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a.
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"It is the thesis of this book that all clergymen and clergywomen, irrespective of faith, are simultaneously involved in three distinct families whose emotional forces interlock: the families within the congregation, our congregations, and our own."
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i.
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Unresolved issues in any one of these areas can produce symptoms in the others.
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ii.
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Increased understanding in one area increases functioning in all.
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b.
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"From a family systems point of view, stress is less the result of some quantitative notion such as 'overwork' And more the effect of our position in the triangle of our families. It is always possible to handle more stress when we are doing it for ourselves than when we have taken it on for a relationship, no less than for a set of conflicting connections." (1)
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c.
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"In fact, family theory suggests that leadership is itself a therapeutic modality." (2)
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d.
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"Leadership has inherent power because effecting a change in relationships systems is facilitated more fundamentally by how leaders function within their families than by the quantity of their expertise. What is vital to changing any kind of family is not knowledge of technique or even of pathology, but, rather, the capacity of the family leader to...
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i.
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Define his or her own goals and values...
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ii.
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While trying to maintain a nonanxious presence within the system." (2-3)
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e.
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When it comes to facilitating change, "clarity may be more important than empathy." (3)
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f.
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"There is an intrinsic relationship between our capacity to put families together and our ability to put ourselves together." (3)
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g.
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"The sickness is in the way society wants us to cope with our specialties: by becoming expert, by assuming that our effectiveness lies in walking an unending treadmill of always trying to learn all we can, despite the fact that we live in a world where even the best specialists can no longer cover more than a corner of their field." (3)
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h.
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We have tended to emphasize pathology in counseling, which effects the field in two ways
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i.
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It is not clear that knowledge of pathology is necessary to healing. Healing is effected more by existential categories: vision, hope, imagination, and differentiation from other's anxiety.
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ii.
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No one is in a better position to deal with families than clergy.
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(1)
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Multigenerational forces are always at work in congregations.
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(2)
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Ministers are present during rites of passage.
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(3)
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Ministers have lengthy periods of time in which to know individuals and families.
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(4)
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Ministers have entree' because they are often leaders.
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i.
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"Thus, to whatever extent we can use our unique access to families to foster emotional healing, we are always at every moment preparing the way for other, more spiritual experiences to come later." (7)
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Part I: Family Theory
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1.
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Chapter One: The idea of a family
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a.
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Historical Perspective
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i.
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A Modern Reformation
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ii.
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Systems Thinking
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(1)
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Systems Thinking and the Family
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(2)
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Systems Thinking and Change
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b.
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Family Systems Theory: Five Basic Concepts
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i.
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The Identified Patient: "The concept of the identified patient, as stated earlier, is that the family member with the obvious symptom is to be seen not as the 'sick one' but as the one in whom the family's stress or pathology has surfaced." (19)
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(1)
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The Family as a unit of Treatment
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(2)
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The Family Projection Process
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(3)
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Ramifications for Counseling
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ii.
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Homeostasis (Balance): Homeostasis refers to"the tendency of any set of relationships to strive perpetually, in self-corrective ways, to preserve the organizing principles of its existence." (23)
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(1)
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Symptom and Position
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(2)
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Two Kinds of Interdependency
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iii.
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Differentiation of the Self: Differentiation refers to a person's "capacity for some awareness of (his or her) own position in the relationship system" and his or her ability to change that position through self clarity. (27)
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(1)
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Scale of Differentiation
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(2)
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Leadership and the Scale
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iv.
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Extended Family Field: "...family theory sees the entire network of the extended family system as important, and the influence of that network is considered to be significant in the here and now as well." (31)
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(1)
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Differentiation and Family of Origin
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v.
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Emotional Triangle
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(1)
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"The basic law of emotional triangles is that when any two parts of a system become uncomfortable with one another, they will 'triangle in' or focus upon a third person, or issue, as a way of stabilizing their own relationship with another." (35)
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(2)
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The seven laws of an emotional triangle
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(a)
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The third side of a triangle is part of the relational homeostasis
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(b)
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If one is the third side of a triangle, it is usually not possible to bring about change in the relationship of the other two in a direct manner.
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(c)
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Homeostatic forces sabotage attempts to bring about change in the other two sides of a triangle.
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(d)
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To the extent that the third party to a triangle tries to change the relationship of the other two sides, the more likely that the third party will end up with the stress for the other two. (Which is why the "dysfunctional" member of a family is often not the weakest, but rather the one who is trying to take responsibility for the whole system).
