Toward effective outcomes with persons, couples, co-parents, and families

Introduction: Effective Clinical Work
with Divorcing-family and Stepfamily Clients

p. 1 of 2

By Peter K. Gerlach, MSW
Member NSRC Experts Council

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The Web address of this two-page article is http://sfhelp.org/etx/intro.htm 

        Clicking any link in these pages will open an informational popup or new window, so please turn off your browser's popup blocker or accept popups from this non-profit Web site.

        This research-based, nonprofit Web site exists to...

  • provide clinical options to break the unseen [wounds and unawareness] cycle that is silently depleting our families, society, and environment;

  • improve the nurturance level of typical divorcing family and stepfamily systems, and...

  • reduce epidemic American divorce.

        This article introduces a series on effective professional counseling, coaching, and therapy with (a) divorcing, step, and other low-nurturance ("dysfunctional") client families; and with (b) typical survivors of childhood neglect and trauma - "Grown Wounded Children (GWCs)."  

        In these articles, "co-parent" means any part-time or full-time caregiving adult in a family. The "/" in re/marriage and re/divorce notes it may be a stepparent's first union. These articles for professionals are under construction.

        Before continuing, pause and reflect - why are you reading this article? What do you need?

+ + +

        I am an ex-engineer, trainer, educator, and a veteran eclectic family-systems therapist. I've special-ized in working with divorcing-family, stepfamily, and trauma-recovery (wounded) clients since 1981.This article introduces a modular series of Web articles for professional counselors and therapists and their trainers and supporters. It summarizes what I've learned about providing effective help to these multi-prob-lem clients.

        This series builds on an extensive web of articles, worksheets, and related guidebooks for anyone interested in (a) personal wholistic health and inner-wound reduction; and (b) effective thinking, communi-cating; grieving, and relationships. The series melds and adapts the ideas of many other theoreticians, researchers, and veteran clinicians.

        This two-page introduction provides...

        This series is written to typical student and practicing clinicians and their instructors, consultants, program designers and directors, employers, and evaluators. Most of the principles here apply to working with any family and raising the harmony and productivity of most human groups. Effective therapy with persons, couples, and families is a complex, controversial subject and process. Most of these articles are outlines, with links to more detail.

        You're welcome to download, link to, and/or cite any of these articles if you don't intend to profit financially. Please cite me as the author (Peter K. Gerlach, MSW), and this Web site (Break the Cycle! - www.sfhelp.org) as the source. If you wish to profit from these articles or guidebooks, please see this.  

Terminology, Premises, and Assumptions

        I suspect some of the ideas here are significantly different than what you were taught. To get the most from reading these articles, I invite you to choose the unbiased curiosity of a student as you eval-uate this model.

Terminology

        Review these terms to better understand what I'm trying to express. Also scan this lay glossary as a potential client resource.

Premises

        See how you feel about these core premises underlying this clinical model:.

  • All human behavior, including communication, is caused by the ceaseless instinctual drive to reduce current discomforts (needs). All personal and social "problems" are unmet needs.

  • Typical troubled relationships and families of any sort are stressed by five things, caused by an inherited [wounds + unawareness] cycle and a society in protective denial:

    • up to six significant psychological ("false self") wounds promoted by a low-nurturance  childhood; and...

    • adults' personal unawareness of their and others' primary needs, and the dynamic pro-cesses inside and between them; and adults'...

    • ignorance (lack of knowledge) of...

      • minor kids' wholistic needs, and effective-parenting fundamentals; and...

      • effective communication, and...

      • healthy three-level grief; and...

      • personalities and effective relationships, and...

      • basic spiritual needs - and for some, ignorance of...

      • stepfamily-system norms, basics, stressors, and developmental tasks; and...

    • incomplete or blocked grief in one or more family members; and finally...

    • little informed community and media help with these family stressors.

        Premise - These universal stressors will continue to promote widespread American family dys-function and divorce until the public, legislators, and human-service policy-makers understand and  accept the [wounds + unawareness] cycle, and act decisively to break it.

        This non-profit Web site and clinical model are based on other interrelated premises that stem from those above. Compare them to what you currently believe. The extent to which our premises match will determine how useful you find the ideas in these articles.

Assumptions About You

        These clinical articles are based on some guesstimates about you. See how well they fit...

  • you want to provide effective professional services to your clients, patients, and students;

  • you have - or are absorbing - basic training in human development, behavior, systems; "pathology;" and some version/s of the therapeutic (change) process;

  • despite your training and clinical and personal experience, many elements in this model will be new to you, and/or will challenge your basic beliefs.

  • you probably have significant false-self wounds that you may or may not (want to be) be aware of. If so, your false self will shape your reaction to this clini-cal model.

      A false self may cause you to doubt or  reject the core premise of normal personality subselves and related psychological wounds.

      If so, please read this letter to you, try this safe, interesting exercise, and read this real-life example of subselves at work.

  • the inevitable differences between our personal and professional backgrounds and experience will cause some dissonance between us. You probably don't have an equivalent to my training and 17-year experience in engineering and business, or years of training and experience in clinical hypnosis, com-munication, and internal family systems ("parts") work. I surely lack some of your experience and expertise.

  • If you have worked at personal recovery from childhood trauma as I have since 1987, your lear-nings and experiences will be unique in important ways. We probably have different mentors and clinical heroes, too. Finally...

