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Feminist Family Therapy

Presentation originally given by Allen Mallory

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In-Class Journal Feminism and Family Therapy

What do you typically think of when you hear the word “feminism?”

How do you define feminism?

Do you think feminism is a useful concept for marriage and family therapy?

Why or why not?

For those who do use ideas from feminism in therapy what might that look like?

Three (of many facets) of feminist theory importance of history, context, reflexive

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The Who’s Who of Family Therapy

Jay Haley

Cloe Madanes

Strategic “ power and control as central to family patterns ….symptoms result from repetitive, unproductive attempts to control or influence other family members”

Madanes “ revers hierarchies are not bad in certain situations. They become problematic when there is incongruence in those hierarchies. Problems arise from dilemmas between love and violence

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The Who’s Who of Family Therapy

Salvador Minuchin

Focus on changing interactional patterns and moving clients in the room, alliances, boundaries, and coalitions

Interesting that Minuchin worked with low income population were traditional gender roles likely look different, enactments

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The Who’s Who of Family Therapy

Murray Bowen

Differentiation/fusion, genograms/family of origin, intergenerational patterns, family life stages,

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The Who’s Who of Family Therapy

Ivan Boszormenyi-Nagy

Ethical considerations, fairness, trust, ledger of entitlement/indebtedness, invisible loyalties, integration of interpersonal and intra-psychic (the context), multidirectional pariality

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The Who’s Who of Family Therapy

Carl Whitaker

Enter into the family system and use self to change patterns, co-therapy, atheoretical, battle for stucture, battle for initiative (fatherly figure), goal is to give the family new experience through craziness, creativity, humor, fantasy, treat children as children, and use of self.

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The Who’s Who of Family Therapy

Virginia Satir

Nurturance, strength/growth focused, when one person has pain the whole family experiences, sculpting, holistic growth (different aspects of the self), use of self

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Feminisms

Liberal

Radical

Marxist/Socialist

Eco

Postmodern

Women of Color

Postcolonial

Intersectionality

Liberal – equality through legal means and social reform (most commonly used in MFT)

Radical – oppression of women most fundamental form of oppression (what people are referring to when they say feminazi/haters

Marxist/Socialist- capitalism and patriarchy as root of women's oppression public and private sphere change

Eco – mainly focused on domination and oppression of nature and its link to oppression of women

Women of Color – race, class and gender inseparable in ending oppression

Postmodern – sex and gender are social constructed through language

Postcolonial – aim to end colonialism, racism and ethnic issues

Intersectionality

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History of Feminism

First Wave (~1848 – 1950’s) – Suffrage movement and focus on political equality

First Wave (~1848 – ~1950’s) – Started with conference at Seneca Falls. Suffrage aimed to get woman the vote for white middle class women. Conservative really aimed at political equality. Married women’s Property act which essential allowed women to inherit property and gave shared ownership of children. 19th amendment granted women the right to vote.

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History of Feminism

Second Wave (1960’s - 1980’s) – Social, political, and economic equality for women

Chimamanda Ngozi Adichie https://www.youtube.com/watch?v=hg3umXU_qWc

Second Wave (1960’s -1990’s) – Social Equality increasingly theoretically aimed at patriarchy, capitalism, gender roles (separating sex and gender), and heterosexuality. Within this movement many other feminisms cropped up fighting the notion that all women are oppressed in the same way

Explosion of feminist rhetoric and various theories, this is when we start to see the creation of women studies programs/departments. The second wave was also bolstered by the ongoing civil rights movement, sexual revolution, fighting for reproductions rights, access to birth control, shining the light on domestic violence and marital rape, fighting for equal pay and access to jobs, NOW was founded.

Wanted adds example

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History of Feminism

Third Wave (1990 – present) – Intersectionality and social construction

Third Wave (1990’s – present) – inclusion of anti-colonialism (global feminism), sexism, empowered choice of what a women can be, and deconstructing language.

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In-Class Journal

Watch all of this Ted-Talk by Chimamanda Nzogi Adichi

https://www.youtube.com/watch?v=hg3umXU_qWc

Write down 10 personal reactions to the talk as you’re listening. Some things you might consider to comment on:

What do you agree with? Like? And WHY?

What do you disagree with? Dislike? And WHY?

What stuck out to you?

What do you think about her comments about being angry?

Make sure you say WHY!

What did you think about her opinion on the word “Emasculate”?

What did you think about her opinion on the male ego?

What did you think about her thoughts on “doing things for peace in our marriages” and compromise?

