LOYOLA UNIVERSITY OF CHICAGO SCHOOL OF SOCIAL WORK #612: SOCIAL WORK PRACTICE WITH FAMILIES Marta Lundy, Ph.D., LCSW 312-915-7007; mlundy@luc.edu Fall, 2008 Prerequisite: Completion of all required 500 level courses Course Description The course examines different theoretical approaches to assessment and intervention with families. The focus will be on interpersonal interaction patterns and on systems rather than on individual feelings and behaviors, although those aspects of working with family members are not excluded. Different models of family therapy will be described, applied to case problems, compared with other models and/or theories, and evaluated for their effectiveness. The primary models will be structural, multigenerational, experiential, solution-focused, postmodern approaches such as narrative therapy, and emerging modalities, including internal family systems theory. The integration of the various theories and models as they apply to specific, complex family system problems will be explored and discussed. Theoretical constructs, strategies for change, and the application of social work assessment and intervention with families will be examined for each approach. Students will learn to assess the influence of the clinicians’ and of the clients’ ethnicity, social class, age, and gender on family therapy. In addition, the implications for working with non-traditional family structures will be discussed in this course. Special attention will be given to the impact of socioeconomic and cultural diversity on family processes when assessing and treating families at risk. Intrafamilial violence and the resultant trauma for family systems will be explored along with other family problems, including mental illness and substance abuse. This course will provide students specializing in either children and families or health and mental health with a broader and more in depth understanding of family interaction patterns, communication styles and multigenerational messages as well as skills related to assessing and intervening with families. Acquiring such knowledge and skill will enable students to develop a more integrated approach to working with families across many different levels of functioning, in diverse contexts, and for different problem areas. 1 Course Objectives Knowledge: 1. To acquaint students with the theoretical underpinnings of various approaches to assessing and intervening with families, including an understanding of the similarities, differences and strategies for change among these major approaches; 2. To help students differentiate the continuum of family functioning, with an understanding of the influence of culture, ethnicity, age, socioeconomic status, gender, sexual orientation, family structure, disability, and religious practice within the family as well as a greater awareness of the self of the therapist as a member of a family; 3. To facilitate students’ awareness of current research on the effectiveness of different approaches to family intervention, and to develop techniques and strategies related to stages of the helping processes, e.g., beginning, middle and ending, in working with families; Values: 1. To perceive strengths as well as limitations in family assessment and Intervention, deepening social worker’s understanding and appreciation of the struggle between self determination and felt obligation as perceived by family members; 2. To identify applications of social work values, such as fairness, respect for the worth of each person, acceptance of difference, as well as social and economic justice, to family intervention; 3. To appreciate the importance of family wellness and preservation in maintaining conditions essential for the human survival of future generations; Skills: 1. To help students critically analyze family theories in relation to their assumptions, consistency, validity and implications for practice, particularly but not exclusively in relation to clients’ race, ethnicity, religion, sexual orientation, disability, gender issues, age, socioeconomic status, disability, differences from the traditional family and the specific practice model used; 2. To be able to critique the appropriateness and use of interventions according to the particular families needs; and 3.To be able to evaluate progress