Saying it and meaning it : forging an ethic for family therapy. (notice bibliographique)

by Vincenzo F. Di Nicola, M.Phil., D., Dép.Psych., F.R.C.P,(C)*

In Journal of Strategic and Systemic Therapies Vol 7, N°4 Winter 1988

Revised version of a presentation to the Monday Case Conférence, Allan Memorial Institute, Royal Victoria Hospital, McGill University, Montreal, Quebec, May 26, 1986. My title was inspired by Stanley Cavell (1976a). I wish to thank David Roy, Ph.D., Center for Bioethics, Clinical Research Institute, University of Montreal, for his critical dialogue and Mara Selvini Palazzoli, M.D., New Center for Family Studies, Milan, Italy, who provided valuable comments.

*Assistant Professor of Psychiatry, University of Ottawa ; Director, Family Psychiatry Service, Royal Ottawa Hospital, 1145 Carling Avenue, Ottawa, Ontario, CANADA KIZ 7K4

ABSTRACT :

Ethical questions that arise from family therapy are addressed. The philosophical problem of knowing another persons experience or rzind is posed in the contexi of working with families. This is particularly problematic with paradoxical techniques as they appear to state the truth of the family’s experience in a way that goes beyond the factual, addressing implicit aspects of family interactions which are revealed to the therapist. Concepts are drawn from work on the nature of language and Pwral responsibility and relaied to new techniques in systemic family therapy. A distinction is drawn between the factual problem of the therapist « getting it right » and the ethical problem of « having a right » to point oui ùnplications and consequences offandly interactions. The work of the Milan group on paradox and future questions is related to « counterfactuality ». The liberating function of counterfactuality, operative in both techniques by offéring new ways tofranze the fandly situation and allowing new alternatives to be explored, isproposed as a resolution of ihis ethical problem.

REFERFNCES

Berger, P. and Luckmann, T., (1967). The Social Construction of reality : A treatise in the sociology of Knowledge, Markham. Ont Penguin Books.

Berne, E. (1972). What Do you Say After You Say Hello ? New York. Grove Press.

Cavell, S. (1976a). Must we mean What We Say ? London : Cambridge University Press.

Cavell, S. (1976b). Knowing and acknowledging. In must We Mean What We Say ? London« Cambridge University Press, pp. 238-266.

Cavell, S. (1976c). Must we mean what we say ? In must We Mean What We Say ! London : Cambridge University Press, pp. 1-43.

Di Nicola, V. F. (1986). Beyond Babel : Family therapy as cultural translation. International Journal of Family PsychinU 7(2) : 179-191.

Elkes, J. (1970). Presidential address : Word fallout : Or, on the hazards of explanation. In The Psychology of Adolescence. New York : Grune & Stratton, 118-137.

Janik, A. and Toulmin, S. (1973). WiUgenstein’s Vienn New York : Touchstone/Simon & Schuster.

Kirmayer, L J. (1984). Culture, affect and somatization. Part 1. Transcultural Psyçhiatric Rescarch Revie 21(3) : 159-188.

Krystal, H. (1982). Alexithymia and the effectiveness of psychoanalytic treatment. International Journal of Psychanalytic Psychotherapy 9 : 353-378.

Kuipers, L. (1979). Expressive emotion : A review. British Journal of Social and Clinical Psychology 18 : 237-243.

Leff, J. (1977). The cross-cultural study of emotions. Culture, Medicine and Psychology 1:317-350J

Madanes, C. (1980). Protection, paradox and pretending. Family Process 19 : 73-85.

Madanes, C. (1984). Bchind the One-Way Mirror : Advances in the Practice of Strategic therapy. San Francisco : Jossey-Bass.

Maranhao, T. (1984). Family therapy and anthropology. Culture, Medicine and Psychiatry 8 : 255-279.

Penn, P. (185). Feed-forward : Future questions, future maps. Family 24(3) : 299-310.

Perelman, C. (1980). The use and abuse of confused notions. In Justice. Law and Argument Essays in Moral and Legal Reasoning. London : D. Reidel, pp. 95-106.

Selvini Palaz li, M., Doscolo, L, Cecchin, G. and Prata, G. (1978). Paradox and Counter paradox. New York : Jason Aronson.

Sifneos, P. (1972). Short-Term Psychotherapy and Emotional Crisis, Cambridge, MA : Harvard University Press.

Silone, 1. (1949). Prefazione. Fontamara. Milano : Amoldo Mondadori Editore.

Steiner, G. (1975). After Babel : Aspccts of Language Translation. London : Oxford University Press.

Steiner, G. (1982). Language and Silence : Essays on Language. Literature and the Inhuman. New York Atheneum.

Steiner, G. (1994). Creative faIsehood. In George Steiner : A Reader. New York : Oxford University Press, pp. 398-410.

Wittgenstein, L (1922). Tractatus Lopico-Philosophicus. Trans. by C.K. Ogden, Intro. by Bertrand Russell. London : Kegan Paul, Trench Trubner.

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