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Cross-Cultural Relevance of Systemic Family Therapy and Globally Responsive Cross-Cultural Training: An Indian Case Study

  • Rajeswari Natrajan-Tyagi
Chapter
Part of the Focused Issues in Family Therapy book series (FIFT)

Abstract

Family therapy theories, as conceptualized in the Western cultural context, have been making their way to Eastern countries with the onset of globalization. In this chapter, I explore the cultural relevance of systemic family therapy theories and techniques to cross-cultural social contexts. I use the Indian cultural context as a case example and report the results of an evaluation of a family therapy training session conducted in India. The participant responses indicated that systemic theories were culturally relevant. However, some key cultural barriers were identified, for example, families not accessing mental health services due to stigma, perceptions about who can do family therapy, language barriers pertaining to literal and conceptual translation of concepts between English and the native languages, and the importance of retaining individual therapy as a treatment modality due to issues of power and hierarchy in families. Using the framework of glocalization, I argue for the need for knowledge flow to be bidirectional, with the receiving cultures being actively engaged and reciprocal in the process of knowledge transfer. Implications of the findings include the need for more trainings and supervised clinical work opportunities by indigenous trainers and the need to publish culturally adapted family therapy textbooks.

Keywords

Family therapy Cross-Cultural relevance Glocalization India Globalization 

References

  1. Baptiste, D. A. (2005). Family therapy with East Indian immigrant parents rearing children in the United States: Parental concerns, therapeutic issues, and recommendations. Contemporary Family Therapy, 27(3), 345–366. https://doi.org/10.1007/s10591-005-6214-9 CrossRefGoogle Scholar
  2. Becvar, D. S., & Becvar, R. J. (1996). Family therapy: A systemic integration. Boston, MA: Allyn and Bacon.Google Scholar
  3. Berg, I. K., & Miller, S. D. (1992). Working with Asian American clients: One person at a time. Journal of Contemporary Human Services, 73, 356–363.Google Scholar
  4. Bhui, K., Mohamud, S., Warfa, N., Craig, T. J., & Stansfeld, S. A. (2003). Cultural adaptation of mental health measures: Improving the quality of clinical practice and research. The British Journal of Psychiatry, 183, 184–186. https://doi.org/10.1192/bjp.183.3.184 CrossRefPubMedGoogle Scholar
  5. Carson, D., & Chowdhury, A. (2000). Family therapy in India: A new profession in an ancient land. Contemporary Family Therapy, 22, 387–406. https://doi.org/10.1023/A:1007892716661 CrossRefGoogle Scholar
  6. Carson, D. K., Jain, S., & Ramirez, S. (2009). Counseling and family therapy in India: Evolving professions in a rapidly developing nation. International Journal of Advanced Counselling, 31, 45–56. https://doi.org/10.1007/s10447-008-9067-8 CrossRefGoogle Scholar
  7. Dodds, A. (2008). How does globalization interact with higher education? The continuing lack of consensus. Comparative Education, 44(4), 505–517. https://doi.org/10.1080/03050060802481538 CrossRefGoogle Scholar
  8. Gao, G., Ting-Toomey, S., & Gudykunst, W. B. (1996). Chinese communication process. In M. H. Bond (Ed.), The handbook of Chinese psychology (pp. 280–293). New York, NY: Oxford University Press.Google Scholar
  9. Hardy, K. V., & McGoldrick, M. (2008). Re-visioning training. In M. McGoldrick & K. V. Hardy (Eds.), F amily therapy: Race, culture, and gender in clinical practice (pp. 442–460). New York, NY: Guilford Press.Google Scholar
  10. Henggeler, S. W., & Sheidow, A. (2003). Conduct disorder and delinquency. Journal of Marital and Family Therapy, 29(4), 505–522. https://doi.org/10.1111/j.1752-0606.2003.tb01692.x CrossRefPubMedGoogle Scholar
  11. Hill, S. (1995). Globalization or indigenization: New alignments between knowledge and culture. Knowledge and Policy, 8(2), 88–112. https://doi.org/10.1007/BF02825970 CrossRefGoogle Scholar
