Class 23/10/06
What SW do: Give people autonomous functioning of person, group and community w/o using force
-force
is only in court
Chonech – is
the word used – not patient, because he wants to be there
Reaching out:
in cases when patient is unable or unwilling
Pkidat saad-
course who has learnt the course on the law – can use force in certain
cases
In 77, Bituach leumi took over the welfare role. Now SW only deals w/ well-being of individual.
-either by joining people and services they are eligible
-appeasement
-give person an internal locus of control
àmany
welfare people wait for others to help them out in life – don’t
take enough responsibility over their own lives
-sometimes you have ind. work –individualistic SW
other times you have group
therapy/assignment groups àeasier to deal with some issues this
way àthis
is kewutzati
-deal with community needs (i.e. fixing a neighborhood
-has to deal w/ budgets, politics, etc…
-kehilati
SW
This is the Format that SW work with:
note
-there are 6 here but the lecture
in another class, (6/11/06) the teacher spoke about 4
-1978 – Sa’ad office b/w Revacha office
value: the overriding principle. It is meant to keep society. It organizes it. We can predict reality - marco
norm:
- the micro – the acting out of the values
Target: - what I want to do – i.e. the family will be more together
Destination:
how I measure it – the women cleans less (i.e. less OCD) – operationals
definition
-BTL gives the grants, even though social services might decide who gets it.
-goes together with the fact
that SW are more “therapy” and less social services bound. – they
might “only” be agents at times of social services and the BTL’s
payment mechanism
-cognitive approaches: might treat cognitive structures of whatever is bothering us
epictatus: was a roman philosopher
-Stimulus—àresponse
Cognitive
-Stimulus------ORGANISM------
àorganism affected by interpretation before responding
Victor frankel: man searches for meaning
àLogotherapy article written
based on this some 20 years ago
-its idea- a person who has a purpose will find a way
àespecially
when the issue is negative
attitude
-we need empathy and not sympathy when strengthening patients’ cognitions when he is flooded, emotionally
Empathy – understanding others’ feelings
Sympathy – getting into his
feelings
Menuchin: family and family system |
-individual
is also significantly in context – not only within himself axiom of Family therapy:
-Family structure changes w/ society -when there is a transition of society, Family changes with it. àyet
family also has an added role to be protective system for its kid the
kids àallows
its kids to be rooted enough in order to grow and aapt human identity has 2 components:
àthis
is learnt w/I the family!!!! Separation and individuation-happens through participation
in family/extra-family sub-systems -family’s accommodation to kids’ needs = delimit areas of autonomy. -family
must accommodate to society as well – social change brings about change
in family structure (i.e. by making extra-familial settings western society –
releases kids earlier than ever to other social socializes (i.e. TV/School),
yet those systems don’t adequately support the adolescent, especially
in time of crisis both normal/abnormal families have problems: -to distinguish b/w/ them in context, you have 3 components
Family Structure:
invisible set of functional demands that organize how individuals interact
w/I families Transactional pattern: -repeated operations (action patterns) w/I family àregulates family members’ behaviors 2 systems of constraint in family transactional model:
àcomes
around -when equilibrium is broke,
there might be complains about the other not fulfilling his task/guilt-inducings/claims
to family loyalty -important for family: to keep
continuity as a frame of reference, family must change and adapt to
ever-changing conditions subsystems: could be organized interests/sex/age/function/etc. -note:
even dyads are systems Boundaries: in sub-systems, it defines how is participates and how
-parental child –giving the
kid the parental executive status boundary related terms:
-freedom from interference from other sub-systems is necessary for complementary accommodation b/w subgroups ài.e. in-laws interfere clarity of boundaries: is used to evaluate family functioning
àsystem reacts too fast àcognitive-affective
dev. of kids is inhibited
àonly
high stress will activate supportàdon’t responds when needed spouse system: -has to accommodate each other -has to “give in” w/o “giving up” i.e. support the others’
good sides and not weak sides Important:
therapist should challenge process – not motivation of persons -the spouse system should make
boundaries to be protected from other subsystems, i.e. kids -i.e.
-family therapist in just-spouse
session leave should kids/parenting out, and if kids want to speak
up, he should be reminded that this is not his issue parental subsystem – is created when 1st child is born -has
to adopt to a system of 3 –protect spouse system, yet should give
access to both parents -as kid grows up –increased need for both autonomy and guidance -places
demands on parental systems àmust be modified to accommodate new
situation -i.e. kid now has extra-familial influence. àif trained, also parental system strained, and possibly also spousal system -w/ age, more autonomy demands àparents must accommodate -i.e. parents who set rules
which un-self-evident or that they can’t explainàthe kid will rebel or not accept this! -parents can’t protect/guide w/o restricting/controlling while kids can’t b/c autonomous w/o rebelling àthus
a therapist’s challenge a dysfunctional process b/w kids =must in
the mean while support its participants -parenting- requires nurturing/guide/control àits proportion depends on kid’s needs/parents
capacity note: people make the mistake that democracy = leaderless -not
true -Therapist shouldn’t support rigid parental system àis bad for the kid’s autonomy. Rather, he should help the parents set rules and maintain kid’s autonomy/needs to grow àhelp negotiate and accommodate each
other siblings: place of peer learning – only children àolder kids negotiate w/ extra-familial systems and bring home things from there. -Therapist should develop needs of child and support child’s needs for autonomy w/o compromising parents’ rights àthey have right to own opinion interests/privileges
and idiosyncratic values -sometimes, therapist need
to translate needs to other subsystems or to negotiate clear but crossable
borders w/ outside world family adaptation transition of family =could be stressful – and you can’t ignore the institutions influencing the family -we can see in family in stress as a family in transition b/w structural models àprocess of adaptation àonly ‘pathological’ if family b/c more rigid (‘unadapting’) in light of social change -in
this case, therapist enters family system and changes homeostasis (vs.
