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Submission: Master of Family Therapy (Minor
Thesis)
Faculty: Health Sciences.
School: Public Health, The Bouverie Centre.
University: La Trobe University
Bundoora, Victoria 3086
Australia
Date: March, 2002
Except where reference is made in the text of the
thesis, this thesis contains no
material published elsewhere or extracted in whole or
in part from a thesis
submitted for the award of any other degree or
diploma.
No other person's work has been used without due
acknowledgement in the main
text of the thesis.
This thesis has not been submitted for the award of
any degree or diploma in any
other tertiary institution.
THE GETTING AND GIVING OF ABSTRACT
Therapists at the family therapy agency that was the
setting for this project, had an
intuitive feeling that their clients might be aided in
their recovery through hearing the
experiences of others who have overcome similar
problems. Clients were asked to write their
stories so we could gather an archive to use for the
project. The writing of their stories had
a significant impact on our clients. Thus, the aim of
this study became to explore the effects
on clients and their therapists of both the gathering
and the circulation of client Wisdoms -
written stories of facing and overcoming mental
health, trauma and relationship problems.
Using a Participatory Action Research methodology, a
group of seven therapists,
representing the different specialist teams at the
agency, came together to direct the research
as a shared group enterprise.
The project brought forth important findings that are
worthy of further research. We were
able to discover that through the process of writing
their story, some clients experienced
empowerment and self-compassion, and were able to
reconnect with family members. The
process apparently set in motion a virtuous cycle of
healing which promoted self-recognition
and possibilities for change. In addition, as a result
of hearing another's 'success' story, our
clients were able, through connecting with others'
experiential knowledge, to speak about
and reflect on their own situation in a more useful
and liberating way. The action research
process acted as a means to incite us (the research
group) to join together to share and listen
to our respective findings. If some of us struggled
with how to generate and/or share
Wisdoms with our clients, we nonetheless, as a group,
have been inspired to continue
'researching' the use of Wisdoms in family
therapy.
The journey of this project unfolds as a narrative. It
is an invitation to you, the reader, to
stay engaged with the lived experience of this
researcher, as well as an encouragement to
develop your own conclusions about the discoveries
made in the context of the inquiry.
ACKNOWLEDGEMENTS
I wish to thank the research group: Pam, Colin, Greg,
Jenny, Amaryll and Nicky who,
because they gave their commitment, interest and
precious time, made this project possible.
I thank them, too, for acting as my reflecting team. I
owe a particular debt to Nicky Maheras
for standing by me with enthusiasm, dedication and
inspiration, particularly in the early,
lonely days of the project.
Kathy Lacey deserves a commendation for hearing me out
when I most needed a sounding
board, for reading drafts and contributing supportive
feedback, and for providing a soft and
considerate cushion to fall back on when the going got
tough.
I wish to thank Dr. Amaryll Perlesz, my 'supervisor
extraordinaire', for the pencilled
scrawls of tough love that spurred me on to do nothing
less than my best, and whose faith
and trust in me I have attempted to honour in these
pages.
The Meridian Team, Helen Landau, Rosemary Paterson,
Cyra Fernandez and Kathy Lacey,
were my 'ya ya' sisterhood, nurturing me with clients,
stories, love and merriment
throughout the project's unfolding.
Finally, and most importantly, I have to thank my
partner Tony who, while acting as a slave
to my 'master's', read drafts and provided humour,
patience, support, creative input in the
layout & production, a dining room table, and
tireless and generous love.
My greatest debt, however, has to be to Nam Myoho
Renge Kyo, the sound of life that
sustains and replenishes me through every
endeavour.
CONTENTS
Abstract
i
Acknowledgements
ii
STORYTELLING
Preamble
3
SEEDING
A Project is proposed
7
PREPARING THE GROUND
Literature Review
14
Methodology
21
Writing Up
32
SORTING
Deconstructing Beliefs
36
GERMINATION
The Getting of Wisdoms
42
The Giving of Wisdoms
58
REAPING
Discussion
74
APPENDICES
Appendix A- The Original Research Proposal
Appendix B- Wisdoms Newsletters..
Appendix C- Questions to help write the moving on
Testimony...
Appendix D- Consent Form
REFERENCES
THE GETTING AND GIVING OF STORY TELLING
"Please come back, and finish your story!"
Alice called after it;
and the others all joined in chorus,
"Yes, please do!"
(Carroll, 1866: 38)
THE PARABLE OF THE JEWEL IN THE ROBE
We are like a poor and impoverished man
Who went to the house of a close friend.
The house was a very prosperous one
And he was served many trays of delicacies.
The friend took a priceless jewel,
Sewed it in the lining of the poor man's robe,
Gave it without a word and then went away,
And the man, being asleep, knew nothing of it.
After the man had gotten up,
He journeyed here and there to other
countries,
Seeking food and clothing to keep him alive,
Finding it very difficult to provide for his
livelihood.
He made do with what little he could get
And never hoped for anything finer,
Unaware that in the lining of his robe
He had a priceless jewel.
Later the close friend who had given him the
jewel
Happened to meet the poor man
And after sharply rebuking him,
Showed him the jewel sewed in the robe.
When the poor man saw the jewel*
His heart was filled with great joy,
For he was rich, possessed of great wealth and
goods
Sufficient to satisfy the five desires.
We are like that man.
Because we are unaware, without wisdom
We remain unknowing.
[The Lotus Sutra, chapter 8 (translation by Burton
Watson),:52)]
*In Buddhist teachings the "jewel" represents
Buddhahood, the wisdom of the Buddha. The man in a
drunken
stupor symbolises our ignorance about the true nature
of our lives. His finding the jewel stands for our
awakening to the unlimited potential and wonder of our
life.
22
PREAMBLE
"Parables are wisdom and compassion distilled to their
most fragrant essence."
(Ikeda, 1996: 112)
"
this miraculous ability of man to be disturbed
by another being's misfortunes,
to feel joy about another being's happiness, to
experience another's fate as one's own."
(Chukodovsky, 1963: 138)
MY ORIGINS
It was suffering that lead me to Buddhism and it was
after revolutionising or healing my
life through Buddhist practice, that I was inspired to
develop myself as a therapist of
suffering others.
I had grown up, the daughter of a diplomat and his
wife, travelling from country to country
- a rootless existence compounded by a legacy on my
French mother's side of jewish
persecution and on my Australian father's of ostracism
for being different. The sense of not
belonging geographically and nationally was no doubt
the reason I took so easily to the
actor's lifestyle I adopted in my early adult
life.
Without my own identity I could so easily put on the
identities of fictitious others. It was
liberating. It was exhilarating, too, to be able to
express a concert of emotions, and to sing
these out loud in the voice of the character I was
playing.
Having never had a voice, I found so many voices
within me that I could bring to life. It
was a powerful experience for me to tell another's
story. It was healing, too, but not enough.
I had to find my own story. I had to tell my own
story. In deep conversation with my
Buddhahood, I was to realise that my happiness would
be found in laying down roots, taking
on responsibility and belonging to a community. I
stopped acting, settled in one place and
turned towards a new career.
33
FINDING FAMILY THERAPY
The journey took a winding course. It included a
relatively brief encounter with the
medical model as a qualified psychiatric nurse. But it
was with the philosophy and practice
of family therapy that I found my 'fit'. I saw this
approach as seeing people's lives being
shaped by familial, social and cultural interactions.
It was anti-individualistic. It resonated
with my own need for interconnections.
My love of language and story, coming as I had from
the theatre, made the Narrative
therapy field particularly appealing and consequently
probably not surprising that the
subject of my master's minor thesis would involve
narratives and storytelling.
Also, because Buddhism is such an important part of my
life, I relate to those aspects of
therapeutic models that reflect its philosophy. Just
as with the parable of "The Jewel in the
Robe", the teachings of Buddhism all amount to
celebrating human life as a great, majestic,
and splendid jewel studded tower, that has infinite
potential. I now believe that we need not
be stuck with our lives, as they are, immersed in
suffering. If we could only see the
possibilities for our lives, we might write and
rewrite the story of our lives in a myriad of
differing ways. If we allow ourselves to get off the
treadmill of karmic (habitual) responses,
and become the authors of our lives, then new
possibilities do emerge. If we could see how
our lives are deeply and fundamentally, intertwined
with the lives of all others we would not
feel so isolated, alone or stuck. I see parallels in
the Narrative way of working with people.
