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

Introduction: Effective Clinical Work
with Divorcing-family and Stepfamily Clients
p. 2 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_etx.htm

Continued...

        The first page summarized my background, commented on terminology and basic premises in this series, noted key assumptions about you, and summarized unique elements of this clinical model. This page suggests how to best use this modular series of articles for professionals, and offers a preview of typical client problems.

How to Best Use These Clinical Articles

        This is an information-rich, modular, non-profit educational Web site for lay and professional visitors, based on my focused research and clinical experience since 1981. For perspective on why the site exists, see this. The modular design of the articles and site sections allows you to study selected parts of the clinical model. The more you read and integrate the ~150 articles in this site, the more sense they'll all make - specially if you try the ideas along the way.

        Four ways to get the most from these clinical articles (and this Web site) are...

  • do a "Self-check,"

  • clarify specifically what you want to gain by studying and integrating this model into your professional work and relationships,

  • study the core concepts that comprise the model with an open mind; and...

  • Imagine teaching your family members, clients or patients, students, and co-workers these ideas as you study them.

        Here's some perspective on each of these...

1) Is Your True Self Guiding You?

        The biggest potential barrier to your benefiting from these articles is that you may be ruled by a well-meaning false self without knowing it. Typical Guardian personality subselves that comprise a false self can include a Cynic/Doubter ("These ideas are too far out - forget it!"), an Impatient One and/or Driver/Achiever ("This is WAY to complex - we don't have time to read all this stuff!"), an Egotist ("I know all this stuff already"), a tireless Critic ("This guy is clearly a space cadet, and his ideas are wrong!"), and a Perfectionist ("Oy - I have to study every one of these several hundred articles to gain the knowledge I seek!")

        If subselves like these govern your personality now, you risk distorting the information here, skimming without understanding, misunderstanding, or giving up too soon. For more perspective, see this and return. Option: to see if your True Self is guiding your other subselves, compare how you feel now with this - honestly. If you're skeptical about personality subselves, please choose an open (nonjudgmental) attitude, and...

  • see which set of these behavioral symptoms best describes you recently,

  • read my three-page letter to you,

  • try this safe, interesting exercise - "interview" one of your subselves,

  • read this real-life case study of subselves affecting a couple and stepfamily, and...

  • scan this booklist for some of the many professional authors who have published articles and books about subselves over recent decades.

If you don't at least have an open mind about the reality of non-pathological personality subselves ("maybe they're real, maybe not..."), you'll miss the potential value of this clinical model to you and your clients, patients, and supervisees; and risk ineffective service to the people you serve and work with.

Status check - rank yourself now on a scale of one (I totally disagree that personalities are composed of semi-autonomous subselves) to ten (I'm absolutely convinced normal personalities are composed of a group of interactive subselves), I'm currently a ___.

        The second way you can get the most from studying these articles and ideas is to...

2) Get Clear on What You Need Here

        Premises - (a) you're investing time and energy reading this in order to satisfy one or more needs - i.e. to reduce some discomforts; and (b) most people are not practiced at discerning the primary needs that cause their current discomforts, and they focus on satisfying surface needs (symptoms). To gain a sense of whether this is true for you, experiment:

  • try saying out loud why you're reading this and may spend more time and energy reading other articles in this series and Web site.

  • Now read this three-page article on "digging down" to discern primary needs, and again say out loud why you're reading this. See if anything changes. Then imagine asking typical adult family-members, clients, students, and co-workers to try the same exercise...

If you aren't clear on what you're seeking now. I suggest you scan or study these clinical questions and/or introductory articles to help focus your search.

        To evolve and integrate a solid foundation for tailoring and applying this model in your family and professional work...

3) Review the Basics First

         I urge you not to skip the key premises underlying this model in order to solve current client (or personal) problems. The core interactive premises that comprise the model are outlined in these slide presentations and articles:

Note - if these slide presentations don't display properly, try viewing them with the Internet Explorer or Netscape browser.

        I suggest you adopt the open, patient, questioning mind of a student, and expect to spend several weeks growing an awareness of this mosaic of clinical concepts and tailoring them to fit your world-view and values. Then try validating the ideas in your professional work, and see if your clinical outcomes improve.

        Option - study these materials with one or more co-workers who are self-motivated to work effectively with divorcing-family and stepfamily clients and/or trauma recoverers. Ideally, you'll each accept that learning to treat these clients effectively as a long-term knowledge and skill-building process which will benefit from your co-workers' perceptions wisdom, and experience.

        Option - if you work in a group setting and most co-workers have a significant number of these complex clients, consider requesting an in-service series to help all of you - including supervisors, consultants, and program managers - expand your awareness and fluency with this mosaic of ideas, tools, and techniques.

Status Check - to see how well you understand these basics, invest time in these four quizzes. As you do, imagine how typical client adults and co-workers would do in answering the questions...

        Finally, I invite you to...

4) Imagine Teaching These Ideas to Your Clients

        Finally, if you and/or people you care about are separated, divorced, or committed to a stepfamily, use the ideas and resources in this site to work for you all personally. The many articles and worksheets here are integrated in a series of related guidebooks for lay and professional readers alike. My goal is to integrate these professional articles into a similar book for clinicians.

