Becoming A Postmodern Therapist
Becoming A Postmodern Therapist
Becoming A Postmodern Therapist
Part I
Harlene Anderson
Taos Institute
ABSTRACT
The development of practice and theory are a reflexive process. Here, I share my journey
toward a collaborative practice and a postmodern theory. My narrative of
transformation begins with a glimpse into the traditions from which my journey began
and pauses where I find myself at this time. My narrative is offered in two parts: Part I
describes the shift in practice that evolved out of my clinical experiences. Part II will
describe the shifts in theoretical biases and my current philosophical stance.
This narrative, as does all narratives, occurs with a context that I think of as my
knowledge system. The system has ebbed and flowed with inspiring and
challenging colleagues, clients and students whom I have met around the world.
Many of these people have been associated with the Houston Galveston Institute
(HGI) at one time or another. (Since many of the ideas and practices developed
within HGI, those readers interested in learning more about this knowledge
system are referred to Anderson, 1997 and Anderson, Goolishian, Pulliam and
Winderman, 1986.) Thus, in this narrative because I believe that all creations are
communal, and to acknowledge the presence of Harry Goolishian in these
creations, I shift between I and we.
I was introduced to family therapy in 1970 when I joined the Children and Youth
Project in the Pediatric Department at the University of Texas Medical Branch in
Galveston, Texas. Shortly after arriving I heard of Harry Goolishian, a
psychologist in the Psychiatry Department who was doing something-called
family therapy. Because Harry and family therapy were mentioned with such
enthusiasm and reverence, I wanted to meet him and know about his work, not-
knowing at the time how my curiosity would influence my professional future. So,
I attended a family therapy seminar where I immediately caught Harry and his
colleagues’ enthusiasm for family therapy. In retrospect, I had found something
that I had been searching for even though at that time I was not aware of my
search. Later, I also realized that I had stepped into the middle of one of the
pioneering efforts in family therapy—Multiple Impact Therapy (MIT). I want to
provide a brief overview of MIT because in my version of the history of my
current work, I trace some of its threads back to MIT
I have often thought that MIT was an approach ahead of its time. That is, as I
reflect on its key characteristics, I could be describing a contemporary theory and
practice.
• The team valued the importance of the individual and their relational
systems.
• Team represented a concept broader than numbers of therapists in a
therapy room or behind a mirror.
• The team believed that human creativity and ingenuity were boundless.
• The team’s role was to mobilize the resources of the family and
community members rather than to be the resource expert.
• The team believed in the importance of self-reflection and self-change,
and in learning together with the family.
• The team valued a multiplicity and diversity of voices.
• The team believed that it was important to understand a different point of
view rather than dismiss or judge it.
• The team valued each other openly probing and analyzing team members’
views in front of the family.
• The team valued live training and supervision with trainees working along
side professionals and equally participating.
Like other early pioneering family therapies MIT developed out of clinical
experiences and familiar psychotherapy theories and practices inability to meet
the demands faced by clinicians in their everyday practices. And, also like other
early efforts, the theoretical explanations about behavior and therapy came later
as clinicians searched to describe, understand and explain their work. Of course,
although early MIT team members were talking about multiple realities, multiple
relationships and so forth, they did not have the theoretical vocabulary for
descriptions. And, although I can trace some threads of a postmodern
collaborative back to MIT, the associated notions of language and knowledge
were not part of the then theory and practice.
The MIT approach, however, was part of an emerging paradigmatic shift on the
edges of the field of psychotherapy. The shift represented a move from viewing
human behavior as intrapsychic phenomena, to seeing it in the context of
interpersonal relationships, namely the family. Family therapists adopted various
systems theories as their explanatory metaphors. The family became the
relational system that was the chief subject of inquiry and explanation for an
individual’s problem. And, of course, this shift not only influenced psychotherapy
theory but also the professional education of therapists.
MIT gained recognition nationally and internationally and granted what had
become known informally as the Galveston group a reputation for continually
challenging tradition and being on the edge. When I met the then Galveston
group the MIT format had continued as a practice with initial referrals and as a
consultation with treatment failures. It had developed into an everyday family
therapy practice in which teams of therapists met with families and significant
others on an ongoing basis. And, it remained a mainstay for training therapists.
Intertwined with the MIT and everyday family therapy practice was an interest in
learning, using and teaching the various family therapy theories that were
developing around the States. We were particularly drawn to the theories and
practices of those following and expanding the legacy of Jackson at the Mental
Research Institute (MRI) and their radical move away from the traditional therapy
methods that focused on "teaching the client the therapist's language" toward the
therapist learning the client’s language. Historically, this interest in learning and
speaking the client’s language (metaphorically and literally) proved pivotal in the
shifts that occurred in our clinical experiences and the subsequent use of new
theoretical metaphors.