working on in family member’s motivations stressful contact if one member w/ extra-familial forces -main function of family id to support its members -in stress must accommodate
the person (either a subsystem or the whole family system) example -if a husband is stressed at work he comes home and there is a fight w/ wife àwife could withdraw and finally support (accommodation) àor keep fighting (no accommodation) ànon-resolution/non-closure àthen could defuse to other subsystems another example -if father is rigid, mother/child
might make a coalition against mom possibility 1 person’s stress –infl all family system example: if dad lost job – mom might work more, and dad takes a more nurturing role àgrandmother
might be called in to do the parenting jobs while parents ar ejob-hunting transactional patterns might appear ài.e.
if grandmother comes into help, yet is not given the right authority
(parental subsystem style is too rigid) -the therapist must assess the problem
whole family’s stressful contact w/ extrafamilial forces i.e. poverty/discrimination àthe family is in contact w/ many social agencies which could be confusing/bureaucratic/etc. àSW must help cope w/ agencies/get community
help/etc… In transition periods: -there is always conflict in this stage, yet it gets resolved by negotiation -in
not resolved, what was just a transition thing b/c a bigger problem examples
example: adolescent extra-familial contacts
example of unhealthy adaptation to reality -mom doesn’t wanna accept
adolescent his independenceàfather and adolescent make coalition addition of new family members: -has demands (whether baby/step-kid/spouse/etc… àthe demands will increase if un-adapting to new member àyet family has a tendency to maintain
old patterns -also a decrease in system
must have an adaptation process (divorce/death/etc…) Main ideaIn time, family is always in transition through life, and thus must be adapting to an everlasting reality |
6/11/6
Topics of the course
Test40 questions: -lots of class, less about
articles 10 of them is about a case
study -mostly American |
what is a family?
-How society defines family within a time/place/culture context
àWe need to know who we’re dealing with and what the informal resources are
-we can not assume that our definition of family is the Israeli family b/c there are also many w/I Israel (also in US) ài.e that’s why in some places in US you have same-sex marriages, while in other places it is not accepted. Each society might have many internal differences, but even in a pluralistic society where there is so much variance, there is a common platform
-there is a new
trend of single-mom by choice
-society does his to make order.
To know how to see the people. Usually there is a ritual saying:
now there a new social structure
Different kids of family definitions
-later, we’ll define a family as a system, but there is a huge variance.
àin this discussion, we don’t care about what the family is (single-sex/single mom/etc…) what we do care about is that there is a system happening here!
-the family is the primary frame of reference for the person. Its function is to give answer to the growing needs of the individual. Its supposed to fulfill 3 needs of the individual:
-those 3 factors are important and intrinsic for development
àthose
factors are important for everyone in the family. I.e. father also needs
physiological/social/psychologi
-identity is something we get
in the family. It is constant yet is open for change
-bergman: there is the middle
path in giving vs. chocking
quality of life:
brown & brown, 2004
ask 10,000 what is most importsnt for their happiness:
-they define several measures which tell us h.m. family and its individuals are satisfied with their family life
note: individuals, even
within the same family might have diff. values fir each measure. (i.e.
father wants 3 kids while wife wants 10)
-problem: if parent figure
changed value during lifetime (and some parents change to various degrees
–i.e. parents b/c religious but dad still smokes!?!)!!! Kid might
be confused!
àalso community support àhelps individuals and try to avoids people falling
-you have work that you enjoy
-emotional wellbeing
-material wellbeing
-health wellbeing
-no discrimination
-spiritual/communal
wellbeing
in sum:
all of those ‘quality of life’ factors can help us see how the family works, and how conflicts w/I family and w/I individual work
àgotta see the system and its quality
of life expectations of the individual within the system
Class 13/11/2006
-family system is supposed
to support each other physically/emotionally/cultural
family as a system
-we need a definition/model of family so we can analyze it
àso
that we can see functioning and see if/how we need to treat
-taken from natural sciences
rules
-the
purpose is necessary for survival
purposes in nature-in animals – physical needs/some animals have social organization
àwe can learn from them to humans
-energy goes in, there is a
process, and then there is an output
Maslow, there are 5 steps
Hierarchy of needs:
needs ascending from basic biological needs to more complex psychological
motivations that only b/c important once the more basic needs have been
satisfied.
