Flaskas-2009-Australian and New Zealand Journal of Family Therapy
Flaskas-2009-Australian and New Zealand Journal of Family Therapy
Flaskas-2009-Australian and New Zealand Journal of Family Therapy
This article offers a beginning set of ideas about the therapist’s imagination of self in
relation to her/his clients, which is one very specific part of the territory of empathy.
My topic is embedded in a broader interest in the therapeutic relationship, and in
the subtlety, richness and mutuality of connectedness between therapists and clients.
That the therapeutic relationship is enduring in its centrality to all forms of
psychotherapy is a claim that now scarcely needs to be argued. If evidence is required
An earlier version of this article was presented as a plenary contribution to the 29th Australian
Family Therapy Conference held in Brisbane, 2008.
Address for correspondence: Carmel Flaskas, Social Work, School of Social Sciences and International
Studies, University of New South Wales, UNSW Sydney 2052. E-mail: c.flaskas@unsw.edu.au
beyond the everyday experience of practice, then one can turn to the well-established
empirical research program on the common factors that are related to positive
therapy outcomes across different practice modalities and therapeutic frameworks.
Study after study places the group of factors surrounding the therapeutic relationship
as central to therapy outcome, with an importance that comes second only to the
significance of the strengths and resources that clients bring with them to therapy
(Hubble et al., 1999; Sprenkle & Blow, 2004). In qualitative studies of clients’
experience, again and again, people comment on the importance of feeling that the
therapist understood them and their situation, or even just that the therapist tried
to understand.
The dynamic of empathy — of hoping to feel understood, on the one hand, and
trying to understand, on the other — can be complicated, with particular complex-
ities being generated in the modality of family therapy. The focus in this article is
specifically on empathic imagination and the therapist’s fantasy of self in relation to
other in orienting to the clients’ experiences, especially in family therapy. I am also
interested in different routes to therapeutic connectedness, as well as the flexibility
and balance of the therapist’s use of the imagination of self-in-relation-to-other in
the task of trying to understand. The exploration is structured in four parts. I will
begin by laying out some ideas about empathy and the context of family therapy
practice and theory. The second part will develop ideas about empathic imagina-
tion, and the significance of the kinds of fantasy of sameness or difference we use in
imagining ourselves in relation to our clients. This will be followed by a considera-
tion of flexibility and balance in our use of the imagination of self-in-relation-to-
other. The final section will gesture to two territories of practice potentially
enriched by these understandings — the challenge of impasse, and therapeutic
connectedness in intercultural relating.
In one of the rare discussions of empathy in the family therapy literature, Perry
(1993) mapped the broader relational territory of empathy, drawing out the way
in which mainstream family therapy practices of questioning, reflecting teams,
therapeutic opinions and the use of tasks all hold the potential for the expression
of understanding and empathic communication. I would add to this list the
careful use of language that characterises the acknowledgment of family members’
emotions and predicaments — a habit one learns in family therapy is to use non-
aligning language, which can still powerfully acknowledge and nurture empathic
connection with individual members and the family as a whole.
Perry’s article was published in this journal in 1993, on the cusp of the transi-
tion to postmodernist parameters in family therapy, and it remains an enriching
and thorough consideration of empathy in work with families. Though ‘empathy’
(named as such) holds no special place in the later postmodernist family therapy
theory repertoire, nonetheless strands of work continue to explore the practice
territory of understanding and therapeutic connectedness in the therapeutic
process. David Pocock’s 1997 article ‘Feeling Understood in Family Therapy’ did
not invoke the concept of empathy yet, as its title suggests, it directly explores the
process of understanding, offering a finely grained discussion of the mutuality and
subtlety of the therapist’s attempts to understand and the client’s experience of
feeling understood. In the last decade, Pocock has continued to follow the trajec-
tory of exploring emotional systems in family therapy, with his writing increasingly
integrating contemporary ideas from relational psychoanalysis (see, e.g., Pocock
2005, 2009).
Psychoanalysis has provided the source of a number of other integrations that
are relevant to the processes of empathy in the systemic context. The idea of
containment in the therapeutic relationship has been explored by a number of
writers (Flaskas, 2002, 2005a; Gibney, 2003; Larner, 2000, 2009). Mary Donovan
(2005, 2009) has explored the resonance and difference of reflecting processes in
systemic therapy and psychoanalysis. The ‘set’ of ideas of transference, counter-
transference and projective identification has been used in rich explorations of
unconscious processes in family therapy (see, for example, Bland, 2009; Kraemer,
2009). I have also built on this set of ideas in the systemic context, arguing that
reflection employing these ideas provides a bridge to empathy, with the therapist
using her/his emotional reactions as one way of connecting to clients’ experience
(Flaskas, 2002, 2005a).
