A.N.Z.J. Fam. Ther., 2000, Vol. 21, No. 1, pp 29±33
Specific Cases, Techniques and Approaches
Stories provide one way to say the unspeakable. Drawing on systemic, constructionist and narrative ideas, this paper offers
a commentary upon the development of a therapeutic story for a seven year old child and her mother.
and Freedman 1990 and 1996; Dwivedi, 1997, Bowen &
Robinson, 1999). Stories are ubiquitous in children's
Along with some other therapists in recent years (see, for
lives, whether through fairytales and/or television pro-
example, Zilbach 1986; White and Epston 1995; Larner
grams, or through talk in the school playground. Stories
1996; Wachtel 1996; Cattanach 1997; Selekman 1997), this
are culturally bound constructions and can be useful in
paper attends to the voice and experience of children in
bringing new meaning, new thinking and new expres-
therapy.The common concern of these practitioners is the
sions of experience to the predicaments of children (as
wish to make the child's encounter with a therapist atten-
well as adults). But how do these stories come to us? If
tive to the child's age and stage of development.To do this
therapy is a co-constructed enterprise then the therapist
effectively means that the therapist is constantly on the
must first pay attention to the story told by the other.
lookout for opportunities to make a useful connection
The ability to listen attentively is fundamentally impor-
with the child's perspective (Stith, Rosens, McCollum,
tant since from this listening come the improvisations
Coleman, and Herman 1996; Wilson, 1998).
that lead to the creation of a story peculiar to the client's
I describe the development of a story which grew out
of the exchanges between myself and members of Billie's
family. I then offer a commentary on the development of
systemically informed therapeutic stories, in an attempt to
show how concepts come to mind. The approach avoids
too much intentionality by the therapist. Instead I suggest
Billie is a seven year old girl who is brought to see me by
an approach focused on attentive listening with a systemic
Jenny, her mother. Jenny is blind in one eye following a
`ear'and an ability to notice the ideas which come alive to
terrible assault by her partner nine months earlier. Billie
us in our meetings with children in therapy.
was present when her mother was beaten and `cleared
up the blood to make it better'. Jenny's partner, Bill, is
now in prison but will be released in a year's time.
The mother wants help for Billie, who is fearful and
Practitioners have amply documented the use of written
bossy and sometimes a very real challenge to her mother's
and spoken stories using metaphor and symbolism as
effective ways of engaging children in therapy (Combs
Jenny has been trying to move house since the most
recent (and final) assault, which led to her partner's im-
prisonment. She wants to escape. She has begun to make
plans for a new future with her daughter in a different
*Jim Wilson is a Family Therapist and Training Director at The
area. She receives support from a women's refuge volun-
Family Institute, Cardiff which is part of Barnardos' work in
Wales, UK. Address: 105 Cathedral Road, Cardiff, Wales, CF1
During the initial, nervous consultation Billie plays
very quietly and the mother talks rapidly about her
situation and her worries for her daughter. Jenny wants
hearing more stories of the pain and the panic that they
me to help her daughter to get over Billie's witnessing of
her father's violence. Slowly, over the first few meetings
Jenny and I discussed how best to arrange to read the
with the mother and daughter I begin to form a picture of
story to her daughter; I emphasised that Jenny would be
the history of abuse suffered by Jenny. In Billie's ex-
the best judge of the timing of this: she should not feel
changes with me she begins to settle more and to talk of
obliged to read the story to Billie unless she felt it was
her friends, but she does not talk of her father's violence
safe enough to do so. This sort of instruction places the
parent in a position of active involvement and responsi-
The following story comes to mind as a way of con-
bility for the telling and hearing of the story. As Penn and
necting with Billie about this inexpressible and perhaps
Frankfurt (1994) illustrate, this form of reading can lead
unthinkable event. The themes which emerge in the fol-
to the mother's re-understanding of her own position,
lowing story of the two goldfish are based both onJenny's
through hearing herself tell the story in this metaphoric
play and on my talking with Jenny and Billie together.
form. It speaks to her predicament as well as her
The story is an offering, an invention based on my under-
standing of the experiences of both mother and daughter.