An Interest in Language:
We became genuinely immersed in and inquisitive about what our clients said.
We spontaneously became more focused on maintaining coherence within a
client's experience and committed to being informed by their story. That is, we
less and less tried to make sense of our clients’ stories, making them fit our
therapists’ maps. Rather, we were absorbed with trying to understand the sense
they made of things and their maps. Consequently, in this effort to learn and
understand more about what they said—i.e., their stories and views of their
dilemmas--our questions began to be informed by what was just said or what we
later described as coming from within the local conversation rather than being
informed from outside by preknowledge.
For instance, each had their own description of the problem and its solution, as
well as their own description of the family and therapy. There was no such thing,
therefore, as a problem, a solution, or even a family for that matter. Rather there
were at least as many descriptions of these as there were system members. We
were fascinated by these differences in language, including the differences in
descriptions, explanations and meanings attributed to the same event or person.
We had a sense that somehow these differences were valuable and held
possibilities; therefore, we no longer wanted to negotiate, blur or strive for
consensus (i.e., seek inga problem definition or an imagined solution). We
wanted to maintain the richness of differences.
We listened differently. Our intense interest in each person and in each version
of the story found us talking to each person one at a time in a concentrated
manner. We discovered that while we were talking intensely with one person that
the others seemed to listen in a way that we had not experienced before. They
listened attentively and undefensively, seeming eager to hear more of what the
other was saying, being less apt to interrupt, correct or negate the other. We
understood this as twofold. First, we conveyed in our words and actions that we
were sincerely interested in, respected, gave ample time and tried to understand
what each person said. Thus, the teller did not have to work so hard to try to get
us to understand or convince us of their version of the story. Second, the familiar
story was being told and heard differently than before. The content was the same
but somehow the pieces were assembled differently; they newly fit together in a
way that people had an altered sense of their experiences and each other. We
did not purposefully try to influence their stories, their sensemaking. New ways of
understanding their life struggles and relationships, for them and for us, seemed
a natural consequence of this new way of talking and listening.
We learned and spoke the client’s everyday ordinary not our professional
language. When we talked about our clients outside the therapy room we
identified them by their self-descriptions and shared their self-told stories as they
had narrated them to us. For instance, in hospital staffings or school
consultations we described our clients and told their stories in their words and
phrases. In doing this we found that we were using clients’ everyday ordinary
language rather than our professional language.
Telling our clients’ stories as they had told them to us captured the uniqueness of
each client, making them and their situation come alive. Students often
commented that clients no longer seemed like look-alike classifications (known
visions produced by professional descriptions, explanations and diagnoses) that
overlooked their humanness. The sameness that dominated from professional
language receded and the specialness of each client emerged. Consequently,
this different way of talking about and thinking about our clients in their ordinary
language not only made clients more human but brought forward the therapist as
human, leaving the therapist as technician behind.
We were more aware of the reflexive nature of our practicing and teaching. We
were influenced by our students’ voices—their remarks, questions and critiques.
Their voices forced new ways of thinking about, describing and explaining our
work. Students often commented on the positive way we spoke about our clients.
They described our manner and attitude as respectful and humble. They were
amazed at our excitement about each client and clinical situation. They were
astonished that we in fact seemed to like those clients whom others might deem
socially detestable. They were surprised by how many of our mandated referrals
not only came to the first session but continued. They were puzzled that our
therapy looked like "just having a conversation." In an effort to describe our
approach to therapy, a student once wondered, "If I were observing and did not
know who the therapist was, I wonder if I could identify them?"
We were going public and hierarchies were dissolving. These combined clinical
experiences and our conversations with others about our experiences influenced
our teamwork and teaching. For the most part family therapy teams are
organized in a hierarchical and dualistic manner. The team members behind the
mirror are attributed a meta-position where they are thought to able to observe
more correctly and quickly--as if they are "real knowers." The mirror is thought to
give the members protection from being swooped up in the family's dysfunction,
faulty reality or emotional field. The team members talk privately and come to a
synthesis of their multiple voices—their hypotheses, suggestions, questions or
opinions--and funnel what they believe to be the most fruitful consensus
conclusion to the therapist and the family. What is taken back to the client is
preselected by a team and therapist and looses the richness of the multiplicity of
views. Whether a therapist is involved in the discussion or not, the therapist is
often merely an implicit or explicit voice of the team, a carrier of their meta-view
that will influence subsequent actions and thoughts in the therapy room.