Coming from a different and more purely systemic location, Paolo Bertrando
and colleagues (Bertrando, 2007; Bertrando & Gilli, 2008; Bertrando & Arcelloni,
2009) are also exploring emotions and emotional systems in systemic therapy.
Glenda Fredman (2004) has developed ideas about the relational practices of
emotion and the ‘doing’ and ‘being-with’ in emotion. The work of Peter Rober
(1999, 2002, 2005) should be referenced here as well, again not because he writes
on empathy as such, but because his use of the dialogical perspective allows a very
rich space for thinking about emotions and the processes between therapist and
clients. Glenn Larner (2004, 2009) has recently been considering the ethical philos-
ophy of Levinas and the implications for how one might think about the face-to-
face encounter in therapy. And while I am listing this much broader field of emerg-
ing contemporary systemic work that leans toward understandings of the relational
processes of empathy, I should also include much of the writing over the past 15
years on the therapeutic relationship in systemic therapy (see, e.g., Flaskas, Mason
& Perlesz, 2005).
Though space does not allow a fuller acknowledgment of these very different
strands of work, my discussion in this article sits within this broader milieu in
systemic family therapy theory. There are many ways in which the territory of
empathy may be approached, and my contribution is quite specific and sits side-by-
side these other offerings: here I will explore the therapist’s fantasy of self-in-
relationship and how this imagination folds into the processes of empathy.
In general, there are two kinds of positions we can use in imagining ourselves to
be in relationship to others, each relying on a different kind of fantasy of self-in-
relationship-to-other. The first is the fantasy of identification, which assumes that
we are sufficiently like the other to try to imagine ourselves in their situation, and
to use whatever resonances come from our own experience in orienting to our
clients’ experiences. This is the position evoked in the common expression ‘to put
yourself in someone else’s shoes’, and sometimes this phrase is itself used as an acces-
sible (if partial) definition of empathy.
The second position relies on another kind of relationship fantasy. Here, rather
than imagining ourselves as the same as, we imagine ourselves as ‘the other’. We
assume that we will not be able to make any easy sense of our clients’ experiences
and, instead, like an anthropologist in a different culture, or like a foreigner visiting
in a different society, we will need to be quite active if we are to try to grasp the
experience of the people we are sitting with. When I was learning techniques of
questioning in family therapy, our training supervisor said something like ‘think
Martian — imagine you have just landed on Planet Earth and that you cannot
easily make sense of what you are seeing and hearing: what questions would you
need to ask in order to make sense of this family’s experience?’.1
Another association I have here is to a specific moment in therapy. It happened
many years ago but, though I feel embarrassed admitting it, I was not new to
counselling and therapy and had a reasonable amount of experience in intercultural
work. I was sitting in a session in Sydney with a large Lebanese family and an inter-
preter when, amidst the general hubbub, a moment of clarity descended on me: I
thought ‘but I’m the one who is the foreigner here, it’s me who is the foreigner’.
That this self-evident observation came so belatedly in my professional life speaks to
my own lack of experience of myself as anything other than unselfconsciously ‘at
home’ — for then and now I continue to carry the kind of insularity that is the
legacy of a culturally and racially homogenous childhood. However, in that session I
did emotionally grasp, in a way that I had not done before, that to some extent all
psychotherapy is a cross-cultural experience, which is not to deny the chasms of
difference and its different significances in intercultural work. I also grasped that,
from one angle, it should be the therapist who thinks of her/himself as ‘other’ to the
client/s, rather than the reverse imagination of this relationship.
Over the years, I have found the ideas that emerged in these two moments in
my professional life to be liberating, in much the same way as I have found some of
the differences of family therapy practices to be liberating. Asking questions and
being curious and continuing to hold alongside different people in the room can be
fun. The discipline of forcing yourself to stay curious, to keep trying to understand
from a position that assumes you cannot easily understand the other allows one
form of connection, which contrasts to the form of connection made possible by
imagining that you should be able to understand the commonality of the other’s
experience with your own.
If one thinks of the practices of empathy that cluster around reflecting back, the
imaginative position of self-in-relationship is that of ‘identification-with’, and one
searches for commonality of experience. Then one can think of other practices,
the extent to which our ability to experience projective processes, to take on board
some emotions from clients as an experience of self, and then to think about our
own experience in relation to our clients’ experience — all this allows a rich
connectedness. Of course, these ideas move one step beyond an idea of a purposeful
and conscious imagining of self-in-relationship to a more immediately intimate and
direct use of self.