A Definition of Feminism

“Feminism is not simply a struggle to end male chauvinism or a movement to ensure that women will have equal rights with men, it is a commitment to eradicate the ideology of domination that permeates Western culture on various levels—sex, race, and class to name a few— and a commitment to reorganizing so that the self-development of people can take a precedence over imperialism, economic expansion, and material desire.” (bell hooks, 1981)

First Wave (~1848 – ~1950’s) – Suffrage aimed to get woman the vote for white middle class women

Second Wave (1960’s -1990’s) – Social Equality increasingly theoretically aimed at patriarchy, capitalism, gender roles (separating sex and gender), and heterosexuality. Inclusion of class, race, and gender opression

Third Wave (1990’s – present) – inclusion of anti-colonialism (global feminism), sexism, empowered choice of what a women can be, and deconstructing langauge.

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Similarities and Differences

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Feminism in General

Agreement

Society considers women inferior to men

Redefining women as full human beings

Partially rejecting sex roles

Women’s autonomy and right to their bodies

Social change

Injustice of gendered power/privilege

Disagreement

Nature and cause of women’s oppression

What aspect is most oppressive to women

Basic human nature

The ideal society

How to achieve ideal society

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The Feminist Critique of Family Therapy

Rachel Hare-Munstin (1978), A Feminist Approach to Family Therapy

Feminist therapy is, “the recognition that (a) the traditional intrapsychic model of human behavior fails to recognize the importance of social context as a determiner of behavior, and (b) the sex roles status’s prescribed by society for females and males disadvantage women” (pg. 181)

“All therapy is political, either supporting the status quo or challenging the status quo…Therapist may claim neutrality but neutrality always supports the status quo” (as cited in Goodrich & Silverstein, 2005, p. 267)

Contracting – transparency of therapeutic process

Shifting Tasks in the Family – division of labor in the house hold (second shift/ thanking others for child rearing or household duties)

Communication – speaker/listener technique (feelings/emotins/meaning of desires

Generational Boundaries (replication of parent relationships )problematic when not congruent, parentification of children, development of alliances (through confiding in children) due to gender roles

Relabeling Deviance – use of diagnotic labels, resistance, stereotypical gender roles

Modeling – self explanitory

Ownership and Privacy – helping women to develop sense of self, ownership, and own space.

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Suggestions to address gender in family therapy

Rachel Hare-Munstin (1978) suggestions:

Contracting

Shifting Tasks in the Family

Communication

Generational Boundaries

Relabeling Deviance (Feminine Mystique)

Modeling/examining therapeutic alliance

Ownership and Privacy

Contracting – transparency of therapeutic process (creating rules for therapy, family learns about negotiation, creates space for talking about issues of powe)

Shifting Tasks in the Family – division of labor in the house hold (second shift/ consider why thanking others for child rearing or household duties) addressing issues of responsibility in the family

Communication – speaker/listener technique (feelings/emotions/meaning of desires) not anthologizing one form of communication in favor of another

Generational Boundaries (replication of parent relationships )problematic when not congruent, parentification of children, development of alliances (through confiding in children) due to gender roles

Relabeling Deviance – use of diagnostic labels, resistance, stereotypical gender roles ( discuss the pathologizing og women who stepped out of their roles –changeling)

Modeling – self explanatory (different for women and men)

Ownership and Privacy – helping women to develop sense of self, ownership, and own space.

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The Women’s Project

Response to feminist critique of family therapy in 1970’s

The Group (1977)

Elizabeth Carter

Olga Silverstein

Peggy Papp

Marianne Walters

Held a successful workshop (over 500 women) addressing women’s issues

Continued workshops until ideas became general knowledge

The Invisible Web: Gender Patterns in Family Relationships (1989)

Elizabeth Carter and Olga Silverstein were clinical social work student at same school

Peggy Papp – center of family learning

Marianne Walters – worked with Minchin in Philadelphia

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The Family Interpreted

Deborah Luepnitiz (1988)

A feminist sensibility versus agenda

“Therapy is different from indoctrination, it has to do with creating space for people to examine their assumptions about what it means to live as women and men and to explore greater flexibility in their lives”

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“Rules of Thumb” to address gender bias in therapy

1.) Income

2.) Physical/Intimidation

3.) Rules for gender roles

4.) Societal attitudes

5.) Validate and empower wives

6.)Dealing with anger

7.) Validate and acknowledge men’s position

8.) Nurture friendships

9.) Emotional network of marriage

10.) Encourage spiritual values

(Green, 2003)

