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dysfunctional

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degraded
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desired
despair
desperation / desperate
truly desperate
detached
determined
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disgusted
dishonest
disillusioned
dismal
disrespected
dissatisfied
distanced - distant
distracted
disturbed
distressed
doubtful - doubted
dysfunctional

 
nowhere within the emotional feelings network of sites is any opportunity for me to make any profit from any of the 28 + sites within this network. this network of sites has been put together as a personal mission to help others by informing those who need information concerning mental health, eating disorders, lifestyle factors, and every other topic listed within.

navigational hint: all underlined link words open up a new window instead of changing your present one, taking you to another site within the emotional feelings network of sites - or to another site referencing the underlined link word!

welcome to the emotional feelings, 4 website!

 It's very important that you visit the next page: keeping in touch!
 
Reason being: If you're here because you're searching for an answer to your feelings of dissatisfaction, unhappiness, feeling sick, or just general feelings of misery in your life - you need to find a volunteer opportunity that you feel comfortable with.
 
For a life changing listen - click here - it's truly life changing and something we all need to listen to. It does take some time to listen to Randy Pausch's Last Lecture, but you won't regret it.
 
You can help yourself by helping others. You might not think so; but it's true. Find something you can do to help some worthy causes. "Keeping in Touch" will show you some important causes that need you!
 
Why not just click here now to get it over with! So even if you leave this site after finding some information concerning an emotion or feeling... you'll also leave with the seed of thought concerning volunteer work that might produce some results bringing you a sense of accomplishment & find yourself feeling better!

Your dictionary definition of:
 
dys·func·tion·al
 
noun
Sociology. a consequence of a social practice or behavior pattern that undermines the stability of a social system.
adjective
(of a trait or condition) failing to serve an adjustive purpose; "dysfunctional behavior" 

 welcome...
 
i'm really glad to see you!
 
you've found your way to
 
the emotional feelings network of sites
 
"emotional feelings, 4"
emotions & feelings beginning with the letter "d"
 
What was once - (five years ago) - only
"anxiety understanding"
is now an entire network of self-help personal growth & recovery journey informational websites.
 
I welcome you to
"the homepage of emotional feelings, 4!"
which, if you read it thru to the bottom will explain what is included in the entire network of 28+ sites.
 
 
kathleen

5 years ago I was diagnosed with post traumatic stress disorder, depression & I was also experiencing an eating disorder that no one knew anything about; night eating.
 
While I was miserable in experiencing all the symptoms of post traumatic stress, an anxiety disorder & depression - which often accompanies anxiety disorders; I was overjoyed in finally finding out what was wrong with me!

Why would someone spend 1000's of hours designing & keeping up these websites to offer free information to others?

I have to reply - "You're absolutely right! It does take many, many hours each day to work on these sites. I'm a mother, a wife & an individual who has tons of personal work to do as well as the usual family responsibilities!
 
How would I find the time?
 
Why do I do it? I use the opportunity to combine my own recovery - personal growth journey with an important concept that I've made a commitment to:
 
"Helping yourself thru helping others..." 
 
I was so excited when after years of searching for the answer to my everyday question, "What's wrong with me?" that I felt determined to show others that if you don't quit & you know the path to take, you can find your answers as well!

My immediate concern was "mental health." While I didn't know what was wrong with me, I did have one medical specialist tell me that my physical pain was due to a "mental problem."
 
I didn't quite understand it all, I was wallowing in many different symptoms of mental illness like panic attacks, severe anxiety & finally my eating disorder symptoms of waking up numerous times in the night to eat.
 
Just as you may have seen recently on either public service television commercials for depression or in your doctor's office waiting room; mental illness can manifest itself in physical symptoms that include many sources of discomfort. I was also experiencing the symptoms of "irritable bowel syndrome," that had started early on in my life.
 
So I started with the mental health site that now exists within the network:
 
 
(be sure to read the following description)

I've reached a point in my own personal recovery & growth journey that I believe I can describe accurately most of the emotions & feelings within the emotional feelings network of sites without using any information from anyone else.
 