Maslow’s hierarchy of needs | ||
Self-Actualization |
Find self-fulfillment and realization of one’s potential | |
Esteem needs |
To achieve/be competent/gain approval and recognition | |
Belongingness/love needs | To affiliate with others/accepted/belong | |
Safety needs |
Feel out of danger/secure/safe | |
Physiological needs: | Hunger/thirst/etc. | |
-each step:
physical: I eat,
I digest and then I have energy
safety:
Erikson: if a person satisfied his development needs, he moves on (vs. fixation
-the
earlier the fixation, the more damaged personality
-basic trust – if I have a constant, helping object, it helps me dev. basic trust, and I will be more trusting of others as an adult
àit
has process-factor influence which influence the final result – trusting
adults
etc…
3) boundaries
-the boundaries are also psychological
-everyone has boundaries –
things that I won’t do and won’t have done to me
-there are boundaries b/w parents and kids
-sometimes, there is a boundary
b/w the husband/wife
-boundaries are ever-changing/negotiated
w/ time
-when we gave the kids rights, we forgot that parent’s rights are negated
-there is an increase in quality
of life. Parents might say – I’ll give the kids what I never had àkids
never learn to deal with reality for themselves
-American kid welfare: I’ll
add $. If you also make $
-in family/b/w families/society, there are boundaries
-and the subsystems get
organized i.e. boundary b/w parents/kids subsystem
-when parents have their
subsystems, they have something in common (despite each one of them
having their own life)
dyads: a 2 person relationship
-pathological when borders are crossed
-for example when kid is
used against the other parent
by the way:
there is an interaction:
more dirty separation b/w parents and younger the kid is, the more pathology
in kids
5) sub-system interaction:
-one system influences the other:
-dad in unemployed/kid is sick, it influences every system
àgot to reorganize
peretz/pasternack: study about how kids function in school after problem at home
-b/c more passive deviant (wondering in class)
-b/c more hyper
-b/c good student
-stays the same
àif
something changes in kids b/h, I know for sure that something is wrong
borders:
-there is a spectrum of borders
from rigid ↔ diffuse
Menuchin: family is a sociocultural entity. As society changes, so does family. Family members also develop!
àfamily
must adapt! ‘transitions’-i.e. marriage/birth/divorce/schoolin
for healthy adaptation
-family must have flexible
borders, yet have a backbone
example of flexibility:
-1st born kid, spouse system b/c parents system
ànew boundaries will be set
-grandmother wants to be over
in involved, so instead of canceling her, the new-parents give medium
answer
families want to be balanced
-with life, there are always
changesàchanges
in status quo needs re-adaptation
-since there is no homeostatic,
since life changes every second àmorpheostasis (always growing) is too
much, and keeping rigid is also not working
-dynamic homeostasis:
somewhere in the middle b/w rigid and enmeshed
minuchin: in order to maintain balance in light of change, the system needs 3 stages:
adaptation components:
Scarf
– intimate relationships
Chapters 2-4 |
Chapter 2 – the meaning b/w past and present: genogramsGenogram: drawing the family relations in a flowchart kind of way -you can put family tree and
types of personal relationships within the family, include the divorced,
dead, period which the relationship lasted, etc… past coming up: -people tend to repeat things from their past, especially in intimate relationships àpeople tend to repeat their parent’s
past as well, even if they didn’t know that
their parents did that too (i.e. eloping, not knowing that their
parents did that too) -they often do this because
it is the known thing to do àthey don’t know that there are alternative
ways to live life how to relate to an intimate relationship? -somehow person who never learns skills of being good partner from parents, becomes a bad partner himself àwe hold on to schemes/systems that
we acquired as kids -sometimes, a person marries
a person who appears opposite to him mom and then she changes to b/c/
like his mom with time -often, people prefer the known
(yet hurting) rather than the new Patricia Mayer: -even when we try to be the opposite than parents (we are reactionary) –we do the opposite than our parents, then our kids also become reactionary and react to us and reverse to become like our parents (and thus the pattern stays in the family) àbecause we didn’t really solve the
problem shadow relationships: -family system-pattern gets repeated next generation.à“shadow relationships” I.e. if there is 10 years diff. b/w parents, there is gonna be that distance b/w2 kids -parents both are in 2nd
marriage, both’s first marriage lasted year. Chapter 3 – autonomy and intimacy-sometimes when we have an
internal conflict, where one side is dominant and the other side is
passive/denied/etc, we marry a person dominant in the denied thing (“opposites
attract”) àproblem:
the intra-psychic conflict b/c interpersonal conflict. I.e. When he
wants too much autonomy, she holds him too tightly out of worry projective identification: -sending the denied feelings
onto the partner – i.e. when passive person is angry, he’ll deny
the anger and make the partner angry [for him] àhis way to feel anger is through the
other, since he can’t accept being angry -in intimate relations, there are trade transactions of –you feel this for me and I feel that for you àin
intimate relationships, no victims àjust a tradeoff Toman: family constellation: birth-order/age space/gender influences not only their personality, but their interpersonal happiness!!! -i.e. firstborns won’t usually
fit b/c they are both used to leadership example: older sister
to a small brother later takes on the role of “leader/order” wife
to a bad kid [husband] -people tend to somehow fin
, in a unspoken way, partners with extremely similar genograms note: familiar = family chapter 4 – love itself -when we get born, baby is symbiotic with mom- sees her as extension of self. She supplies survival needs. With time, baby b/c less symbiotic, yet the seed of love scheme is already there! Mom is seen as the exclusive nurturer/nourisher -later, the mere presence of mom gives security àlack
of attachment figure (the protective/nourishing figure) in first year
of life = mental/body hard note: so, at first, love [attachment] has a survival function [it gives security] -later
in life, the attachment style gets repeated over and over in significant
relationships 3 stages of Separation in child’s Attachment
àonly it this happens too often does personality develop around giving up intimate relationships |
Class of 20/11/06
Genogram: concept taken from the health world (seeing what the health risk is for a person by mapping out his family tree). In the context of family system, it is a graph of family relationships that create the family system
back to genograms:
-drawing out the relationships
in the extended family
│- relationship
║ -strong bond
║│-extremely strong bond (triple line)
┼ - breach in relationship
▲- pregnancy
□ male
○ –female
x – spontaneous abortion
● –intentional abortion
-death
– note the year
-zigzag line = tension-filled
relationship
Application of Bowen theory w/ a conflictual Couple |
Bowen studied
families and found:
case study couple has unstable relationship. Husband is close to his mom (un-differentiation) who downplays the wife (triangle) – she b/c closer to mom. (multi-generational). -the strength: wanting
to stay together/both take responsibility for joint stuff (kids) treatment: set goals:
intervention:
àaddressing cause for the triangle include: asking wife: “what keeps your relationship going w/ your mom despite disagreements?” Asking husband: “what happens if you’ll make mother-in-law jokes about your mom?”/”take out your wife to dinner after visit to mother-in-law?”
