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Reenee Singh. The Intercultural Exeter Couples Model
Table of Contents
Guide
Pages
The Intercultural Exeter Couples Model. Making Connections for a Divided World Through Systemic‐Behavioral Therapy
CHAPTER 1 Introduction
THE ORIGINAL EM
THE INTERCULTURAL EXETER MODEL
THE INTERVENTIONS OF THE INTERCULTURAL EXETER MODEL
THE CULTURAL GENOGRAM: A KEY INTERVENTION
THE CULTUREGRAM: A SECOND INTERCULTURAL METHOD OF INTERVENTION
WHO CAN USE THE INTERCULTURAL EXETER MODEL?
THE FORMAT OF THE BOOK
NOTE
CHAPTER 2 The Wider Context of the Intercultural Exeter Model
CHAPTER 3 The Fulcrum of the Method: The CBT/Systemic Couples Maintenance Cycle
THE INTERCULTURAL EXETER MODEL CIRCULARITY: A CBT/SYSTEMIC INTERVENTION
Helen and Rebecca Circularity
Fiona and Raja Circularity
CHAPTER 4 Clinical Practice with Intercultural Couples: Themes and Processes
OVERVIEW
SIGNIFICANT THEMES AND PROCESSES
The Meaning of Home
Power and Gender
Language and Communication Styles
Constructions of Love, Intimacy, and Couplehood
The Meaning and Expression of Depression
The Family Life Cycle
PART 2 The Interventions. INTRODUCTION TO PART 2
Fiona and Raja
Helen and Rebecca
CHAPTER 5 Circularities: Breaking Patterns and Setting the Scene for Establishing New Ones. THE IEM CIRCULARITY INTERVENTION; INTERRUPTING CIRCULARITIES; FINDING POSITIVES. The IEM Circularity Explained
The IEM Circularity
How Do You Chart an IEM Circularity?
EXAMPLE
Interrupting Circularities: (A Step Toward Changing Them Toward More Adaptive and Productive Ones)
EXAMPLE
Finding Positives
EXAMPLE
NOTE
CHAPTER 6 Communication Training. ACTIVE LISTENING
EXAMPLE
CLEAR AND DIRECT SIMPLE STATEMENTS
EXAMPLE
ENCOURAGING POSITIVES
EXAMPLE
“I” STATEMENTS
EXAMPLE
PROVIDING CONTEXT FOR SAFE COMMUNICATION
EXAMPLE
STRUCTURING
EXAMPLE
PROBLEM‐SOLVING—HELPING COUPLES FIND A SOLUTION TO IDENTIFIED SPECIFIC PROBLEMS
EXAMPLE
NEGOTIATION
EXAMPLE
EMOTIONAL REGULATION IN PROBLEM‐SOLVING
EXAMPLE
CHAPTER 7 Behavioral Action Interventions. ENACTMENTS
EXAMPLE
HOMEWORK TASKS/PRACTICING NEW FORMS OF COMMUNICATION
EXAMPLE
CULTUREGRAM
EXAMPLE
CHAPTER 8 Empathic Bridging Maneuvers. EMPATHIC QUESTIONING
EXAMPLE
VALIDATION: USING INTERVENTIONS TO MAKE SOMEONE KNOW THEIR EXPERIENCES ARE UNDERSTANDABLE
EXAMPLE
ELICITING VULNERABILITIES
EXAMPLE
MAKING LINKS BETWEEN VULNERABILITIES
EXAMPLE
CREATING SAFE SPACE
EXAMPLE
NORMALIZING
EXAMPLE
TRANSLATING MEANING
EXAMPLE
CIRCULAR QUESTIONING
Types of Circular Questions
EXTENDED EXAMPLE
BLAME REDUCTION
EXAMPLE
CHAPTER 9 Life‐Space Explorations. SCRIPTS
EXAMPLE
GENOGRAM
CULTURAL GENOGRAM. EXAMPLE
INTERVIEWING INTERNALIZED OTHER
EXAMPLE
ATTACHMENT NARRATIVES
DEVELOPING SHARED FORMULATIONS OF CENTRAL RELATIONSHIP THEMES
EXAMPLE
RECONCEPTUALIZING THE POSITIVES
EXAMPLE
CREATING SHARED POSITIVES
EXAMPLE
CHAPTER 10 A Final Word: The Therapist's Experience in Intercultural Couples Work
References
Author Index
Subject Index
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Отрывок из книги
Janet ReibsteinReenee Singh
Indeed, most clinical models of couples work do not even nod to the contribution culture will make to any of the myriad presenting conditions people need help with. Those clinicians working systemically will know that an exception has been within systemic theorizing (e.g., Falicov, 2014; Gabb & Singh, 2015b). Broadly, systemic theory explicitly encourages practitioners to be aware of culture, both pointed to in a general way and a more specified one by referring to the ways in which gender, race, religion, age, sexuality, ethnicity, and class shape experience (Burnham, 2012); and more particularly as a background to specific events in the Coordinated Management of Meaning (CMM) model that also denotes ways in which culture, events, and cultural beliefs contribute to people's reality (Pearce, 2007). However, despite this admirable emphasis on cultural context and consequence, therapists need more. There has been no systematic effort to translate systemic ideas that take into account a cultural perspective into working with couples. None has existed to enable the clinician both to focus on and utilize data about cultural differences in a theorized way, or even in a way that incorporates other existing clinical tools to adapt them specifically to address cultural differences.
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The key invention of the EM however is its concatenation of the idea of a couple’s maintenance cycle—that is, that they reinforce each other through their responses to each other—with the CBT one of the thoughts–feelings–behavior feedback loop maintenance cycle. This is a fusion of CBT and systemic. It will be enlarged upon in Chapter 3 and illustrated in Part 2 of the book. It teaches the therapists how to describe a couple's maintenance cycle. It asks each member of the couple about the behaviors they are reacting to in relation to each other, but asks them also to reveal—and subsequently, together interrogate—the reactive sequence of hidden, unspoken thoughts and feelings that accompany the seen or spoken behaviors. The unspoken parts of the maintenance cycle become the vehicles for revelations to the other member of the couple, who characteristically might have been making inaccurate assumptions and attributions about the observable behaviors and reacting to them inaccurately. Investigating why and how they have the reactions, through the use of the (validated) interventions within the EM, in their thoughts and feelings, becomes revelatory for the couple and, in narrative terms, frees them to create a different story, as other possible ones can emerge.
The couple's maintenance cycle has as its focus how the interactive cycle of responses to each other maintains whatever the presenting problem may be. (In the case of its use in the training clinic, this was depression). Its assumption is that this cycle maintains the problem, most often unwittingly. Indeed, often couples who come in for treatment of a problem have a caring, loving relationship, yet are unwittingly doing behaviors and/or making distorting assumptions about what the other wants, needs, thinks, and feels out of benign motives that in fact maintain the presenting problem. Examining the maintenance cycle asks what it is—perhaps unwittingly—in a couple's interactions that are maintaining the symptom. In this the model is purely systemic and differs from many other forms of the use of couples therapy, in which couple distress is assumed or meant to be the presenting feature to qualify for couple intervention. In the EM and IEM the couple may be very supportive of each other, unwittingly maintaining unhelpful things. Unlike many other forms of couples therapy, to use the model, therefore, couple dysfunction is not a prerequisite; in fact, just being in a couple is the only one.
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