        Pause and reflect - what are you aware of now? Can you tell if your true Self is guiding your person-ality now? If not - who is?

What's Different About This Clinical Model?

        This clinical model is based on 28 years' experience with over 1,000 Midwestern-US clients. It is the antithesis of short term, problem-focused therapy, and is a unique combination of these elements...

  • A strategic mix of couple + family + individual (intrapsychic) modalities. The general process focuses first on...

    • personal, couple, or family presenting (superficial) problems, then on...

    • gradually discerning and filling (a) unmet individual and couple primary needs and (b) improving problem-solving strategies; and then if clients are motivated, focusing on...

    • individual psychodynamic work toward client adults intentionally harmonizing their team of personality subselves under the wise guidance of their true Self and Higher Power.

  • A core goal of this clinical model is to raise individual clients' awareness of...

    • their personality subselves, the dynamics among them, and the results of these dynamics; 

    • the [wounds + unawareness] cycle and its toxic effects;

    • how and why to break this cycle, make wise courtship and child-conception choices, and prevent family stress and divorce; and increase awareness of...

    • how to distinguish (a) primary from surface needs and (b) things clients can and cannot control; and...

    • clients' and other people's current (a) thoughts, emotions, physical sensations; and (b) their long-term priorities and primary needs; and...

    • who is guiding any adult's or child's personality currently and chronically - their true Self, or a "false self" (other subselves).

    And this model also aims to raise clients' and clinical coworkers' awareness of...

    • the value in adopting a systemic view of their family, and learning how to evaluate their family system's structure; and... 

    • the nurturance-level of their family and other key relationships and organizations, and how clients can raise this level; and...

    • how to improve the internal and social process between subselves and people, and awareness of...

    • principles of effective communication, and seven learnable communication skills; and...

    • how to discern and admit...

      • significant losses (broken bonds) and what they mean,

      • the effectiveness of their personal and family grieving policies and practices; and to...

      • evaluate personal progress on grieving major losses (broken bonds) on mental + emotional + spiritual levels;

    and this clinical model aims to raise client's and co-workers' awareness of ...

    • significant adjustment tasks and stressors in typical divorcing families and stepfamilies, how to patiently reduce barriers to managing them effectively, and to patiently evolve a high-nurturance family system as a team.

      This clinical model proposes that all significant family role and relationship problems are caused by adult unawareness of the inherited cycle of psychological [ wounds + ignorance] of several key topics. The model emphasizes prevention over stress-reduction.


Key Implications of these Premises

  • This clinical model adapts the internal family systems model conceptualized by American psy-chologist Dr. Richard Schwartz and colleagues in the 1980s. This scheme builds on earlier theo-rists to propose that all normal child and adult personalities are comprised of "subselves" - dis-crete semi-autonomous entities with special talents and goals like the players in an orchestra or sports team.

Implication - the process between clinician and clients is inevitably shaped by the dynamic subselves of each person involved. If a clinician (a) is often guided by a false self, and (b) doesn't want to including intrapsychic work, effective clinical outcomes are unlikely.

  • This model is based on the premise that all human behavior and "problems" are caused by unfilled psychological + spiritual + physiological needs (discomforts). So typical clients need to learn how to...

    • discern their and other people's current primary (vs. surface) needs, and how to...

    • effectively fill their needs and resolve need-conflicts inside and between them, using mutual-respect attitudes and seven practical communication skills.

Implication - to be effective, clinicians must need to be (a) steadily aware of their own and their clients' current needs, and know how to balance, prioritize, and satisfy them.

  • Clinicians ents' personal and family "problems" (unfilled needs) can be avoided and resolved if client adults (a) admit and want to reduce their false-self wounds, and (b) become motivated to learn and apply these key topics in their lives and homes; and...

  • If clinicians and case managers don't flex strategically between family, couple, dyadic, and intra-psychic modalities with typical low-nurturance client systems, effective outcomes are less likely;.

  • This model proposes that (a) all people and families experience significant losses (broken bonds), and typial membes of low-nurturance families often are unable to grieve well.

    Implication - clinicians must have a healthy personal grieving policy, and thorough knowledge of (a) the three-level mourning process, and (b) how to assess clients' ability to grieve well. Otherwise, their professional service may be ineffective or even harmful. 

       Pause and reflect on what you just read. What are the main differences between these ideas and your current clinical paradigm for permanently improving clients' family-system functioning?

Main Clinical Topics

        To help you find what you need quickly, the articles in this series for professionals are modular rather than sequential. One inevitable tradeoff is some redundancy among the articles. Key topical areas here include...

  • Key personal and organizational requisites for effective clinical work with complex, low-nurturance client systems;

  • Articles on the therapeutic process with any person, couple, or client family; and... 

  • Articles on effective clinical assessment and intervention with typical...

    • divorcing-family clients (pre-separation, legally divorcing, and post-divorce)

    • courting (pre-legal) stepfamily clients (before cohabiting and remarriage)

    • committed (e.g. remarried, cohabiting) stepfamily clients

    • redivorcing stepfamily clients, and...

    • psychologically-wounded adults

Next - (a) how to best use these clinical articles, and (b) an overview of core problems with typical divorcing-family, stepfamily, and childhood-trauma survivors based on the [wounds + ignorance] cycle.

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Updated September 27, 2008