How to Coach Yourself and Others Coaching Families | Page 158

Roadblocks to family developmental change Family therapists regardless of theoretical orientation have noticed that many families have not progressed smoothly or automatically from one life cycle stage to another. Their clinical interventions focus on the stressful transition points between stages. Certainly, in our own clinical work, we have sometimes succumbed to the temptation to focus on particular transition points that have become problematic. The potential trap is for systemic therapists to become too purposive, that is: to become too invested in a particular outcome and to then direct the family to function or be restructured in a particular way. Systemic therapists try not to "get in the way" of family development by not being directly directive. Thus the notion that families must progress smoothly through the famity life cycle stages must he confronted. Smooth progression, in our estimation, is not characteristic of a developing family. However. there are occasions when families have "derailments from the family life cycle" (Caster & McGoldrick, 1980 p. 9). This notion of derailments is useful, because it conjures up a much more optimistic view of family life cycle difficulties. One of the most common derailments that we encounter in our practice is the derailment by illness. The impact on the family of a chronic or life-threatening illness does not automatically result in a derailment, but it almost always interferes with roles, rules and rituals. From a systemic perspective, a derailment also frequently occurs when family members are attempting to obtain meaning and clarification in a relationship. The greater the ambiguity regarding relationships, particularly at various developmental junctures throughout the family life cycle, the greater the chance for family and individual symptoms. With any derailment, it should not necessarily be the therapist's goal to have the family return to the original "track." Rather, it behooves the therapist to create a context for change for the family to allow them to decide which track will provide the greatest opportunity for reduced stress and increased growth. Interventions that create a context for developmental change. There are numerous interventions that can be utilized to facilitate or create a context for change. However, we will discuss only systemic interventions that create a context for developmental change. Offering alternate realities Systemic family therapists frequently offer beliefs, opinions or conceptions about problems without regarding them as interventions. However, when strategically thought out and planned, these various types of opinions serve as potent and useful interventions offering an alternate reality to those experiencing particular problems. 1. Information and advice. Families find advice and information about developmental problems valuable and beneficial. Frequently, Information about developmental issues e.g., elderly parents' needs for "spatial but not social isolation" and for "autonomy with contact" (Banziger, 1979) can liberate a family so that the members are then able to resolve their own problems. 2. Systemic opinion (reframing) Presenting symptoms may serve a positive function for a family. A systemic opinion is offered by conceptualizing the presenting symptom as a solution to some other hypothetical or implied problem that would or could occur should the symptom not be present (Tomm, 1984b). In the case example, the intense inter-generational conflict was positively connoted as a distance regulator in an overly close parent-child relationship. The symptomatic behavior is systemically reframed by connecting it to other behaviors in the system. The connections are based on the information derived in the assessment through the process of circular questioning. It is essential. when offering a systemic opinion to a family, that the reclusiveness of the symptom be delineated: The symptom serves a positive function for the system while at the same time the system serves a function by contributing and maintaining the symptom (Wright & Leahey. 1987). 3. Redefinition of the context of therapy A powerful opinion can be given by redefining the context in which family therapy is provided. If a family objects to attending sessions for what they have defined as Family therapy, then, based on the assessment, 158