  12. Hutnik, N. (2005). Towards holistic, compassionate, professional care: Using a cultural lens to examine the practice of contemporary psychotherapy in the west. Contemporary Family Therapy, 27(3), 383–402. https://doi.org/10.1007/s10591-005-6216-7 CrossRefGoogle Scholar
  13. Jayakar, K. (1994). Women of the Indian subcontinent. In L. Comas-Diaz & B. Greene (Eds.), Women of color: Integrating ethnic and gender identities in psychotherapy (pp. 161–184). New York, NY: Guilford Press.Google Scholar
  14. Johnson, S. M. (2003). The revolution in couple therapy: A practitioner-scientist perspective. Journal of Marital and Family Therapy, 29(3), 365–384. https://doi.org/10.1111/j.1752-0606.2003.tb01213.x CrossRefPubMedGoogle Scholar
  15. Juvva, S., & Bhatti, R. S. (2006). Epigenetic model of marital expectations. Contemporary Family Therapy, 28(1), 61–72. https://doi.org/10.1007/s10591-006-9696-2 CrossRefGoogle Scholar
  16. Kakar, S. (1997). Psychoanalysis and non-western cultures: Culture and psyche. New Delhi, India: Oxford University Press.Google Scholar
  17. Karuppaswamy, N., & Natrajan, R. (2003). Family therapy from a Hindu Indian worldview. In M. Rastogi & E. Wieling (Eds.), Voices of color: First person accounts of ethnic minority therapists (pp. 297–312). Thousand Oaks, CA: Sage Publications.Google Scholar
  18. Kaushik, S. (2011). Teaching English in Indian contexts: Towards a pedagogic model. World Englishes, 30(1), 141–150. https://doi.org/10.1111/j.1467-971X.2010.01693.x CrossRefGoogle Scholar
  19. Lee, W. (2002). One therapist, four cultures: Working with families in Greater China. Journal of Family Therapy, 24, 258–275. https://doi.org/10.1111/1467-6427.00215 CrossRefGoogle Scholar
  20. Legraine, P. (2003). Cultural globalization is not Americanization. The Chronicle of Higher Education, 49(35), B7.Google Scholar
  21. Lim, S., Lim, B. K. H., Michael, R., Cai, R., & Schock, C. K. (2010). The trajectory of counseling in China: Past, present and future trends. Journal of Counseling and Development, 88, 4–8. https://doi.org/10.1002/j.1556-6678.2010.tb00141.x CrossRefGoogle Scholar
  22. McGoldrick, M., Giordano, J., & Garcia-Preto, N. (Eds.). (2005). Ethnicity and family therapy. New York, NY: Guilford.Google Scholar
  23. Mittal, M., & Hardy, K. V. (2005). A re-examination of the current status and future of family therapy in India. Contemporary Family Therapy, 27(3), 285–299. https://doi.org/10.1007/s10591-005-6210-0 CrossRefGoogle Scholar
  24. Montalvo, B., & Gutierrez, M. (1983). A perspective for the use of the cultural dimension in family therapy. In C. J. Falicov (Ed.), Cultural perspectives in family therapy (pp. 15–32). Rockville, MD: Aspen Publications.Google Scholar
  25. Nagaswami, V. (2011). Presentation at the 2nd India immersion program: Couple Intervention in 21st Century India. Chennai, India.Google Scholar
  26. Nath, R., & Craig, J. (1999). Practicing family therapy in India: How many people are there in a marital subsystem? The Journal of Family Therapy, 21, 390–406. https://doi.org/10.1111/1467-6427.00127 CrossRefGoogle Scholar
  27. Natrajan, R., Karrupaswamy, N., Ramadoss, K., & Thomas, V. (2005). Adaptation of two family therapy training instruments to culturally suit the Indian context. Journal of Contemporary Family Therapy, 27, 415–434. https://doi.org/10.1007/s10591-005-6218-5 CrossRefGoogle Scholar
  28. Natrajan, R., & Thomas, V. (2002). Need for family therapy services for middle-class families in India. Contemporary Family Therapy, 24, 483–503. https://doi.org/10.1023/A:1019819401113 CrossRefGoogle Scholar
  29. Ng, K. S. (1998). Family therapy in Malaysia: An update. Contemporary Family Therapy, 20(1), 37–45. https://doi.org/10.1023/A:1025036600703 CrossRefGoogle Scholar
  30. Nichlols, M., & Schwartz, R. (1998). Family therapy: Concept and methods. Boston, MA: Allyn & Bacon.Google Scholar
  31. Nichols, W. (1979). Education of marriage and family therapists: Some trends and implications. Journal of Marital and Family Therapy, 5, 19–28. https://doi.org/10.1111/j.1752-0606.1979.tb00550.x CrossRefGoogle Scholar