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(e)
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The various triangles in any system are usually interlocked so that attempts to change any one of the triangles are resisted by all of the others.
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(f)
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One side of a triangle tends to be more conflicted than the others. In healthy systems the conflicted moves around the triangle, while in unhealthy systems the conflict stays focused in one place.
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(g)
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"We can only change a relationship to which we belong.....To the extent we can maintain a 'nonanxious presence' in a triangle, such a stance has the potential to modify the anxiety in the others." (39)
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2.
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Chapter Two: Understanding Family Process (Benefits for the clergy) (10 RULES)
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a.
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Emotional Distance: "When family members use physical distance to solve problems of emotional interdependency, the result is always temporary, or includes a transference of the problem to another relationship system." (41)
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b.
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Loss and Replacement: "To the extent a family rushes to replace loss, its pain will be lessened, but so will the potential for change that the loss made possible." (42)
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c.
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Chronic Conditions: "If a problem is chronic (perpetual or recurrent), there must be reactive or adaptive feedback from somewhere in the system to sustain it." (45)
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d.
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Pain and Responsibility: "If one family member can successfully increase his or her threshold for another's pain, the other's own threshold will also increase, thus expanding his or her range of functioning." (47)
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e.
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The Paradox of Seriousness and the Playfulness of Paradox: "The seriousness with which families approach their problems can be more the cause of their difficulties than the effect of the problems. Efforts directed at the seriousness itself often will eliminate the problem." (50)
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f.
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Secrets and Systems: "Family secrets act as the plaque in the arteries of communication; they cause stoppage in the general flow and not just at the point of their existence." (52)
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i.
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Secrets serve to divide a system
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ii.
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Secrets effect unnecessary estrangements and false companionships
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iii.
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Secrets distort perceptions
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iv.
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Secrets exacerbate other pathological processes which are unrelated to the particular secret because secrets tend to keep the system anxiety high.
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g.
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Sibling Position: "The position we occupy within the sibling constellation of our nuclear family of origin foreshadows our expectations of the opposite as well as the same sex, our degree of comfort with our own various offspring, and our style of leadership in succeeding nuclear groupings." (54)
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h.
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Diagnosis
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i.
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"The diagnosis of individual family members stabilizes family homeostasis and makes it more difficult for the diagnosed member to change." (56)
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ii.
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"...anxious systems diagnose people instead of their relationships." (58)
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i.
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Symmetry : "In emotional life, every cause can produce exactly opposite effects and every effect could have come from exactly opposite causes, with the result that the more polarized things seem to be in a family, the more likely they are somehow connected." (58)
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j.
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Survival in Families
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i.
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Any organism will survive in a "hostile" environment based on the richness and flexibility of its coping skills.
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ii.
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Coping well results in...
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(1)
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a change in the organism, and/or
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(2)
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a change in the environment promoted by the organism.
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iii.
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There are two kinds of hostile environments
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(1)
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Those where the human response is irrelevant
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(2)
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Those where the human response can make a difference.
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iv.
|
"Much of what we label stress is the response of the organism rather than the impact of the environment." (63)
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Section II: The Families within the Congregation
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Pastoral Counseling rests on three fundamental principles: (these are WME's thoughts, not Friedman's)
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1. Persons must be challenged to become the Self that God has created them to be.
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2. Persons must become this Self through acting in redemptive ways within relationships.
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3. Persons must be encouraged to resist the anxiety that the redemptive path generates.
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3.
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The Marital Bond
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a.
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The Myth of Incompatibility
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 |
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i.
|
"Incompatibility in marriage has less to do with the differences than with what is causing them to stand out at any given time." (68)
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 |
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ii.
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Marriage is always intimately connected to two "emotional fields."
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(1)
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the nuclear family
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(2)
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the extended families of origin of both partners
|
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b.
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A Systemic View of Marriage
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i.
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The Nuclear Family
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(1)
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Problems in the nuclear family can surface in any of three areas
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(a)
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in the marriage itself, as conflict, distance, or divorce
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(b)
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in the physical and/or emotional health of one of the partners
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(c)
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in the physical and/or emotional health of one of the kids, a relational problem with one of the parents or siblings.
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(2)
|
Marriages are successful to the degree that the nuclear family is symptom free.
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(3)
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Human marriages never rate better than 70% on this scale.
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 |
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ii.
|
The Extended Family
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(1)
|
Perhaps a major difference in the modern marriage is the "attenuation" of extended families.
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(2)
|
Problems in the church can be due to attempts by persons to replace the extended family with the church family.
