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Evolucion en Los Ultimos Veinte Años PDF
Evolucion en Los Ultimos Veinte Años PDF
This article covers the less frequently chronicled last two decades.
It is intended as an historic and analytic account that supplements
and extends those that have appeared before. Previously, the periods
in the history of family therapy have been divided into four generations
(Kaslow, 1990, Vol. 1 & 2), and amended over time (Kaslow, Kaslow, &
Farber, 1999).
Florence W. Kaslow, PhD, is Director of the Florida Couples and Family Institute,
128 Windward Drive, Palm Beach Gardens, FL 33418. She is a Visiting Professor of
Psychology in Psychiatry at Duke University Medical Center, a Visiting Professor of Psy-
chology at Florida Institute of Technology, and President of the American Board of
Family Psychology and President of the International Academy of Family Psychologists.
Contemporary Family Therapy 22(4), December 2000
2000 Human Sciences Press, Inc. 357
358
Here the focus is on the era of generations III and IV in the field and
extended family of family therapists.
FLORENCE W. KASLOW
FLORENCE W. KASLOW
responses and that they are being viewed as cooperating with patient
and therapist to understand and handle the illness more effectively
and to gain control over their own style of expressing emotions and
how to communicate more clearly (Leff & Vaughn, 1985).
FLORENCE W. KASLOW
example Erickson & Erickson, 1988; Folberg & Milne, 1988; Haynes,
1981).
Clifford Sager’s work on marriage contracts (1976) looked at con-
tracting prior to marriage; his illuminating ideas were extended in a
later volume on treating the remarriage family (Sager et al., 1983).
Emily and John Visher (1979, 1991) also have made a substantial
contribution to the understanding of the dynamics and treatment of
stepfamilies, and were the co-founders of the Stepfamily Association
of America. F. Kaslow has written about psychosocial prenuptial agree-
ments as a prelude to marriage and remarriage (1991, 2000b) and has
developed a therapeutic remarriage ritual (1998). Others like James
Bray have been conducting research on developmental issues in step-
families (Bray & Berger, 1993). Roni Berger (1999) has evolved a classi-
fication schema of stepfamilies. Thus, there are now many extant re-
sources for academicians, researchers and clinicians working in the
areas of divorce and remarriage.
FLORENCE W. KASLOW
FLORENCE W. KASLOW
journal. Howard Liddle served as its first editor, Ronald Levant as its
second, and Ross Parke as its third. The journal’s circulation figures
place it among the most widely read of the family journals that are
primarily research oriented.
Also during the 1980s, the American Board of Family Psychology
(ABFamP) began its diplomating process and has achieved growing
recognition. ABFamP became one of the boards under the long existing
American Board of Professional Psychology (ABPP), which added credi-
bility to family psychology as a specialty. There are three steps to
becoming board certified, a rigorous credentials review process; submis-
sion and review of two work samples—one in family assessment and
diagnosis, the other in treatment intervention; and a 3-1/2 hour oral
examination with a committee of three diplomates. As of May 2000
there were approximately 115 board certified family psychologists in
the United States.
Concurrently, many family psychologists have remained involved
in AAMFT and AFTA and some are licensed as both psychologists and
family therapists and are AAMFT approved supervisors. They also are
on the editorial boards of such interdisciplinary journals as Journal of
Marital and Family Therapy, Family Process, The American Journal
of Family Therapy, Contemporary Family Therapy, and Journal of
Family Psychotherapy.
fine reputations and have vast referral networks, they have fared well.
By the end of the last century, an increasing number of clinicians were
so dissatisfied with drastic limits on number of sessions and severe
reductions in fees that they resigned from the panels of providers. This
has had an effect on the quality of service available to people with
limited financial resources in under-served geographic locales.