HUMAN REVOLUTION AND STORYTELLING
It has been part of the tradition of Nichiren
Daishonin's Buddhism, the one I have practised
for the last 15 years, that we will periodically
relate an experience of how, through Buddhist
practice, we have revolutionised our lives. We call
this process "human revolution", a
process of mind change that leads to beneficial
improvements in our lives and the lives of
those around us. The experiences of our "human
revolution", become modern day parables.
The telling is a demonstration of our taking charge of
our lives. It is also a way of giving
4
back- an expression of gratitude for having benefited
from hearing others' stories. Hearing
these experiences, encourages us to think for
ourselves bringing about dramatic changes in
attitude. We are thus heartened to respond with a new
chapter to our life's story. It is a
recursive and never ending engagement of living,
telling, retelling and reliving. The joy of
realisation and consequent changes made, fill us with
an irrepressible desire to share this
evolution with others. These narratives further
encourage and enlighten the listeners to
reauthor their lives and so it goes on.
A RESEARCH PROPOSAL
Thus when the invitation came for me to participate in
a research project to examine
the effects of having previous clients' narratives of
change available to those families
currently in therapy, I was very interested. If my
life experience was anything to go by,
the individual and familial experiences of triumphing
over problems might in some way
lend courage and hope to other troubled families
seeking re-solution in therapy. The
gift of giving to others might also be a way of
recuperating a sense of worthiness after
having previously felt despairing.
THIS JOURNEY- A NARRATIVE ITSELF
The pages that follow are, in keeping with the theme
of the project, the narrative or story of my
journey of researching the therapeutic possibilities
of narratives within a publicly funded family
therapy agency. It is written in the third person, in
parallel with a discovery made during the
research, that a person telling or listening to their
story as if they were someone else, invites a
distancing that brings with it clarity and
understanding.
I felt the need to do this, myself- to thus write the
thesis as a story or experience. It is also an
acknowledgement that the writing necessarily is from
my own point of view, as the protagonist
Catherine, and so, even though this is a collaborative
research project, I am, in the write-up, a not
impartial teller who has a distinctive background of
assumptions and biases.
55
SEEDING
"Would you tell me, please,
which way I ought to walk from here?"
"That depends a good deal on where you want to get to,
said the Cat.
"I don't much care where
" said Alice.
"Then it doesn't matter which way you walk," said the
Cat.
"
so long as I get somewhere," Alice added as an
explanation.
"Oh, you're sure to do that," said the Cat,
"if you only walk long enough."
(Carroll, 1866: 90)
THE
GETTING
AND
GIVING
OF
A PROJECT IS PROPOSED
Catherine was beginning to get rather nervous. She was
about to embark on a Master's
Family Therapy Course, what an adventure, and she
needed a project from which to hang a
minor thesis. She was ruffling through her mind at the
possibilities, wondering how on earth
she would come up with something when at her interview
to enter the Master of Family
Therapy program, the senior lecturer wondered out loud
if she would be interested in
participating in a newly funded research project, " it
would be at the publicly funded family
therapy clinic where the university is teaching family
therapy". You could have knocked
Catherine over with a feather. "This could be part of
your master's", said the senior lecturer.
"The project will take place in two parts, collection
of testimonies in the first half of the
year. The second half, would be comparing therapeutic
outcomes of people hearing
testimonies in therapy with those of a control group
that would not read or hear a testimony
and would be receiving treatment as usual." It was
sounding complicated, but, being game,
Catherine listened on. "You might play a role as
project coordinator in developing a semistructured
interview for the gathering, do some gathering
yourself, transcribe interviews and
assist staff in integrating these in their
practice."
SERENDIPITY
How interesting, she thought. Fifteen years of
belonging to a Buddhist community that
used experiences to encourage its members, meant that
she appreciated the potential hope
giving effects of hearing others' success stories.
Catherine had also been inspired by David
Epston's work in exploring the idea and practice of
using 'communities of concern' in the
therapeutic process. The anti-anorexia and
anti-bulimia leagues were two such communities
and the archives produced by these leagues, at David
Epston's suggestion, had been
invaluable to her a couple of years before, when she
was working with a group of adolescents
in in-patient psychiatry. She had observed the group
members draw strength and hope from
the anti-anorexia league members' narratives. It was
striking. In exposing anorexia's tricks
7
and plans, in the form of experiential narratives, the
league members had encouraged the
participants in her group by, she observed, bringing
hope and life back to their hearts,
imaginations and lives. It was as if these stories
enabled the participants to dare to confront
anorexia in a different way and thus pen their own
stories. The effect of empowerment and
pride was tangible. Catherine believed that each
person has a wealth of possibilities to draw
from in times of suffering, and she saw therapy as a
means of harnessing these. David
Epston's co-research (see literature review section),
as she understood it, was about this~
about empowering people through assisting them to
document the ways they have found to
reduce, transform or eliminate the oppressive effects
of a problem. These documents then
have the possibility of providing a point of entry,
even inspiration, for the reader to tackle
their own related problem for themselves.
PART A- COLLECTION
But there was a niggle of a doubt tickling at the back
of Catherine's mind. A half year to
collect enough testimonies to enable the second half
of the research to work? They would
need a good many ~ maybe 200?
"We'll ask therapists at the agency to make the
contributions, you won't be doing this on
your own. Would you like a partner to work with you?"
asked the senior lecturer. You bet,
she thought. Catherine did not know most of the 15 or
so therapists working at this agency
and to have someone who was a staff member working
along side her, would be invaluable.
PART B- EVALUATION
The second half of the project, "evaluating the
efficacy of making these 'wellness
testimonies' available to other clients in the course
of their counselling treatment" (see
research proposal - Appendix A), was also worrying
Catherine. It appeared to her to be very
difficult to measure this with any real
validity.
She tried to put on the empirical researcher's cap and
imagine a group of identically cloned
8
therapists mechanistically using the same testimonies
in the same manner in the same
sequence to a group of identical clients who
manifested exactly the same problem.
Ludicrous! Wouldn't there be just too many variables
to control? For example, the testimony
itself (e.g. "fit" with client), the number of
testimonies used, the timing of introduction of
testimonies, the idiosyncratic styles of therapists,
and indeed the uniqueness of each family
and degree of severity of the problem. A systematic
application and evaluation would
definitely be needed as the original project suggested
but, she wondered, how?
A BROAD BASED RANGE OF PROBLEMS
The subtext (acknowledging client expertise)
underlying the aim of "increasing therapeutic
cost-effectiveness", however, thoroughly grabbed
Catherine and her new work partner,
Nicky. Both had, in different ways, experienced the
importance of privileging client
knowledge and ability to overcome problems. Catherine
certainly saw therapy as a means of
empowering people to see themselves as agents of
change and consultants in their own right,
and preferred this to identifying the therapist's
actions as critical to the emergence of solutions.
What was also very new and interesting about this
project, for Catherine, was the use of
narratives with families presenting with a wide range
of problems. The therapists at the
agency worked with families experiencing sexual abuse,
eating disorders, family conflict and
violence, mental illness, loss and grief, child and
adolescent behavioural difficulties, and
head injury. Indeed, teams were set up to specialise
in these different areas.
FINDING THE NAME
Initially, the name "wellness testimony" had been
mooted for these documents. For
Catherine and Nicky, the word "testimony" had
important legal connotations, something
spoken under oath, or of profound social justice
significance (as in holocaust survivors). It
was sounding too definitive, even too 'earth
shattering'. And "wellness" connoted a physical
more than a psychological state. Catherine and Nicky
hoped that these documents might
99
also include simple discoveries, where change is seen
as a process rather than a state. They
did not all have to be dramatic life stories of
change. They could be experiences relating to
a small aspect of life. A different, more simple, name
might make the collection appear less
dramatic, more user friendly.
Catherine had been moved and inspired by Judith
Kelleher's (2000) Master's thesis which
told the stories of resilience and strength, or
'Wisdom Journeys' of mothers whose sons had
met traumatic brain injury. And then, a book of
"Tribal Wisdom" fortuitously crossed
Catherine's path:
"A person should rely on her own resources; the one
who so trains himself is ready for any
emergency" (Omaha, oral tradition).
