Caste and Black intergenerational racial trauma in the United States of America.

The United States (U.S.) racial caste system and White dominance began in slavery, culminating in Black intergenerational racial trauma.

Developing Antiracist Social Work Practice at a Comprehensive Cancer Center.

The combination of the ongoing violence perpetuated against Black, Brown, and Asian people, and the increased incidence of death of Black, Indigenous, people of color (BIPOC) and Asian Americans and Pacific Islanders (AAPI) at the start of the COVID-19 pandemic, elicited an important response from the field of social work across the nation. This article describes the efforts undertaken by a Social Work Department at a comprehensive cancer center in response to a call to develop antiracist practice. This article recounts the process of creating educational opportunities for oncology social workers to help them identify bias and racism in themselves and throughout the healthcare system, to embrace intentional antiracist practice, and to better advocate for BIPOC/AAPI patients and colleagues.

Family-Based Interventions with Transgender and Gender Expansive Youth: Systematic Review and Best Practice Recommendations.

Research on transgender and gender expansive (TGE) youth has highlighted the disproportionate and challenging mental health and developmental outcomes faced by these young people. Research also largely suggests that family acceptance of TGE youth's gender identity and expression is crucial to preventing poor psychosocial outcomes in this community. Recently, family-based treatment has become common practice with TGE youth whose families are available for care, but it is unclear whether research provides outcome data for family interventions with TGE youth.

Sexual intimacy and aging: An integrative framework to promote intimacy resilience in couple therapy.

In our work at the Intimacies Project at The Ackerman Institute for the Family we became aware of a gap in attention about sexuality and aging in the couple and family therapy field. In this article, we provide an integrative framework to guide therapists on how to address problems of sexuality and aging in the therapy room. Starting from considerations about the social context of aging and the self of the therapist, we contend that when normative sexual challenges become entangled with stigma, misconceptions about sexuality, limiting gender narratives, vulnerabilities, and defensive postures, they often result in emotional and sexual shutdowns.

Family Therapy and COVID-19: International Reflections during the Pandemic from Systemic Therapists across the Globe.

The COVID-19 pandemic has convulsed human communities across the globe like no previous event in history. Family therapists, paradoxically, given the core of their work is with systems, are also experiencing upheaval in professional and personal lives, trying to work amidst a society in chaos. This paper offers a collection of reflections by systemic and family therapists from diverse cultures and contexts penned in the midst of the pandemic.

Rituals in the Time of COVID-19: Imagination, Responsiveness, and the Human Spirit.

Following the format put forth by Imber-Black and Roberts, I examine daily rituals, family traditions, holidays, and life cycle rituals during the pandemic of COVID-19. Marked by symbols capable of carrying multiple meanings, symbolic actions, special time and special place, and newly invented and adapted rituals are illustrated through stories of couples, families, and communities.

Intimacies: An Integrative Multicultural Framework for Couple Therapy.

Implicitly or explicitly, our ideas about intimacy are the most fundamental notions giving direction to the process of couple therapy. Yet, as a field, we have spent little time conceptualizing intimacy and even less time considering the diversity of priorities and meanings couples bring to our offices. In Part One, Varieties of Intimacy, I describe a kaleidoscope of contexts-socio-historical, cultural, gender, life cycle, and developmental-that inform our ideas and expectations for intimacy in couples' relationships.

Randomized Controlled Trial of Family Therapy in Advanced Cancer Continued Into Bereavement.

Purpose: Systematic family-centered cancer care is needed. We conducted a randomized controlled trial of family therapy, delivered to families identified by screening to be at risk from dysfunctional relationships when one of their relatives has advanced cancer.

Patients And Methods: Eligible patients with advanced cancer and their family members screened above the cut-off on the Family Relationships Index.

Is committed desire intentional? A qualitative exploration of sexual desire and differentiation of self in couples.

The question of what heightens or diminishes sexual desire has long been a passionate theme across cultures in literature, arts, media, and medicine. Yet, little research has been conducted to determine what affects level of desire within couples. The degree of differentiation of self has been suggested as an important variable in shaping partners' level of desire.

Eschewing certainties: the creation of family therapists in the 21st century.

I reflect here on Family Therapy's origins, our present dilemmas, and future possibilities. Using the lens of training new Family Therapists for current public sector domains, I examine our field's strengths, vulnerabilities, and contradictions. I critique the current vogue of model certainty and branding.

Thinking and working relationally: interviewing and constructing hypotheses to create compassionate understanding.

In the initial interviews of family therapy sessions, the therapist faces the challenge of obtaining and organizing the information that is most relevant toward understanding the essential concerns that families and couples bring to therapy. This article describes the process of clinical interviewing and case conceptualization used in training family therapists at the Ackerman Institute for the Family. This approach helps the therapist bring forward, and organize, specific information into relational hypotheses, or systemic-relational conceptualizations, that allow both family members and the therapist to understand presenting problems within their relational contexts.

Breaking the mold: sculpting impasses in couples' therapy.