based on assessable criteria of family functioning. Teaching Methodology It is expected that course objectives will be achieved through a combination of lecture, 2 class discussion, experiential exercises, reading, case analysis and completion of course assignments. Small group discussions will focus on problem solving and analysis, both of which are used for active participation by all students. In addition, videotaped material and role-playing will be used for illustration purposes. Students are expected to come to class on time and consistently. The grade for the course may reflect a student's decision to depart from these expectations. Late papers may forfeit points, and will be accepted only in emergencies; late papers must be preapproved. Papers that have been graded may not be resubmitted for a different grade. Respect for Diversity We are committed to the recognition and respect for variations in racial, ethnic, and cultural backgrounds and in class, gender, age, physical and mental ability, religion, and sexual orientation. We value ethnically sensitive and culturally competent social work education and practice. We will uphold the ethical standards set forth by the profession and the Jesuit ideals of the university. This will be demonstrated through readings, lectures, case presentations and assignments. We expect that students will demonstrate comparable respect for diversity of their classmates, faculty and clients, and commit to address issues of marginalization, oppression, prejudice and discrimination. Academic Integrity Academic integrity is essential to a student’s professional development, their ability to serve others, and to the University’s mission. Therefore, students are expected to conduct all academic work within the letter and the spirit of the Statement on Academic Honesty of Loyola University Chicago, which is characterized by any action whereby a student misrepresents the ownership of academic work submitted in his or her name. Knowledge of what plagiarism is will help you from inadvertently committing it in your papers. Plagiarism is a serious ethical violation, the consequences of which can be failure of a specific class and/or expulsion from the school. Responsibilities of Academic Honesty are detailed in The Graduate manual of the Loyola University Chicago. Please read the Graduate Catalog stating the university policy on plagiarism (p.18). Concisely, "Plagiarism is the presentation of another's words or ideas as your own." The web site offers several examples as well as a more elaborate definition of the term. This commitment ensures that a student of the School of Social Work will neither knowingly give nor receive any inappropriate assistance in academic work, thereby, affirming personal and professional honor and integrity. Students may not use the same assignment content to fulfill different course requirements. Students With Special Needs 3 Any student with special needs or difficulty in completing the assignments for this class is encouraged to see the instructor as soon as possible. Please refer to the Student Handbook for management of special needs or disabilities. If you have any special need required to successfully complete this course, please let the instructor know immediately so that available accommodations can be discussed and put into place. TEXTS Required Kilpatrick, A. C., & Holland, T. P. (2003). Working with Families: An Integrative Model by Level of Need. 3rd ed. Boston: Allyn & Bacon. Nichols, M.P., & Schwartz, R.C. (2004). Family Therapy: Concepts and Methods. 6th ed. Boston: Allyn and Bacon. Silverstein, & Goodrich, (2003). Feminist Family Therapy: Empowerment in Social Context. Washington, D.C.: American Psychological Association. Recommended (These texts are on Reserve at Lewis Library) Boyd-Franklin, N. (2003). Black Families in Therapy: Understanding the AfricanAmerican Experience, 2nd ed. New York: Guilford Press. Boyd-Franklin, N., & Bry, B. H. (2000). Reaching Out in Family Therapy. New York: Guilford. Congress, E.P. (Ed.). (1997). Multicultural perspectives in working with families. New York: Springer. Falicov, C. J. (1998). Latino Families in Therapy. New York: Guilford. Lansford, J. E., Deater-Deckard, K., & Bornstein, M. H. (Eds.). (2007). Immigrant Families in Contemporary Society. New York: Guilford Press. Malley-Morrison, K., & Hines, D. A. (2004). Family Violence in a Cultural Perspective: Defining, Understanding, and Combating Abuse. Thousand Oaks, CA: Safe. McGoldrick, M. et. al. (1996). Ethnicity and Family Therapy. (2nd ed.) New York: Guilford Press. McGoldrick, M., Anderson, C., & Walsh, F. (1989). Women in Families. New York: Norton. Rasheed, J. M., & Rasheed, M. (2004). Family Therapy with Ethnic Minorities. 