Since a major thrust of the managed health care industry is “cost
containment,” third party payers have a decided preference for brief
and thus less costly therapies. They are loathe to reimburse for longer
term psychodynamic or intergenerational therapies; their goals are
rapid restoration of functioning and solving the presenting problem as
quickly as possible. Thus, approaches like de Shazer’s (1985, 1988) and
Berg’s (Berg & de Shazer, 1993) solution focused brief therapy model
used for individual and family problems have gained popularity. Many
patients like talk of miracles and the probability of needing only a few
sessions; they do not want to delve into their families of origin and
rehash old issues in order to feel better in the here and now.
Behavioral marital and family therapies (Budman & Gurman,
1988; Wood & Jacobson, 1990; Jacobson & Gurman, 1986), like brief
therapies, also garnered new adherents as these time limited, problem
focused, clear and structured modalities lend themselves to managed
care constraints and reporting specifications. Cognitive behavioral ap-
proaches also are receiving more attention (Baucom, 1990; Baucom,
Epstein, & Rankin, 1995; Dattilio & Padesky, 1990; Seligman, 1991)
as many therapists now prefer focusing on changing cognitions as well
as behaviors. Not surprisingly, some cognitive behaviorists have be-
come more integrative and include the other component of the triad,
affects or feelings. This has emerged as the approach with the most
empirical data supportive of its efficacy.
FLORENCE W. KASLOW
ert Bly, a poet, was the founder of the mythopoetic movement that
stressed the importance of men nurturing men (Erkel, 1990). Men’s
groups formed in which the men sought acceptance and friendship from
each other, and many bemoaned the lack of emotional involvement of
their fathers during their childhood years. Some gatherings occurred
to the accompaniment of tom-tom beats and men began to express
their fears, their needs, and their dreams. Well-known therapist Frank
Pittman (1990) wrote about the masculine mystique and the longing
for fathers to endow sons with masculinity, and about the endeavor to
understand what masculinity is and encompasses. At meetings of AFTA
and the APA Practice Divisions’ Mid-Winter conferences, special ses-
sions for male therapists only were held. There and elsewhere, men of
the current generation of fathers, therapists and non-therapists alike,
vowed to be more emotionally accessible, especially to their sons. The
Family Therapy Networker (1990) devoted the major portion of a full
issue to this topic—highlighting and extending its significance. In the
mid-1990s, initiated by such men as Ronald Levant (Levant & Kopecky,
1995; Levant & Pollack, 1995), Gary Brooks (1995) and Don-David
Lusterman (Philpot, Brooks, Lusterman & Nutt, 1997), a new division
for the study of men and masculinity was begun in APA—Division 52.
Probably the newest mass variation on the men’s movement theme
has been the rapid evolution of The Promise Keepers, a recently formed
organization that supposedly numbers more than a million men assert-
ing their manhood. A headline on Time Magazine’s cover raised the
query, “Should they be cheered—or feared?” around the time the million
man march on Washington occurred (Stodhill, 1997). A fervent Chris-
tian movement, led by a former college football coach, Bill McCartney,
the positive goal is for men to assume greater responsibility for them-
selves, their wives, and their children. Two of the aspects that are
frightening to many outside of the movement are: (1) they believe that
when men and women disagree, the man’s view and decision must
prevail as he is ultimately in charge of the family, and this is perceived
as God’s will; and (2) members view homosexuality as a sin and not
acceptable in God’s eyes or theirs. Although many Promise Keepers
claim their wives welcome their taking a stronger role in the family,
feminists and others—men and women alike—decry turning the clock
back to glorify the male dominant/female submissive role relationship
of men and women and the censuring of homosexuality as sinful. Cer-
tainly this gigantic and seemingly fundamentalist segment of the men’s
movement will change the dynamics of many families, hopefully with-
out promoting spouse abuse and corporal punishment of children as
371
FLORENCE W. KASLOW
(1981, 1988), and Luciano L’Abate and Dennis Bagarrozi (1993) also
continue to conduct research in numerous areas of endeavor.
