Author | Vincenzo Di Nicola |
---|---|
Country | United States |
Language | English |
Subject | Family therapy, Cultural psychiatry |
Publisher | W. W. Norton & Company |
Publication date | 1997 |
Media type | |
Pages | 380 |
ISBN | 0-393-70228-6 |
OCLC | 36126477 |
Preceded by | The Myth of Atlas: Families & the Therapeutic Story (editor & translator, 1989) |
Followed by | Letters to a Young Therapist (2011) |
A Stranger in The Family: Culture, Families, and Therapy [1] is a text written by Canadian cultural psychiatrist and family therapist Vincenzo Di Nicola integrating family therapy and cultural psychiatry to create a model of cultural family therapy.
Di Nicola's approach to working with families across cultures brought together a new synthesis of family therapy and transcultural psychiatry. [2] [3] [4] [5] [6] [7] [8] Critical reviews were positive and encouraging by leaders in family therapy, such as Mara Selvini Palazzoli [9] and Celia Jaes Falicov, [10] as well as those in transcultural psychiatry, such as Armando Favazza. [11]
This preliminary work was collected and integrated into his model of cultural family therapy in A Stranger in the Family in 1997. In a recent interview with the Université de Montréal where he teaches, Di Nicola traces the origins and motivations for this work to his childhood origins as an Italian immigrant with empathy for the plight of immigrant children and families. [12]
Cultural family therapy (CFT) is a synthesis of family therapy and transcultural psychiatry. [3] [4]
CFT is an interweaving of "stories" (family predicaments expressed in narratives of family life) and "tools" (clinical methods for working with and making sense of these stories in cultural context). By interweaving stories and tools, CFT is aimed at understanding and change. Neither one alone suffices, as each of them produces only part of the solution.
The book recounts over two dozen family "stories" varying from brief vignettes and cameo portraits to longer, more detailed multigenerational narratives.
Nine "conceptual tools" for CFT are described. "Tools" refers to the actions and thoughts of therapists, part of their toolkit. Some are actions (like "spirals"), others are like lenses (such as "masks").
The book is divided into three parts, each with an overarching theme.
Chapter 1. The strange and the familiar: intercultural encounters among families, therapists, and consultants
An overture, sounding the main themes: intercultural consulting is introduced, stories of families moving across cultures, issues of translation. "Spirals", the first conceptual tool of CFT is introduced, describing a way of meeting strangers through negotiation and collaboration, integrating the work of Mara Selvini Palazzoli's Milan systemic family therapy and Michael White's narrative therapy.
Chapter 2: Cultural family therapy: a new synthesis
Outlines a synthesis of family therapy with transcultural psychiatry, critiquing family therapy's use of culture. The need for multiple descriptions of predicaments; two basic therapeutic temperaments (technocratic and phenomenological); and problems with family therapy across cultures. "Paradigm" and "syntagm" are contrasted, the latter calling for a fresh approach, seeing each family as a unique culture.
Chapter 3: The presenting culture: a context for family therapy
An update of the synthesis, reframing the presenting issue in therapy as the "presenting culture" as opposed to the "presenting problem". The second conceptual tool of CFT is "masks" or cultural costume and camouflage, inspired by the work of family therapist Edwin Friedman. The third conceptual tool of CFT is about "roles" of insiders and outsider, describing how the therapist positions in relation to the family.
Chapter 4: Beyond Babel: cultural and therapeutic translation
This chapter examines language and translation in culture and therapy, [5] inspired by the seminal work on translation by George Steiner in After Babel . Translation across cultures is reviewed in light of the work of British cultural anthropologist Mary Douglas' essay, "Self-evidence" in Implicit Meanings . "Codes" is the fourth conceptual tool of CFT. Cultural and therapeutic translation are illustrated with clinical vignettes.
Chapter 5: Changelings: children and families in cultural transition
Examines identity and cultural change. The "presenting culture" is the royal road for understanding "mind", "self", and "identity". Changelings—children and families undergoing cultural change—are explored through five stories of migrant children. "Cultural strategies" is the fifth conceptual tool of CFT, exploring adaptation and acculturation.
Chapter 6: Threshold therapy: liminal people and transitional states
Calls for the study of liminal people and transitional states, inspired by the work of British cultural anthropologist Victor Turner. The relationship between culture and mental illness is reviewed and culture-change syndromes are defined and illustrated with clinical vignettes of children with selective mutism. CFT is described as threshold therapy with liminal people.