Summery: intervention
focused on family strengths/reduces anxiety and emotional distance/direct
communication style Conclusion -Bowen: look at past to revamp the future.
|
Intergenerational transmission of marital quality and marital instability feng/giarrusso/bengston/frye |
Divorce
factors include:
-those factors are not exclusive of each other! -they affect the family kids
who will later be adults! The study’s question:
does parents’ divorce influence the kid’s marital quality and stability? Findings: the following increase chance for divorce:
Cost-benefit explanation: -reduced rewards = more divorce
(less barriers and more alternatives i.e. in divorce = the stress of failing at marriage/disappointing family members/etc. -if parents of divorcers are
also divorces, they are more supportive of it (less barriers/less sense
of failure) -financial independence is attractive alternative to marriage (thus single parents’ daughters work more that 2-parent family’s daughter -->less barriers/more alternatives
=more divorce Internal marital characteristics =explains divorce Poorer marriage quality =kids
pick up on it Kids of divorced/non-divorces: -both similar in marital happiness,
but different in marital behaviors i.e. – divorced family’s kids:
intergenerational transmission of marital qualities previous studies: -looked for consequences of
divorce, and not how marital quality affects kids studies show:
-->another study fixed that
gender issues: Feminists -society is male-dominate.
Each gender has different behaviors. This affect woman’s well-being.
Also, in divorce, men and women have different types of stress. For
example, women’s economic loss is bigger than men’s. The women tend
to turn to family after divorce, while men turn to friends of social
organizations differential effect of divorce on kids:
study question:
to investigate intergenerational transmission
measures used:
covariates of marital quality/instability:
Results: Hypothesis 1 –proved correct Divorces’ kids divorce more Hypothesis 2 – mostly correct Divorce influences the kids in those ways
generally speaking:
divorce lowers kids’ education/marriage age – accounts for transmission
(especially age.) once age is taken into account, parental divorce doesn’t
infl. kid’s divorce Hypothesis 3 – divorce parents = kids have less kids/daughter is more likely to be employed wrong – divorce of parents doesn’t influence # of kids that kid has. -also wrong: parents divorce
doesn’t’ lower income or daughter’s employment Hypothesis 4 – effect of parents divorce on marital quality of kids Wrong: marital satisfaction
is equal b/w kids of divorced/non-divorced Hypothesis 5- influence of parental marital quality/satisfaction to kid’s marital quality/satisfaction Partial only influences
boys’ subsequent marital quality/satisfaction |
Class, 27/11/06
Today's topic: finding a partner
Olson: 3 things that help family deal with stresses
3 components in which you can characterize functional operation of family
1) communication: assertiveness
2) solidarity people support each other w/I the family
3) adaptation: (from menuchin:) acceptance/roles/future
àothers
speak of immunity instead of adaptation, bu this is same idea
And now to our topic of choosing partner.
-not always was partner chosen.
-the idea of love is re complex.
Not always way love most important (i.e. honor killing/romeo&Juliet/etc…
-the way that partnership/spousal
way of communication will dictate how family will look later on. (i.e.
parental vs. kids subsystems) – this lays the infrastructure for future
of family
Question: why do we need partners?
-we expect partnership will
give us physical level of maslow, but also love, esteem and self actualization
Self-Actualization |
Esteem needs |
Belongingness/love needs |
Safety needs |
Physiological |
Freud: we have unfinished business with our mom about not letting us continue the intimacy that we had as infants. So we look for other sex partners. In the latency period, the kid's oedipal conflict and it's resolution is repressed since he's focused on other tasks. But the resolution of the oedipal conflict of giving in to dad somehow, is un fully satisfactory now! In adolescence, this resolution comes up and we try at a better solution.
àFreud
thought that love is a obsessive neurosis.