2nd ed. Thousand Oaks. CA: Sage. EVALUATION--BASIS FOR GRADING Class attendance and participation are expected. Students also are expected to be current in readings, to bring in their own case material for class discussion, and to constructively participate in role play. The final grade for the course will be influenced by class participation. Attendance and participation will be critically evaluated when there are student presentations. The assignments and a description of grading 4 methods are listed on Blackboard. In addition, a list of books that have been put on Reserve in Lewis Library are listed in Course Documents. 5 COURSE OUTLINE Week 1 Aug 26 Introduction to the field of family therapy: Historical and Conceptual Overview -Family as interactional and emotional system -Paradigmatic Shift of Relational and Ecological-Systems Perspectives. -Normal Family Systems -Introduction to integrative model of family therapy -Family therapy research - trends -Video: Initial Family Interview -Webb sites: www.serendip.brynmawr.edu/complexity/Chalquist2.html - Paradigm Shift www.aamft.org - American Association of Marriage and Family Therapy www.afta.org - American Family Therapy Academy www.abacon.com/famtherapy/profiles.html - Family Therapy Profiles & History www.anzjft.com/links.htm - Family Therapy Resources on the Web www.ericdigests.org/pre-9211/counseling.htm - Counseling families from a systems perspective Required Reading Nichols, M., & Schwartz, R. (2004). Family therapy: Concepts ands Methods. 6th ed. Needham Heights, MA: Allyn & Bacon. Chap.1 and 2. Recommended Reading Becvar, D., & Becvar, R. (2002). Family Therapy: A Systemic Integration 3rd ed. Needham Heights, MA: Allyn & Bacon. Chap. 1: Two Different World Views, pp. 3-13, and Chap. 3: The Paradigmatic Shift of Systems Theory, pp. 62-84. Congress, E.P. (1997). Using the culturagram to assess and empower culturally diverse families. In E.P. Congress, (Ed.). Multicultural perspectives in working with families. New York: Springer, pp.3-16. Week 2 Sept. 2 Clinical Issues in Conducting Family Therapy Feminist Family Therapy: Gender and Power -Handouts: How to Address Issues of Power & Control Values of Feminist Family Therapy -Video: Cheryl Rampage, Feminist Family Therapy with a Single Mom 6 -Webb sites: www.psychnet-uk.com/psychotherapy/psychotherapy_feminist_therapy.htm Feminist Psychotherapy www.feminist.org/research/cedawmain.html - Feminist Research Convention to Prevent All Forms of Discrimination Against Women Required Reading Atwood, N. C. (2001). Gender bias in families and its clinical implications for women. Social Work 46(1), 23-36. Harris, T., Moret, L. B., Gale, J., & Kampmeyer, K. L. (2001). Therapists’ gender assumptions and how these assumptions influence therapy. Journal of Feminist Family Therapy 12(2/3), pp.33-59. Nichols, M., & Schwartz, R. (2004). Family therapy 6th ed. Needham Heights, MA: Allyn & Bacon. The Feminist Critique, pp.290-291; Gender, p. 76. Silverstein, & Goodrich, (2003). Feminist Family Therapy: Empowerment in Social Context. Washington, D.C.: American Psychological Association. Part I: Considering the historical context of feminism in family therapy, pp. 1-36; Chap. 17: Bringing power from the margins to the center, pp.225-239. Werner-Wilson, R. J., Zimmerman, T.S., Daniels, K., & Bowing, S. (1999). Is therapeutic alliance influenced by a feminist approach to therapy? Contemporary Family Therapy 21(4), 545-550. Week 3 Sept. 9 Clinical Stages of Family Therapy -Resistance/Persistence in Families -Use of Self in Family Therapy -Therapeutic Relationship. -Handout: Interface of Stage of Therapy, Resistance and Use of Self -Webb sites: Resistance - www.ulm.edu/~mft/resistanceover.rtf Required Reading Kilpatrick, A. C., & Holland, T. P. (2003). Working with Families. Boston: Allyn & Bacon. Chap. 1: Levels of family need, pp.1-13; Chap. 2: An Ecological systems-social constructionism approach to family practice, pp.14-30; Chap. 3: Contexts of Helping, pp.33-48. Nichols, M., & Schwartz, R. (2004). Family therapy: An Overview. 