But since the ruination of the "extremely emotional" site - I had to stop & ask myself - remembering to be aware & mindful of what's happening in my present moment -
 
"Why did this happen to me?" (the unreasonable ruin of my site, of course!) 
 
or - Choosing to seek a positive return for a negative energy passing my way - what would the positive ramifications be of having to go through every single page of a network of 28+ sites to delete the links to my ruined site?
 
Geez... now that I think of it... I've asked myself that question quite a few times before... "Why did this happen to me?" & I searched & searched for an answer, wasting time & positive energy on something very simple... Life is what's happening. Just look to find the positive about it instead of the negative
 
This is what I am looking for now in all aspects of my life. I'm looking for the "positive" reasons things happen. I remember what I've learned from my past to be prepared to have to confront negativities with my re-gained "power & control" on my side now instead of the enemy; but I choose now to look upon the face of countenance instead of upheaval.
 
After pondering a few days on this subject, while going through every page of the emotional feelings site - here - to unlink all the emotion & feelings words "s" thru the end of the alphabet - I realized something magnificent.
 
"This is my opportunity to take the time to check ALL linked words to be sure they're being directed to the correct places. This is my opportunity to re-check spelling & grammar. This is my opportunity to try to express in my own words - the most meaningful knowledge I've recently acquired!
 
I'll write what I've learned about the whole cake, almost 6 years of growth - not just reveal a the first piece of the cake! - I still offer other author's works to explain situational inferences to emotions & feelings!
 
I'll try to the best of my ability to explain the importance of every emotion & feeling. I'm honored you chose the emotional feelings network of sites to visit!
 
kathleen

got questions? send me an e-mail now!

click here to send me an e-mail!

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welcome! to emotional feelings, 4!

 

after looking things over here at emotional feelings, 4, try out "the layer down under," (part of the emotional feelings network of sites) & read a special "i just gotta say it" column concerning porn addiction by clicking here! Be sure to scroll down towards the bottom of the right hand column to find it!
 
just another great suggestion... visit the homepage! you can read more about the emotional feelings network of sites there, as well as, a heads up about who is feeling what emotions within the network each month!

click on the box below to read my monthly column!

click here to read it now!

 
click here!  Bob Woodruff: Turning Personal Injury Into Public Inquiry click here!
 
I was personally very touched by this inspiring story as I watched it on television last night (2/27/07); especially after I experienced a life altering injury which took me 2 years to recover from.
 
What I want to ask you is...
If you can't help out with the helmets, below for our military men, can you volunteer or help our returning soldiers who are recovering with extreme traumatic brain injury?
 
Here are some links!
Check them out, I know that my family will be searching for a way we can help! Remember that those with traumatic injuries might develop mental health problems.
 
 
 

What is Operation Helmet?

Founded in 2003 by Dr. Robert H. Meaders whose grandson is an active duty Marine in Iraq, Operation Helmet is a nonpartisan 501(c)(3) organization dedicated to providing safer helmet pad upgrade kits to the troops in Iraq & Afghanistan. To date, more than 6,000 kits have been shipped to the troops in the field.

click this green line to visit the site!
click here!
keeping things organized!

How this site works best for you!
 
You'll notice that there are many underlined link words in each article below. The reason for this is that you have reached not only, "emotional feelings, 4," but the emotional feelings network of sites. There are many sites included within the network that'll be visited by clicking on these underlined link words.
 
The reason for this opportunity is very simple & yet you may be unnerved by all those underlined words! I've been in recovery from post traumatic stress disorder, depression & many other dysfunctional ventures & thru it all I've discovered that emotion & feeling work may be the missing link that many people miss when trying to find solutions to their problems.
 
Developing a sense of curiosity about why you feel the way you do, is essential in finding the solution you so desperately are searching for.
 
If you can't find what you came here looking for, visit the homepage for the emotional feelings network of sites by clicking above & read the options on the homepage for the networks index of sites. Try to be specific when looking for an emotion or feeling word & click on the site you need!
 
It's very simple & very interesting to follow your way thru the layers of your buried or stuffed emotions & feelings that have accumulated throughout the years!
 
when you've reached this point, or this website, you know you're making progress!!!! this part gets difficult because now is the time to look within & become emotionally honest with yourself!!!
 
Best of luck & if you're still stuck, send me an e-mail anytime, by clicking here & I'll be glad to send you an immediate personal response!
 