Erik
Fromm: we need to love ourselves in order to love others. Someone
with low SE looks for 2nd class people since he doesn’t
believe in himself. i.e. there ill be a close-far tango – will get
close b/c he wants to yet will also distance since he thinks that it
won't work. In other words, I need to be certain about myself in order
to be able to fully expose myself in intimate relationship. The low
SE person can't accept even his spouses successes, b/c he thinks that
it is his failure. Often, he resorts to aggression since he can't tolerate
others' successes
The institutionalization of partnership
-there is a ritual to the institutionalization
of partner. The rite of passage can be very banal or very formal. Regardless,
there is still some sort of ritual.
-our society is very eclectic
in what it defines as a family, but the common denominator is what allows
stability for the kids.
3 characteristics that can explain attachment b/w people:
1) mutual answer of call of needs -since life is give and take, the transactional model says that there is room for a relationship. If it is a one sided relationship, then the relationship breaks up. So at first we need to name our own needs. We also need to help partner name his/her needs. We have to ask ourselves; are we the right address for this person?
2) multi-sense positive stimulation: our partner will stimulate us is positive ways.
3) time factor: things change with time. You won't come to a well-rounded conclusion in first meetings.
-time makes affect more positive. Intimacy develops with time.
-with time, were are more familiar
with person and familiarity breeds positive affect
By the way
-Men are more independent-orientated vs. women who tend to show more togetherness. Paradox: men get more out of relationship: they get more stability vs. women who pay heavy price for the togetherness.
-there are different forces
– until 40, men spend a lot of time outside the family and after 40,
want to be more homey. Women, until age 40, want to spend their energy
building the family. After age 40, the women tend to try to go out of
the home after they have built the family
What builds a relationship?
1) you need to adapt to new situation, new responsibility
àyou
got to accept new role
2)understanding what the relationship means
3)you have to know the family of origin – to asks questions like how much you let that family into your new family. (cross-generational borders)
àgood
partnership is differentiation – I am my own person so relate to me
as one. I am not dependent on others
Scarf:
-they are at extreme b/w intimacy
and autonomy. Best is in the middle b/c that allows for personal growths.
-when one side has a weak ego,
he seen in the relationship as an ego supporter. So on one hand, he
is dependent on the relationship, on the other hand, he is enmeshed
into it.
Sager: at first year
of relationship, there is a play of setting the boundaries. There is
a below-the-surface expectation coordination. (also learn each other's
weakness/strength and how it can be used.)
Another thing learnt:
there is a difference b/c what is necessary and what is voluntary. Thus
when we can tell where everything comes from (what motive –necessity
or voluntary) we can appreciate relationship more
Roles
3 central trends in roles in relationships:
1) symmetrical – both do everything – they believe in equality. No role differentiation b/w man and women.
2) supplementary: we have our own yet complementing roles.
3)parallel: everyone
has his own territory and there is the grey area where they switch roles
according to need
-there is no better or worse-
the question is how they function.
Problem: when someone
wants to switch role trend (i.e. husband wants to start studying, so
the roles have to switch in the family), there may be some friction
Class 4/11/06
Question: how important is it to come into a relationship in a differentiated way?
Answer: -scarf's article
-when people are undifferentiated,
they need an alter-ego –someone who will tell him what to do. Then
there is a paradoxical symbiosis, yet also distance. Can't be with or
without the person. Can't be too close b/c its chocking, yet too far
= I am too empty
Erik Fromm: if you don't like yourself, you'll have a hard time loving others
-in any marital relationship, there is something that is wrong [not to
love myths:
Miriam dishon-berkovitz:
investigated personality relationship to family satisfaction. Her findings:
people choose same values over same personality characteristics. In
short, family satisfaction has more to do with values and less with
personality characteristics
Scarf: actually people look for either same characteristics or reciprocal characteristics
-i.e. dominant look for childish
-others look for specific characteristics
[i.e. old people look for friendship partners]
Mcgoldrick: women tend
to get delighted by the relationship while the men feel it is a hindering
thing. Turns out that at least in the beginning, man benefits/women
loses out. There still is a roles thing – men are functional whereas
women are expressionist. But today, there is some change and now roles
are less rigid
-when women take on the "wife" role, families tend to b/c more stable.
-violence of men often happens
in patriarchal ways of thinking, where women are supposed to listen
–and suddenly, they're faced with a woman who is not as weak/less
dominated by others. The men are less expressive, and they have stereotypes
that men are supposed to dictate the stuff. They think that they get
their power/being through authority. Why do women stay: Pygmalion affect:
the women internalize the labels that the abusive man says about her.
She might also hope that this will change/low SE/for kids/economic
reasons
-it doesn't matter which way
of life the partners take. What is important is that there is a balance
and it works!
