Therapists III

How do family members relate to their therapist sibling, child, mother, or father? The MFTs had some interesting observations about this and identified at least four patterns of behavior that they had experienced:
1. Silencing. One woman stated, It’s okay if [husband] wants to make observations about people, but if I do, I’m therapizing!
The family turns to me in crisis to sort things out, but they also keep secrets [from me] because I’m a truth teller . . . It matters to me to find the truth . . . they would probably say I’m the problem maker because I’m the one that points out things that nobody wants to hear… This therapist had watched her family go through some very difficult times around the event of their mother's suspicious death while in the care of one of her siblings. The therapist asked questions that no one was willing to answer. As a result, she was shut out and only given a guest pass to family membership. While this example is a more extreme family situation, other therapists reported the same kind of experiences. It seems to be a way that family members maintain some type of control over the unknown of the MFTs contributions to the family. This feels very odd, but it is a common dilemma.
2. Some therapists pointed out that their family members did not understand the legal and ethical issues that undergirded their therapeutic practice. Various family and friends expected that the therapist was "on" at all times and would provide therapy services for anyonee--particularly their friends and neighbors. …my husband…said “Come [to the house] and talk [to my MFT wife], if you want to talk about this.” And I said, “You know, I can’t do that because… that puts me one step closer to an unethical position.” It's an honest mistake on the part of our loved ones and a common situation that most of us have experienced.
3. Several of the therapists reported that their family members were interested in learning more about their insights and the theoretical underpinnings of their professional opinions. Once they began to understand these things, the family members began to apply them to relationships in their circle of friends and ask for the MFTs input: [My husband] will spend hours talking with me about this family or, or my family’s similarities or differences and that kind of thing...”
Other family members took an interest in the general psychological areas of study that the MFTs had; began their own study and then felt that they understood more of human nature and clinical issues than the MFT: I had a brother-in-law, my husband’s brother, who [laughs a little to herself] ...um, he’s always floundering about--in telling about the books that he’s read, and the “great insights” that he has had. Many of them are some “pop” psychology, without a lot of footage. As far as he’s concerned... I’ve never heard any remarks out of his mouth that I might know anything... Because popular psychology, Oprah and Dr. Phil shows are the extent of many people's psychological/relational education, it is hard to know whether citing these are a way to engage with MFTs whose work family members often don't understand, or if they feel that what is viewed on TV is all there is to family therapy. Many people seem to believe the latter.
4. Unhappiness about how the MFT engages with the family. One woman related how her fmaily asked her to be part of a family process for their alcoholic relative: Well, the whole family is going out for dad’s intervention meeting or whatever, and it would sure be nice if you could be there so that you could help us along.” I said, “Well, I’ll be there if you want me to, but I’m not helping anybody along. This is his treatment. These are the people that he’s working with; it’s not me.” It didn’t please a lot of them. Most of them have kind of, um, [Long pause]. I’m a little beyond tolerated, but I’m sort of the-I didn’t quite do what they thought I should have and there’s a lot of them that haven’t totally let go of that. Basically, I’m tolerated. No, it’s more than tolerated, but it’s not like… it’s okay for me to be not in the inner circle. The result of that has been that my husband isn’t in the inner circle like he used to be either.
Another MFT described what she thought was just a conversation that turned out to have been perceived as much more than that: We had a discussion one time about [his brother’s wife’s dysfunctional family that impacted brother’s marriage] cause she brought it up, and she has never liked me since and tried to keep my brother from connecting with me, and that was a real painful one.
An MFT whose extended family had a member with serious difficulty with the law made a suggestion to his father about what he would do if the family member in question was his son. He was pained by the response: and he said to me, “Well, doctor um, I-I understand what you’re trying to tell me”...you know, if he had said my whole name or something like that, that would have hurt me in a different way cause I would have felt like I was a twelve year old or a ten year old, but “doctor” was that then smelled of, “Your degree doesn’t matter. You don’t know what you’re talking about. You, you know, don’t have any real business of being a doctor anyway, and here you go riding in on your moral high ground, telling me what to do”, ...I felt really undercut. I felt deskilled, and I felt that he was going right for-right for the heart.

It is probably unsettling at times for family members to be related to someone whom they feel can "see right through me", or who is analyzing the daylights out of them all the time. Indeed, there are MFTs who do these things and who don't know how to turn off the therapeutic/analytical brain. But this is not typical of most of the people with whom I work. Newbies do this as well as those who seem to have no life of their own.