We began to realize how much of the richness of diversity was lost when we
preselected what clients should hear when clients began to be inquisitive about
the teams’ messages. In some instances clients demanded to meet the team
"face-to-face" and hear what each of them had to say. Sometimes, clients stood
up, facing the mirror, pointing their fingers and talking to the team behind it.
Baffled and thinking perhaps we needed to more clearly deliver the teams’
words, we experimented by writing every thought, question and suggestion so
that a therapist could take these into the therapy room. This not only proved
timely and cumbersome, but often the client still wanted to talk with the team. So,
we sent the team into the therapy room so that each member could offer their
ideas in person and then return to the other side of the mirror. The clients still
had questions. So, we next encouraged the client and therapist to talk with each
other about what they heard the team say. We were surprised with what each
person was most occupied by or ignored and what each liked or disliked. We
were fascinated by the conversations they had, how together the client members
with each other and with the therapist puzzled over the team’s offerings and we
were impressed with what they collectively did with what they heard.
The therapist was no longer an agent of the team who hid behind the mirror and
no longer had privileged access to the team’s thoughts. Neither the team nor the
therapist chose what could be heard. The therapist could now genuinely and
spontaneously puzzle with the family about what they all heard together. This led
to a growing sense of openness and unity between the team, therapist and
family. Family members and the therapist felt free to ask a team member for
clarification or to disagree with them. This began to make all thoughts more
public and to collapse the artificial professionally imposed boundaries between
team members, therapist and family.
These early, and subsequent, shifts in our clinical experiences not only
influenced the way that we began to prefer to practice but also compelled us to
search for more suitable metaphors to describe, explain and understand these
experiences. We purposely explored and sometimes serendipitously bumped into
theories of biology, physics, anthropology and philosophy. These included the
notions of chaos theory, randomness, and evolutionary systems, structure
determinism and autopoiesis, constructivist theory, language theories, narrative
theories, postmodern feminist perspectives, hermeneutics and social
construction theories. In Part II I will discuss how these notions influenced how
we came to describe, explain and understand our clinical experiences. I will
discuss which of these theories and related premises remain in the forefront and
the implications of our new views of the notions of language and knowledge
changed and gained prominence.
References
MacGregor, R., Ritchie, A.M., Serrano, A.C., Schuster, F.P., McDanald, E.C. &
Goolishian, H.A. (1964). Multiple Impact Therapy with Families. New York:
McGraw-Hill.
DRAFT version of:
PART II
Harlene Anderson
Taos Institute
Abstract
The development of practice and theory are a reflective process. Here, I share
my journey toward a collaborative practice and a postmodern theory. My
narrative of transformation begins with a glimpse into the traditions from which
my journey began and pauses where I find myself at this time. Part I described
the shift in practice that evolved out of my clinical experiences. Part II describes
the shifts in theoretical biases along the way to my current philosophical stance.
I trace the evolution of the approach in a historical context and hope to alleviate
any misunderstandings that my colleagues or I simply woke up one day and
decided to be postmodern and collaborative. And though the journey took a
meandering path, I present the theoretical developments in a sequence, the
influences sometimes overlapped, intertwined, or faded away. Colleagues who
participated in this journey will each have their unique version and highlights of
this story. The journey has been exciting; I hope I convey the enthusiasm and
energy as well as the creative and rebellious nature of the people and the work.
Much of this story could not have occurred without Harry Goolishian: his
leadership, his intellectual curiosity, his humor, his rebelliousness, and his
humanness, and his ability to inspire others. I dedicate this account to Harry
Goolishian in honor of the tenth anniversary of his death.
Threads of a Tradition
members of the family are invited to outline in their own words the nature
of the immediate crisis and their views . . .the patient is invited to
participate in this recapitulation and to make needed corrections; and the
notion of reflections as a team member "responds to this summary by
reflecting (p.6).
Team members were aware that their way of being with families might be
different from previous experiences with other professionals saying, "Most
families are unaccustomed to this to this novel interchange" (p. 6).