Intimate partners – scarf |
-people choose
partners on same maturational level
àalso
partner w/ the same conflict -when there is low separation/individuation, there is emotional fusion b/w partners. So there is negotiation of who takes same side of the conflict àeach
partner takes opposite side of the "common self" conflict -in different maturational levels, one side won't agree to relationship since s/he won't want to take part in the bargain of taking on another's conflict. Alternatively, may be too frustrated that the conflict's needs are not met in the relationship -By the way, once in a relationship,
if one side has resolved his conflict, the relationship loses it's equilibrium Differentiation of the self What is it? Kerpel: differentiation is differentiation from past and present relational context (i.e. mom/partner is different from me) à
how much I of each partner remains in the "we" of the family
of origin – their emotional program Five ways that partners relate: Level 5 – paradox Human needs include separation and connectedness. Both the needs can't be answered at this level. -for those people, too lose =negating self and b/c absorbed into other [so he tries to turn away] – yet autonomy leaves him empty àconflict The paradox is: moving close/far has the same effect – the self is annihilated àevery resolution has a conflict
level 4 projective identification -one step up from paradox on the differentiation scale àthe closeness/autonomy is partially resolved. àthe
partner takes one side of dichotomy. He can't see both together -the person who can see one side of his conflict (and unconsciously has the other side repressed) will marry someone with awareness of the other side of the conflict i.e. autonomy sided
person will choose a closeness person àsomeone with nurturing needs wll take
self-sufficient person. She'd assume his autonomy needs while he assumes
her closeness needs àthus a persuer-distancer tango develops
w/I that relationship rules of the game: for projective identification in this relationship includes frustration/confusion b/c no one gets what he wants i.e. in time of conflict,
where a partner has taken a stance, there'd be a conflict around the
issue. à
as long as he called for closeness, the wife won't see her closeness
needs main point: both project to partner their unrecognized reciprocal note: it doesn’t to
be an independence conflict – could be other conflicts of dichotomy main problem: inability
to contain both sides of conflict level 3 conscious splitting -bridge b/w 2 qualitatively different levels of function -in fights, acts like 4, but when calm he can speak about conflict -so the process is at level
4, but there is insight about conflict i.e. husband goes on
business vacation and invites the wife. She demands more of his time.
This sounds like a level 4 fight except they can speak about it when
calmed down main idea of level 3:
person takes one side of the conflict but has awareness of the conflict level 2 tolerating ambivalence -this person doesn't need the
dichotomy The main issue: is an internal struggle b/w self-need and closeness need àthe
partners can tolerate ambivalence, so there is no need to thrust it
outwards -good differentiation b/w the partners -acceptance of ownership of
feelings In conflict – 2 steps of downplaying i:
àthe
lower levels fail to admit that they have a conflict w/I themselves Level 1 integration -closeness and separateness aren't perceived as opposing each other. The person can be close while not losing his sense of self -the negotiation b/w them does not compromise anyone and lets each one be himself in the closeness. When separated [autonomous] – the intimacy is internalized |
BTL Policy of rehabilitation of handicapped |
BTL:
geared t/w getting people back into the workforce
àthis
is more complex with handicapped -in order to decide who can/can't return to work, wee need to look at following 3 criteria:
btl:
is for second two, given in a way encouraging productivity [i.e. transportation
help to work] btl: also has
a professional rehabilitation department. They don't only provide basic
living but also services in job integration drafting cases/àéúåø since rehabilitation is in BTL, then it is easy to be accessed. BTL gets info from health system – at first meeting w/ BTL, there is also socio-demographic info. BTL's info Collecting system gets economic and employment info. Its centrality saves the running around -Doctors of BTL are in following departments:
-they speak with the ô÷éãé
èáéòåú and the ô÷éãé ùé÷åí main point: medical/rehabilitative
and funding units are coordinated procedures: work injury: ô÷éã ùé÷åí úåøï
–goes through medical record and has initial meeting General disability -whoever is not disabled enough
not to work goes to ô÷éã ùé÷åí to evaluate how much this guy
is actually able to support himself Terrorist victim -info automatically goes to
BTL. ô÷éã úåøï and ô÷éã ùé÷åí contact the victim, evaluates
the overall damage to the victim and proceeds to find solutions Diagnosis: get info from family/doctors -might need info from external sources, i.e.:
directing to/äôðéä: -those not rehabilitatable
are directed to other, relevant sources Processing the rehabilitation program: -each person has a personal
rehabilitation plan, differentially based on his situation and cooperation.
There are many types of treatment possible, i.e. individual, family
or group therapy depending on personal obstacles to actualize potential.
At end of process, the client and SW agree in the rehabilitation process
and its implementation Enforcing the rehabilitation plan: -the plan usually asks the
client to use tools he had used for a long time. The rehabilitation
worker usually helps fund the process [i.e. transportation/tools/books/etc Common programs:
central office of rehabilitation department: -in central office of BTL. Workers turn here for advice The central office's jobs
general goals:
info-collecting system
-SW fills it out Development of staff -guidance/äãøëä and development of human resources include:
treatment techniques:
Goals: -going to work is the ultimate
goal – help the îùú÷í be part of a collective/part of society Helps
ànon-integrated disabled seen as a failure and is marginalized |
Retarded dorms/community housing |
Criticism:
70s – institutions for retarded is too institutionalized – gotta
be more community-oriented
-the switch was partial and
not so much anti-institutional 2 parts of article:
community-integration approach t/w retarded
current trends: policy
prefers small community institutions. But this trend is not full-blown factors that influence the characteristics of services for retarded in Israel 7 factors influencing the partial move to community [vs. institutionalization of retarded]:
-parents/professional staff
seem to want to keep the retarded in those institutions, with the claim
that other, more community oriented solutions expose the retarded to
a vicious social situation 3 approaches which they take:
-all three approaches are based
on the plan that the retard should not leave the institution into independent
community living Summary:
-nevertheless, there is still
some community oriented achievements, i.e. in making full community
life from w/I their institutions -so future looks like hat both community and institutionally oriented approaches will develop , but w/I those institutional settings, some community orientation will be developed |
Class 11/12/06
-on the choosing partner issue: we start the relationship coldly
Bergman – relationship is
revealing my weakness and being contained. In beginning, there may be
fear of not being contained after revealing weak sides. With time, people
b/c more fixated in their regularities
-the relationship takes time.