Catherine and Nicky pondered for a moment after
reading this, and in concert arrived at
"Wisdoms", agreeing on the notion of wisdom as
"understanding coming from experience".
The name of the project would be WISDOMS.
GROWING PAINS
As project co-ordinator it was Catherine's role,
together with Nicky's assistance, to
motivate staff to begin generating client Wisdoms.
Little did they know how difficult this
would prove to be! Feeling lost and bewildered amongst
this unknown tribe of people, a lot
like "Alice in Wonderland", Catherine wondered where
they should start. They decided to
produce "exciting' newsletters (see Appendix B). When
there appeared to be no response
after the initial distribution they thought to
include, in a subsequent edition, a short
description of the process and the outcome of a
smallish 'Wisdom' that one of them had
generated. They hoped thus to muster interest and give
a sense that a Wisdom need not be
a life story or biography. When there was still no
response, Catherine and Nicky decided to
send out invitations to staff from other agencies to
collect narratives from their own clients.
They hoped, thereby, to speed up the collecting as
well as share the project and future
archive with other agencies. In addition, regular
morning meetings were offered, but coffee
and muffins just did not inspire.
10
SIX MONTHS LATER
What was happening? It was half way through the year
and they had twelve to fourteen
hours of audio-tape recordings, none of which had been
transcribed or edited into a
workable document. All of these had been the result of
their single handed interviewing and
indeed follow-up interviewing of the clients other
therapists had sent to them. It had already
taken much time.
The therapists seemed reluctant to actually get down
to generating Wisdoms themselves.
Catherine and Nicky, wondered if their recruits (the
therapists) were finding it all a bit too
difficult. Perhaps generating narratives would need to
take the sort of time that an already
busy schedule scarcely permitted, especially as they
were finding that few of their clients felt
confident enough to write their own Wisdom, even when
supplied with a series of questions
to assist them (see Appendix C).
How to encourage staff members to contribute to a
project of which they had a distant
grasp and for which their own frantic pace would not
permit experimentation, was a
question Catherine and Nicky now found themselves
asking.
UNFORESEEN PROBLEMS
Already ethical issues that hadn't at first been
anticipated were arising. Interviewing the
clients of other therapists was proving to be both
therapeutic and disturbing. One woman
reported reeling after an interview with Catherine.
Hers had been a horrendous story of
abuse and without her own therapist to 'hold' her as
it were, during and after the interview,
the telling of her story was potentially
re-traumatising. Nicky and Catherine began to
wonder if the interviewing process needed to come with
a warning. It was becoming a big
responsibility for both of them. There needed to be
safety nets in place.
In addition there were concerns about the impact a
story might have on significant others
who were not involved in its creation. Other family
members might find the version
defamatory. Would there be legal implications? Whose
version, in a family, was most valid?
11
How do you incorporate all versions?
If the wisdom held identifying information how could
it remain anonymous? There could
not be video or audio recordings if confidentiality
was to be assured. Questions were raised,
too, with regards to the lengthy transcripts. How
useful would these be to future clients and
their therapists? Who would be responsible for the
editing?
A CHANGE OF PERCEPTION
Even after David Epston was invited to run a workshop
on "co-research', in order to
stimulate staff interest and introduce a way of
generating Wisdoms that might overcome
these ethical problems, there was still no obvious
improvement in Wisdom generation. It
became patently clear that a rethink was needed. All
in all, the project team needed to
consider a way of generating Wisdoms that was ethical,
as well as efficient, that is,
producible and readable within the time, space and
safety of the therapeutic relationship.
The therapists had to believe that it was a valuable
therapeutic intervention, as well.
Catherine and Nicky concluded that if archiving and
using client Wisdoms was to be an
ongoing, practical and therapeutic venture, something
they themselves had already begun to
experience, the therapists, too, would have to have
this understanding. How could
Catherine and Nicky best enable a group of therapists
from this agency to experiment with
the process? It was becoming clear that unless the
therapists themselves 'owned' the project
there was only a small chance of success.
122
PREPARING THE GROUND
"Who are you?" said the Caterpillar
Alice replied rather shyly,
"I-I hardly know, sir,
just at present-at least I know
who I was when I got up this morning,
but I think I must have been changed
several times since then."
(Carroll, 1866: 60)
"But if I am not the same,
the next question is, who in the world am I?
Ah, that's the great puzzle."
(19)
THE
GETTING
AND
GIVING
OF
A LITERATURE REVIEW
It was time to search the literature and discover what
had been before. Because Catherine
and Nicky had already inadvertently found that the
impact of being interviewed for their
story in writing, had a significant impact on some of
the clients they spoke with, Catherine
saw that it would be important to look at any related
findings in the literature. Not only
that, because the project was looking at circulating
narratives of hope with clients at the
agency, she would need to look at what the literature
said in relation to these. She decided
to explore these areas and as she read more she
realised there was one area she had not
thought to look at and this was the effect on the
author, of having a story to give another.
Thus the areas in the literature have been divided
into four sections: TELLING,
NARRATIVES OF AGENCY, GIVING BACK and HEARING STORIES
OF SUCCESS.
THE TELLING
The psychotherapy literature overwhelmingly indicates
the positive healing effect of having
one's story of trauma spoken and/or written.
Pennebaker (1989, 1993) is prominent in
having conducted a number of cross sectional and
longitudinal field and laboratory studies
looking at the effects, on the physical health of
adults, of recounting their experiences of
past trauma.
Pennebaker's studies have included research on over
300 students of psychology, 200
employees of a large corporation and 33 Holocaust
survivors. Using standardised
physiological tests as well as qualitative data, the
studies ascertained the degree to which
disclosing or inhibiting the communication of past
traumas affects a person's physical health
(their T-cell count). Attention was paid by the
experimenters to create an atmosphere that
allowed for honest expression of 'deepest secrets',
without inhibition, including negative
feelings, such as anxiety and sadness. Anonymity was
assured. Pennebaker concludes from
his studies that, "requiring people to write or talk
about trauma is associated with both
14
immediate and long term health benefits" (1989:212),
and health is endangered if the telling
is inhibited. That said, he also found that the impact
of disclosing is not immediately
beneficial because the subjects often reported feeling
significantly more sad, depressed,
frustrated and guilty, in the time following the
telling. However, over time, significant
positive physical and psychological changes do occur,
as a result of uninhibited disclosure
of facts, thoughts and feelings. He found that it is
not the degree of past traumatic
experience that affects health but the degree to which
a person holds back or suppresses
fundamental thoughts and feelings about the trauma.
The implications for therapists is that
writing itself is a powerful therapeutic technique,
and that movement towards the
development of a narrative or the construction of a
story might be an important goal of
therapy with trauma survivors.
A Research group in Language and Writing at The
Ackerman Institute in New York (Penn,
2001) has been inspired by Pennebaker's findings, in
their work with families "that suffer in
silence with a chronic illness" (34). They discovered
that encouraging families to write
about their relationships with each other and the
effects of the illness, and then having them
read these aloud in each other's presence, can be a
"lifeline" that reconnects the family with
each other and relieves the effects of the relational
traumas of not being able to talk about
the illness. Peggy Penn says, "the most important
thing to say about using writing to address
the silences of chronic illness is that to write gives
us agency; we are not acted on by a
situation, we are acting" (49).
Other therapists have also found that putting
traumatic experience into language (not
necessarily writing) aids in assimilation,
understanding, agency and consequent healing.
Therapists working with people who have been victims
of the holocaust, childhood sexual
abuse, grief and loss, as well as other significant
traumas, suggest that if the trauma remains
unstoried i.e. without language, and without an
audience to the narrative, then the trauma
continues to be relived in current relationships and
daily circumstances. Since failure to
integrate the distressing experience into an
autobiographical memory is the core problem in
PTSD (post-traumatic stress disorder), an important
aspect of the treatment consists of
translating the nonverbal perceptual and affective
states into a narrative memory with
155
words, meaning and form (van der Kolk, McFarlane &
Van der Hart, 1997). "Reexternalising",
i.e. literally transmitting the story of trauma to
another outside oneself, thus
constructing a narrative of meaning about the past
that can be reflected upon and related to,
helps to be able to live in the present, free of the
trauma (Felman & Laub, 1992; Bird, 2000).