4th ed. Needham Heights, MA: Allyn & Bacon. Chapters 3: Early models and basic techniques; and Chapter 4: The Fundamental concepts of family therapy, pp.67-140. Silverstein, & Goodrich, (2003). Feminist Family Therapy: Empowerment in Social Context. Washington, D.C.: American Psychological Association. Part VII. 7 Examining supervision in feminist family therapy, pp.349-278. Week 4 Sept. 16 First Level of Family Need: Basic Family Case Management -Multiproblem Families -Psychoeducation -Webb sites: stopbullyingnow.com - Stop Bullying Now www.aacap.org/publications/ - Mental Illness and the family www.nmha.org/infoctr/factsheets - National Mental Health Assoc www. www.nami.org/ -National Alliance for Mentally Ill -Video: Bonnie Tapes, 1997 27 minutes NO RequiredReading Kilpatrick, A. C., & Holland, T. P. (2003). Working with Families. Boston: Allyn & Bacon. Chap. 5: Interventions to meet basic needs in high-risk families with children, pp.69-84, and Chap. 6: A Family Case Management Approach for Level I Needs, pp.85-103. Recommended: Garbarino, J., & deLara, E. (2002). And Words Can Hurt Forever: How to Protect Adolescents from Bullying, Harassment, and Emotional Violence. New York: Free Press. Week 5 Sept 23 Second Level of Family Need: Structure, Limits, and Safety Issues -Structural Family Therapy -Social Learning -Feminist critique -Video: Tres Madres - Structural therapy with an Anglo/Hispanic Family, Harry Aponte -Webb sites: www.abacon.com/famtherapy/minuchin.html - Salvador Minuchin www.psycservice.vt.edu/resources/manuals/Structural_Family_Therapy_Manual.pdf www.philafamily.com/ Philadelphia Child and Family Therapy Training Center Required Reading Kilpatrick, A. C., & Holland, T. P. (2003). Working with Families. Boston: Allyn & Bacon. Chap. 7: Structural Family Interventions, pp.104-115, and Chap. 8: Social Learning Family Interventions, pp.116-130. 8 Nichols, M., & Schwartz, R. (2004). Family therapy: An Overview. 6th ed. Needham Heights, MA: Allyn & Bacon. Chapter 7: Structural family therapy, pp.176202. Week 6 Sept 30 Third Level of Family Need: Problem-Focused Issues Relevant concepts: boundary; symptomatic child; overfunctioning; underfunctioning; triangle; interpersonal patterns; -Bowen’s multigenerational family therapy -Handout: Straus Family Genogram -Video: Straus family genogram -Webb Sites: www.genopro.com/ - genogram information and charts www.genogram.freeservers.com/ - information about genograms www.faculty-web.at.nwu.edu/commstud/galvin/genograms/ Understanding, creating and interpreting genograms Required Reading Kilpatrick, A. C., & Holland, T. P. (2003). Working with Families. Boston: Allyn & Bacon. Chap. 10: Family Systems Interventions, pp.151-171. Nichols, M., & Schwartz, R. (2004). Family therapy.6th ed. Needham Heights, MA: Allyn & Bacon. Chapter 5: Bowen Family Systems Therapy, pp. 119-148. Week 7 Oct 7 Week 8 Oct. 14 Fall Break - No Class -Solution-focused family therapy -Narrative Family Therapy -Videos: John Walters: Solution focused therapy with an involuntary client Insoo Kim Berg: Solution focused therapy with a voluntary client Ramon Corrales: Narrative Family Therapy -Webb sites: www.brieftherapy.org.uk/solutionfoc.htm - solution focused brief therapy www.genopro.com/ - genogram information and charts www.genogram.freeservers.com/ - information about genogram www.faculty-web.at.nwu.edu/commstud/galvin/genograms/ Understanding, creating & interpreting genograms www.abacon.com/famtherapy/bowen.html - Murray Bowen www.narrativeapproaches.com/ - Narrative Therapy approaches 9 Feminist Family Therapy Student Presentation - 15 minutes If students chose this assignment, this will be the day for the class presentation. Required Reading Kilpatrick, A. C., & Holland, T. P. (2003). Working with Families. Boston: Allyn & Bacon. Chap. 9: Solution-focused family interventions, pp.131-150; Chap. 11: Narrative family interventions, pp.174-195; Nichols, M., & Schwartz, R. (2004). Family therapy.6th ed. Needham Heights, MA: Allyn & Bacon. Chap. 12: Solution-Focused Therapy, pp.312-328; Chap. 11: Narrative family interventions, pp.174-195; Week 9 Oct 21 New Approaches to Family Therapy -Internal Family Systems -Emotionally focused family therapy -Video: Internal Family Systems, Dick Schwartz, Ph.D. -Webb sites: www.internalfamilysystems.org/ - Internal Family Systems www.earley.org/internal_family_systems_therapy.htm www.soulselfhelp.on.ca/internal.html - Internal Family Systems www. wisdomresources.dolphin-designs.com/IFS.html - definitions www.earley.org/intro_ifs.htm - Intro to IFS Required Reading Nichols, M., & Schwartz, R. (2004). Family therapy. 