1.) Income – talking about income and work outside the home

2.) Physical/Intimidation – intimidation and history of abuse

3.) Rules for gender roles – how does family couple decide who does what in the system

4.) Societal attitudes – talking about partners global beliefs about men and women in society (politically, socially, economically)

5.) Validate and empower wives – woman’s focus of relationships and empower to explore other aspects of life

6.)Dealing with anger – don’t blame self, culture of blaming women (victims)

7.) Validate and acknowledge men’s position – understanding that patriarchy oppresses men and limits their sphere as well

8.) Nurture friendships – help both partners build relationships ( men tend to have less friends in older age than women, wives tend to be main source of social support)

9.) Emotional network of marriage – recognize importance of siblings and other family relationships

10.) Encourage spiritual values – spiritual values can help partners bond and focus on something greater than system (family rituals, Frank Finchem)

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Overview of Feminist Family Therapy

Addressing gendered power and roles

Empowering women and validating their voices

Social roles as harmful to men and women

Transparency

Equal relationships between therapist and clients

“Personal is political” (Political is also personal)

Advocacy

Big “A”

Little “a”

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Example of Feminist Family Therapy

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Pros and Cons of Feminist Family Therapy

Gender issues are at the root of many disagreements between couples and expectations for children

Gives women voices and acknowledges their experience

Balances the hierarchical relationship between client and therapist which might be a relief for women and other oppressed populations

It is in line with many of the interventions used with couples such as speaker listener technique, “letting your partner influence you” love maps” (places responsibility for relationship maintenance on both partners)

Empowers women choose

Address power dynamics inherent in our culture

Many therapists are uncomfortable with the advocacy piece of the theory and see it in conflict with their duties as a therapist. Challenges therapists particularly males to reevaluate how they interact with clients. Therapists may be uncomfortable promoting self as “feminist” because of the negative connotations. Many couple are happy with traditional gender roles in their relationship. Discussion the fact that women are oppressed could worsen clients mental state (mention study about slightly less saitisfied – having ingroup creates social support which contributes to happiness, traditional marraiges may be happier because of feminism, dauntin choices)

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A timely evolution

Intimate Partner Violence (IPV)

Physical Violence

Sexual Violence

Single mothers

Sexuality

The Second Shift (Arlie Russell Hochschild, 2012)

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Contemporary Feminist Family Therapy

Dr. Carmen Knudson-Martin

Socio-Emotional Relationship Therapy

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In-Class Journal

Think about a close relationship of yours.

Answer each of the following questions based on this relationship.

Model of Relationship Equality

Relative Status

Whose interests shape what happens to the family?

To what extent do partners feel equally entitled to express and attain personal goals, needs, and wishes?

How are low status tasks like housework handled?

Attention to the Other

To what extent do both partners notice and attend to the other’s needs and emotions?

Does attention go back and forth between partners? Does each give and receive?

When attention is imbalanced do partners express awareness of this and the need to rebalance?

Knudson-Martin & Mahoney, 2009)

Accommodation Patterns

Is one partner more likely to organize his/her daily activities around the other?

Does accommodation often occur automatically without anything being said?

Do partners attempt to justify accommodations they make as being “natural” or the result of personality differences?

Well-Being

Does one partner seem to be better off psychologically, emotionally, or physically than the other?

Does one person’s sense of competence, optimism, or well-being seem to come at the expense of the other’s physical or emotional health?

Does the relationship support the economic viability of each partner?

Model of Relationship Equality

Knudson-Martin & Mahoney, 2009)

Interview

As partners move into equal relationship structures, most of them, especially men, acquire new competencies for which they had not been socialized that go behind qualities by which good men and women were evaluated in the past

Joan: I want my kids to see the dad showing as much interest in them and being as much a part of their lives as the mom. And I know he has to work on it, but I’m glad he is.

Juan: You hear stories of all the selfishness that goes on … You know the wife is doing all the work and you are just being a parent when you want to. That’s not fair.

Knudson-Martin & Mahoney, 2009)

Socio-emotional Relationship Therapy

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Socio-emotional Relationship Therapy Assumptions

Socio-cultural discourse frames experience (social construction)

Emotional flows from social identity – who we are or who we identify as impacts our emotional reactions in situations

Social discourse defines personal worth – gendered processes impact how partners validate each others worth.

Multiple Cultural Discourses Create Options – there is no one way to be masculine or feminine and this creates tension.

Power and Ethics in Socio Cultural Process – therapy dealing with these processes has an ethical imperative. (Therapist not neutral)

(Knudson-Martin & Huenergardt, 2010)

Key goals are mutuality (mutual influence, shared vulnerability and relational responsibility), and mutual attunement (intention to experience the other.)