Chapter 7: Stones and bridges: the myth of independence
Examines "the myth of independence" as a theme in Western psychological theories and therapies. Two aspects are examined: (1) how independence is enshrined as a goal in Western family therapy, (2) how this differs in India and Japan.
Chapter 8: Stones without bridges: four orphan cases
Four "orphan cases" are presented. Cut off from a more complete relationship to her family and society, each of these women suffered in a unique way. This illustrates the implications of the myth of independence and identifies the sixth conceptual tool of CFT—"bridges"—or understanding the family life cycle in cultural context.
Chapter 9: The garden of forking paths: exploring a family's alternities of being
Explores the use of CFT's conceptual tools in family narratives. "Stories" is the seventh conceptual tool of CFT—a family's evolving narrative and therapy itself as "the garden of forking paths", a metaphor from a short story by Jorge Luis Borges, meaning a series of choices. This year-long story of the course of family's therapy demonstrates all the tools presented so far in the book—spirals of negotiation, cultural translation, and playing with roles, masks, cultural strategies, and bridges.
Chapter 10: The web of meaning: metaphor and the transformation of experience
Metaphor and its power to transform experience is the subject of this chapter. Metaphor opens the "web of meaning" of other lives. Working with a Portuguese immigrant family illustrates the potential for narrative transformation, the eighth conceptual tool of CFT—"multiple codes"—multiple messages encoded in metaphor (figurative language) and somatics (embodied meaning).
Chapter 11: Strangers no more: a family therapist meets his father
Concludes with the author's own family story, with several layers: his journey to meet his father in Brazil, how to stitch fragments and outtakes into a coherent whole, and reflections on the nature of therapy. [13] If family predicaments are "stories gone awry", as narrative therapy sees it, then "suturing"—the ninth and final conceptual tool offers CFT as "story repair".
A Stranger in the Family was well-received as an important contribution to working with immigrant families. [14] [15] [16] [17] Following this positive reception of Di Nicola's work on cultural family therapy, a Brazilian edition in Portuguese translation, Um Estranho na Família: Cultura, Famílias e Terapia appeared in 1998. [18] Di Nicola continued to elaborate his model of cultural family therapy in articles, chapters, [19] a follow-up volume, Letters to a Young Therapist: Relational Practices for the Coming Community, [20] as well as invitations to present the 4th Annual Stokes Endowment Lecture in family studies at The George Washington University [21] and a thirty-year perspective on his model presented at McGill University where he first developed it [22] and the Accademia di Psicoterapia della Famiglia in Rome, Italy where Di Nicola's model is taught. [23]
Psychotherapy is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. Numerous types of psychotherapy have been designed either for individual adults, families, or children and adolescents. Certain types of psychotherapy are considered evidence-based for treating some diagnosed mental disorders; other types have been criticized as pseudoscience.
Sándor Ferenczi was a Hungarian psychoanalyst, a key theorist of the psychoanalytic school and a close associate of Sigmund Freud.
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Medical anthropology studies "human health and disease, health care systems, and biocultural adaptation". It views humans from multidimensional and ecological perspectives. It is one of the most highly developed areas of anthropology and applied anthropology, and is a subfield of social and cultural anthropology that examines the ways in which culture and society are organized around or influenced by issues of health, health care and related issues.
Nossrat Peseschkian lived in Germany since 1954. He was a specialist in neurology, psychiatry, psychotherapy and psychosomatic medicine. Peseschkian founded Positive Psychotherapy in 1968, based on a cross-cultural approach; he was also the founder of the Wiesbaden Academy of Psychotherapy (WIAP), a German-state-licensed, postgraduate institute of psychotherapy.
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Lara Vapnyar is a Russian-American writer currently living in the United States. She studied comparative literature at CUNY and worked with André Aciman and Louis Menand.
Mara Selvini Palazzoli (1916–1999) was an Italian psychiatrist and founder in 1971, with Gianfranco Cecchin, Luigi Boscolo and Giuliana Prata, of the systemic and constructivist approach to family therapy which became known as the Milan family systemsapproach and more generally, the school of systemic family therapy. They were variously called the Milan Team or the Milan Associates. Mara Selvini Palazzoli and the Milan Team worked with serious psychiatric disorders in families with anorexic and schizophrenic members.
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Vincenzo Di Nicola is an Italian-Canadian psychologist, psychiatrist and family therapist, and philosopher of mind.
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