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 |
c.
|
A System's Approach to Counseling
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i.
|
Pastors can invoke change in families by focusing on the process, rather than the content of conflict.
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 |
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ii.
|
Pastors occupy a unique position in the conflicts that surface in marriages.
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 |
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iii.
|
Three Configurations
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 |
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(1)
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The Couple seen together
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(a)
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The Counselor as a catalyst for self-definition
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(i)
|
The purpose is not to get the couple to agree, but rather to define their positions.
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(ii)
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The counselor allows the couple to "overhear" each other as they talk to the counselor
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(iii)
|
The counselor asks questions (rather than giving answers) that draw out self-definition
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(iv)
|
"Asking questions is a great way to remain both non-anxious and present." (72)
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 |
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(b)
|
Detriangling
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 |
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 |
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(i)
|
The counselor stays in touch with, but stays out of the marital triangle.
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(ii)
|
Detriangling occurs when the counselor shares the information given by one of the partners.
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(iii)
|
The counselor must avoid promising to keep secrets.
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(2)
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Coaching one partner with the focus on the relationship
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(a)
|
The attending partner is coached to get out of the feedback position and become more self-defining.
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(b)
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The attending partner is usually an overfunctioner.
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(c)
|
Coaching attempts to stimulate strength in a family rather than shore up weakness.
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(d)
|
Components of the coaching model
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 |
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(i)
|
The partner being coached is encouraged to gain an understanding of the emotional system, and to understand how his or her feedback into the system retards change.
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 |
(ii)
|
The attending partner is encouraged to focus on his or her own course.
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 |
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 |
 |
 |
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1)
|
This lowers the attending partners dependency on the system and
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2)
|
often results in the recalcitrant partner becoming a pursuer.
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(iii)
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Avoid making the motivated partner into the identified patient.
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(iv)
|
"Defect in Place" - Leaving the system emotionally without leaving physically.
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(v)
|
"Fundamental change in a relationship does not begin when the partner being coached starts to change his or her own functioning. It comes about when, after initiating changes and after the other partner reacts, the differentiating partner is able to avoid getting triangled in the other's automatic reactivity." (82)
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(vi)
|
Coaching also involves the straightforward definition of positions, which can be called an "I" stand.
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(vii)
|
"A self is more attractive than a no-self." (86)
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 |
(3)
|
Coaching either partner with the focus on the extended Family
|
 |
 |
 |
 |
(a)
|
"...working on our own extended family is coming to grips with that which is most exclusively our own. It is the source of all differentiation." (87)
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 |
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 |
 |
(b)
|
Interlocking triangles: Differentiation in one triangle leads to unlocking the connected triangles.
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 |
d.
|
A Systems Approach to Premarital Counseling.
|
 |
 |
i.
|
The Failure of Premarital Counseling
|
 |
 |
 |
(1)
|
Friedman says that PreMC has failed to effect the divorce rate because it focuses too much on the relationship of the couple, and not enough on the family of origin issues. (It should be noted that research indicates the PreMC has effected the divorce rate.)
|
 |
 |
 |
(2)
|
Issues of leaving and entering abound in the preparation for marriage.
|
 |
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ii.
|
Approaches that can be helpful
|
 |
 |
 |
(1)
|
Family History
|
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 |
 |
(2)
|
Communicating with Courting Couples
|
 |
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 |
 |
(a)
|
People generally hear you only when they are coming toward you. PreM couples are moving toward each other and away from everyone else, so they often fail to hear advice.
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 |
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(b)
|
PreM couples have also yet to "fuse" in such away as to bring out the F-o-O issues. This doesn't occur until after the vows.
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 |
 |
iii.
|
PreM couples tend to judge the potential for a good marriage too much on compatibility, rather than on differentiation.
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 |
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iv.
|
Ministers often create the same issues when "courting" a new congregation.
|
 |
4.
|
Child-Focused Families
|
 |
a.
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The Child-Focusing Process
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 |
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i.
|
Children are often symptom bearers because they are lowest on the hierarchy.
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 |
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ii.
|
Children are the most helpless, and so they rarely can turn the attention back to the members of the family with the actual issues.
|
 |
b.
|
Advantages for the Clergy
|
 |
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i.
|
Clergy can't possibly be knowledgeable in all areas of treatment, so the systems approach is good because it does not depend on expertise.
|
 |
 |
ii.
|
Intervening between the child and parents can be difficult because the parents are also the minister's "bosses."
