standards of care, sex reassignment surgery, gender affirmation, gender therapy, hormonal therapy
The Discourse of Race and Culture in Family Therapy Supervision: A Conversation Analysis
Contemporary Family Therapy, 2004
Family therapy literature has emphasized the importance of examining contextual variables in supervision. This study... more Family therapy literature has emphasized the importance of examining contextual variables in supervision. This study explored how the talk of race, ethnicity, and culture is accomplished within the supervision session using conversation analysis. Conversation analysis is a naturalistic and descriptive methodology that examines patterns across naturally occurring conversations. The results indicated that the participants accomplished four domains of talk that involved the discourse of race, ethnicity, or culture. These domains included contex- tual markers, self of the therapist issues, cross cultural issues in the therapeutic relationship and cultural issues affecting the supervisory relationship. Implications for supervision and future directions are discussed.
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Constructions of Difference Among Latino/Latina Immigrant and Non-Hispanic White Couples
Chapter in T.A.Karis & K.D.Killian (2009). Intercultural couples: Exploring diversity in intimate relationships
Riding on a train, I [RLQ] overhear a middle-aged Spanish speaking woman telling another sitting next to her that she... more Riding on a train, I [RLQ] overhear a middle-aged Spanish speaking woman telling another sitting next to her that she should discourage her son from dating an American woman. “They have another culture. They don’t believe in family like we do.” What differences are implied in this statement? What is the prevailing discourse about these differences and what dynamics result from them? Given the persistent trend of high rates of intermarriage among Latinos, are there alternative discourses of resiliency that can be learned from those who dare to go contra la corriente, against the current (Andrews, 2003; Bacigalupe, 2003)? In this chapter, we explore emergent themes in Latino–Anglo intermarriage regarding perceived intercultural dierences. Intercultural differences are explored by looking at specific factors such as courtship patterns; ideas about family, language, and communications styles; and how couples make meaning about their dierences. The values attributed to intercultural differences are often negotiated against the backdrop of the dominant culture and the current social and political contexts from which these differences emerge.
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A Family Therapist Consulting in Complex Settings Part 2: Innovative Family-Based Practice Models
MAMFT Newsletter, March, 2006