6th ed. Needham Heights, MA: Allyn & Bacon. Chap. 8: Experiential Family Therapy, pp.219-226. Wark, L., Thomas, M., & Peterson, S. (2001). Internal family systems therapy for children in family therapy. Journal of Marital and Family Therapy 27(2), 189-200. Week 10 Oct 28 Family Processes: Intervention with Diverse Family Structures and Needs -The intersection of ethnicity, race, culture and poverty -African-American. Latino, Asian, American Indian, Polish, Mung, etc. families: parenting styles, spirituality and religion, expressions of anger, messages about violence, language issues, generational conflicts, religion, spirituality and native healers, gender issues, 10 immigration difficulties, etc. -Video: A House Divided: Structural therapy with a Black family, Harry Aponte -Webb sites: www.multiculturalfamily.org/index.shtml Multicultural Family Institute in New Jersey Required Reading Boyd-Franklin, N. & Bry, B. H. (2000). Cultural, Racial and Socioeconomic Issues (Chap 2, pp.11-36). In N. BoydFranklin, & B. H. Bry, Reaching Out in Family Therapy. New York: Guilford. Killian, K. D. (2001). Reconstituting racial histories and identities: The narratives of interracial couples Journal of Marital & Family Therapy 27(1), 27-42. Kilpatrick, A.C., & Holland, T.P. (2003). Working with Families. Chapter 13: The Family in the Community, pp.218-264. Laszlofy, T. A., & Hardy, D. V. (2000). Uncommon strategies for a common problem: Addressing racism in family therapy. Family Process 39 (1), 35-50. Nichols, M., & Schwartz, R. (2004). Family therapy. 6th ed. Needham Heights, MA: Allyn & Bacon, pp. 294-295. Week 11 Nov. 4 Multiproblem Families: Working with Children and Adolescents in Families -Home-based treatment -Working with children and families -Discipline problems -Working with angry clients in their own homes -Safety issues for the clinician -Confidentiality issues -Families and violence (impact of domestic violence on children; child abuse) Handout : Impact of DV on child witnesses; -Immigration -Video: Satir Therapy with a Young Boy and His Mother, Jean McLendon 114 min 1999 #044-05664 -Webb sites: www.calib.com/nccanch/pubs/usermanuals/crisis/models.cfm - National Clearinghouse on Child Abuse and Neglect Information www.ncjrs.org/pdffiles1/ojjdp/184743.pdf - Functional Family Therapy, for 11 juveniles with problems (8 pgs/Adobe) Required Reading Bogolub, E. B. (2002). A few thoughts about immigrants and their children. Families in Society 83(2), 121Cooklin, A. (2001). Eliciting children’s thinking in families and family therapy. Family Process 40(3), 293-312. Nichols, M., & Schwartz, R. (2004). Family therapy. 6th ed. Needham Heights, MA: Allyn & Bacon, pp. 204-219. Omer, H. (2001). Helping parents deal with children’s acute disciplinary problems without escalation: The principle of nonviolent resistance. Family Process 40(1), 53-66. Recommended Reading Boyd-Franklin, N. & Bry, B. H. (2000). A Framework for home-based treatment (Chap. 3, pp.37-57). In N. Boyd-Franklin, & B. H. Bry, Reaching Out in Family Therapy. New York: Guilford. Week 12 Nov 11 Families with Structural Diversity -Elders and families -Handout: Elder Abuse -Lesbian and gay families -Foster and adoptive families -Intervention strategies in working with chemically abusive families Videos: Children of Denial; The Golden Years -Webb sites: www.aoa.gov/factsheets/abuse.html - elder abuse www.seniorlaw.com/elderabuse.htm - web sites on elder abuse www.altfamily.org/research1/Articles_and_book_chapters_on_LGBT_topics.html - articles & books on lesbian and gay issues http://www.mftsource.com/Treatment.gaylesbian.htm articles & books on treatment Required Reading Boyd-Franklin, N. & Bry, B. H. (2000). Multigenerational patterns in families in crisis (Chap.4, pp.58-77). In N. Boyd-Franklin, & B. H. Bry, Reaching Out in Family Therapy. New York: Guilford. 