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Structural Family Therapy and its Implications for the Asian American Family
Josephine M. Kim
The Family Journal 2003; 11; 388
DOI: 10.1177/1066480703255387
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ARTICLE
10.1177/1066480703255387
THE
Kim
/FAMILY
STRUCTURAL
JOURNAL:
FAMILY
COUNSELING
THERAPYAND THERAPY FOR COUPLES AND FAMILIES / October 2003
Literature ReviewTheory
THE FAMILY JOURNAL: COUNSELING AND THERAPY FOR COUPLES AND FAMILIES, Vol. 11 No. 4, October 2003
DOI: 10.1177/1066480703255387
2003 Sage Publications
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the children may learn of their parents fear that the children
will forget their Asian heritage. By focusing initially on the
concern that the parents identified as the presenting problem, the family therapist is not only initiating the therapeutic
relationship but is also simultaneously honoring the Asian
tradition of respecting parental authority. This strategy is
important to establishing trust, especially when the therapist
is not Asian American.
Enactment
The family members are encouraged to interact with one
another in the therapy session, which allows the family counselor to observe sequences of behaviors that furnish valuable
information about the familys structure (Carpenter &
Treacher, 1982). Again, when the counselor is of another ethnic background, it is especially important to track the content
of these interactions far enough to understand the underlying
structure to determine the consequences of symptomatic
behavior (Weiselberg, 1992). Enactment is used to redirect
communication so that it occurs among family members
instead of between the family and the therapist. Enactment
allows the counselor to lend support and power to the Asian
American child in confronting the authority of his or her parents. Enactments are intense and emotional occurrences that
allow the family therapist to begin restructuring the family
(Navarre, 1998).
In our example, talking about perceived disobedience, the
adolescent family member would be encouraged to explain,
in the most respectful way possible, the struggles he or she is
experiencing in trying to balance two cultures. Adolescents
could share how they are trying to find connection with peers,
stay connected with the family, and be comfortable with their
identity as Asian American adolescents.
Restructuring
Restructuring of the family occurs when the family therapist suggests and uses directives to reframe and modify the
familys perceptions. The therapist confronts and challenges
the familys perceptions of reality by leading them to develop
alternative interactional patterns in the family. Through exaggerating and deemphasizing, this change in the effects of the
symptom allows family members to band together in handling a new problem. This symptom focusing encourages the
Asian American family to loosen its rigid rules. Asian American family members frequently identify one member as the
problem; the counselor believes, however, that the problem is
interactional and results from a structural problem within the
family system (Yaccarino, 1993). Therefore, instead of blaming, an effective therapeutic strategy is to reframe the family
dilemma positively, which may promote change through
alternative methods of behavior (Wieselberg, 1992). Through
restructuring, the family may begin to recognize many factors
that have been affecting all of them in varying ways and to
varying degrees. Each family member is struggling with the
391
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