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 |
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iii.
|
However, the history of the minister with the family can bring a power to the intervention.
|
 |
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c.
|
Family Leadership
|
 |
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i.
|
"One of the most prevalent characteristics of families with disturbed children is the absence or the involution of relational hierarchy." (102)
|
 |
 |
ii.
|
Self-definition changes the nature of the relationship between the leader (parent) and the follower (child).
|
 |
 |
iii.
|
Communication: The leader does not use language to force ideas into the follower's head. Rather, the leader uses language to define his or her own being.
|
 |
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iv.
|
"Children have a right to be heard, but parents have an obligation to be clear." (104)
|
 |
d.
|
Three Emotional Coordinates
|
 |
 |
i.
|
Reciprocity: Research suggests that when mom's anxiety goes down the child's behavior gets worse, and when the child's behavior gets better, mom's anxiety goes up.
|
 |
 |
ii.
|
Fathers: "An emotionally distant male is a necessary precondition for the perpetuation of an intense mother-child relationship." (105). The males role is felt in how he relates to the mother-child relationship rather than with his direct relationship to the child.
|
 |
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iii.
|
Mothers of mothers: Research suggest the mothers who are anxious in relation to their children rarely have/had comfortable relationships with their mothers. Including grandparents in the counseling can be very important.
|
 |
e.
|
The Systems Approach
|
 |
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i.
|
Parents with Child
|
 |
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ii.
|
Coaching One Parent with the Emphasis on the Nuclear Family
|
 |
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iii.
|
Coaching Mother Alone with the Emphasis on the Extended Family
|
 |
 |
iv.
|
Coaching Father Alone with the Emphasis on the Extended Family
|
 |
5.
|
Body and Soul in Family Process
|
 |
a.
|
A New Medical Model
|
 |
 |
i.
|
The split between body and soul in our culture is a significant problem.
|
 |
 |
ii.
|
New research suggests that physical and emotional conditions must both be present.
|
 |
 |
iii.
|
Physical dysfunction in one member of a family can be viewed as a family symptom. (My comment: But be aware of any form of reductionism!)
|
 |
b.
|
New Medical Thinking on the Relationship of Body and Soul
|
 |
 |
i.
|
Autonomic Nervous System: Biofeedback has been successful in giving persons control of emotional factors in physical illness.
|
 |
 |
ii.
|
Endocrine System: Emotional stress in the system can keep the endocrine system in a heightened state of functioning for abnormal periods of time.
|
 |
 |
iii.
|
Immunological System: The immune system can be compromised during periods of high emotional stress. "...Under certain conditions...an organism's immune system will lose the capacity to distinguish self from non-self and, in the face of challenge, attack its own being. This has been dubbed the auto immune response." (128)
|
 |
 |
iv.
|
Genetics: Genetics is teaching us that there is an element of "predestination" in our make-up. However, this must not be confused with causation which leads to victimization. Persons have some control over the ways in which genetic characteristics develop.
|
 |
c.
|
The Identified Physical Patient
|
 |
 |
i.
|
Emotional Stress and Physiology
|
 |
 |
 |
(1)
|
"Physiological stress is not the outside pressure of the impacting force upon a person but the body's own response to that pressure." (129)
|
 |
 |
 |
(2)
|
"Stress itself is a nonspecific response of the body." (130)
|
 |
 |
 |
(3)
|
"Individuals and perhaps families tend to express their stress in ways that are idiosyncratic." (130)
|
 |
 |
 |
(4)
|
"...it is chronic stress rather than acute stress that tends to promote the most serious symptoms." (130)
|
 |
 |
ii.
|
Homeostasis: Systems seek homeostasis the same way as bodies, and helps explain the presence of an identified patient. If the symptom is addressed with out addressing the chronic stress, the symptom will simply reappear.
|
 |
 |
iii.
|
The Malignant Family Position: One's place in the system can have a bigger impact on symptoms than personal factors.
|
 |
 |
iv.
|
A Family Systems View of Physical Health
|
 |
 |
 |
(1)
|
Smooth functioning systems can be seen at both ends of the continuum: differentiation and dependency.
|
 |
 |
 |
(2)
|
Dependency buys health at the cost of illness elsewhere.
|
 |
 |
 |
(3)
|
"The less well-differentiated a family relationship system, the more probability exists that stress in any family member can produce dysfunction in any other family member." (135)
|
 |
 |
 |
(4)
|
In well differentiated family systems, one's personal health is more dependent upon one's own decisions and actions.
|
 |
 |
 |
(5)
|
|