12 Nichols, M., & Schwartz, R. (2004). Family therapy. 6th ed. Needham Heights, MA: Allyn & Bacon, pp.298-299. Smith, J. (2001). The adopted child syndrome: A methodological perspective. Families in Society 82(5), 491-497. WEEK 13 Nov 18 Family Processes: Intervention with Diverse Family structures and needs - Violent families; Domestic violence (DV) - Non-offending parents - Differing opinions: conjoint treatment vs. no conjoint treatment in DV - Factors necessary for couples therapy in domestic violence - Substance abuse -Video: Defending Our Lives -Webb sites: http://www.ncadv.org/ - National Coalition Against Domestic Violence http://www.ilcadv.org/ - Illinois Coalition Against Domestic Violence Safety Plan. Characteristics of Batterers. www. Letswrap.com/dvinfo/wheel.html - DV Wheel of Power and Control www.minicava.umn.edu - University of Minnesota Violence Web Site http://www.ojp.usdoj.gov/vawo/welcome.html - U.S. Dept of Justice, Office of Justice Programs, Violence Against Women Office www.vaw.umn.edu/vawnet/welfare.html - battered women and poverty http://now.org/issues/violence/index.html NOW and Violence Against Women Center for Sex Offender Management - www.csom.org/ ( Site Links.References) (Myths & Facts about Sexual Violence) National Center on Sexual Behavior of Youth www.ncsby.org See ( J-Soap-II) : Juvenile Sex Offender Assessment Protocol-II Do Batterer’s Programs Work? - www.mincava.umn.edu/papers/battrx.htm Intervention for Men Who Batter: A Review of Research; Richard M. Tolman, University of Michigan & Jeffrey L. Edleson, University of Minnesota www.mincava.umn.edu/vaw.asp#A101090200 National Center for Injury Prevention and Control www.cdc.gov/ncipc/factsheets/malebat.htm Partner Abuse Intervention Programs - www.ilcadv.org/batterersprogs/default.asp Anti-Violence Project. (2003). Lesbian, gay, bisexual and transgender domestic violence: 2003 Supplement. www.avp.org/publications/reports/2003NCAVPdvrpt.pdf Community Violence Prevention Network - www.cvpn.org/ National Children’s Coalition, Violence Prevention Resources13 www.child.net/violence.htm Required Reading Bennett, L. (1995). Substance abuse and the domestic assault of women. Social Work 49(6), 760-771. Edleson, J. L. (1999). Children’s witnessing of adult domestic violence. Journal of Interpersonal Violence, 14(8), 839-870. Nichols, M., & Schwartz, R. (2004). Family therapy. 6th ed. Needham Heights, MA: Allyn & Bacon, pp.294. Week 14 Nov. 25 Family Processes: Intervention with Diverse Family structures and needs Immigrants and Refugees Integrative Family Therapy Required Reading Nichols, M., & Schwartz, R. (2004). Family therapy. 6th ed. Needham Heights, MA: Allyn & Bacon, pp. 219-226. Chap. 10: Family Therapy Enters the Twenty-First Century, pp.315-354; Chap 13: Integrative Models, pp.423-445; Chap. 14: Comparative Analysis, pp.447-501. Week 15 Dec 2 Intervention with families with disabilities, medical and psychiatric -Homelessness -Community interventions -Using multiple systems -Webb Sites: National Coalition for the Homeless - www.nationalhomeless.org/ Hate crimes against the homeless www.nationalhomeless.org/hatecrimes/factsheet2005.pdf Americans with Disabilities Act - www.usdoj.gov/crt/ada/adahom1.htm American Association of People with Disabilities - www.aapd-dc.org/ Required Reading 14 Kilpatrick, A., & Holland, T. (Eds.). (2003). Working with families: An Integrative model by level of functioning. 3rd. Ed. Needham, MA: Allyn & Bacon. Chap. 4: Ethically informed and spiritually sensitive practice, pp.49-68 Mowbray, C., Schwartz, S., & Bybee, D. (2000). Mothers with a mental illness: stressors and resources for parenting and living. Families in Society 81(2), 118-129. Nichols, M., & Schwartz, R. (2004). Family Therapy. Boston: Allyn & Bacon. Chap. 10: Family Therapy in the Twenty-First Century, pp.288-308; Chap 14: Integrative Models, pp.329-346; Chap. 15: Comparative Analysis, pp.367394, and Chapter.16: Advances in family therapy research, pp.395-422. Rober, P. (1999). The therapist’s inner conversation in family therapy practice: Some ideas about the self of the therapist, therapeutic impasses, and the process of reflection. Family Process 38(2), 209-228. 15