After Christmas, Jenny and Billie returned and I found
Billie has two pet goldfish.The story was offered to Billie
that Jenny had decided to read the story in short instal-
before Christmas 1998 for the mother to read to her as and
ments. It provoked more reflection and discussion between
when she judged the time right.When I gave her the story
mother and daughter in the next session. The story of the
she accepted it as a gift in return for her giving me a toy
goldfish became a safe focus; the metaphorical parallels
with the family's experience were close enough, without
being too threatening to either of them. As with other
less direct approaches, it was important for me not to
`overwork' the meanings of the story. It is more useful to
In giving this story to Billie and her mother, timing was
leave these open, avoiding the possibility of imposing
crucial. The point of the exchange at Christmas-time
one's own biases through the interpretations one makes.
seemed to bring Billie and me together in mutual accept-
After nine months, my work with Jenny and Billie is
ance and new trust. Billie's play had been so fragmented
coming to an end. When I last met with them in their
and her mother's worries so preoccupying and frantic that
new home, Billie played `house moves' with me as a
at times I felt it was difficult to catch my breath before
`neighbour'. After a short while her friends called to go
A.N.Z.J. Fam. Ther., 2000, Vol. 21, No. 1
`I hope he has gone for good!'said Melissa.`I never want to
see him again. He was so bad to you. He should never have
bashed you with his tail and hurt you so much. This is our
bowl. It has always been our bowl. Why do you think he
Melissa was a very pretty young fish indeed. She was a gold-
fish. She swam around in her goldfish bowl quite happily, in
Samantha couldn't find the words to explain to her daughter.
and out of the pretend seaweed, playing with her mother,
She too had found the Silvery Prince someone she once liked
Samantha. Samantha was a proud and beautiful goldfish.
very, very much. `How is it possible?', she said to herself in
She and Melissa would enjoy swimming around each other,
goldfish language,`How is it possible to like someone so very,
looking at the world outside from their goldfish bowl. (Have
very much and yet he should do such bad things? This is
you ever imagined what a goldfish sees when she looks out from a goldfish
very confusing.' It made her swim round and round in frantic
bowl? She probably sees funny shapes of people and television sets and won-
circles trying to make sense of this. Slowly, over the follow-
ing goldfish-weeks and months, and even a goldfish year,
One day Melissa and her mother were having a bite to
Melissa and Samantha began to feel more safe again. But they
eat (ants eggs seemed to drop in from the sky as if by magic).
always had one big worry. Do you know what this worry
All of a sudden there was an almighty splash! A very hand-
was? It was this: would there be a time, sometime in the
some new goldfish appeared. He had a black line down his
future when there would be a big splash and the Silvery
back and silvery fins. After being surprised Samantha and
Prince might come back again? This was frightening for
Melissa got on very well with this new, handsome Silvery
Samantha and for Melissa. (Sometimes when people are frightened
Prince (as they decided to call him). They began to like him;
they think it is best notto talk aboutthe frightening thing and I can under-
he made them laugh and life inside the goldfish bowl was
stand that, because we all like to try to forget frightening things.)
As Melissa swam around the goldfish bowl she said to
But, one day when they were all swimming around, the
herself, `I wonder: if I had been nicer to that Silvery Prince
Silvery Prince said,`This goldfish bowl is too small and you
would he have liked me better and liked my mum better?
(pointing to Samantha and Melissa) are taking up too much
Maybe I made him do something to hurt my mum, but
I can't think what that would have been. Maybe if I had
Samantha and Melissa were shocked and frightened.Their
shared my food a bit more or let him play a bit more behind
goldfish eyes opened very wide and their mouths opened
the seaweed. Even though I am angry about what he did,
sometimes, just sometimes, I would like to hear how he is,
Before Samantha could tell the Silvery Prince that this was
and if he is unhappy. I wonder if he is in another goldfish
her bowl and belonged to no one else he whacked her so
bowl on his own, or if he has a friend? I wonder what he
hard with his tail that she flew against the side of the bowl
looks like now? I wonder if he still has the silvery gills and
and hurt her fins very badly. She lay there and couldn't get
that black line on his back? I wonder if I will ever see him
up. Melissa was very frightened. (It was the kind of fright where
you don't really know whatto say or whatto feel.You just know something
Melissa's mum sometimes felt sad about the things that
wrong has happened and you don't like it.)
