Working with adult families of origin: On the nature of rupture and repair

IF 0.7 4区 心理学 Q4 FAMILY STUDIES
Kate Cordukes, Greg U'Ren, Ella C. Katz, Jennifer E. McIntosh
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Abstract

In this paper, we report on findings from a three-part enquiry into the essence of working with families of origin where all members are adult. Findings, in conversational form, describe the nature of adult family ruptures encountered, pathways to repair and unique factors associated with the therapeutic encounter with adult families relative to those with still dependent children. In exploring emergent themes, we hoped to come to some understandings of the models and unique skill sets that characterise and enhance family therapy with adult families. We found that, unlike families with younger children, adult children are often the more motivated sub-system and indeed the drivers of a referral for therapy. The therapeutic focus centred around legacy work from prior unresolved family traumas or disrupted developmental processes. Features of the therapeutic process included supporting new and more proportional narratives about ingrained wounds, together with redefinition of caregiving relationships and a future gaze towards becoming an independent yet connected family structure. We consider the therapist's posture in validating the adult child's experience, contextualising parent histories and clearing emotional barriers that block healthy giving and receiving of care. Key decision points in the therapist's work included how to balance the past context of the rupture with its current legacy, and the place of exoneration versus forgiveness in the progression towards secure individuation. Findings may help refine therapeutic methods in the application of systemic therapies with adult family forms, particularly on the intersection with the adult mental health system.

与成人原生家庭合作:关于破裂和修复的性质
在本文中,我们报告了对所有成员均为成年人的原生家庭的工作本质进行三部分调查的结果。研究结果以对话的形式,描述了所遇到的成人家庭破裂的性质、修复的途径以及与成人家庭治疗相关的独特因素。在探讨新出现的主题时,我们希望能对成人家庭治疗的模式和独特的技能组合有一些了解,这些模式和技能组合是成人家庭治疗的特点,并能增强成人家庭治疗的效果。我们发现,与有年幼子女的家庭不同,成年子女往往是更积极的子系统,甚至是转介治疗的驱动力。治疗重点集中在以前未解决的家庭创伤或中断的发展过程中遗留下来的问题。治疗过程的特点包括支持对根深蒂固的创伤进行新的、更相称的叙述,同时重新定义照顾关系,并着眼于未来成为一个独立但又相互联系的家庭结构。我们考虑了治疗师在验证成年子女的经历、了解父母的历史背景以及清除阻碍健康地给予和接受照顾的情感障碍方面的姿态。治疗师工作中的关键决策点包括如何平衡过去的破裂背景与当前的遗留问题,以及在迈向安全个体化的过程中免责与宽恕的位置。研究结果可能有助于完善针对成人家庭形式应用系统疗法的治疗方法,特别是在与成人心理健康系统的交叉点上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
14.30%
发文量
40
期刊介绍: The ANZJFT is reputed to be the most-stolen professional journal in Australia! It is read by clinicians as well as by academics, and each issue includes substantial papers reflecting original perspectives on theory and practice. A lively magazine section keeps its finger on the pulse of family therapy in Australia and New Zealand via local correspondents, and four Foreign Correspondents report on developments in the US and Europe.
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