But when were are always testing and being tested [i.e. giving marks
based on failure/success]. When you give marks to others, yet she is
not a failure – she just doesn't fit to me. So malsow's scale is subjective
– different people find security in different ways.
Intimate communication
-The Rambam realizes that all animals communicates but states that human communication is different because man also speaks. This makes man unique in his ability to communicate
-media [communication] socializes
-why do w have personal space
– so we can see the non-verbal cues. The average is 1.20m so that
we can see all of body. Also, we're too overwhelmed by [irrelevant]
cues and stimuli
-we increase or decrease distance b/w people to say something. [comforting vs. distance]
-we have tendency to read into non-verbal cues – we get confused if there is a dissonance b/w verbal and non-verbal
-body language helps let out
emotional energy caught up inside [whether good or bad emotions
solomon
Problem w/ non-verbal communication
-it is encoded into the word:
Messageàencodingàmediumàcontext
-sometimes we choose a
medium that doesn't reveal emotions [phone]. Sometimes we choose
contexts that make it easier or harder to reveal our emotions.
Things
covered this year and not last year
-3 topics not covered last year and is covered this year. |
Class 18/12/06
class canceled because
of Chanukah
Class 25/12/06
Solomon: communication is more of attaching a meaning to things rather than saying things. It is more than just communicating info. For example: husband comes home and first thing he said is there is smell of chicken soup. Wife can react:
Virginia Satir:
communication has to be clear
The 3rd option is
best since communication needs to be clear and if a statement is not
clear [i.e. smells of soup] then instead of attaching automatic meaning,
I can ask what is meant.
-many communicative b/h are
contextual – how I speak to friends is different than when I
am w/ spouse. We wear different masks at different masks! We
fit ourselves to different situations.
-we need congruence b/w verbal and non-verbal communication. Everyone picks it up. We as SW want to understand what is behind them.
-we as SW need to be aware
of our own non-verbal communication. First thing is eye contact. Our
non-verbal communication could either make or break therapy. We have
to see what is really said and not the external content of the words.
When you see someone who is angry, do relate to what he’s really saying
3 dimensions
-we need to be aware of our
verbal communication. If not, the message won’t come across as we
wanted. Communication is the glue/strengths b/w people. Bad communication
is not clear/not comfortable/disallowing [Satir]
2 other theoreticians
Varginia satir: 4 kinds of communication in family
-we have to remember that things are not clear-cut, black and white. Those are just basic categories that are inter-mixed in person
-satir: the best way
is to integrate b/w them. Not good to rely on one tactic
Bern there are 3 forms of family communications
for example
-a 3 year old can communicate in parent style by speaking parent-like to a younger sibling
-sometimes, we as adults also
need regression to be kids ourselves
3 Advice:
-communication need to allow for emotion too – but not taking over everything
next class – assertive communication
Class 1/1/07
Assertive communication
Alberto&Emmons (1974) assertive thinking is:
-assertiveness allows people
to do my goals and believe in them [but w/o hurting the other]
-men tend to be factual while
women tend to be more emotional/contextual when communicating
Kinds of communication
-assumption of assertiveness – I have room and the other has room. Lets get a compromise/fid a solution
-assumption of aggression:
life is a war.
Muuss: speaks about family climate
-tries to reduce aggression and increase assertiveness
-study – up to 8, the kid
accepts parents’ views. From age 8 the kid starts saying is own things/having
own opinions – sometimes the kid is aggressive about it.
-there is a correlation b/w
assertiveness and SE. lower SE usually means less SE. they think that
they have less right to their opinion.
another factor is assertive communication
-i.e. not being scared of ending the conversation – for example, by not closing doors –“I’ll call you later”
Why do SW need assertiveness?
-so we won’t flow into aggressiveness – it allows the client space too
-best helps advance the situation
-sometimes assertiveness can
be expressed as cost-vs.-benefit – what is best to do now? àI
have to choose my words
-there is an approach called
“provocation”/”confrontation” àkick-start a process by provocatively
bring up something
-sometimes, you need to take
space [when you’re overwhelmed] – perhaps wait with the talking
over something
-Next class: roles/conflict
Class 8/11/08
Roles and conflicts
-in a system, there are inputs
[i.e. resources], systems and sub-systems. The family uses malsow as
needs.
-within the family system,
there is a sharing of inputs – each gives Maslow inputs [needs]
to others in the family. Each person has roles: supplying one
else in the family with something
-there needs to be clear hierarchical system parents vs. kids
-there needs to be a coalition b/w spouse even b/f they are parents. This is necessary for functional parenting. Really, parenting is shaped b/f the couple b/c parents.
-Each person in the system has a role. For example, women are expected to be more expressive/keeping of the peace. [in the past, this was even more dichotomy]
àtoday
men are more active in expressive things and women are more instrumental
than in the past
àtoday,
people can get confused as to what is expected of them
-since you can’t prepare
for marriage roles, since today, they’re flexible, it is important
to communicate b/f hand and spell out role expectations – especially
since they are not fixed. In the past, the couple relationship was built
on external pressures.
