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LOOKING THROUGH A
NATURAL SYSTEMS LENS:
CULTURE, DIVERSITY, AND
DIFFERENTIATION OF SELF OF THE
THERAPIST
Terri Neipert, M.Ed.
Jill Morris, Ph.D.
European Family Therapy Association
Istanbul, Turkey
October 26, 2013
World English Dictionary
culture (ˈkʌltʃə) — n1. the total of the inherited ideas, beliefs, values, and knowledge, which constitute the shared bases of
social action
2. the total range of activities and ideas of a group of people with shared traditions, which are
transmitted and reinforced by members of the group: the Mayan culture
3. a particular civilization at a particular period
4. the artistic and social pursuits, expression, and tastes valued by a society or class, as in the arts,
manners, dress, etc.
5. the enlightenment or refinement resulting from these pursuits
6. the attitudes, feelings, values, and behaviour that characterize and inform society as a whole or any
social group within it: youth culture
7. the cultivation of plants, esp. by scientific methods designed to improve stock or to produce new
ones
8. stockbreeding the rearing and breeding of animals, esp. with a view to improving the strain
9. the act or practice of tilling or cultivating the soil
10. Biology
a. See also culture medium the experimental growth of microorganisms, such as bacteria and fungi,
in a nutrient substance (culture medium), usually under controlled conditions
b. a group of microorganisms grown in this way
World English Dictionary
diversity [dih-vur-si-tee, dahy-]-n
1. the state or fact of being diverse; difference;
unlikeness: diversity of opinion.
2. variety; multiformity.
3. a point of difference.
MODELS OF THE WORLD
All human knowledge can be assumed to be a ―model‖ of
the world, a reductive abstraction of, but not the world
itself.
Human perception is contingent and context driven, and
therefore always only a ―partial‖ comprehension.
Our models help us to see certain things with greater
clarity, but in the process always help to obscure other
perspectives, understandings, and knowledges.
NATURAL SYSTEMS MODEL
Differentiation of Self
Inherent Conflict between
Individuality &Togetherness
Anxiety in the System
Systems exist in nature independently of man’s
creation of them (Bowen & Kerr, 1988).
Principles that govern a natural system are “written in nature”
and are not created by the human brain (Bowen & Kerr, 1988)
The existence of natural systems doesn’t depend on humans
being aware of them or explaining them—they are biologically
rooted.
NATURAL SYSTEMS UNDERSTANDING OF
CULTURAL CHANGE
Tensions between ―our group‖ and ―others‖ is a fact of
Nature, and examples of it can be seen throughout human
history, regardless of culture and political epoch.
The Process of ―Change‖ in society moves no faster than do
other ―evolutionary‖ change processes. Often results are
not obvious for generations.
Change in one area is no guarantee of change throughout
an entire system. There are multiple variables involved in the
change process, and a natural tendency for systems to resist
change unless absolutely necessary.
A Natural Systems Model of the world assumes that behaviors at
both the group and individual levels can almost always be seen to
serve some kind of adaptive function associated with survival.
A Natural Systems perspective on culture views it as a natural
process. That is, it is assumed that all cultures have an adaptive
function, for both the group and the individuals within the group.
Observation tells us that in any culture, there is always a constant
and ongoing tension between the needs of the individual and the
needs of the group.
The concept of differentiation of self is employed in
order to describe the constancy of this tension in the
context of a family system.
DIFFERENTIATION OF SELF
Differentiation is a natural process
Individuals vary in their ability to adapt—that is, to cope with the demands of life and to reach their goals (Gilbert, R. 1992)
Choosing between thinking and reacting emotionally-your gut reaction.
"Defining a self or becoming one's own person is a
task that one ultimately does alone. No one else
can or will do it for you, although others may try
and we may invite them to do so. In the end, I
define what I think, feel and believe. We do not
define what I think, feel and believe. Yet this lonely
and challenging task cannot be accomplished in
isolation. We can only accomplish it through our
connectedness with others and the new learning
about ourselves that our relationships provide."
(Lerner, 1995)
DIFFERENTIATION OF SELF
Operational Definition: The ability to navigate the world while considering multiple points of view simultaneously.
Clinically, this often refers to the ability of the person to consider the emotional, social, psychological, and intellectual contexts and impacts of their own and others actions and activities.
WHOSE ANXIETY IS IT?
DIFFERENTIATION IN THE
CULTURAL CONTEXTThe ability to navigate the world while considering
multiple points of view simultaneously.
Differentiation is colored by culture The concept of differentiation is based on being aware of the
encompassing systems and the position one holds within the system so that one can make choices (Friedman, 1981).
We have a natural impulse to identify with groups where we feel safe
avoid groups that put us in real or perceived danger
―The human is a narcissistic creature who lives in the present and who is more interested in his own square inch of real estate, and more devoted to fighting for his rights than in the multigenerational meaning of life itself‖
(Bowen, 1988)
WHAT DOES THIS MEAN
IN THE CONTEXT OF THERAPY?
Culture binds anxiety at the broad social level
People are constantly determining for themselves
how much is too much-individuality/togetherness.
Individuals create distinctions along the lines of
religion, nationality, race, skin color, socio economic
status, education level, and the list goes on and on
WESTERN VS. EASTERN CULTURE
Western
Freedom/Individuality
Example: Nova Southeastern
University marriage and
therapy program. Trial and
error. Go in the room with
a client and give it a try!
Eastern
Group/Togetherness
Example: Beijing Normal
University marriage and family
program. Spend an entire year in
therapy sessions with your
supervisor. Supervisor leads the
session. Student observes.
ROLE OF THE THERAPIST-
DIFFERENTIATION
How do you (the therapist) hold multiple
points of view simultaneously (your own and
that of your client’s)?
Same holds true for culture:
How do you hold multiple points of view simultaneously?
How broadly can you help clients see the process?
THE OTHER TOUR―Perhaps travel cannot prevent
bigotry, but by demonstrating that all
people cry, laugh, eat, worry, and
die, they can introduce the idea that if
we try and understand each other, we
may even become friends.‖
– Maya Angelou
―Travel is fatal to prejudice, bigotry and
narrow-mindedness. ―
– Mark Twain
―We see the city from multiple
angles, not just conceptually, but visually.
― -Fethi Karatas
38 37 25
5767
FethiBulatMurat
40
Ahmed
Born in Georgia
Christian Family
converted to Islam
Born in Turkey
Muslim Family
Atheist?
Muslim Atheist AtheistAmerican
Personality Disorder?
Dementia (20 yrs)
―You are our responsibility from the
moment we meet up at 9am to the time
that you arrive back at your hotel or even
until you’re tucked safely away in your
bed, depending on your preferences‖ -Fethi
Atheist
121419
CASE EXAMPLE: Presenting problem – angry
response to relationship conflict
18
24 39
Greek Greek
Greek Columbian
Columbian
d. 2006
Male-Due Nov. 2013
l.t. 1 yr.
What did we learn about the therapist?
What cultural norms were being challenged?
In what ways were her struggles relevant to
differentiation of self?
What was the risk?
How was she able to adapt?
In what ways did culture and diversity play a role?
How did it influence the questions she asked? Or did
not ask?