The team’s assumption concerning problem formation and resolution was not
unlike that developed by other family therapy theories. Symptom development
was conceptualized as collusions across generational boundaries that limited
communication and forced members into repetitive roles during stress that were
incompatible with natural family growth and transitions. The symptom was
characterized by the problem requirements of the developmental period in which
the collusion occurred. The team’s role was to "temporarily interrupt the arresting
forces in the family by participating in family communications as a healthy model
of interpersonal interaction which showed particular respect for the family’s
problems and defenses" (MacGregor, et al., p. 10). From their experiences, the
team found that interruptions in family members’ interactions and the subsequent
change occurred in a brief sequence of therapy and was sustained, as the family
relied on their newly discovered inner resources, knowing more where to turn in
its own community: "[T]he growth potential of family members. . .would yield
further improvement during extended periods of living, without therapeutic
supervision" (MacGregor, p. 10). Interestingly, the team did not think that they
empowered the family but instead helped them find and use their inherent
potentials.
The team’s practice evolved as they reflected on it and learned from its
anomalies, a process characterized by curiosity, flexibility, and change:
"Sometimes their [the team’s] method fails; at other times it prepares the way for
different forms of therapy. And, the "method" itself is constantly undergoing
change. Flexibility of pattern is a principal characteristic. The basic notion allows
for all manner of variation" (MacGregor, p. x). As I mentioned in Part I MIT
evolved into an everyday family therapy practice, with teams meeting with
families and mostly using the MIT format for consultations stuck clinical
situations, and teaching.
Theoretically, MIT and the family therapy practice that evolved from it continued
on the backdrop of the two dominant, fundamental, and intertwined principles
that first organized family therapists’ thinking: a negative-feedback, homeostatic
cybernetics systems theory and an order-imposing, hierarchically layered social
systems theory. The principles mechanistically described and explained a human
system as an assemblage of parts whose process is determined by its structure.
Both principles brought to family therapy that which distinguished it from most
psychotherapy theories: a contextual systems paradigm. People live and
experience the events of their lives in interactional systems. Problems, in this
view, become social phenomena whose development, persistence, and
elimination take place within this interactional arena rather than characteristics or
properties of individuals.
The Palo Alto colleagues turned first to cybernetics theory for a language to
describe family interaction. Families, as cybernetic-like energy and feedback
systems, were considered a kind of servomechanism with a governor that
protected the norm and prevented change. The symptom made sense only
within, and as an expression of, the total family context. It no longer represented
an individual disturbance, but a signal that a family was having difficulty meeting
the demands of stress, change, or natural transition points--difficulty, that is, in
moving toward greater complexity. The meaning of the symptom was related to
the family system's structure and functioned to maintain the present system's
homeostasis: its status, structure, and organization, its stability, continuity, and
relationship definition. This cybernetic metaphor was basic to understanding both
healthy and pathological family organization.
Interestingly, although the MIT team studied and was strongly influenced by the
Palo Alto group and their introduction of cybernetics (first-order cybernetics), the
team early on expressed disagreement with the notion of homeostasis. They
found it "does not embrace the aspects of growth that have to do with the
emergence form the family matrix; nor does it adequately cover the therapeutic
mobilization of self-rehabilitative processes" (McGregor et al, 1964, p. 9). Yet, it
would be years later when the Galveston group (Dell, 1982) and others like
Hoffman, Maruyama, and Speer, strongly challenged the principal and
contradiction of homeostasis. If families, like other living systems, were unable to
avoid growth and change, then this was contradictory to the cybernetic notion of
homeostasis, a contradiction that had been veiled in the belief that the slow
movement or stuckness often seen in families was the pathology.
My Entrance
When I began studying with the Galveston group they were interested in
communication and language, inspired by the Palo Alto colleagues Watzlawick,
Beaven, and Jackson's Pragmatics of Human Communication. Pragmatics was
the colleagues’ first effort to pull together the Palo Alto developments and fully
articulate their interactional view: Communication influences human interaction
and all behavior is communication. The effects of communication and behavior
are a communicative reaction to a particular situation rather than evidence of the
disease of an individual mind. That is, communication becomes the social
organization and symptom development becomes the way a family member
indulges in the self-sacrifice required to maintain family stability without
undergoing organizational change. Earlier, Jackson (1965), drawing on Bateson's
ideas about learning theory and communication theory, asserted that every
utterance has a content (report) and a relationship (command) aspect; the former
conveys information about facts, opinions, feelings, experiences, and so forth.,
and the latter defines the nature of the relationship between the communicants."
For Bateson, this relational and communicative context is essential to the
meanings that we give words and actions. Perhaps this idea was an early seed
of the collaborative approach’s supposition that relationship and conversation
going hand-in-hand.