There has been a tendency in some of the postmodern theorising to draw
dichotomous distinctions that collapse the complexity of therapeutic relating
(Flaskas, 2002). In particular, there has been a false dichotomy drawn between
subject and object, as if we either relate to our own (and our clients’) experience in
terms of a connected subjectivity or, instead, as a distant and separate object of
knowledge. Yet, to think about how we relate to our own experience, one of the
gifts of human consciousness is that we can relate to our own experience both from
within the agency of our subjectivity as well as from a position of reflecting on
ourselves as the object of experience. In short, we can be immersed in experience yet
still maintain a relationship to that experience. Understanding does indeed involve
‘emotion, imagination and reflection’ (Bolognini, 2004, p. 13) — for we are, at the
same time, both subject and object of our experience.
The dialectical relationship of subjectivity and objectivity is embedded in the
imagination of sameness and difference in our attempts at empathic relating in the
context of psychotherapy. The flexibility required in moving between the two is
more fluid when working with families, precisely because you are relating to a
number of people and not just one. And so, the discipline of ‘balance’ calls forth a
complexity and a movement in how we are relating to each person in the family, as
well as the family as a whole.
Precisely because we find the fantasy of identification easier with some members
and not others in a family, we try to extend our imagination of identification to the
people with whom we find it hard to identify. Simultaneously, we try to hold a
position of curiosity, based on an imagining of difference, to that which we find
more immediately familiar. Families whose experience is a long way away from our
own social and familial histories of relating require an empathic connection that
fantasises sameness as well as difference, and families whose experience immediately
resonates with our own histories require a curiosity that keeps us alive to under-
standing the differences of their family system and social context. Thus we use both
flexibility and balance in the imagination-of-self-in-relationship in the process of
nurturing and strengthening empathy and therapeutic connectedness.
Practice Territories
Theory ideas do not capture the richness of practice and there is tension in the relation-
ship of theory and practice. Many practice situations have been in my mind as I have
been writing this article, both nagging at me about the topic, as well as resonating with
the theory ideas as they have been developing. In particular, I have been thinking of
challenges in my own practice around therapeutic impasse, as well as many, many situa-
tions in supervision where we have been trying collectively to tackle the difficulties of
impasse. Alongside this set of musings, I have been thinking of situations that bring
forward the joy and complexity of intercultural and interracial relating, and the
challenges of therapeutic connectedness in intercultural work. I will use this last part of
the article to gesture to the relationship of the ideas about empathic imagination and
the fantasy of self-in-relationship to these two practice territories.
There have been some direct discussions of impasse in the family therapy literature
(Flaskas, 2005b; Rober, 1999) and the frequent times in therapy when families and
therapist feel stuck in the process of change. I have described impasse as an interactional
constellation both within families, and between family and therapist (Flaskas, 2005b).
Impasse is, by its very nature, a difficult time emotionally, and patterns are generated
around frustration and hopelessness, and anger and blame and shame. As the therapist,
one is always part of this, and it is easy to feel rattled, or despairing, or simply just feel
bad about your lack of helpfulness. Sometimes when stakes are high — for example, in
situations of abuse or suicidality — the therapist has to tolerate dread and somehow
‘hold’ knowing the possibility of a serious outcome, while continuing to hold the hope
for a more positive outcome.
In these very messy situations, family members and therapists often get stuck in
rigid positions. Compassionate connections among family members and between
therapist and family can begin to break down. Narratives calcify, and it can be diffi-
cult to stay alive to other more hopeful possibilities and stories. Very significantly in
terms of the therapeutic relationship, one’s capacity as a therapist for empathic
connection is affected and often seriously compromised.
There are many ways of thinking about how one may usefully use one’s ‘self ’ as
a therapist in tackling impasse, and there are many practices to call on (see Flaskas,
2005b). However, to focus here just on empathic imagination, there are two
common patterns that can easily ‘set in’ during impasse. One pattern is to emotion-
ally distance yourself as therapist from the mess and fear of failure and to lose the
capacity to imagine a relationship of identity with the clients. At these points, in an
extreme form, you settle into an imagination of difference, but one where the
family is imagined to be foreign, rather than the more connecting imagination of
self-as-foreigner in relation to the family. When stuck in this position, we are still
quite able to develop theoretically sophisticated understandings of why the family is
in such a hopeless position. Yet, despite the accuracy or otherwise of these assess-
ments of failure, the effect can be antitherapeutic, as our lack of capacity for imagi-
nation of ourselves-in-relationship to our clients corrodes empathic connection with
the family.