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Socio-emotional Relationship Therapy Key Goals

Mutuality

mutual influence

shared vulnerability

relational responsibility

Mutual attunement - intention to experience the other

(Knudson-Martin & Huenergardt, 2010)

Key goals are mutuality (mutual influence, shared vulnerability and relational responsibility), and mutual attunement (intention to experience the other.)

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Socio-emotional Relationship Therapy Treatment Plan

Feminism and Intersectionality

Liberal feminism

1980s-1990 multicultural counseling began to emerge

Mainstream feminism as well as feminist family therapy needed to necessarily consider intersections with gender that impact clients experience.

Liberal feminism doesn’t quite capture EVERY woman/persons experience. Reference definition of social, political equality of the sexes.

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Examples of Integration

Strategic

Structural

Bowen Family Systems

Experiential

Solution Focused Therapy

In general the modern models can incorporate feminist concepts by acknowledging gender dynamics and how they impact family systems. Need to reject “neutrality” as it supports the status quo. Changing interactional patterns, perscribing symptoms, paradoxical interventions ect should take gender into consideration.

Contextual therapy is largely respectful of gender relations through its emphasis on fairness, trust, putting people and their relational context and ethical obligations. Multipartiality rather than neurtality

Post modern models are inherently feminist as they place the clients experience at the center and believe that language shape reality and can shape society. However, the therapist as a co-creator of reality has to acknowledge gender relations and institutionalized power.

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Focused Genogram

(DeMaria, Weeks, Hof, 1999)

Example questions

1.) Family beliefs about being a man or woman in society, change over time, one gender superior? Beliefs about marriage and men/womens roles

2.) Questions about gender and work. Did women work, are their jobs more suitable to men/women?

3.) egalitarian relationship, do both men and women share emotions, do the show closeness and distances differently?

4.) Questions about childcare, patterns around reproduction

5.) affairs, divorces, abandonment, sacrifice?

6) Role of men and women with in sexuality (initiation, avoiding it, talking about it)

Ask how these beliefs are affecting client in the present( Do you fulfill them? Have you rebeled, or accepted them, have these expectations affected currentl relationship?)

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Integrating Feminist Concepts into Models

Groups

Case Example

Presentation of case conceptualization or interventions with integration of feminist concepts

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Case Example

Jane, Mark, and their 12 year old daughter, Lila, are sitting in your office. Jane is a 34 year old 1st generation Asian-American businesswoman. Mark is a 30 year old Caucasian bar owner. The couple has been married for 6 years. Jane has a MBA and Mark a high school degree. The couple has had a relatively uneventful marriage until the last month when Lila got in trouble at school for kissing another student. The couple has been unable to decide on how to address the incident which has lead to ongoing conflict. The daughter has become increasingly rebellious towards her parents as she does not think she did anything wrong.

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Can Marriage and Family Therapy not be Feminist?

A survey of MFT found that most scored high on a feminist family therapy scale despite many not identifying as feminists.

Participants (n= 109) reported a number of theoretical orientations

40% of women and 25% of men indicated feminist perspective guides their work

No difference in how often men and women engaged in behaviors on scale

No different in proportion of men/women identifying as feminists

Scores on scale were significantly related to amount of “Gender sensitive training”

(Dankoski, Penn, Carlson, and Hecker, 1998)

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Can Marriage and Family Therapy not be Feminist?

Over time the training specific to feminism has decreased at national conferences and there are a decreasing number of publications address gender issues.

Incorporated into programs and given “lip service”

Fragmented

Grouped as an “issue” rather than embedded in a context

Gendered issues have become a given

Aware but lacking critical analysis of gendered power

Reflects societal status quo

Issues have become covert

(Goldrich & Silverstein, 2005)

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In-Class Journal: What do you think?

Do you feel comfortable calling yourself a Feminist?

If not, why not?

If so, why?

Either way, know for yourself WHY.

In-Class Journal: Epistoweenie Round 2

Complete the Epistoweenie again (it is under today’s Module)

Compare your Epistoweenie from your 2nd day of class to today.

What’s changed?

What’s the same?

Why do you think that is?

Michelle’s opinion

Feminism is not man-hating.

Feminism does not mean being a stay-at-home mom is bad.

Feminists can still wear lipstick.

We as a WORLD need Feminists who are men and women.

All humans matter. Sometimes when society tells us some humans matter more than others, we have to spend some time remembering those whose worth has been erased or unacknowledged.