We always wanted to meet and talk with the authors first hand, inviting them or
going to see them, introducing our colleagues to them by including them in
national and international conferences. Bateson consulted with the MIT project;
early on Weakland, Watzlawick, Hoffman and others came to do seminars; later
we invited Boscolo, Cecchin, Keeney, Laing, Penn, and von Foerster among
others; and some traveled to MRI and various seminars. We have had sustained
relationships over time with conversational partners and kindred spirits Lynn
Hoffman and Tom And ersen. Lynn always—and still does--asked questions and
made comments about our work and had a knack for words that pushed us to
think deeper and to clarify and amplify our thoughts. It was from Lynn that I
learned to think carefully about the words that I choose to articulate a meaning
that I want to convey; for instance, choosing "collaborative" instead of
"cooperative" or "public" isntead of "transparent." Tom was--and is—endlessly
challenging and innovative, and we felt like he was a kindred soul "out there" with
us in what could be an exciting but lonely place when you are questioning others
beloved traditions. From Tom, I learned to value humility. We found large
conferences seldom provided the space for the kinds of intimate conversations
that we liked to have with others. So, we, inspired by a conversation between
Lynn and Harry, created forums where participants from around the world self-
organized, talking in small conversational clusters about topics of interest to
them. It was at the first of these in 1988 that Harry publicly articulated our leaving
behind second-order cybernetics and constructivism and the new sense that
language made to us: Our lives—e.g. events, experiences, relationships, and
theories—are simply expressions of our socially constructed language and
narratives; and agency is the transformation of our language and narratives into
action. We also presented and tested out our ideas at numerous workshops and
found, as I still do, that these were an important context for shaping and clarifying
our evolving ideas.
In particular, we intuitively felt a fit with the works of physicist Ilya Prigogene and
biologist Humburto Maturana. Prigogene’s theory of "far-from-equilibrium"
systems and "order through fluctuation" called "dissipative structures" proposed
that to maintain stability systems must constantly change. He also proposed, as
did some other scientists and philosophers, that reality, and therefore change, is
multidimensional and does not result or arise from a pyramid-like foundation.
Instead, reality evolves in a non-hierarchical, web-like nature with the web of
descriptions becoming more and more complex. Maturana’s "autopoiesis" theory
suggested that systems are self-organizing and self-recursive: "the product of an
autopoietic organization is always the system itself" (Dell & Goolishian, 1981, p.
442). Wanting to meet the sources and gain a better understanding of their work,
we invited Maturana to spend a week with us; George Pulliam, Harry, and I drove
to the University of Texas in Austin to spend a day with one of Prigogene’s
associates. We began to write about these new vocabularies, how they fit with
our clinical experiences, and consequently, provided alternative ways to
understand human systems and our work with them (See Anderson, Goolishian,
Pulliam & Winderman, 1986; Dell, 1982,1985; Dell & Goolishian, 1979, 1981a,b).
Harry challenged the relevance of the hierarchically layered social systems view
to family therapy describing it as an "onion theory" (Goolishian, 1985). Like the
layers of an onion, from its core outwards, the individual is encircled by the
family, the family by the larger system, the larger system by the community, and
so forth. Each layer is subordinate to and controlled by the surrounding layer in
the service of its own requirements--for maintenance and order. In this view,
social systems are objectively defined and are independent of the people
involved and of the observers. This onion-like, cybernetic-like social theory
contextualizes behavior, naming what should be fixed—the social structure and
organization—and thus supports the notion of psychopathology. In this
framework, a problem is caused by the system superordinate to the deviant one.
And, when relationships are considered nested and based on role and structure,
the duality of the individual and the individual in relationship (i.e., with the family)
is maintained. Interestingly, early MRI theory denounced the family role concept
in favor of family rules because role is individual in origin and orientation and
suggests a reliance on a priori theoretical and cultural definitions that exist
independently of behavioral data, and therefore, no allowance is made for the
relationship. This implies that the therapist is an independent external observer, a
knower or expert hierarchically superior to the system. Therapy informed by this
view risks bumping the container of the pathology up a level, for instance, from
individual to family or family to social agency. Either punctuation, however, still
denotes pathology and places it within a system.
