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Narrative Therapy Dissertation

 

Complete

The Getting & Giving of WISDOMS

Date 17 Feb.2004

A Dissertation by Kate Ingram, B.A. Dip. App.Sc.(Psychiatric Nursing);

Graduate Diploma in Family Therapy.

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.

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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.

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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