had happened. She even thought, `Maybe I have myself to
Melissa wanted it to be all better again. She wanted the
blame. If only I had kept him away from us. If only I had
goldfish bowl to be a happy place once more. She wanted
spoken to him a bit more strongly. If only I had seen that
the Silvery Prince to be nice again, to be good to her and
he wanted to take over this goldfish bowl. Maybe Melissa
her mum. She wanted him to like her because deep down
wouldn't be so upset.' She wanted to tell Melissa how much
inside she liked him very much and he was good fun at
she loved her and how much she was sorry that bad things
times. But this was a bad thing he had done and she didn't
Yet some good things began to happen too: the goldfish
Slowly Samantha got up and began to swim again. It took
bowl was beginning to look smart again.The water was calm.
a while and she was always frightened about what the Silvery
They could breathe through their gills more easily. Samantha
Prince might do next. For a long time Samantha and Melissa
also made some special plans. She was becoming a stronger
said nothing to each other.They just kept themselves hidden
goldfish. Melissa liked that. She could see there was a quick-
behind the pretend seaweed. The Silvery Prince swam
ness now in the way Samantha seemed to patrol the goldfish
around like he was the King of the sea.
bowl and slowly, slowly at first, Melissa began to play again.
Melissa and her mum were very unhappy. They showed
She began to pick little pebbles up and play with them in the
this by keeping very quiet or sometimes getting very very
bowl. She began to dart in and out of the pretend seaweed
angry and flapping their tails around. But they didn't cry like
like she used to do! She began to want to have some more
human beings do (maybe, because tears are made from water we can't
friends again. She remembered that goldfish actually swim
around in big groups called `schools', and when she started
Anyway, one day there was another big splash. This time,
to think of this she felt good. Her tail would flick a little bit
when Melissa and Samantha opened their eyes the Silvery
and she would dart around the goldfish bowl. She could see
Prince was gone. At first Samantha and Melissa couldn't be-
slowly, slowly at first, that things over the last goldfish-year
lieve it. They breathed a big sigh of relief through their gills
and began to gently and slowly swim out further and further
This is the end of this part of the story of Melissaöthere
from behind the pretend seaweed, until they began to feel a
could be more adventures and things to say but this is
little bit more at home again. Samantha said,`I wonder where
Melissa's story so far. (What do you think could happen next
swimming and I was secretly pleased to be relegated once
story. The general attitude is close to the attitude of
practitioners involved in reflecting teams and processes
(Andersen, 1987 and 1990). The orientation of the writer
of the story is one of attempting to appreciate the child's
situation rather than judging or offering definitive inter-
Our professional theories, as well as our personal experi-
pretations of her reality. Perhaps the orientation is best
ences, are wells of experience and resourcefulness which
considered in the light of the following claim by the
can be drawn upon for the benefit of the people we see
in therapy. Systemic therapy, informed by narrative and
. children are amnesiacs behind enemy lines . Being a
social constructionist ideas, draws me towards an appreci-
child is largely a flux of bold and furtive guesswork, fixed
ation of how the internal experiences of children in
ideas continually dislodged by scrambling and tentative
therapy can be contextualised and given fuller expression.
revision . All our energy and cunning go into getting our
In so doing we may try to introduce more expanded, less
bearings without letting on that we are ignorant and lost
blameworthy or confining meanings to prior experiences.
I assume that the child's trauma will be associated with
central themes and internal responses to these: the loss of
her parent through imprisonment and the fearfulness
of what had been experienced sit alongside her wish to
Creating stories with, and offering them to, children can
be in touch in some way with her father. These themes
enhance therapeutic potential by employing a child-
were only marginally alluded to in the prior sessions with
friendly idiom. The active involvement of the therapist
Jenny and her daughter but alluded to enough for them
in devising, structuring and offering a tailor made story
to be included as central themes in the story. The notion
to a family may, in itself, enhance rapport and motivation
of each story offered containing an inherent systemic
within the therapeutic process. Crucial to the stimulation
logic (Cecchin, Lane and Ray, 1994) equips the writer
of one's imagination is attention to the imagination of
with an orientation which helps introduce complexity
children in our play and talk with them. This capacity,
into the client's account. In essence the story takes the
together with a sense of realistic optimism, are necessary
shape of a systemic narrative offered to the child and
for the emergence of improvised, case specific stories.