FLORENCE W. KASLOW
couples married more than 20 years who deem their marriages satisfy-
ing and successful. Numerous articles, published by researchers collab-
orating in an eight-country study that spanned five continents, found
respondents identified remarkably similar factors as the basis of their
marital satisfaction, including trust and respect in all areas of the
relationship, shared goals and values, strong commitment to the part-
ner and to the marriage as a special entity, the continuing ability to
have fun together, much affection and ongoing sexual activity, reciproc-
ity and mutuality, consideration and the ability to compromise, and
deep friendship (Kaslow & Hammerschmidt, 1992; Kaslow & Robison,
1996; Sharlin, 1996; Roizblatt et al., 1999; Sharlin, Kaslow & Hammer-
schmidt, 2000). Wallerstein and Blakeslee (1995) also sought to ascer-
tain how and why love lasts. One goal of all of these researchers has
been to generate a profile of the ingredients and kinds of interactions
that are conducive to creating satisfying long-term partnerships that
can be utilized to help guide unhappy couples toward finding greater
satisfaction and harmony.
Miscellaneous Trends
We have also witnessed increasing emphasis on certain content
areas, i.e., syndromes, symptoms, and specific maladies. These include
chronic illness (Barth, 1993), suicidology (N. Kaslow, Thompson et al.,
1998a), depression (N. Kaslow, Ash, & Deering, 1996), ADHD (Culbert-
son & Silovsky, 1996), eating disorders (Levine, 1996), and AIDS (Lan-
dau-Stanton & Clements, 1993). Some of these disorders are treated
by therapists involved in the area variously designated family systems
medicine, medical family therapy, and behavioral medicine discussed
earlier. Other therapists see them in their private individual or group
practices.
Another trend has been the evolution of outreach approaches, in-
cluding at home therapy. These practical team approaches are being
utilized increasingly with severely distressed inner city populations.
For example, the Philadelphia Child Guidance Clinic, part of the Chil-
dren’s Hospital and the Department of Psychiatry at the University of
Pennsylvania in the 1990s, served a patient population largely com-
prised of multi-problem, hard to reach, inner city families and reached
into their homes and communities to do so (Lindblad-Goldberg, Dore, &
Stern, 1998). This well respected training center has both an APA
approved internship and an AAMFT accredited training program—one
of the few facilities in the country to have both. Similar outreach pro-
grams have evolved in other countries, like Israel, for utilization with
374
their large, chaotic, often newly arrived immigrant families (Sharlin &
Shamai, 1999).
FLORENCE W. KASLOW
• Responsibility to clients
• Confidentiality
• Professional competence and integrity
• Responsibility to students, employees, and supervisees
• Responsibility to research participants
• Responsibility to the profession
• Financial arrangements
• Advertising.
• Multiple relationships
• Exceeding one’s competence and maintaining expertise
• Sexual harassment
• Delegation to and supervision of subordinates
• Informed consent
• Maintenance of records.
SUMMARY
It becomes apparent that the leaders in the past two decades have
shared many traits with the pioneers of the first two generations—they
are innovative, courageous, bright to brilliant, often charismatic, deter-
mined to be heard and seen, committed to their ideas and interpreta-
tions and eager to promulgate them, and often have the requisite narcis-
sism to be “on stage” and to occupy front and center position. They are
articulate, emanate strength and power, write well, think clearly, and
are willing to buck the prevailing tide. They have kept the field dynamic,
lively, multifaceted and on a perpetual pathway to finding better tech-
niques and solutions to enable individuals and families to become hap-
pier and more functional. Today, leaders from all four generations are
active and interactive—reflecting the tensions and affections of the
multigenerational and tribe-like families we treat.
As this article, which attempts to highlight the trends of the past 20
years, the contributions of key leaders and thinkers, and development of
various organizations, is drawn to a close, it is reiterated that it has
not been possible to be all inclusive, and apologies are expressed to
anyone inadvertently omitted. This author has tried to be as objective
and broad based as her own professional lens permits. Others will no
doubt chronicle the field differently, again reflecting its patchwork quilt
style—colorful, diverse, and variegated. May it continue to be so during
this new millennium.
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FLORENCE W. KASLOW
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