In the fall of 2009, we the authors started a project at the Ackerman Institute for the Family in New York City that focuses on understanding and transforming impasses in couples' therapy. In experimenting with various interventions, we discovered the power of sculpting to capture and transform stalemates in couples relationships. In this article, we describe the ways in which sculpting brings forward the gestalt of a couple's impasse, highlights nuances of emotions and feelings, and reveals elements of both present and past.

Between pink and blue: a multi-dimensional family approach to gender nonconforming children and their families.

Families of gender nonconforming children need to negotiate the interactions between two gender systems: a rigid gender binary imported from familial, social, and cultural experiences and a fluid gender spectrum articulated by their child. This article reviews parental reactions to nonconforming gender developments and poses that the parental mandates of protection and acceptance are problematized by the difference of gender norms between the child and the family, as well as the child and the environment. Through multiple therapeutic modalities-parental coaching and education, parent support group, and child and family therapy-the author illustrates interventions supporting both parents and prepubescent children in their negotiation of safety, connection, and fluidity.

Providing therapy to children and families in foster care: a systemic-relational approach.

Foster care is a system created to protect children from an unsafe home environment yet multiple foster home placements, conflictual or nonexistent relationships between foster parents and birth parents, long, drawn out court battles, and living in an on-going state of not knowing when or if they will be going home are just some of the challenges many children in care are expected to manage. This paper presents a guide for therapists working with families involved in foster care. Utilizing ideas from the postmodern therapies and structural family therapy, suggestions will be provided about who needs to talk to whom about what, when to have these necessary conversations, and how to talk to people in a way that mobilizes adults to take action for the children, with the goal of minimizing postplacement trauma, strengthening and repairing relational bonds, and moving children out of foster care and into permanent homes as quickly as possible.

Location of self: opening the door to dialogue on intersectionality in the therapy process.

This article describes the evolution and current practice of a model of location of self, a process in which the therapist self-discloses her or his social locations and invites a conversation about how the intersection of the identities held by the therapist and family may be beneficial and/or limiting. It invites thoughtfulness and dialogue in recognizing and addressing explicit and implicit ways that experience, with its associated privilege or subjugation in the world, can operate in the therapy room. It signifies that the therapist is open to exploring how these issues influence clients' lives outside of therapy as well.

Integrating sex and couples therapy: a multifaceted case history.

Traditionally, sexuality has not been a focus in couples therapy training, research, or practice, although it is an important, often complex issue for many couples. This article tells the story of a couple presenting for sex therapy due to their unconsummated marriage, and is told to exemplify how sex therapy and couples therapy can be integrated in order to best meet the needs of couples. As the story unfolds, the multilayered facets of the presenting issue are revealed.

Treating family relational trauma: a recursive process using a decision dialogue.

This article describes a therapeutic process that combines individual and family sessions to maximize therapeutic opportunities to bring forward, understand, validate, and empower children's experience as equal participants in family therapy. The aim is to strengthen relational bonds within the family. Drawing from earlier work with families where incest had occurred, the authors present a recursive process that utilizes a "decision dialogue" to link individual and family sessions.

Psychotherapy as a rite of passage.

Some psychotherapies may work because they resemble rites of passage. To explore this idea, this article describes an "individual" case of depression in which drug, cognitive, and narrative approaches fell short of effectiveness, and change occurred in a series of experiences that resemble a rite of passage. This resemblance is illuminated by examining two apparently quite different healing processes--Alcoholics Anonymous and multifamily group therapy in schizophrenia--to explore the elements they have in common with the case described: the acceptance of what Victor Turner called a liminal experience, and the importance of witnesses to the ritual support for that acceptance.

A family therapy perspective on mediation.

Many times, family therapists are both the first to learn that a couple may separate and the last to see them in the same consultation room, still relating to each other and the same professional before the adversarial system takes over. Mediation offers a viable alternative to that system because clients are helped to speak directly and craft the decisions that will delineate their move toward separate lives. Mediation is defined and the divorce process demystified, and the similarities and differences between mediation and therapy are discussed.

Healing internalized racism: the role of a within-group sanctuary among people of African descent.

This article addresses the role of a "within-group" sanctuary for healing internalized racism among people of African descent. Internalized racism is distinguished from racism, juxtaposing the different experience of those who are oppressed and those who are privileged by racism. It is suggested that a context consisting exclusively of persons of African descent can provide an optimally safe space for initial stages of healing from internalized racism.

Attachment, mastery, and interdependence: a model of parenting processes.

A democratic nation needs an interdependent citizenry who are not only competent but who also can live together cooperatively with an eye toward what will benefit the whole as well as the self. In this article, the concept of interdependence is adopted as the central goal of parenting. The Parenting Processes Model is then presented, specifying how caregivers help children develop this interdependence.

Notes for a cultural history of family therapy.

The official history of family therapy describes its beginnings as a daring technical and philosophical departure from traditional individual treatment in the 1960s, inspired especially by the "system thinking" of Gregory Bateson. This celebrated origin story needs to be supplemented with a longer and larger history of both practice and thought about the family, and that is the subject of this article. The longer history goes back to the founding of social work by Mary Richmond, of pragmatism by William James, and of the organic view of social systems intervention by John Dewey.