Sincerely,
Kathleen

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The following article may be difficult for some readers to follow or understand. It may seem to you to be a topic that you're not interested in. I've gone through this article several times and have picked up several important points that connect to daily life and some topics that can be applied to others I know and relationships that I have participated in. The reason I'm taking the time to explain this is that at first, I was tempted to overlook it, but it truly does have some very important points to ponder concerning dysfunction.

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Academic supervision and the dysfunctional family: The problem of critical distance

By Kathy Smith / Source site: click here

What are the criteria for successful Ph.D. supervision?

What makes a supervisory process successful?

Is it simply that a student attains a doctorate at the end of the process? Or is there more to it than that?

How can a student's intellectual development be facilitated?

It could be argued that a successful supervisory process facilitates not only the successful presentation and defense of a thesis but also the development of academic confidence:

  • a sense of self-awareness
  • a sense of being an academic (in terms of being capable of academic thought)
  • of an awareness of being able to produce work of a good academic standard
  • of being a part of an academic community

The supervisory relation is an extremely important one during this period of academic development:

the student looks to his/her supervisor for a reflection of what s/he is becoming.

If this part of the supervisory relation is lacking, it leaves an empty space which the thesis and its related texts cannot fill; and this space can be paralyzing in terms of the ability to enter into academic discourse outside that relation.

The process of supervision may be likened to that of the mirror phase in Lacanian theory (Lacan, 1992: 1-7; Moi, 1988: 161-2), in its role in the 'becoming' of the academic subject.

The perpetuation of the supervisory relation itself may be compared to the perpetuation of a family relation, where the supervisors take on the role of `parent(s)' to the student/'child', who later becomes a supervisor/parent him/herself.

In many instances this 'family relation' would appear to be a dysfunctional one; a consideration of the supervisory relation in terms of a dysfunctional family - its origins, implications and consequences - offers an interesting insight into a relation which is rarely discussed.

This article, as will become evident, is written not from within the discourse of theory of education (where, I understand, much has already been written on the subject of supervision) but from within literary and psychoanalytic discourses.

Whichever the discipline within which research students work, and whatever their experience of the supervisory relation, the experience of subjection to the process of supervision is one which is universal.

This article is a response to that experience, inspired by issues raised by the testimony of a number of students in several institutions; it is an attempt to articulate the problematic nature of the process, through a discourse other than that of theory of education, and to view an already identified problem from a different perspective in the hope of providing a fresh insight, another approach, a re-view.

The problem of critical distance within the supervisory relation is twofold:

the notion of the critical may be considered in the sense of criticism itself, but also as in distance which is critical or essential to success; too wide or too close can be problematic.

This notion of the critical distance, and how it is achieved (or otherwise), are considered here, through

(1) the notion of `academic family'

(2) the relation between the `academic family relation' and the `real family relation'

(3) the relation between the 'real' dysfunctional family and the development of the child/artist

(4) the role of the dysfunctional family relation in the development of the academic

It draws upon personal testimony from a number of sources, and on academic theory, in an effort to theorize the current nature of academic supervision, and to consider ways in which both students and supervisors may be empowered to improve upon it.

The dead butterfly

At the end of the last academic year one of my graduating B.A. students returned to talk to me. The conversation gradually came round to her experience of the last few months of the course, of a particularly difficult experience she had been through, and of my role as supervisor during that time.

She described her feelings on a particular occasion. I remembered that she had arrived feeling unhappy and unsure of herself; we had talked through an idea she was considering as part of a project she was doing, and she had left feeling more focused. She described the supervision, however, not in terms of the project or the practicalities. She described her feelings, likening her heart to a dead butterfly, with its wings flat on the ground; and she talked about my comments in terms of their making the wings of the butterfly move.

She wasn't speaking of the academic ideas we discussed. What she particularly referred to in that conversation was the effect of the confidence of her supervisor in her as a learner and a student, the faith that she was someone who had the intelligence and ability to do what she was attempting to do.