In our practices, dating back to the original MIT, we included members of the
clients’ larger family, social, and professional system in therapy (Anderson &
Goolishian, 1981). We did not think about this practice theoretically, however,
until we began to realize how pejorative and blaming family therapy had become
regarding families and their fellow professionals. Harry used to say "everyone is
in love with family therapy except families." The realization that family therapy
often simply bumped the level of blame led to questioning the onion theory and to
developing an alternative way of understanding broader familial and professional
contexts and their relationships to therapy. Others (e.g. Auerswald, Hoffman &
Long, Imber-Coopersmith, Keeney, and Selvini-Palazzoli and colleagues)
explored these contexts, referring to them as the ecological system, the larger
system, the meaningful system, and the relevant system. Along the way as our
unique therapy approach continued to evolve, we studied and experimented with
developments by family therapists such as Minuchin, Erickson, and Haley. We
remained, however, mostly influenced by the MRI associates, especially the
notions of reality and language that appeared throughout their work. As Susan
McDaniel (personal communication, August 2, 2001) remembers from her 1977-
78 psychology doctoral internship and 1979-80 postgraduate fellowship,
When I first came to Galveston you and Harry were very fired up
about strategic ideas and paradox, and reacting against
psychodynamic thought. The piece that continued was the intense
interest in language. . .On my return the theorizing seemed less
reactive to the other schools [family therapy] or psychodynamic
work and was beginning to have more of its own integrity. The
common threads: respect for people’s strengths and the pathology
of paternalizing interventions. There are common threads
throughout the years, as if you tried on others’ thoughts and
eventually boiled it down more to the essence of what you think.
I discussed in Part I how "trying on" the MRI associates’ notion of speaking the
client’s language rather than teaching the client the therapist’s language
unpredictably began to transform our work, subsequently leading to new
theoretical interests and a new family therapy paradigm.
Lynn Hoffman (1981) referred to the new paradigm arising in family therapy from
these intertwined second-order cybernetic and constructivist metaphors and
those transported in from biology and physics by us and a few others as the
"evolutionary paradigm." The paradigm represented a continued movement away
from the concept of homeostasis and causation (both linear and circular).
Systems were viewed as evolutionary, non-equilibrium, non-lineal, self-
organizing, and self-recursive networks that are in a constant state of
discontinuous change. From this perspective systems are always in the process
of change; their change is random, unpredictable, discontinuous, and always
leads to higher levels of complexity: "This view of evolutionary systems
emphasizes process over structure and flexibility and change over stability" (Dell
and Goolishian, 1981, p. 442). As Harry and Paul Dell radically suggested,
applying these concepts to human systems implied that neither therapy nor the
therapist could unilaterally amplify one fluctuation over another or determine the
direction of change (Dell & Goolishian, 1979, Dell, 1982). In surrendering this
hierarchy and dualism, the therapist does not control the system; instead they
are an active part of a mutual evolutionary process. That is, a therapist cannot
intervene to determine the outcome or the "ongoingness" (Dell & Goolishian,
1981, p. 444) of the system’s evolution. And furthermore, as Bateson (1975)
cautioned, the word "change" is an epistemological confusion--a system does not
change. Change and system are observer punctuations; the observer is part of
each. This was the beginning of separating ourselves from the pragmatists in
family therapy who thought that they could change others and strove to do so.
The developments and curiosities in our theory and practice to date along with
Bateson’s various emphases on epistemology sparked an interest in the nature
of knowledge and the ways in which we know. We co-organized the pivotal
Epistemology, Psychotherapy and Psychopathology conference in September
1982 to explore the nature of the theories emerging outside the psychotherapy
disciplines that we believed held such a challenge, relevance, and a promise for
transforming understandings of humans and psychotherapy and that went
beyond the traditions of family therapy.
Also for Maturana, all living systems are autonomous--autopoietic systems. They
behave according to their structure, not according to their interactions with their
environment. They are structurally determined. A characteristic of such systems
is that they structurally couple, referring to the relationship between a system and
the medium in which it exits—more specifically, referring to the process of
existing. In this view lineal causality or instructive interaction is not possible: One
person cannot unilaterally determine another’s response, perception,
interpretation, or behavior. Information does not objectively exist; it is observer
punctuation. Each person or system uniquely interprets what appears to be
information. Information, like an observer, cannot influence a system in a
predetermined way. This view of lineal causality and instructive interaction fits
with Bateson’s notion that "change" is an epistemological error and our
experience that a therapist cannot be a causal agent or an agent of change.
Maturana’s notion of instructive interaction would help us make sense of a
difference that we were slowly beginning to experience in our clinical work.
Through learning and speaking the client’s languages "interventions" emerged
within the conversations of mutual inquiry and were therefore tailored to the
particular client and their situation. So, what we had been thinking of as
interventions were no longer such, but simply a product of the conversation (See
Part I). And, we soon to begin to think that families would do what they needed to
do if the therapist would just stay out of their way. The family would tap their own
resources and wisdom as proposed by the early MIT team’s notion of self-
rehabilitative potential.
