Abstract
A contentious debate between the modern and postmodern epistemologies continue to wage on since the rise of constructivism and social constructionism in the 1990s. This debate has led to both modern and postmodernists falling into an either/or mindset. Others have proposed a solution, the both-and approach, that emphasizes integration of different therapeutic camps. Intentionality is a core component of this approach, as therapists must understand how employed interventions flow from the epistemology and theoretical orientation under which they operate. Another core component of this approach is tailoring the integration to the specific context of the client case. With this understanding and tailoring, therapists can utilize methods across the modern/postmodern divide, as they will coherently flow from their original epistemology and theoretical orientation. Applying methods from both modernism and postmodernism, then, enhances therapists’ therapeutic repertoire, allowing for more opportunities to adapt treatment to each client case. Altogether, the quality of services improve and the amount of clients therapists can help increases as well. This paper will provide an application of the both-and approach to a case study to provide an example of how the said method can be employed in therapy.
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References
Anderson, H. (2001). Postmodern collaborative and person-centred therapies: What would Carl Rogers say? Journal of Family Therapy, 23(4), 339–360. https://doi.org/10.1111/1467-6427.00189
Boszormenyi-Nagy, I., & Krasner, B. R. (1986). Between give & take. Brunner/Mazel.
Cheon, H., & Murphy, M. (2007). The self-of-the-therapist awakened: Postmodern approaches to the use of self in marriage and family therapy. Journal of Feminist Family Therapy, 19(1), 1–16. https://doi.org/10.1300/J086v19n01_01
Davis, S., & Hsieh, A. (2019). What does it mean to be a common factors informed family therapist? Family Process, 58(3), 629–640. https://doi.org/10.1111/famp.12477
Dickerson, V. C. (2010). Positioning oneself within an epistemology: Refining our thinking about integrative approaches. Family Process, 49(3), 349–368. https://doi.org/10.1111/j.1545-5300.2010.01327.x
Doan, R. E. (1998). The king is dead; long live the king: Narrative therapy and practicing what we preach. Family Process, 37(3), 379–385. https://doi.org/10.1111/j.1545-5300.1998.00379.x
Fife, S. T., Whiting, J. B., Bradford, K., & Davis, S. (2014). The therapeutic pyramid: A common factors synthesis of techniques, alliance, and way of being. Journal of Marital and Family Therapy, 40(1), 20–33. https://doi.org/10.1111/jmft.12041
Fraenkel, P. (2009). The therapeutic palette: A guide to choice points in integrative couple therapy. Clinical Social Work Journal, 37(3), 234–247. https://doi.org/10.1007/s10615-009-0207-3
Freedman, J. (2014). Witness and positioning: Structuring narrative therapy with families and couples. Australian & New Zealand Journal of Family Therapy, 35, 20–30. https://doi.org/10.1002/anzf.1043
Guilfoyle, M. (2015). Listening in narrative therapy: Double listening and empathic positioning. South African Journal of Psychology, 45(1), 36–49. https://doi.org/10.1177/0081246314556711
Haley, J. (1987). Problem-solving therapy (2nd ed.). Jossey-Bass Inc.
Hoffman, L. (1990). Constructing realities: An art of lenses. Family Process, 29, 1–12. https://doi.org/10.1111/j.1545-5300.1990.00001.x
House, R. (2008). Training and education for therapeutic practitionership: “Trans-modern” perspectives. Counselling Psychology Quarterly, 21(1), 1–10. https://doi.org/10.1080/09515070801899867
Larner, G. (1994). Para-modern family therapy: Deconstructing post-modernism. Australian and New Zealand Journal of Family Therapy, 15(1), 11–16. https://doi.org/10.1002/j.1467-8438.1994.tb00977.x
Lazarus, A. A., & Beutler, L. E. (1993). On technical eclecticism. Journal of Counseling & Development, 71(4), 381–385. https://doi.org/10.1002/j.1556-6676.1993.tb02652.x
Littlefield, M. B. (2004). Gender role identity and stress in African American women. Journal of Human Behavior in the Social Environment, 8(4), 93–104. https://doi.org/10.1300/J137v08n04_06
Manfrida, G. (2011). Plausible, convincing, and appealing. Characteristics and development of therapeutic stories in a shared reality approach. Journal of Systemic Therapies, 30(2), 22–40. https://doi.org/10.1521/jsyt.2011.30.2.22
Minuchin, S. (1974). Families & family therapy. President and Fellows of Harvard College.
Minuchin, S., & White, M. (2005). A dialogue between Salvador Minuchin and Michael White. A keynote presented at the evolution of psychotherapy Conference.
Pocock, D. (1995). Searching for a better story: Harnessing modern and postmodern positions in family therapy. Counselling Psychology Quarterly, 21(1), 1–10. https://doi.org/10.1111/j.1467-6427.1995.tb00011.x
Safran, J. D., & Messer, S. B. (1997). Psychotherapy integration: A postmodern critique. Clinical Psychology: Science and Practice, 4(2), 140–152. https://doi.org/10.1111/j.1468-2850.1997.tb00106.x
Slife, B. (1987). The perils of eclecticism as therapeutic orientation. Theoretical and Philosophical Psychology, 7(2), 94–103. https://doi.org/10.1037/h0091484
Slife, B. D., & Reber, J. S. (2001). Eclecticism in psychotherapy Is it really the best substitute for traditional theories. In B. D. Slife, R. N. Williams, & S. H. Barlow (Eds.), Critical issues in psychotherapy: Translating new ideas into practice. (pp. 213–233). Sage. https://doi.org/10.4135/9781452229126.n19
Sprenkle, D. H., Davis, S. D., & Lebow, J. L. (2009). Common factors in couple and family therapy: The overlooked foundation for effective practice. The Guilford Press.
Wachtel, P. L. (2014). An integrative relational point of view. Psychotherapy, 51(3), 342–349. https://doi.org/10.1037/a0037219
White, M., & Epston, D. (1990). Narrative means to therapeutic ends. Norton.
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Hoss, L., Hynes, K.C. A Both-And Approach: An Application of Narrative Interventions from a Modern Perspective. Contemp Fam Ther 44, 305–311 (2022). https://doi.org/10.1007/s10591-021-09582-w
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DOI: https://doi.org/10.1007/s10591-021-09582-w