I understood that feeling well: the feeling of the need to be able to visualize oneself as potentially able to do whatever it is that one is attempting to do. In this instance the role of the supervisor was a little like that of the Lacanian mirror:

something which reflects back not the fragmentary reality but the possible unity (Benvenuto and Kennedy, 1988: 54); and this is a unity which is possible only because it can be visualized. 

The supervisor as Lacanian mirror

The psychoanalyst Jaques Lacan posits the theory that the infant discovers itself as a separate entity through its experience of the 'mirror stage', a phase through which it passes before entering language, the Symbolic Order, and becoming a full subject able to participate in the social formation (1992: 1-7).

The mirror phase, in Lacanian thought, is something which the child enters as part of the process of subjectivity, and this imaginary mirror (it can be a real mirror providing a real reflection, or it can be other people) provides an imaginary unity when the infant's experience of its body is fragmentary (Benvenuto and Kennedy,1988: 54-8).

It has been argued that this is not a process confined to infancy, but a process which repeats itself throughout life (Bowie, 1991: 21).

Academic supervision, I would argue, is one of those repetitions of this process: in terms of the supervisor/student relation, the research student looks to the supervisor for an image of him/herself as s/he becomes an `academic'. That which the supervisor reflects back - outside the actual textual feedback which takes place in a supervision - is part of what forms the student's confidence in him/herself as an academic, as someone capable of thought and worthy of serious consideration. Ideally, the reflection is a positive one, but such is not always the case. The supervisory 'family' in which the research student (almost literally) finds him/herself is rarely perfect, and the student often finds him/herself the 'child' of 'parents' who perpetuate (probably unwittingly) a cycle of emotional abuse.

The dysfunctional family as metaphor

The supervisory relation may be likened to that of a dysfunctional family where learned behaviour of 'parent' is perpetuated, and the 'child' learns how to do the same, perpetuating abusive behaviour patterns, believing them to be successful.

Feeling - an emotional response - would appear to be problematic. In a family relationship, feeling is something (however positive or negative) which is expected; in a supervisory relationship the boundaries are rather less clear. The supervisory relation seems to evoke a certain amount of nervousness, mainly around the issue of distance: there appears to be concern that the supervisor/parent may become too close to the student/child, compromising the critical distance by the introduction of feeling. Certainly an inappropriately close relationship would impede objectivity, but perhaps such nervousness is due in part also to concern about becoming too closely associated with the work, as any outside examination and judgement of the work might then extend to the performance of the supervisor too? An inappropriately distant relationship, however, can be equally paralysing.

How far is the supervisory relationship one of distant teacher/student, and how far one of friendship and support? At the end of the process it is the student's work which is being assessed, and it is not being finally examined by the supervisor. The supervisor is there to facilitate the academic development of the student. But that development is not simply academic in isolation from the person as a whole. How far can the supervisor be responsible for the development of the student as an academic whole? How far should the responsibility rest with the supervisor? And is there more to be done by the institution in support of this process?

In purely practical terms, the 'value' placed by the institution on this activity and the time it requires would appear to be minimal in that supervision, in terms of staff timetabling, is not always regarded as contact, or teaching, time. This practical detail would appear to compound the difficulty in drawing appropriate boundaries around supervision. In a sense, supervision is cut loose from its frame and occupies a space within the working week which is indeterminate.

In more general terms, academia often appears to be a masculine discourse, one which prioritises logic over feeling (Moi, 1988: 104). The criteria of success concern the student's ability to pass the required examinations but appear to have little regard for the state of a student's sanity in the process of achieving that goal. Academia is usually associated with absence of feeling: it is associated with the cold, the reasonable and the measurable. Academic supervision appears to be regarded largely in terms of intellectual activity. Human beings, however, are generally not solely intellectual beings, and a great deal is lost in addressing only the intellectual.

There is a need, in academic supervision, for space to 'feel' a way through the academic minefield which the process of gaining a doctorate entails. But with feeling comes risk, in terms of the unmeasurable, the uncharted, and personal involvement. This personal involvement is nevertheless inevitable; if not consciously recognised, it still exists on an unconscious level, for both student and supervisor, both of whom bring to the supervisory relation their own personal (and often unacknowledged) emotional 'baggage'.