  32. Northey, W. F., Wells, K. C., Silverman, W. K., & Bailey, C. E. (2003). Childhood behavioral and emotional disorders. Journal of Marital and Family Therapy, 29(4), 523–545. https://doi.org/10.1111/j.1752-0606.2003.tb01693.x CrossRefPubMedGoogle Scholar
  33. Nwoye, A. (2004). The shattered microcosm: Imperatives for improved family therapy in Africa in the 21st century. Contemporary Family Therapy, 26(2), 143–164. https://doi.org/10.1023/B:COFT.0000031240.00980.88 CrossRefGoogle Scholar
  34. Nwoye, A. (2006). A narrative approach to child and family therapy in Africa. Contemporary Family Therapy, 28(1), 1–23. https://doi.org/10.1007/s10591-006-9691-6 CrossRefGoogle Scholar
  35. O’Farrell, T., & Fals-Stewart, W. (2003). Alcohol abuse. Journal of Marital and Family Therapy, 29(1), 121–146. https://doi.org/10.1111/j.1752-0606.2003.tb00387.x CrossRefPubMedGoogle Scholar
  36. Pennycook, A. (1994). The cultural politics of English as an international language. New York, NY: Longman.Google Scholar
  37. Qian, M. Y., Smith, C. W., Chen, Z. G., & Xia, G. H. (2002). Psychotherapy in China: A review of its history and contemporary directions. International Journal of Mental Health, 30(4), 49–68. https://doi.org/10.1080/00207411.2001.11449532 CrossRefGoogle Scholar
  38. Rastogi, M., Natrajan, R., & Thomas, V. (2005). On becoming a profession: The growth of Marriage and Family Therapy in India. Journal of Contemporary Family Therapy., 27, 453–471. https://doi.org/10.1007/s10591-005-8233-y CrossRefGoogle Scholar
  39. Robertson, R. (1992). Globalization: Social theory and global culture. London, UK: Sage Publications.Google Scholar
  40. Rowe, C. L., & Liddle, H. A. (2003). Substance abuse. Journal of Marital and Family Therapy, 29(1), 97–120. https://doi.org/10.1111/j.1752-0606.2003.tb00386.x CrossRefPubMedGoogle Scholar
  41. Sim, T., & Hu, C. (2009). Family therapy in the forbidden city: A review of Chinese journals from 1978 – 2006. Family Process, 38(4), 559–583. https://doi.org/10.1111/j.1545-5300.2009.01302.x CrossRefGoogle Scholar
  42. Sonpar, S. (2005). Marriage in India: Clinical issues. Contemporary Family Therapy, 27(3), 301–313. https://doi.org/10.1007/s10591-005-6211-z CrossRefGoogle Scholar
  43. Sprenkle, D. H. (2003). Effectiveness research in Marriage and Family Therapy: Introduction. Journal of Marital and Family Therapy, 29(1), 85–96. https://doi.org/10.1111/j.1752-0606.2003.tb00385.x CrossRefPubMedGoogle Scholar
  44. Standke-Erdmann, B. (2005). Working with families from the Indian sub-continent: An Indo-German experience. Contemporary Family Therapy, 27(3), 315–327. https://doi.org/10.1007/s10591-005-6212-y CrossRefGoogle Scholar
  45. Steenbarger, B. N. (1983). Multicontextual model of counseling: Bridging brevity and diversity. Journal of Counseling and Development, 72, 8–15. https://doi.org/10.1002/j.1556-6676.1993.tb02269.x CrossRefGoogle Scholar
  46. Stith, S., Rosen, K. H., & McCollum, E. E. (2003). Effectiveness of couples treatment for spouse abuse. Journal of Marital and Family Therapy, 29(3), 407–426. https://doi.org/10.1111/j.1752-0606.2003.tb01215.x CrossRefPubMedGoogle Scholar
  47. Sue, D. W., & Sue, D. (2003). Counseling the culturally different: Theory and practice (4th ed.). New York, NY: John Wiley.Google Scholar
  48. Supe, A. (2016). Evolution of medical education in India: The impact of colonialism. Journal of Postgraduate Medicine, 62, 255–259. https://doi.org/10.4103/0022-3859.191011 CrossRefPubMedCentralPubMedGoogle Scholar
  49. Tan, N. (2003). Family and family therapy in a fast changing metropolis. Australian and New Zealand Journal of Family Therapy, 24(4), 224–224. https://doi.org/10.1002/j.1467-8438.2003.tb00566.x CrossRefGoogle Scholar
  50. Viswanathan, G. (1988). Currying favor: The politics of British educational and cultural policy in India. Social Text, 19(20), 85–104.CrossRefGoogle Scholar
  51. Wu, D. Y. H. (1982). Psychotherapy and emotion in traditional Chinese medicine. In A. J. Marsella & G. M. White (Eds.), Cultural conceptions of mental health and therapy (pp. 285–301). Dordrecht, NL: D. Reidel.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Alliant International UniversityIrvineUSA

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