The telling of the experience in a meaningful and
coherent narrative (e.g. defined, talked
and/or written about) helps to gain a sense of control
and mastery (Parry, 1997; Sedney,
Baker & Gross, 1994; Shantall, 1999; Penn &
Frankfurt, 1994) and also helps to make sense
of the event in the context of a person's current
emotional and psychological situation
(Crawford, Kippax, Onyx, Gault & Benson,
1992).
Indeed, Parry (1997) states: "It is only when a
person's succession of scenarios are linked
together in a sense of a life narrative that she is
able to assume agency" (122). Certainly
these studies do not suggest that it is necessary to
articulate the story in writing to find
therapeutic relief, however, the effects of writing
one's experiences, as an adjunct to or
instead of the oral articulation has not, in these
examples, been delineated. There is
potential for this project to consider this.
NARRATIVES OF AGENCY OR SELF DETERMINATION
[To be an authority of one's own life, and thus
find the solution to one's own problems].
Benson (1997), working in the area of physical
well-being, attests to the great importance
for healing, when the patient and his or her treatment
team believe that the patient has the
strength and ability to recover themselves. Related to
this, but moving into the area of
trauma and abuse, is the work of van der Kolk (1999),
a neurobiological psychiatrist. He has
convincingly demonstrated that if the limbic system of
severely abused people is
reprogrammed to 'remember' a sense of agency and
resourcefulness, then the pre-existing
limbic memories of fear, guilt, and self-loathing can
be dissolved. In this way, again, as with
the findings of Felman & Laub and Bird, above, the
individual is able to live in the present
unencumbered by the feeling memories of past
trauma.
Peggy Penn (1998) has found that intractable rape
flashbacks can be dissolved when a
166
protective figure or voice is introduced by the victim
herself into the written flashback story.
The victim is thus empowered to take charge of her
life and the rape no longer recurs in her
mind to interfere with personal agency and
direction.
Parry (1991) suggests that the construction of one's
story reflects what one believes about
oneself. If one believes that one is a loser then one
chooses events that support that belief.
Thus it might be possible to re-write one's story as
one of success and in so doing change
the direction of one's life.
The work of David Epston and Michael White, leading
exponents of Narrative Therapy and
the practice of "re-authoring", demonstrates this.
Based on the post-structural
(linguistic/narrative) understanding that persons both
shape and are shaped by experience
and that experience structures and is structured by
expression, they demonstrate the process
of taking over one's story consciously and making it
one's own (Epston, White & Murray,
1992). Rose's story has become a seminal case study to
illustrate the process. Rose gives
testimony to the dramatic changes in her life that
ensue as a result of the re-authoring. She
says: "Possibly having my own [as opposed to
others' versions of my] story helped me find
out my own attitude and thoughts...I started feeling I
had validity...basically feeling so much
better about myself allowed me to consider a very
different kind of future for myself" (107).
The authors conclude that freedom comes about from
allowing each individual (oppressed
by a problem) to understand themselves as active
agents in their lives and able to construct
his or her own life story as they would have
it.
Believing that one has a sense of agency in one's life
appears to be a pivotal part of the
process of healing.
GIVING BACK
In a bid to credit and honour client achievement and
to privilege self-determination and
personal agency, Epston and White (1990, 1995) will
often conclude therapy with an
interview that records and documents the
problem-solving and preferred "knowledges"
about self and relationships that have been
"resurrected and/or generated" (1995: 13) during
1 7
therapy. These are knowledges that have enabled the
clients to free themselves of the
problem. They suggest that having these knowledges
available for self and others means
these become more viable and enduring for the
author.
Lobovits, Maisel, and Freeman (1995) also contend that
having client stories of hope
circulated to others gives therapeutic outcomes an
added dimension: "whereas previously
they may have felt degraded by the problem, the
opportunity to contribute to others allows
people to claim a preferred status e.g. from patient
to consultant" (225). For example,
"when Maria and her parents were told that reading her
entry was useful to another child, it
made them all proud and confirmed her status as a
temper tamer"(227). These authors have
also developed handbooks of children's success stories
and advice as offerings to readers
potentially facing similar problems. These documents,
they say, serve multiple purposes:
empowering and respecting the children who have
overcome problems, validating their
struggle and success, giving their story purpose by
enabling them to reach out to others, and
to keep accounts that can serve as encouragement in
times of their own setback.
This is reminiscent of Frankl's theory (1984) that
human beings need to find meaning in
life to be able to endure difficulties. One way to
find meaning, he tells us, is by helping
others, thereby transforming personal suffering into
personal victory (Shantall, 1999; Boss, 1987).
HEARING STORIES OF SUCCESS - BEARING WITNESS
David Epston has created "archives", defined by him as
"a place where public records are
kept" (1999: 146). These contain collections of
people's written and oral experiences
describing the effects of debilitating and life
threatening conditions (anorexia, bulimia,
obsessive compulsive disorder, dystrophic
epidermolysis bullosa) and the problem solving
tactics that have helped them liberate their lives
(Epston, White & Murray, 1992; Madigan
& Epston, 1995; Grieves, 1997; Epston, 1999). We
are told that hearing and reading these
experiences brings hope to fellow sufferers (Epston,
1995) and even inspires recovery
(Epston & White, 1989).
In order to begin collecting for his archive, David
Epston (1999, 2000b) developed the
18
practice of "co-research". He defines this as "two
persons[client and therapist] seeking
knowledge and understanding in a common conversational
endeavour, one as participant
researcher and the other as practitioner researcher"
(2000b). These documents reveal and
record the "knowledge in the making" of the insider or
sufferer. They do not promise to have
all the answers. Thus the archives become a
'well-spring' for fellow sufferers to gain hope
and inspiration, rather than prescriptions or right
answers. David Epston uses these "insider
knowledges" when he consults with clients struggling
with related problems.
This process is illustrated in the case example of
'Ben' hospitalised with an "Obsessive
Compulsive Disorder", externalised as "Mr. O."
(Epston, White & Ben, 1995). Ben is quoted
as saying that what contributed significantly to his
recovery was finding in David someone
who, "really knew what I was going through, almost as
if you were feeling the same pain I
was feeling and could reach out and show me" (292).
With Ben, David had "crossreferenced"
knowledges he had of OCD from other boys and thus
"thickens" [from Geertz
(1973), a "thick description" of a cultural event is
distinguished from the thin and multiple
points of view available], in Ben's mind,
understandings of and possibilities for combating
OCD. It appears that cross-referencing in some way
contributed to Ben feeling so completely
understood by David. Ben also cites two league
members, whose stories he read, as also
being helpful in his liberation: "[they] were
my teachers and they had been through it and
they knew what to do and what not to do and they
passed that knowledge on to me...[I] feel
like they are on my side and up in the front lines
with me" (299). What is clear from this
article is that the reading of the experiences of
these league members, as well as the
therapist's cross-referencing, were a fundamental
aspect of winning over "Mr. O".
There was only one related study to be found outside
the area of Narrative Therapy. This
was an ethnographic study that field tested with a
group of 10 Mexican American families,
the use of 13 families' parental stories of managing
their concerns when a first born child
enters the community school system. The researchers
used the transcripts of the ways
parents had managed their concerns and then
categorised these thematically into 12
different categories of parental concern. Stories that
corresponded thematically to the
transcripted stories were read aloud to the
'inexperienced' parents. Each parent was then
1 99
asked a series of closed questions. The parents who
heard the stories, related to them to the
extent that they were able to acquire new ways of
managing specific concerns as well as
finding their overall concerns were lessened. The
researchers found that their study had
implications for clinical work with families and were
interested in conducting a further
analysis to identify which stories were preferred for
useful information or for emotional
relief, or which encouraged behavioural
change.
RATIONALE AND SIGNIFICANCE
So it was that Catherine found that there was nothing
in the family therapy literature, other
than in the area of Narrative Therapy, and one article
from the nursing literature, that
described effects, on client progress, of listening to
others' experiences.
That the effects of writing was mostly explored within
the areas of trauma and chronic
illness and again not in family therapy, surprised
her. That said, in the areas where there was
research on the impact of writing the evidence of it
being therapeutic was overwhelming. If
some people found it difficult to talk in therapy,
then writing could prove to be a useful
alternative. The added dimension of encouraging the
client to write their experience as a
'success' story in order to help another, would be
worthy of further considersation,
In addition there was no literature on the impact on
family therapists' practice of collecting
and circulating narratives of experience, whilst
working with families experiencing a wide
range of mental health and relationship problems and
this might prove to be the key for the
direction this project could take.