The 'academic family' relation/the `real family' relation

It could be suggested that, within the supervisory relation, there is an unconscious replication/simulation of familiar, familial dynamics of interaction: the relation must be sustained over a long period of time; it is a relation with an implicit power balance; it is a private relation, and one which is often not discussed either within the relation or outside it; it is a relation where the student looks to the supervisor for guidance and direction.

For the student, finding a supervisor with whom s/he is comfortable is a psychically complex process; as an adult, finding a guide or mentor in whom one has sufficient confidence to approach the writing of a thesis is no easy task. Academically the supervisor must be working sufficiently within the field of interest to be able to provide guidance but, more than that, the student's experience of guidance is perhaps likely to draw him/her to particular personalities, with whom she feels - at that moment in time - most able to communicate

With regard to the instigation of this relation, the process of matching a supervisor and student is an interesting one, as there seem to be no particular 'rules'. Generally the match is related to a subject area. Personality seems to be involved only in that a student may gravitate towards a particular academic. The reasons for such gravitation, beyond the common interest in a subject area, appear complex. Several of the academics with whom I have discussed the process have observed, when asked to consider any particular similarities between supervisory relation and real family relation, that, in retrospect, they (unconsciously) looked for qualities in their supervisor similar to those experienced in a parental relation as they had lived it. These qualities were not always positive ones; there was a sense of living out, in the academic relation, the failings of the parent/child relation.

In Lacanian thought the infant - in order to enter into the Symbolic - has to tolerate and live with a separation or lack which s/he spends the rest of his/her life trying to bridge with language (Moi, 1988: 100). Perhaps the supervisory relation, once again, is an unsuccessful attempt on the part of the student to gain that which has been lost, and is - as such - an inevitable failure; the thesis representing the objet a, a small part of that to which the student aspires (see Benvenuto and Kennedy, 1988: 176).

Failing better: how necessary is a dysfunctional relation to the artistic/academic project?

Samuel Beckett once commented, in the face of failure, 'No matter. Try again. Fail again. Fail better' (1999: 7). It could be argued that the dilemma for the artist is that s/he wants to finish the work but if the work is finished what else is there? If something is wholly successful, it is over, finished, dead. The notion of failure is perhaps a driving force. Perhaps a dysfunctional relation is necessary to the artistic/academic project? One has only to look to history to note the number of artists emerging from dysfunctional backgrounds.

However, in terms of learning it could also be argued that the position of the learner is a fragile one, and that in order to learn one has to have the confidence to admit that one does not know. Such confidence arises from a sense of self-esteem, which arises from a 'safe' environment. In terms of the real dysfunctional family, one does not have to look far to find evidence of learning which has been restricted by the emotional environment in which a child has developed: ask any Learning Support Service or Special Educational Needs department. By extension, if one regards the supervisory relation in the same way, research students may 'get by' with academic support alone, particularly if their real relations in the world are supportive ones, but, without the encouragement to take on the identity of an academic, their potential to become an academic is restricted.

With the exception of the odd tortured genius who thrives on the angst generated by uncertainty and isolation (and it would be interesting to speculate on the reasons for this), my guess is that most research students benefit from a supervisor who has a genuine interest in and regard for the student and their work. A research student needs to grow, and for the supervisor the role in that process is a fine balance between objectivity and support.

Conclusion

There appear to be few guidelines as to how to supervise. Supervisors appear to be expected instinctively to 'know' how to do it effectively. The assumption appears to be that if they themselves have successfully completed a doctorate, then they must automatically know how to facilitate the process in others.

Learning is a difficult process on a personal level, at every stage of life, from school to doctoral thesis, because in order to be able to learn a learner has first to admit that s/he doesn't know, and that can be particularly difficult if the learner has little self-confidence. It can be made much more difficult if the element of self-doubt (either on the part of the student or on that of the supervisor) is allowed to go completely unrecognised, unacknowledged and unaddressed. The most effective learning takes place in a 'safe' learning environment, where knowledge is something exciting and not just plain dangerous and disempowering.

How a student goes about finding a suitable supervisor (and vice versa) is also a process which requires some thought. It is easy, in retrospect, to recognise where things might have been better thought out, or where needs might have been more appropriately met. At the outset, however, both student and supervisor are feeling their way; a supervisor is at some advantage, knowing the process, but the pressures exerted by the university to take on supervision because it is in a particular academic field appear likely to outweigh personal considerations. And, while supervision is not about therapy, it does require more than a knowledge of a subject area if the research student is to emerge with sanity intact.