Preview of Typical Client Problems

        Typical divorcing-family and stepfamily clients seek counseling or therapy for a wide range of surface problems, but the primary problems that cause them are relatively few. In my experience, they are combinations of these:

  • The keystone systemic problem is one or more family adults has significant false-self wounds - and doesn't (want to) know that or what it means to them personally, maritally, and parentally.

  • Family adults (and therefore kids) are unaware of effective communication basics and skills, and cannot think and problem-solve effectively. They can't identify what they really need, because they  don't know what they need to know. Significant false-self wounds always amplify ineffective thinking and problem-solving among family members.

  • Because of their psychological wounds and unawareness, couples commit to the wrong partner, for the wrong reasons, at the wrong time. This inexorably causes escalating relationship and parental frustrations and conflicts over time, and cannot be undone. The most productive clinical option is to educate and motivate couples to make informed choices before they commit!

  • The family has ineffective or toxic anger and grieving policies, and one or more members are blocked in grieving major losses (broken bonds). This promotes a wide range of surface problems (symptoms) like "depression," rage attacks, social isolation, (some) obesity, and addictions - which usually cause a web of secondary systemic problems themselves.

  • Because of their wounds and ignorances, intact or separated co-parents are unable to adequately fill their minor kids' developmental and family-adjustment needs. This causes a wide range of personal and behavioral problems in the kids, and between kids and other people. Often adult clients need to believe one or more children is/are the problem, rather than admit their wounds + ignorances + a resulting low-nurturance family environment. Those that do admit the latter usually don't know what to do about them.

  • Depending on their developmental path and stage, typical stepfamily couples, ex mates, and kids have a web of additional systemic problems. These include concurrent surface conflicts over...

    • stepfamily identity + membership + norms (unrealistic expectations);

    • defining and stabilizing up to 15 alien stepfamily roles (e.g. step-uncle and step-niece, and half-sibling) and related relationship rules;

    • first and last names, and family-role titles ("Are you "mom," "my stepmom," Peggy, or "Dad's new wife?")

    • many values and loyalty (priority) conflicts and associated persecutor-victim-rescuer relationship triangles;

    • interactive co-parenting barriers between divorced parents and (often) their new mates.  

    • a web of concurrent alien  surface confusions and conflicts over child discipline, household responsibilities, visitations, custody, health, financial support, religion, adoption, changing homes, vacations and holidays, and education. Typical client adults and many human-service professionals focus on resolving these surface issues rather than the primary problems above.

        Premise - the effectiveness of any counseling or therapy with divorcing-family and stepfamily clients depends on the clinician's (a) qualifications and (b) ability to accurately assess each of these problems and intervene strategically to facilitate adult clients learning how to avoid and manage them. 

  Options

        What you do next with these clinical articles and ideas will depend on many factors. In general, I  respectfully suggest that you...

  • Honestly assess which subselves usually control your personality - in calm and stressful situations with your family members, clients, patients, students, and co-workers. Work toward having your true Self guide your other subselves in all situations.

  • Review and refine your definitions of...

    • what specific primary needs you're trying to satisfy via the profession and setting you've chosen; and...

    • your definition of effective clinical work. Can you say it out loud now?

    The clearer you are on each of these, the better able you'll be to gauge and improve your evolving professional success with the people you serve and work with.

  • By definition, effective clinical work promotes beneficial changes in client systems. Refresh and refine your understanding of why subself and family systems change or don't change. Then keep these timeless truths in mind as you live and work.

  • Commit to a self-education program on relevant aspects of this clinical model. At the minimum, I urge you to study all these slide presentations with an open mind. They offer many links to more detail on each topic. These core topics have personal and professional benefits.

  • Apply these ideas first to your family and most prized relationships, and note the results over time. Then apply them to your co-workers and the people you serve. Option - evaluate the nurturance-level of the organization you work in, and (b) how it affects your wholistic health and your professional effectiveness and satisfaction.

  • Invite your supervisor, consultants, and co-workers to consider and discuss the main ideas in this series of clinical articles. Premise - The more you all agree and practice your version of these ideas together, the higher your group nurturance level, clinical effectiveness, and personal and shared satisfactions.

  • Get clear on your choice to (a) help those you serve reduce these stressors in their families, (b) to  prevent the toxic effects of the [wounds + ignorance] cycle in families, couples, families, and your community, state, or society, or (c) work at both goals.

  • Review these common clinical errors and blocks relative to your work, and decide which - if any - you want to proactively reduce over time. Note who's deciding this - your true Self (capital "S"), or some other subselves.

        Pause, breathe, and reflect on your (dominant subselves') reactions to these options. Which appeal to you and which don't? Why?

  Recap

        This article introduces a series of Web articles and resources for professional counselors, therapists, life coaches, family-life educators, and the people who support them. The series is based on my learnings as a professional private-practice systemic therapist since 1981. These articles aim to expand your awareness of what you and your clients, patients, students, and colleagues need to (a) break the legacy of the [wounds + ignorance] cycle, and (b) raise your and their wholistic health and family and organizational nurturance levels and daily satisfactions.

        The article summarizes how this clinical model differs from others and how to best use the ideas in the series, and summarizes core problems that typical divorcing-family and stepfamily clients seek clinical help to solve. The article closes with specific suggestions about useful next steps, regardless of your unique personality, experience, professional role, client-mix, and situation. 

        Pause, breathe, and reflect - did you get what you needed from this article? If so, what do you need to do next? If not - what do you need now?

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Updated January 05, 2009