Our interest in language continued and in the 1980s we moved from the realm of
science to philosophy, reading in cultural anthropology along the way. With effort
we read philosophers like Rorty and Wittgenstein and contemporary hermeneutic
thinkers like Gadamer, Habermas, and Heidegger among others. In one way or
another all challenged the notion of language and knowledge as
representational. All challenged the individual or knower as autonomous and
separate from that which he or she observes, describes, and explains and that
the mind can act as an inner mental representation of reality or knowledge. All
challenged that reality or knowledge is fixed, a priori, empirical fact independent
of the observer. All challenged that knowledge is conveyed in language or that
language can correctly represent knowledge.
Hence, came our ideas about the unsaid and the not-yet-said in therapy. We
placed emphasis on trying to understand the other person and learning about
their views, but experienced that in the participatory process of articulating a view
that views altered, new ones emerged, and some dissolved away—for us and
our clients. And, about this time we began to think that this process occurred in a
metaphorical space between us. Along with these new ways of thinking about our
clients and our work together came a lesson in uncertainty and a trust that the
process would lead to yet-known possibilities. Expertise as we had learned to
think about it and use it—content, narrative, or outcome expertise--was no longer
needed. The therapist is simply an expert in a process. Thus, the hierarchy and
dualism of therapy systems and relationships begin to collapse into more
egalitarian ones, and ones that bear more resemblance to everyday ordinary life.
In the end our clients were, as our MIT forefathers knew and as we began to say,
the heroes and heroines of their own lives.
Social Constructionism
Berger and Luckmann’s The Social Construction of Reality, around since the mid
1960s, suggested a relationship between individual perspective and social
process, and accordingly, the social nature of knowledge and a multiplicity of
possible interpretations. It would not be, however, until we started reading
Gergen’s (1982, 1985) version of social constructionism as well as others in the
same ballpark like Brunner, Geertz, Goodman, Harre, Polkinghorne, Sarbin,
Shotter, and Taylor that social construction caught our attention. Harry met
Gergen at an American Psychological Association meeting in the early 1980s
and returned even more inspired by Gergen’s ideas.
Through Gergen we met Shotter, inviting both of them, along with Tom Andersen
and Rachael Hare Mustin, to join us in our Narrative and Psychotherapy
Conference in Houston in May 1991. Shotter is influenced by the likes of Bakhtin,
Billig, Vogotsky and Voloshinov and through his writings he introduced us to their
ideas.and he helped us have a deeper understanding of Wittgenstein. Shotter
refers to his version of social construction as a rhetorical-responsive one. Shotter
is particularly occupied with the self-other relationship and the ways in which
people spontaneously coordinate their everyday activities with each other. He is
concerned with what it is like to be a particular person living within a network of
relations with others, a person positioned or situated in relation to others in
different ways at different times. He calls this self-other dimension of interaction
"joint action," saying "all actions by human beings involved with others in a social
group in this fashion are dialogically or responsively linked in some way, both to
previous, already executed actions and to anticipated, next possible actions"
(Shotter, 1984, p. 52-53).
In our clinical work, this new conceptualization of the individual fit with our earlier
experiences of trying to talk the family’s language. We found that we could not
learn a family’s language because families did not have a language. Family
members, however, did have a language and we could learn and talk within the
language of each member. And, the differences in these languages
Our ideas about narrative, self, and identity are influenced by numbers of authors
such as Beneviste, Bruner, Gadamer, Gergen, Harre, Rorty, and Shotter. From a
linguistic and social construction perspective, self (and other) is a created
concept, a created narrative, linguistically constructed and existing in dialogue
and in relationship. In this view, the self is a dialogical-narrative self and identity
is a dialogical-narrative identity.
The self in this view exists in language and is therefore always engaged in
conversational becoming, constructed and reconstructed, and shifting identities
through continuous interactions, through relationships (Anderson and Goolishian
1988a; Goolishian and Anderson 1994). We are always forming and performing
I. We are always as many potential selves as are embedded within and created
by our conversations. In this view identity and continuity or what we think of as
selfhood becomes maintaining coherence and continuity in the stories we tell
about ourselves. Inherent in this view a narrative never represents a single voice;
the narrator is an multi-authored polyphony self.
In this view since self, or I, does not exist outside of language and discourse,
there is no inner core or fixed tangible self. Critics often fear that this view loses
the individual, including individual rights and responsibility. To the contrary, the
individual and individual responsibility have a place of primary importance. The
difference is in how the individual and responsibility are conceived. As individuals
absorbed in others, as non-solitary selves, we are confronted more, not less, with
issues of responsibility. Critics also fear that socially constructed multiple self’s
result in a fragmented self. Hermans et al. (1992) response to this concern is that
"the multiplicity of the self does not result in fragmentation, because it is the
same I that is moving back and forth [my emphasis] between several positions"
(p. 28-29.
