Culture, Medicine, and Psychiatry

, Volume 41, Issue 2, pp 245–266 | Cite as

At the Edge of Safety: Moral Experimentation in the Case of Family Therapy

Original Paper

Abstract

“At the Edge of Safety” argues for thinking of structural family therapy as a “moral laboratory.” Borrowing a trope from Cheryl Mattingly’s recent book Moral Laboratories, the article reconsiders a therapeutic style that was once controversial by analyzing personal stories of supervision—i.e. professional training—in light of Mattingly’s suggestion that a social space in which people conduct experiments on themselves and their lives may be considered a moral laboratory. Family therapy is especially good to think with, because it is simultaneously a real and a metaphorical laboratory, physically lab-like in its use of visual technologies, yet moral in the way it puts the possibility for situational change in the hands of human actors. The technological apparatus stages evidence for sub-visible, interpersonal dynamics, while the provocative quality of not only therapeutic actions, but also of supervision, points to an ethos of experimentation. Stories of supervision reveal how personal of an experience being supervised can be. Trainees are pushed to become something otherwise, in learning to “expand” their styles. Sometimes the push is just right. Sometimes it goes too far. Whatever the case may be, the stories analyzed speak to anthropological questions concerning the uncertainty of human action and the many ways people can unknowingly injure one another with small hurts.

Keywords

Psychotherapy Family therapy Ethics Morality 

References

  1. Arendt, Hannah 1998 [1958] The Human Condition. Chicago: University of Chicago Press.Google Scholar
  2. Bateson, Gregory 2000 [1956] Toward a Theory of Schizophrenia. In Steps to an Ecology of Mind: Collected Essays in Anthropology, Psychiatry, Evolution, and Epistemology, pp. 201–227. Chicago: University of Chicago Press.Google Scholar
  3. Bray, Francesca 2013 Tools for Virtuous Action: Technology, Skills and Ordinary Ethics. In Ordinary Ethics in China. Charles Stafford, ed., pp. 175–193. London: Bloomsbury.Google Scholar
  4. Bronfenbrenner, Urie 1989 Ecological Systems Theory. Annals of Child Development 6: 187–249.Google Scholar
  5. Brown, Steven D., and Ian Tucker 2010 Eff the Ineffable: Affect, Somatic Management, and Mental Health Service Users. In The Affect Theory Reader. Melissa Gregg and Gregory J. Seigworth, eds., pp. 229–249. Durham, NC: Duke University Press.Google Scholar
  6. Chen, Wenrui 2015 Invoking Personhood in Contemporary China: Seeing through the Lens of a Beijing Family Therapy Center. Ph.D. Dissertation, Department of Anthropology, New York University.Google Scholar
  7. Das, Veena 2012 Ordinary Ethics. In A Companion to Moral Anthropology. Didier Fassin, ed., pp. 133–149. West Sussex: Wiley.CrossRefGoogle Scholar
  8. Galison, Peter 1987 How Experiments End. Chicago and London: University of Chicago Press.Google Scholar
  9. Hayes, Heather 1991 A Re-Introduction to Family Therapy: Clarification of Three Schools. Australian and New Zealand Journal of Family Therapy 12(1): 27–43.CrossRefGoogle Scholar
  10. Imber-Black, Evan 2014 Eschewing Certainties: The Creation of Family Therapists in the 21st Century. Family Process 53(3): 371–79.CrossRefGoogle Scholar
  11. Latour, Bruno 2005 Reassembling the Social: An Introduction to Actor-Network Theory. Oxford: Oxford University Press.Google Scholar
  12. Lee, Wai-Yung 2006 [1996] The Shit-Painter. In Mastering Family Therapy: Journeys of Growth and Transformation, pp. 215–242. 2nd Edition. Hoboken, NJ: Wiley.Google Scholar
  13. Ma, Joyce L.C. 2007 Meanings of Eating Disorders Discerned from Family Treatment and Its Implications for Family Education: The Case of Shenzhen. Child and Family Social Work 12: 409–416.CrossRefGoogle Scholar
  14. Ma, Joyce L.C. 2011 Anorexia Nervosa and Family Therapy in a Chinese Context. Hong Kong: The Chinese University Press.Google Scholar
  15. Mattingly, Cheryl 2010 The Paradox of Hope: Journeys through a Clinical Borderland. Berkeley, CA: University of California Press.Google Scholar
  16. Mattingly, Cheryl 2014 Moral Laboratories: Family Peril and the Struggle for a Good Life. Oakland, CA: University of California Press.CrossRefGoogle Scholar
  17. McLean, Athena 1986 Family Therapy Workshops in the United States: Potential Abuses in the Production of Therapy in an Advanced Capitalist Society. Social Science and Medicine 23(2): 179–289.CrossRefGoogle Scholar
  18. McLean, Athena 1990 The social production of clinical knowledge: A case study of family therapy in the United States, 1937-1978. Ph.D. Dissertation, Department of Anthropology, Temple University.Google Scholar
  19. Minuchin, Salvador 1974 Families & Family Therapy. London: Tavistock Publications.Google Scholar
  20. Minuchin, Salvador, Wai-Yung Lee, and George M. Simon 2006 [1996] Mastering Family Therapy: Journeys of Growth and Transformation. 2nd Edition. Hoboken, NJ: Wiley.Google Scholar
  21. Montoya, Michael J. 2015 Politics of Relationship: Moral Experiments of Urban Health. Paper presented at the Annual Meeting of the American Anthropological Association, Denver, November 18.Google Scholar
  22. Robbins, Joel 2004 Becoming Sinners: Christianity and Moral Torment in a Papua New Guinea Society. Berkeley: University of California Press.Google Scholar
  23. Taussig, Michael 1980 Reification and the Consciousness of the Patient. Social Science and Medicine 14: 3–13.Google Scholar
  24. Tunnell, Gil 2006 [1996] “The Oedipal Son” Revisited. In Mastering Family Therapy: Journeys of Growth and Transformation, pp. 215–242. 2nd Edition. Hoboken, NJ: Wiley.Google Scholar
  25. Weinstein, Deborah 2013 The Pathological Family: Postwar America and the Rise of Family Therapy. Ithaca and London: Cornell University Press.CrossRefGoogle Scholar
  26. Williams, Bernard 1981 Moral Luck. In Moral Luck: Philosophical Papers 1973-1980, pp. 20–39. Cambridge: Cambridge University Press.Google Scholar
  27. Zhang, Li 2014 Bentuhua: Culturing Psychotherapy in Postsocialist China. Culture, Medicine and Psychiatry 38: 283–305.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Department of Anthropology, New Asia CollegeChinese University of Hong KongSha TinHong Kong SAR

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