The next step was then to reconsider the aims of the
project including the methodology by
which these might be achieved.
220
BACKGROUND TO CHOOSING
THE RESEARCH METHOD
Reading the literature was both a surprise and a
confirmation of Catherine's own
experience of the potential effectiveness of
narratives of 'triumph' to inspire and give hope.
She knew the latter from the work of David Epston and
her own experience in a Buddhist
community and in therapy. What was new and surprising
to learn were the important
therapeutic effects on people of having their
experience documented.The original reason for
the project was to establish whether listening to
others' stories would affect therapy
outcomes and now she was finding that the writing
itself has potential therapeutic benefits.
The research, thus, had to be about the effects of
both the giving or writing of a Wisdom
and the sharing of a Wisdom in Family Therapy. "Is
writing a persuasive story of triumph
different from just writing one's story per se, and is
it important for the listener to feel the
person writing has moved on? Does this matter?", she
wondered. She, herself, wanted to
learn more about the would-be effects (positive and
negative) of having and hearing
narratives on the families she was working with.
However she also had to consider the
agency's needs: the establishment of an archive and
the involvement of the therapists
working at the agency, in order to make the funded
research project happen. If therapists
were to be involved, Catherine thought, they would
have to believe, themselves, that
gathering Wisdoms can be therapeutically useful and
valid and not going to be an added
burden on them to have to produce.
She recalled how the therapists who had come to a
meeting during the early setting up of
the project had posed a number of questions and
dilemmas,
"How does a therapist generate a wisdom with their
client?"
"Is it about an outsider interviewing the client and
therapist together?"
"Is it about allowing the client to express what they
would like others to know, what others
would find useful, or is it about 'let's go on a
journey of discovery and let us find out what has
happened that has helped you through', or is just
about telling the story warts and all?"
221
"Is the 'what has happened narrative' useful to have
in an archive? "
"At what stage of therapy does a therapist introduce
the idea of writing their story?"
"What if the therapy has made no difference?"
"Does the therapist's attitude to the interview affect
whether a client sees it as a genuine coresearch
inquiry (about change and what has made change happen)
or a request to say nice things
to make the therapist happy?"
"Are we bothered about the multiplicity of testimonies
and the way of gathering? Are some more
effective than others?"
"How do we ensure that the testimony of one person
remains true to that person without it
becoming slanderous to others in that person's life,
e.g. non present family members?"
"What is the therapist's experience of hearing their
own client's story?"
"What is the client's experience of having their
therapist hear their story as a narrative?"
"What would be the impact on someone of giving their
testimony if they do not receive any
feedback from people reading or hearing
these?"
These complexities had demonstrated to Catherine why
just asking for therapists to
contribute narratives from their clients had been
anything but simple.
She also realised that the literature, apart from
David Epston and Michael White's work, did
not speak about the experience on the therapist's
practice of generating and using narratives
in their family therapy practice. It was also not
evident if and how therapists coming from a
systemic viewpoint might develop this
practice.
For all these reasons Catherine needed to find a
research methodology that might fit all
these requirements, as well as her own philosophical
and therapeutic position.
PHILOSOPHICAL STANCE
Social Constructionism
It had not been difficult for Catherine to embrace
social constructionism and the idea that
understanding is always interpretive, that there is no
privileged standpoint for
understanding (Wachterhauser, 1986; Bruner, 1987).
Buddhist theory very much espoused
2222
the relativity of all human beings' viewpoints based
on the theory of karma and a person's
life condition. It also espoused the theory of
"dependent origination" or the intersubjective
nature of human identity: "All phenomena in the
universe, including the self, come into and
go out of being as a consequence of mutual dependence"
(Galtung & Ikeda, 1995: 31).
Buddhism recognised, too, the powerful influence of
language, not only to colonise the
'weak' or less informed, but also its ability to
transform, through dialogue, the human
tendency to dominate and subjugate others.
She connected with the 'second order' cybernetic
position, that the act of observation
changes the nature of the thing observed. The observer
and the observed, far from being
separate, are coupled in the most intimate of ways.
There is no such thing as objectivity. It
had been demonstrated philosophically (von Glaserfeld,
1984), logically (Keeney, 1983, von
Foerster, 1984) biologically (Maturana & Varela,
1987) and theoretically (Gergen, 1985)
that the so called objective stance for identifying
phenomena is impossible, for these are
actually the product of culture, history and social
context.
Bruner (1986) had put forward the distinction, as he
saw it, between the 'paradigmatic
posture' and the 'narrative posture'. In the
paradigmatic position the interpreter focuses on
generalities and attempts to discover empirical
truths. He described 'narrative' as a process
that takes account of context and intentions through
stories told, to make sense of human
experience. It was the narrative posture that would
best serve this project, she felt.
In short, as she understood it, the social
constructionist stance could be summarised as a
recognition of: the subjective nature of experience
and thus the changing nature of meaning
over time (Gergen & Kaye, 1992); the contribution
of context and relationship to meaning
and the collaboration of culture, society, and
familial history in the construction of personal
identity (Hoffman, 1992); the changing, evolving and
dialogical basis of the story of self
(Anderson & Goolishian, 1992; Bruner, 1990); the
generation of beliefs in the day to day
language and communication processes of people
(Anderson & Goolishian, 1988); the
acknowledgement of multiverses- as many versions of a
situation as there are persons to
understand it, each understanding influencing the
other and changing it in some way
(Maturana & Varela, 1987); and the belief that
meaning is always political and the fixing of
2233
identity and meaning as a way of serving the interests
of the powerful in any society
(Weedon, 1967).
THERAPEUTIC STANCE
Hermeneutics and Narrative
Hermeneutics, as a science or art of interpretation,
emphasises the idea that people live,
direct and understand their lives through socially
constructed narrative realities that give
meaning and organisation to their experience (Anderson
& Goolishian, 1988; 1992). The
implications of these ideas for Family Therapy was
that the therapist's role is seen here, not
as an expert of a client's problem, but rather as a
facilitator participating in collaboration
with the client to co-develop new meanings, realities
or narratives. This therapy is a
linguistically mediated activity. In this way, through
conversations with the therapist and
others, the client is empowered to move beyond the
current problematic situation or selfdescription.
In the therapeutic encounter the idea that selves are
realised as by-products of
relatedness, means that multiple descriptions of
problems and solutions can be considered.
"The therapist and client form a relationship to which
both bring resources in terms of
which the contours of the future may be carved"
(Gergen & Kaye, 1992: 174).
NOT KNOWING POSITION
In addition Anderson and Goolishian (1988, 1992) had
in various ways emphasised the
need for the therapist to be continually reflecting on
their own biases and how these impact
on the therapeutic relationship. This meant the
therapist has to avail her/himself to 'not
know', that is to acknowledge her/his own accumulated
experience and understanding and
its impact on the generation of meaning, in any
therapeutic encounter. Secondly, it required
through various reflective practices, including
transparency, supervision and peer
reflections, a willingness to stand aside from her/his
'view' while still acknowledging this.
Johnella Bird (2000) calls this therapist position as
being between 'knowing' and 'not knowing'.
224
ABOUT THE CONTEXT
Catherine felt that an understanding of the
organisation's and thus the therapist's
fundamentals would be an important prerequisite, too,
to choosing the methodology. The
practitioners here espoused and had developed a way of
working with families they called
Family Sensitive Practice (Farhall, 1999). These
reflected, for Catherine, their underlying
values of participation and collaboration,
empowerment, open mindedness, flexibility and
compassion.
In addition this was a learning organisation that
emphasised experiential learning or
'learning by doing'. They practised live supervision
where the student is given opportunities
to learn 'in vivo' following which, coach (supervisor)
and students engage in learning
through dialogue and reciprocal reflection. The
academic staff, it appeared to Catherine,
respected both intuition and theoretically based
knowledge.
There was another important consideration.