There are many versions of the dysfunctional family in supervision; what they mainly have in common is the secrecy of their dysfunction. The supervisory relation is a private one, and one which involves both a power imbalance and trust. Because it is private it is difficult to know what it should be, because there is generally little with which to compare it. Without wishing to expose the internal workings of each and every supervisory relation - and these relations are fragile - I feel that this area needs to be opened to further debate, if we are to understand better and perhaps, as a result, improve upon the existing supervisory relation. The critical distance between supervisor and student is just that: critical.

Afterword: some practical suggestions

The two main issues raised are (1) how a supervisor learns how to supervise, and (2) how students and supervisors are matched. With regard to the improvement of supervisory skills, I would make the following general suggestions:

1 A general raising of awareness that supervision is not simply an academic exercise.

2 Access for supervisors to appropriate courses in interpersonal relations (such as counselling skills).

3 The development, in consultation with both staff and students, of some general guidelines in terms of reasonable expectations.

4 A clear support network for supervisors (possibly the opportunity of regular supervision themselves in order that they have space to discuss their own concerns/seek guidance about the work/progress of the student).

5 A user-friendly student feedback system (one which does not become personal but can raise general points; a difficulty for research students is that of being seen to be critical of a supervisor who is ultimately in a position of power).

6 A clear support network for students (guidelines about what to do when things seem to be going wrong; facilitation of a student support network such as a postgraduate forum).

The problem of matching students and supervisors appropriately is a little more difficult. The equation is usually based on a matching of subject areas, and that is clearly an extremely important aspect of the academic process, which works in the interest of both student and supervisor. However, this consideration alone falls short of the whole problem. With regard to the matching of students and supervisors, I would make the following general suggestions.

1 A structure might be implemented enabling students and supervisors to discuss their expectations in a more comprehensive manner at the outset of the project.

2 Students might be encouraged to speak to other research students at different stages in the process (particularly at the outset) and encouraged to seek out a peer group. Active encouragement and support, by the institution, of peer-group work (e.g the allocation of a physical space for research students; a contact person on the staff team who is approachable and well informed; access to facilities for copying, mailing and advertising; encouragement of FRC membership) would ensure the existence of such a resource and the development of a research culture.

3 A supervisory team usually involves more than one supervisor; although the responsibility for the supervision would appear to rest primarily with one person, both students and supervisors might fruitfully be encouraged to allocate the responsibility more equally, resulting in more balanced feedback and a more supportive dynamic.

The difficulties inherent in the supervisory relation are not ones which can be resolved instantly but, having spent thirteen years working in education, ten of them with students with emotional/behavioural difficulties, often with real dysfunctional family environments, the correlation between 'real family' and 'academic family' seems obvious. For the 'real family' there are support networks in place; for the 'academic family' structure, however, the problem itself appears to remain - to a greater or lesser degree, among academic institutions - unnoticed or ignored. The experience of supervision, as a student, is not necessarily enough to equip the potential supervisor for the role.

The cycle of silence needs to be examined and - where necessary - modified, in order to facilitate the provision of supervisors who are equipped, not only academically but also emotionally, for the supervisory relation.

References

Beckett, Samuel (1983, 1999), Worstward Ho, London: Calder.

Benvenuto, Bice, and Kennedy, Roger (1988), The Works of Jacques Lacan: an Introduction, London: Free Association Books.

Bowie, Malcolm (1991), Lacan, London: Fontana.

Lacan, Jacques (1977, 1992), &rits: A Selection, London: Routledge. Moi, Toril (1988), Sexual/Textual Politics, London: Routledge.

Address for correspondence

School of Arts and Humanities, University of North London, 166-220 Holloway Road, london N7 8DB.