The therapist should not feel the need to structure the
story as an imposition. Listening to the expressions of
children and being educated by their play is often more
than enough to trigger story lines in the mind of the
There are always options for parents to write their own
stories and for children and therapists to embark on a
joint writing expedition (Marner, 1995). If the story is
written by the therapist, the key idea of applying systemic
Andersen,T.,1987.The ReflectingTeam: Dialogue and Meta Dialogue in
Clinical Work, Family Process, 26: 415^428.
logic to a child's situation helps a therapist to avoid
Andersen,T. (Ed.), 1990.The ReflectingTeam, NY, Norton.
judging the various characters too harshly (for example,
Cattanach, A., 1997. Children's Stories in Play Therapy, London, Jessica
the father in this case). Characters are neither demonised
or sanctified, since this speaks to only one dimension of
Cecchin, G., Lane, G. and Ray, W., 1994. The Cybernetics of Prejudice,
the significant adults in the child's life. These stories do
Combs, G. and Freedman, J.,1990. Symbol,Story&Metaphor, NY, Norton.
not have romantic or `Hollywood' endings, in fact, one
Dwivedi, K. N. (Ed.), 1997. TheTherapeutic Use of Stories, London, Rout-
important element is that some unspeakable truth may
find expression in the telling. The therapist keeps the
Freedman, J. and Combs, G., 1996. NarrativeTherapyöThe Social Construc-
client's way of talking and the quality of the therapeutic
tion of Preferred Realities, NY, Norton.
Killick, S. and Wilson, J., 1999.Weaving Words and Emergent Stories.
relationship uppermost in her/his mind in order to create
In B. Bowen and G. Robinson (Eds), Therapeutic Stories, Canterbury,
a useful fit between the story, the listener and the teller.
If the story is too hopeful we risk being seen as na|«ve.
Larner, G., 1996. Narrative Child Family Therapy, Family Process, 35:
If we become too engrossed in our enthusiasm we can
lose sight of the client's scepticism. If we become too
Marner, T., 1995. Therapeutic Letters To, From and Between Children
in FamilyTherapy, Journal of Social Work Practice, 9, 2: 169^176.
organised by instruction in the story, we risk becoming
Moore, L. (Ed.), 1997.The Faber Book of Contemporary Stories about Childhood,
moralisers.The therapist has to be careful to sidestep such
traps and at the same time, develop a relevant story that
Penn, P. and Frankfurt, M., 1994. Creating a Participant Text: Writing,
holds within it the capacity for new possibilities to be
MultipleVoices, Narrative Multiplicity, Family Process, 33, 3: 217^231.
Selekman, M. D., 1997. Solution Focused Therapy with Children, NY, London,
heard by the reader and the listener.
The stories use symbols and metaphors chosen to
Stith, S. M., Rosens, K. H., McCollum, E. E., Coleman, J. U. and
ignite the child's imagination. Central to all of this en-
Herman, S. A., 1996. The Voices of Children: Preadolescent Child-
deavour is the therapist's desire to try to see the world,
ren's Experiences in Family Therapy, Journal of Marital and Family
as far as possible, through the eyes of the child.This form
Wachtel, E. F., 1994. Treating Troubled Children and their Families, NY,
of systemic empathy helps shape the main themes in the
A.N.Z.J. Fam. Ther., 2000, Vol. 21, No. 1
White, M. and Epston, D., 1990. Narrative Means toTherapeutic Ends, NY,
Wilson, J., 1998. Child Focused PracticeöACollaborative Systemic Approach,
Thank you to Yasmin for the drawing, to colleagues and trainees at
The Family Institute, The Newry Family Resource Centre, Diamond
Zilbach, J., 1986.Young Children in FamilyTherapy, NY, Brunner/Mazel.
House and others in the Northern Ireland network, for contributing
For other articles that focus on children, think of:
Seymour, F. W., Bayfield, G., Brock, P. and During, M., 1983. Management of Night-Waking in Young
Heins, T., 1988. Relearning Childthink, ANZJFT, 9, 3: 143^149.
Gerrard, J. M., 1991. The Teasing Syndrome in Facially Deformed Children, ANZJFT, 12, 3: 147^154.
Boland, C., 1993: Child Behaviour Management Programs: Avoiding Parental Drop-Out, ANZJFT, 14, 3:
If you've missed out on these, consult the editors about the back issues in their shed. Single issues,
Volumes 1^17, $5.00 per issue, postage additional, from the editors.
For Volume 18 on, contact Blackwell.
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MANAGEMENT AND OPERATION OF ST. CYRIL & METOD HEALTH CENTRE Management Team In order to streamline the management of the hospital it was recently decided that the hospital should be registered as a trust deed under trustees. This was done and the following is the current composition of the caretaker management committee; Lions representatives – 2No Local catholic churc