Traditionally, as Catherine understood it, the
therapists in this organisation rarely had the
opportunity to share with each other what they
had learned from their respective clients, as time and
schedules did not permit. Catherine
had heard Professor Robert Putman (2000), American
sociologist, say, when delivering a
speech on the decline of community in the western
world, that the loss of connectedness in
daily living is creating serious problems. He said
that in "immeasurable ways" communities
work better and people's lives are more satisfying
when they connect with each other. He
added that without connection we are less productive,
but "where people are connected to
one another, what tends to evolve is a norm of
reciprocity". Wouldn't it be advantageous,
thought Catherine in the light of this if, in addition
to the other aims, the project enabled
exciting and reciprocal interaction between the
therapists involved, which might include
sharing with each other the knowledges they had gained
from their clients and so enhance
job satisfaction!
All of these ideas had important consequences on how
the research might be conducted.
2255
CO-OPERATIVE OR PARTICIPATORY ACTION RESEARCH
She listened in lectures, searched around. She found
Collaborative, Participatory Action
Research - just the fit. Collaborative Research, she
discovered, involves a group of people
who investigate a topic and the initiating researcher
does not dictate the process of the
research. People come together to study (reflect,
discuss, theorise) a process that occurs
outside the group (Reason & Heron, 1995).
Description is valued over precision, and
meaning over statistical manipulation. This was a
methodology that was appealing because
it had its roots in social action and group
enlightenment. It had emerged, too in resistance
to "conventional research practices that were
perceived by particular kinds of participants as
acts of colonisation- that is, as a means of
normalising or domesticating people to research
and policy agendas imposed on a local group or
community from central agencies far
removed from local concerns and interests" (Kemmis
& McTaggart, 2000: 572). This could
be it, she thought. It was about LEARNING BY DOING and
actively involved all participants
in creating and determining meanings for themselves.
It was about each group member
participating critically and self reflexively. This,
Catherine believed, might be a way the
therapists at this agency could feel ownership of the
research project. Action Research also
had social constructionism and hermeneutics embedded
in its method (Reason & Hawkins,
1988), which meant that the "researcher's attention is
not focused solely around theories and
observed problems but rather is allowed to float more
widely... researchers can use their
personalities and values as instruments, they allow
both feelings and reason to govern their
actions, and they partially and sometimes wholly
create what they study: for example the
meaning of a process..." (Cherry, 1999: 69). This
certainly appealed.
A PROPOSAL
"What if we involved a discreet group comprised of
individual therapists from the different
specialist teams to direct the research as a shared
group enterprise", she asked her
supervisor. "Great idea!", was the response. Because
there were six specialist teams,
2266
Catherine thought it would be most interesting to have
the working group comprising of
herself (youth and family therapist) and a
representative from each of the teams: sexual
abuse, acquired brain injury, families where one
member suffers from a psychiatric illness,
and general child and adolescent and family issues. In
this way the group might develop
unique and diverse ways of recording and using client
Wisdoms with a wide range of
identified client problems. The members of the working
group might find themselves
eliciting practices of using client Wisdom narratives
in therapy that may be unique and
relevant to the client group they work with but
different to therapists and their clients from
other teams. There might also be a chance to identify
common patterns across the different
client groups. In addition, having a representative
from each team meant that the findings
from this project have the potential to be broadened
to each team. She could not assume
this, however, because Action Research is context
sensitive and not necessarily generalisable
across a whole organisation or an entire discipline
(Kemmis & McTaggart, 2000).
The participants would of course need to be willing to
commit to this in a spirit of mutual
purpose, intention, and responsibility and be desirous
of active participation and learning.
She would be responsible for collecting and
documenting the findings.
She spread the word, communicating these ideas and
inviting representatives from each of
the teams to participate. The response was positive
and a complete group was formed with
volunteers from each of the teams as well as herself.
It was just as she had hoped. This
would be a cooperative inquiry that aimed to develop
therapist practice. The personal,
particular and local understanding of the people
involved in the project would be valued
over findings that purport to be objective and
generalisable (Reason & Hawkins, 1988).
She explained to the group that the key features of
Participatory Action Research, as some
called it, were the recursive strands of "Planning a
change; Acting and observing the process
and consequences of the change; Reflecting on these
processes and consequences, and then
Replanning, Acting and observing, Reflecting, and so
on..." (Kemmis & McTaggart, 2000:
595). These processes are systematically reviewed and
evaluated. In Collaborative Inquiry,
the individual is asked to access direct, personal
experience in "real life' which contrasts
with reading about others' experiences and ideas and
simply thinking about ideas in a
training situation (Kolbs, 1984).
227
The group would be working for verisimilitude or
credibility and persuasiveness rather
than validity (Connelly & Clandinin, 1990). This
meant that the central meanings, emergent
themes and proposed theory must be recognisable,
acceptable and owned by the working
group (Caulley, 1994). Participants would be willing
to discuss, until there is agreement that
the analysis is an accurate reflection of their
perceptions. Congruence as to meanings,
comments, and findings would be sought.
What was exciting Catherine about the cooperative
inquiry method of Action Research was
the way it could at once maximise the individuality of
the participants and their work,
whilst capitalising on the collective reciprocal
effect of working together (Heron, 1988). She
hoped this would provide a good balance between
uniqueness and group universality.
The skills involved in Action Research, the group
learned, too, are not unfamiliar to
practising Family Therapists. These include an open
and curious stance that suspends
judgment and interpretation when inquiring into
others' views. It also requires that the
therapists regularly inquire into the assumptions from
which they make their own meanings
and inferences. It requires the ability to test and
explore, to reflect and question. It requires
cooperation and collaboration. It requires critical
reflection (Kemmis & McTaggart, 2000;
Cherry, 1999; Reason & Heron, 1995).
The primary aim of this inquiry was becoming evident.
She felt it would be about the
generation of understandings and meanings about the
gathering and circulation of client
Wisdoms for this group of therapists working in this
particular organisation, and how these
would impact on their practice.
RAISING THE QUESTIONS
The group came together in the earlier sessions to
wrestle with anxieties, hypotheses,
dilemmas (see Deconstructing Beliefs) and of course
the questions they would be
addressing. In a collaborative process they agreed
that the research would attempt to answer
the following,
228
What is each therapist's (and her/his clients')
experience of gathering and documenting
'client Wisdom narratives'?
What is each therapist's (and her/his client's)
experience of sharing 'client Wisdom
narratives' in therapy?
They could see that these two aspects were in a
measure dependent on each other and so
would be worked on concurrently by each therapist, but
be considered separately by the
working group.
PROCEDURE
Catherine gave the group members an outline of the way
they might conduct the research,
1. What is each therapist's (and his/her clients')
experience of gathering and
documenting 'client Wisdom' narratives?
* Each therapist from the working group will be asked
to work with their clients to develop
a document that will serve to mark their experience
and learning and that might be shared
with others.
* Each therapist will bring their document to the
working group and read the document
and share their experience of co-creating the
document. The sharing of the process as well
as the reflection by the group will be recorded and
transcribed. Discussion about ways the
document might be developed or condensed might also
occur.
* Each therapist will take understandings, learnings
and ideas developed in the working
group discussions back to the therapy context and work
further with the client on the
current document or use ideas from the group to
develop a new document with another client.
* Again each therapist comes back to the group to
discuss, compare and contrast
experiences. The subjective perceptions of the
observers will be synthesised.
2. What is each therapist's (and her/his clients')
experience of the sharing of "client
Wisdom' narratives in therapy?
* Each participant in the working group goes out and
experiments with introducing a client
2299
wisdom narrative in a therapy session with one or two
clients. They note or record their
experience in as much detail as possible but without
interpretation and explanation e.g. the
who, when, where, how, what, and thoughts and feelings
of the experience. Included in this
will be an account from the client about how the
experience was for them (as recounted to
the therapist) i.e. how hearing/reading a client
wisdom narrative has in any way influenced
their lives and behaviour.
* These experiences are brought to the group. Each
member expresses opinions about each
account in turn. The group will observe for
similarities and differences to their own
experience plus consider contradictions, conflicts and
generalisations. The group will then
reflect on associations that are conjured up from the
process e.g. past experiences around
client wisdom narratives that the group discussion
evokes.
* The group will then attempt to make sense of their
reflections, discussing the impact of
these on their own practice. From these they will
revise the processes they had previously
tried.
* The conclusions reached at each meeting by the group
will be used to direct future
action. Discussions will be transcribed and themes and
common sense understandings will
be examined as the study progresses.
These ideas were presented to the group and, with some
adaptations related to the
circumstances of each participant (see 'Writing Up'),
were agreed upon.