Copyright Manchester University Press Nov 2000
Provided by ProQuest Information and Learning Company. All rights Reserved

Smith, Kathy "Academic supervision and the dysfunctional family: The problem of critical distance". Research in Education. Nov 2000. FindArticles.com. 28 May. 2008. http://findarticles.com/p/articles/mi_qa3765/is_200011/ai_n8910400

Handbook of Relational Diagnosis and Dysfunctional Family Patterns

By Robert G. Ryder

Kaslow, F. W. (Ed.) (1996). Handbook of relational diagnosis and dysfunctional family patterns. New York: John Wiley and Sons, 533 pp.

This is the book for you if you want a discussion of a variety of diagnostic situations, including category schemes and treatment. It might be the book for you if you want a discussion of whom should be reimbursed for professional services, emphasizing that marriage and family therapists should be on the list. If you want a clear discussion of what a relational diagnosis is, or to be really demanding, what a dysfunctional family pattern is, this may be the wrong book.

It is always difficult to characterize an anthology, since the contributions are varied; they range from the more or less obvious to subtle and informative and hardly ever are consistent. This work, for example and to its credit, includes a couple of pieces (by Gergen et al. and by Tom Anderson) that dissent from the idea of diagnosis. This caveat aside, the general thrust of the work seems to be political, arguing that MFTs should be paid, and that their way of thinking should be incorporated in any major diagnostic scheme (notably DSM). Without meaning to derogate the many fine articles to be found here, the question may be raised-indeed, should be raised-as to the place of politics and professional economics. Should they be mingled and maybe confused with other matters, such as the best way to understand a particular presenting pattern or its treatment? Should they be kept separate to make a clear distinction between a relatively disinterested search for understanding and an argument for self-interest? Some variation of this question is raised almost inevitably by this work and might diminish its reception. Should its statements be taken with a grain of salt, since their purpose is largely rhetorical? This is a large issue, going well beyond consideration of one book, but it is an issue that deserves earnest attention and has, so far, not received it.

Another related question has to do with focus. One might expect that in a volume on relational diagnosis there would be a clear statement of what "relational diagnosis" is intended to mean, and an effort to conform to that definition. The second part of the title, "dysfunctional family patterns," can mean almost anything. Readers who imagine that a relational diagnosis is a characterization of a relationship or pattern of relationships that is somehow pathological, and who expect that to be what the book is generally about, are going to be disappointed. For the most part, the volume deals with individual characterizations that exist in a relational context or that have relational sequelae. For example, a father who sexually abuses his children is likely to be thought of as an individual with individual pathology or immorality, even though the diagnosis involves at least two people and at least two people might suffer consequences. The volume is mostly about individuals, not about relationships.

By the same token, we never hear a general, noncircular definition of "pathology." Although many works lack such a definition, perhaps one should wonder whether there is something intrinsically wrong with a subject that cannot be well defined-defined without reference to some rough synonym for the term to be defined.

Finally, the issues relating to how desirable it is to "diagnose" seem not to have been treated with the seriousness one might wish. Among other things, there is the implicit assumption that a categorization of clients is not fundamentally a characterization of the relationship between clients and diagnosers, but rather something that clients carry around from relationship to relationship. Do we know that this is true? There is the implicit assumption that different categories should be treated differently, but our knowledge of this, too, is fairly slippery. Finally, there is the simple but implicit assumption that different diagnosticians would assign the same characterization to the same people. The evidence for this is not good. It seems naive to believe that the same assumptions apply to all situations. Some situations are probably best regarded as reflecting particular "illnesses" that should be "cured," and some probably are not. Some situations are probably best thought of as intrinsically relational, and some not. Where is the discussion that helps us draw the line? All this brings back the earlier question of whether a political agenda has foreclosed issues of fact or favored answers that are economically desirable but that may not have other virtues.

None of this is to suggest that the 34 papers making up this quite large (533 pages of text) and generally impressive volume are seriously flawed. On the contrary, if you want to discover "what's going on out there" among our friends, this book is a must, providing a wide range of information and opinion about general diagnostic issues and about issues concerning a wide variety of particular situations. Acknowledging that different perspectives exist does not necessarily diminish the value of what is written from a particular perspective. To put it another way, everyone should read this, but some might consider having a salt shaker nearby.

Robert G. Ryder, PhD Storrs, CT

Copyright American Association for Marriage and Family Therapy Jan 1998
Provided by ProQuest Information and Learning Company. All rights Reserved

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