Confronting these notions of self further solidified our move away from thinking in
terms of causes, behaviors, and objects to focusing on the person, agency, and
action. This linguistic and dialogical path, this relational path, took us beyond the
view of narrative therapy as storytelling and story making and the self as the
narrator. It took us beyond the risk of the therapist being the expert who chooses,
directs, and edits--subtly or not--the story to be told, how it is told, and what
emerges from it.
In this narrative view, self is no longer the subject of the verb change; a client is
no longer a subject that a therapist changes. The purpose of therapy becomes to
help people tell and participate in their telling of their first-person narratives. The
therapist’s role is not to be an editor or expert on these narratives and choices,
but to participate in a dialogical process, remaining open to the unexpected
newness that emerges. In this process, self-identities transform to ones that
allow for self-agency, for varied ways of being in and acting in the world, and for
multiple possibilities regarding the life circumstances we sometimes think of as
problems.
The intent with which and the way a therapist participates in the narrating
process distinguish a postmodernist collaborative narrative perspective from
other narrative informed therapies. In this participation, striving for a relational
means of joint construction of the "new" narrative, a therapist must have an
awareness of and take care in the way they use language and the language
choices they make. The therapist must not be indifferent to their participation in
the conversation; they must have an awareness of and be responsible for their
contributions to the conversation and the meanings that they participate in
constructing and inventing. The therapist does not choose or direct the narrative
account that they think should emerge, does not privilege one account over
another, and does not determine which account is the truest or most useful.
Again, the therapist is not a narrative expert or editor. For instance, new
language may be introduced in an attempt to understand the client. That is, a
therapist’s saying back to a client exactly what they have said does not confirm
understanding. Understanding often requires offering what a client has said in
comparable terms, giving the client a chance to clarify, correct, or confirm the
therapist’s understanding. The intent of these therapist’s utterances would not be
to rewrite the client’s narrative. Interestingly though, in this process of client
telling and therapist learning something that Rorty talks about begins to happen
spontaneously: The familiar begins to be talked about in unfamiliar terms, giving
new meaning to the familiar. The intent of any therapist language (verbal and
nonverbal) is to facilitate generativity: Possibilities for new meanings, new
narratives, new self-identities, new agency, and new actions for client and
therapist. At the time of his death, Harry’s interest lay in the notions of narrative,
self, and self-identity (Goolishian & Anderson, 1994).
A Postmodern Umbrella
I am often asked, "Where are you going from here?" and "What’s after
postmodern?" I respond, "I don’t know." Postmodernism is still in its infancy in
regards to our broader intellectual and psychotherapy cultures. Unlimited
challenges and possibilities, and opportunities yet to be tapped to deepen and
broaden the postmodern perspective and its applications abound.
REFERENCES
Anderson, H., Goolishian, H., Pulliam, G., & Winderman, L. 1986. The Galveston
Family Institute: A personal and historical perspective. In D. Efron (Ed.),
Journeys: Expansions of the Strategic-Systemic Therapies (pp. 97-124). New
York: Brunner/Mazel.
Therapies 5:1-13.
Briggs, J. P. & Peat, J.P. 1984. Looking Glass Universe. New York: Cornerstone
Library, Simon and Schuster.
Dell, P.F. & Goolishian, H.A. (1981) An evolutionary epistemology for cohesive
phenomena. In Group Cohesion: Theoretical and Clinical Perspectives. H.
Kellerman (Ed.). Grune & Stratton: New York. P. 441-448.
Goolishian, H. 1985.
Hoffman, L. 1985. Beyond power and control: Toward a "second order" family
systems therapy. Family Systems Medicine, 3:381-396.
Jackson, D. 1965. Family rules: Marital quid pro quo. Archives of General
Psychiatry 12:589-594
Maturana, H. & Varela, F. 1987. The Tree of Knowledge. Boston: New Science
Library, Shambhala Publications.
Messar, S. B., Sass, L. A., & Woolfolk, R. L. (Eds.) 1988. Hermeneutics and
Psychological Theory: Interpretive Perspectives on Personality, Psychotherapy,
and Psychopathology. New Brunswick, NJ: Rutgers University Press.
Watzlawick, P., Weakland, J., & Fisch, R. 1974. Change: Principles of Problem
Formation.