DATA COLLECTION AND ANALYSIS
The acts of data collection were the individual
therapists' reflections on their internal
thinking and feeling and external behaviour, as well
as the feedback from their clients (raw
data). The data analysis was the group's reflections
and conclusions (from the transcribed
group discussions) as well as Catherine's ongoing
thematic analysis of group discussions.
Each member of the group was asked at each group
meeting to reflect on what he or she
considered to be relevant data: what they noticed,
what they attended to- thus highlighting
the subjectivity and relativity of each participant's
data collection.
330
ETHICAL CONSIDERATIONS
Ethics approval was sought from La Trobe University
Research and Ethics Committee and
the project was also approved by The Centre's
Executive. Ethical considerations included
ensuring confidentiality at all stages of the research
process as well as ensuring that each
client involved in the project be given a consent form
with all relevant information about the
project included (see Appendix D). No client
information was considered until the form had
been signed. Video and audio tape recordings were
transcribed so that client identification
was minimised. All material used by therapists with
subsequent clients had to have
permission from the authors, through the signed
consent. The authors were told that these
could be withdrawn at any time. The author of the
narrative was also told they could change
the details of their "story' at any time throughout
the project.
331
THE WRITING UP
The group of seven that finally came together met nine
times between November 2000 and
August 2001. The group consisted of three people from
the executive of the organisation (C.,
P., and A.)* who, between them, would have over half a
century of experience in a wide
range of family therapy models and family
presentations. J. too, has extensive experience as
a family therapist and specialises in the area of
sexual abuse. The others were less
experienced but came from a variety of backgrounds.
N., who had assisted me in the first
part of the research is, and had been working for the
last three years, with families where a
member has an acquired brain injury. G., who is a
relative newcomer to family therapy,
having completed his Diploma two years prior, has a
background in mediation. All would
regard themselves principally as systemic family
therapists.
I have chosen to de-centre myself and put myself in
the third person, as Catherine, so as to
make apparent that I am one voice in a group of many
and varied voices. It has been my
intention in the introductory sections to expose some
of my assumptions through outlining
my socio-economic, educational, political and
religious background, so that the reader can
ascertain for her/himself the validity of my
learnings.
RESEARCH CYCLING
The action research cycle for this project consisted
of separate individual participant
cycles of experience and reflection with and about a
clinical case (family/couple/individual).
This was followed by collective reflection in which
each person's findings were shared for
feedback and discussion. In this manner the research
group in effect conducted micro case
studies of the impact of giving and receiving Wisdoms.
Following group reflections, each
3322
* Initials are used in order to identify and
distinguish group participants, who, though core to the
research findings,
are in the background. The purpose of the research was
in no way intended to make the group participants
"subjects"
to be analysed by the researcher. Rather each was to
be a collaborative partner to the others in sharing
discoveries and
reflecting on these with the group. Consequently any
additional information the reader might want about any of
the
participants can only come through the data
(transcriptions of group reflections). It has to be noted
that, of course, the
meanings each gives to the experience is embedded in
each person's cultural, political, socio-economic and
familial
context but it is not within the scope of this
research to examine these. This of course limits the
research findings.
participant would, individually and in their own way,
plan the next action cycle as well as
reflect on their learnings and how they might
experiment further. In other words each
participant was responsible for drawing and managing
their conclusions as well as
performing the introduction and gathering of
Wisdoms.
In the writing up of the research I have selected a
discrete number of case experiences that
were brought to the group from the 'Getting' and the
'Giving' categories of the research, . I
have highlighted for each the salient points of the
different stages of the cycle, to inform the
reader of the processes and to illustrate how I have
drawn my own learnings. The cases
selected are the ones that, for me, following group
discussions, led to further actions and/or
learning from at least one group member.
After each of my own experiences I tried to pay close
attention to it by recording in writing
as much detail as possible my observations, thoughts
and feelings, as well as what the
client(s) said. This included asking myself why this
particular 'event' had meaning for me.
The other group members principally relied on the
memories of their sessions with their
clients and this too can be a valid way of collecting
data (Moon & Trepper, 1996).
A WORD ABOUT THE SUBSECTIONS OF THE FINDINGS
ACTION
Describes what the person who is describing their case
did and what they then observed,
experienced and heard back from their clients.
REFLECTION
Includes the group conversation about the individual
therapist's case presentation. The
reflecting process involved our asking each other to
describe, 'research' and wonder about
the experiences and meanings we were making.
The movement from holding the experience within me to
talking about it with the group
provided me with an opportunity to re-view and
re-interpret my meanings in the light of
others' different perspectives. Having a linguistic
space offered me a way of expanding on my
3333
own reflections. I found this a two way reflective
process: my own reflections, as with each
participant's reflections, are drawn out and put side
by side with the "knowing" of others.
My individual meanings were thus enriched, challenged,
enhanced and extended by
interaction with others.
LEARNING
I will take from Lansbury (1992) a definition of
learning that fits with my view: "the process by
which
behaviour is modified as a result of education and
experience" (16). In this section I highlight what I
myself have drawn from both listening to the group and
my own reflections of the experience, if the
case is the one I am describing.
This learning environment, which was for me the
research process, included the uncertainty and
discomfort that accompanies a new and unknown
intervention. However it was only by allowing myself
to dare to plunge, despite at times a certain
discomfort and anxiety, and 'give it a go', that I was able
to
get the most benefit from the process. Through
wrestling with real life uncertainties I was able to
learn.
I also found that while - for reasons which will be
explicated in the findings - many of the
participants
held back from taking action, when Nicky and myself
(who had the advantage for having begun the
project much earlier) showcased our experiences, the
others were challenged and stimulated. I saw the
participants thus consider their own clients in the
light of our findings and ponder on how they might
consider taking action themselves. All of our thinking
was thus invigorated.
THE FINDINGS
In the description of the action research in the pages
that follow, I hope to be presenting the findings
so that the reader is informed about how explanations
were constructed. There are no 'tangible
outcomes' as such and this, though never discussed,
may have created an important tension for the
group. We would want evidence that we had used the
funding to good effect but at the same time we
wanted to allow ourselves the flexibility, openness
and adaptability that action research methodology
requires for it to be most fruitful.
334
SORTING
"Will you won't you, will you, won't you,
won't you join the dance?
Will you won't you, will you, won't you,
won't you join the dance?
(Carroll, 1866: 151)
THE
GETTING
AND
GIVING
OF
DECONSTRUCTING BELIEFS
ABOUT THE PROJECT
When the group met initially to plan how they would go
about collecting the narratives
Catherine found there were some preconceptions that
had to be ironed out in order that the
'action' might start. For example one group member,
J., asked,
"I am a systemic therapist, to what extent is this
about a narrative approach to my practice?"
C. then asked,
"Are we going with an externalising narrative
genre?"
Catherine wondered if bringing David Epston to the
Centre in order to introduce the ideas
of co-research to the agency, and her own leanings
towards Narrative Therapy, might have
inadvertently implied that the research would require
the therapists who were gathering the
Wisdoms to adopt the Narrative Therapy model.
It was certainly appearing this way as each group
member spoke his or her concern,
J: "The ingredient of the therapist has to be
considered. The way it is conveyed is significant.
It
is different to tell a story than to look at
externalising the problem and to look at the story of
the
problem. Narrative therapy is not my style. I am not
going to be able to talk to them in that way";
and
C: "David Epston's co-research work is about clients'
relationship to problems, with a belief and
expectation that the person can win over the problem.
The problem is the problem. People are
agents not victims, his work is not about the contexts
of age, background and culture";
and
G: "It raises for me the tension I am having with
narratives, whether they be pure or whether
we are doing a White/Epston co-research".
SYSTEMIC VS NARRATIVE?
These were times of transition, in the family therapy
field. In Australia particularly, the
3366
debate had run hot between the growing numbers of
narrative therapists and the systemic
band, a generation of seasoned therapists who were
faithful to a relatively much longer
tradition and historical development in their
field.
The therapists at this agency saw themselves as
systemic family therapists. As Catherine
understood it the majority of the group members had
played with a number of family
therapy models and ideas, which reflected the changes
in the field since its inception.