Bergman – 1994
-speaks about parenting roles in he family systems
-one of parent’s roles in to socialize.
àso parents have to give kid sense of security. So he must be careful to criticize w/o degrading
àdegradation seemed to stay in personality
if done to kid until latency period
-gestalt psychology said
that this kid is not a complete person since some of him is broken,
and this will come out, despite denial/repression of this feeling
-another socializing thing:
privacy: not only in when kid is in the washroom, but also some
things are only his and must be respected. This helps kid build his
ego and sets the stage for separation-individuation
Parents must show kids:
-vs. aggressive
-open communication: parents need to give room to kids’ situation/feelings/needs
àyou can [should] be assertive, but in a logical way. [i.e. explain to the kid the logic behind this].
-There also needs to be unity in the educational needs
àarguments b/w parents are legitimate
but not in front of the kids
Parents must give: basic rights unconditionally
-berman speaks about
finding the middle path
3 pathological kids of kids/berman
Virginia Satir:
-this resonates of the kid’s
physiological/social/emotional needs
Roles
Question: what are roles?
Answer:
Definition:
4 types of roles:
-so b/c a husband is achievement role, but being a parent is relational – once you’re a parent, you can’t escape it
à i.e. parental kid.
àbut if you adopt a role that you don’t like [i.e. necessary vs. voluntary, as we saw earlier] then you’ll get burnt out
conflicts:
-conflicts happen in all of families and we don’t need to get anxious about this. There is always tension around. The tension come up from situations or from life hassles
àlife
hassles is also a usual stress too, i.e. dealing w/ going to work and
dropping off the kid at school
But: we need to identify the components of the conflict.
-conflicts are only a problem
when they get out of hand.
Weingarten/leas: there is a continuum of 5 types of conflict perception by the sides: the extreme and middle ones are:
-we’re not talking here about daily stresses, but rather conflicts of a more essential nature [doronwend]
-next class: we’ll speak
about conflicts/solving the conflicts
Class 15/1/2005
-as long as partners are not
seeing conflicts as issues that are to be solved/growth, then all attempt
to rectify the conflict will be futile
-today we’ll speak about:
conflicts
-just b/c families need Maslow,
it doesn’t mean it will come and this leads to stress. But here we’re
going to speak about other kinds of conflict: lack of fit:
Model of factors of conflict/resolution-spiegel
-solving is not the issue here
– dealing with it is a better term, since conflict is not a mathematical
formula
Conflicts could come from:
Resolution:
One sided solutions: usually don’t work, but they do give a small break
2-sided solution – we also have conflicts within us
-if you don’t deal with the
emotions, then it eventually comes out in an explosion
Handicapped issues
-usually associated with a kid born that way, but it could happen also mid-life – after a while/after marriage, i.e. dementia
-diagnosing a child as handicapped,
is a huge balance-breaker in the family
3 kinds of Maslow
-there is a gap b/w expectations
and handicapped kid. Parent may feel shame/guilt/denial/shock
3 kinds of îùáøéí:
Olshansky: the parallels
b/w bereavement and birth of handicapped kid is not a correct parallel
Main point of teacher:
hard to judge parents, whatever they do
Black sheep
-family unifies around a weak link. When conflicts don’t get verbalized, then they come out in other ways. One way to do so is to project it to certain other person [i.e. displacement]. So the black sheep is the glue of the family. Families create a black sheep in order to distort conflicts which threaten their existence. It could be a husband/child/mother-in-law. It could involve pathological/trans-generational dyads. The black sheep is not based necessarily on being weak, but could also be based on birth order/birth timing/etc… sometimes, child’s characteristics could create the role [over-smart/dull]. The kid could either adopt or reject the role, but it is a catch-22: if he accepts role, he b/c back sheep and if he doesn’t then he’s the rebel [i.e. black sheep]
-parental rigidity is consistant
here [and rigidity =anxiety]
Myths
-those myths maintain the family
[one of them is the black sheep] – but it could also be a secret,
that if we speak about it, the family will collapse [i.e. talking about
mom’s divorced past could threaten the current family]
-myths could also be in a positive
light [we do everything together/we are the off-shouts of ABC]
-most of course, we spoke of functional family. In dysfunctional families is the negation of this: closed communication/rigid borders/intergenerational crossing/family structure is threatened/conflict resolution is not good/no feedback for good or bad thing/over-intimacy or over-autonomy
àsuch cases are related to physiological
symptomology of family member. Physical pathology, as seen often in
Eating Disorder and hyperactive problems are linked to dysfunctional
families
Influence of Divorce on Kids - Ayalon |
Question:
does divorce harm kids/give them protective factors? Increase in hardship/distress for kids
Multiple stresses: -divorce + other losses [i.e.
death/immigration] -increased distress Age: -beyond family factors, there is also age interaction w/ distress/symptoms àdiff age = diff. symptoms àyounger = more distress [i.e. fear
that remaining parent may also disappear]
-extreme symptoms tend to disappear
3 years after divorce àfamily restabilizes First few years: Up to age 8
age 9-adolescent -more expressive – start speaking of shame/isolation
adolescent
|
End of course!!!