Initially family therapists had joined together in a
movement away from a psychodynamic,
individualistic orientation of therapy, towards
looking at people in families as influenced by
and influencing each other in patterns of
relationship. Indeed, they hypothesised that family
systems generate and maintain symptoms. Thus, at
first, they took on a cybernetic
perspective and looked at families as they would a
mechanical system, regulated by feedback
loops. Then the strategic work of the Milan school,
exerted considerable influence. This
school, as Cecchin (1992) puts it, were in those days,
"seduced by the idea of games" (87)
and power plays or battles between family members and
between family members and their
therapist, and the idea of problems serving as a
function in maintaining the system. The
therapists from the Milan school worked strategically
by asking questions that would obtain
information so that the therapists, who saw themselves
as needing to control the
interventions, might develop hypotheses and plan
effective strategies for the family.
However, when the ideas of social constructionism were
brought to the fore, an important
shift developed in the Milan school and others in the
family therapy field. Beliefs changed
so that what became important was the idea that the
way a person perceives and conceives
things is what influences their behaviour. How
knowledge is generated, what is privileged,
and what is suppressed influences people and their
relationships. A 'second order' cybernetic
perspective of therapist involvement was adopted. The
family was no longer the object of
treatment, independently observed by the therapist, it
became a meaning generating system.
Within this wave these Melbourne therapists
coincidentally, when Tom Andersen (1987) was
experimenting with reflecting teams in Norway, were
also experimenting with reflecting
teams. In addition the notion of curiosity and the
idea of therapy being a process of circular
(Palazzoli, Boscolo, Cecchin & Prata, 1980) and
reflexive questioning (Tomm, 1987), was
337
also taken up. They also pushed family therapy to pay
heed to the feminist critique of
power, and to look at the bigger social and cultural
issues affecting family members and
their interactions. This included the role of women,
discrimination and oppression, social
and economic disadvantage, as well as the impact on
families of trauma and mental illness.
And then in the 1990's Narrative Therapy became a
recognised model of therapy in its own
right. However, it appeared that the way this approach
entered the field left these family
therapists unimpressed. Catherine learned that twenty
or so years before, psychodynamic
therapists criticised systemic therapists much in the
same way as systemic therapists were
now criticising the narrativists. As Hugh and Maureen
Crago (2000), the editors of ANZJFT
put it, "Narrative therapy today, like systemic
therapy then, can be pilloried for its insistence
that it alone has 'the answers', for its apparently
arrogant attitude of 'Why bother with other
approaches when I can learn more about narrative?" for
its disdain of history, and its
sureness that it owes little or nothing to other
therapeutic traditions" (iv). If this was the
position certain narrative therapists had adopted then
Catherine was not surprised that any
implication that this project should have a Narrative
Therapy basis might disturb group members.
In this way, some group members were moved to
say,
"The Narrative Therapy model is only one model for
therapeutic change"
and
"If this requires us to take the Narrative
[Therapy] approach to the narrative then I am
not
comfortable with it";
and
"The struggle is finding a way that suits your style,
your way of working. I must say the
narrative stuff is a huge struggle for me."
Cecchin (1992) had said "I believe a social
constructionist therapist may, at different
moments, follow many different leaders, but never
obeys one particular model or theory. He
or she is always slightly subversive towards any
reified 'Truth'" (93). Catherine believed this
group saw themselves, similarly, as 'social
constructionist' therapists.
338
ALLEGIANCES
She took a slightly different view towards Narrative
Therapy, but she thought this probably
related to when she entered the field of family
therapy- the 1990's. She felt the need to get
to know a model that philosophically appealed
thoroughly, so that later, she could adapt the
model to her own unique personality. Catherine
suspected that some of the research group
members had originally been 'apprenticed' to Family
Therapy with predominantly one
model, the 'strategic' model of therapy (Tom Paterson,
personal communication) and now
each practised their own unique style that
incorporated many different influences. She had
chosen the Narrative Therapy model as a guide to her
family therapy work because she
found the revolutionary idea of locating the problem,
not in the person or in the family
relationships, but in the problem, inspirational and
compassionate. 'Externalising' as it was
coined, she could see, freed the therapist and client
alike from the need to apportion blame
and offered an invitation to learn something different
and so change patterns of behaviour.
The idea, also advocated, of positioning herself, the
therapist, not as expert knower of a
family's life but as a co-explorer with the family of
their lived experience, was important
(Bird, 2000). Focusing on lived experience and how
people make sense of their lives and
how this influences interpersonal interactions and the
direction of people's lives, rather than
the interactions between family members per se, was
why narrative therapists did not see
themselves as systemic therapists.
To her mind the recognition, too, of the potential for
dominant discourses to limit and
control people's lives, and to influence people's
perceptions of reality, to rob them of their
ability to find solutions were, in the form of
re-authoring therapy, powerful intervening
tools for a therapist. In addition, she valued that
narrative therapists, strongly influenced by
the feminist movement, recognised and made a concerted
and ongoing attempt to make
transparent the powerful position of the therapist in
a client's life, and challenged her to
locate herself (politically and socially) in front of
her clients. But principally, it was that
Narrative Therapy was unique in the field in adopting
the idea of 'audience to change', that
clinched it for her. Its innovators stated that "if
one looks at agency as a resource that is
3399
distributed by others- being granted the right to
speak- then what others think of oneself
must be taken into account; it is not sufficient
simply to change one's picture of oneself
privately; one must in addition have a convincing
picture to show others" (Epston, White,
Murray, 1992: 111). And they found demonstrable ways
to implement this in the therapy itself.
For Catherine, this idea of inviting audiences to
change, through creating an archive,
would be an important aspect of the project.
Both /And
That said, Catherine was thinking that in the end the
most important aspect of the
therapeutic models were their ability to free people
of painful and distressing problems. Her
interest in Narrative Therapy, and indeed in this
research project, was far more about a
desire to improve her practice and understanding, to
better help her clients, than it was to
enter into a debate about the relative merits of
differing models.
After dialogue and reflection about how the aims of
the project might be incorporated into
each of the group members' unique style, they
concluded that what would be most
interesting would be to remain open minded about the
ways they might approach the
gathering and circulating of the wisdoms. As C. put
it,
"We are saying we are not being prescriptive. The
Narrative way is one way, it is an alternative,
one way to do it. My belief is that we are always
asking questions from a particular framework,
whatever that framework is. If it is a Narrative one
it will lead to 'Narrative' kinds of narratives
and if it is another it will be a curious- tell me
more kind of narrative, reflecting the framework
of the therapist involved".
40
GERMINATION
"This question the Dodo could not answer
without a great deal of thought, and it sat for a long
time
with one finger pressed upon its forehead
while
the rest waited in
silence. At last the Dodo said
Why
the best way to explain it is to do
it.
(And as you might like to try the thing yourself, some
winter day, I will
tell you how the Dodo managed it.)"
(Carrol 1866: 33-4)
THE
GETTING
AND
GIVING
OF
GETTING OF WISDOMS
"Do you know what this means, when no one
cares?
When no one knows who you are? When there is no longer
any warmth?
There were times when I was overcome by a panic, by
the thought that here,
in this wilderness, I would perish; and my tales would
perish with me.
I would be buried in an unmarked grave. No one would
ever know what I had gone through."
(Zable, 2001:84)
Some of the experiences Catherine and Nicky had had
early on, in the initial stages of the
research, brought a realisation that the writing down
of the story could have important and
sometimes dramatic effects. Catherine, for example,
remembered interviewing a woman who
had had years of therapy after enduring a childhood of
severe sexual, physical and emotional
abuse. Despite the years of therapy, Catherine was
struck by how difficult it was for this
woman to tell her story. Yet, even though full of
apprehension, she insisted that this was a
good thing for her to do. Catherine had listened to
her story for an hour and a half. The next
day when she rang the woman to follow up on the impact
of the telling, the woman told
Catherine that when she walked outside after the
interview she had been so overcome with
intense emotion she had reeled and had to cling on to
a tree for support. However, she told
Catherine, "I am really glad I am doing this".
When Catherine related this experience Nicky reflected
that,
"As a therapist you are left with a huge sense of
responsibility, we are asking this of this
person...it is quite scary." The woman then took the
tapes away and eventually sat down and
wrote a version of her story based on what she spoke
about in the interview. At the end of
it all she wrote to Catherine saying,
"This is such a powerful learning and healing
experience for me. Thanks for the opportunity,
space and safety."
So they were eager to learn more. Did therapists need
to be doing this with their own
clients so that their clients would be protected? What
are the possible impacts on the person
of having th |