The other pattern, so common in family work, is to fall into a polarised position
in our imagining of our relationship to different family members. For example, we
find ourselves being able to relate only from an imagination of identification/
sameness to the parents tormented by the spiral of their daughter’s self-destructiveness,
and we cannot free ourselves to connect with the suicidal young woman by imagining
ourselves in relation to her as-the-same-as or as-different-to. Or our hearts break for
the emotionally abused child, and our imagination of identification/sameness with the
child prevents us approaching understandings of her attachment to her abusive
2009, p. 187). Yet honouring the incorrigibility of otherness is perhaps most powerful
in the context of the contradictory relational hope of connection. When I think of the
particular joy and pleasure that can be generated in intercultural therapeutic relating,
it seems to me that this pleasure relates to the dialectics of incorrigible difference (on
the one hand) and human connectedness and identification (on the other). One small
but important part of this constellation is the imagination we have of ourselves in
relation to our clients in our attempts at empathic connection.
Conclusion
David Pocock (1997, p. 298) wrote as a conclusion to his article on understanding:
… feeling understood is more than just useful knowledge; more too than a better
story. It is an experience of being more known to and appreciated by others and,
through them, to a greater appreciation of oneself. It is a celebration of both our
common humanity and our differences.
My article has been concerned with the therapist’s task of trying to understand. I chose
to explore one very particular process in the therapist’s use of self in empathy, and that is
how as therapists we imagine ourselves to be in relation to our clients and the fantasies
we use of ourselves-in-relationship as we try to connect with our clients’ experience. I
contrasted the imagination of identification/sameness and the imagination of self-as-
other/difference, and the pathways these fantasies offer in our invitations to therapeutic
connection. The theory and practice of family therapy has been at the forefront of this
exploration, and a number of comments have addressed the specificity of the task of
trying to understand in the context of work with families versus individual therapy.
However, the argument for the need for flexibility and balance in the use of these two
positions of imagining carries across the activities of psychotherapy as a whole.
While theory is by its nature abstract, therapy practice is always specific and
embodied and very human. The relational processes of empathy lie at the centre of
practice, whether theorised or not. Yet theory can help us navigate practice, and
ideas about the therapist’s imagination of self-in-relationship may be used to shed
light on complexities of practice, including the territories of impasse and intercul-
tural therapeutic connection.
Endnotes
1 Let me belatedly thank Laurie MacKinnon for this metaphor.
2 Drawing on a qualitative study, Lorraine Tempel (2007) gives a fascinating account of
‘situational pathways’ to empathy, where workers find points of imaginative connec-
tion/identification to meet difficulties of empathic connection with mothers who are sole
parents at risk of physical abuse of their children.
References
Bertrando, P. (2007). The dialogical therapist. London: Karnac Books.
Bertrando, P., & Arcelloni, T. (2009). Anger and boredom: Unpleasant emotions in systemic
therapy. In C. Flaskas & D. Pocock (Eds.), Systems and psychoanalysis: Contemporary
integrations in family therapy (pp. 75–92). London: Karnac Books.
Bertrando, P., & Gilli, G. (2008). Emotional dances: Therapeutic dialogues as embodied
systems. Journal of Family Therapy, 30, 362–373.
Bland, J. (2009). Working with unconscious processes: Psychoanalysis and systemic family
therapy. In C. Flaskas & D. Pocock (Eds.), Systems and psychoanalysis: Contemporary
integrations in family therapy (pp. 21–38). London: Karnac Books.
Bolognini, S. (2004). Psychoanalytic empathy. London: Free Association Books.
Donovan, M. (2005). Bridging the gap: Similarity and difference between psychoanalytic
and systemic therapeutic orientations. British Journal of Psychotherapy, 22, 227–242.
Donovan, M. (2009). Reflective processes and reflective functioning: Shared concerns and
challenges in systemic and psychoanalytic therapeutic practice. In C. Flaskas & D.
Pocock (Eds.), Systems and psychoanalysis: Contemporary integrations in family therapy (pp.
149–166). London: Karnac Books.
Flaskas, C. (2002). Family therapy beyond postmodernism: Practice challenges theory. Hove,
England: Brunner-Routledge.
Flaskas, C. (2005a). Psychoanalytic ideas and systemic therapy: Revisiting the question ‘why
bother?’ Australian and New Zealand Journal of Family Therapy, 26, 125–134.
Flaskas, C. (2005b). Sticky situations, therapy mess: On impasse and reflective practice. In
C. Flaskas, B. Mason & A. Perlesz (Eds.), The space between: Experience, context and
process in the therapeutic relationship (pp. 111–125). London: Karnac Books.
Flaskas, C., Mason, B., & Perlesz, A. (Eds.) (2005). The space between: Experience, context
and process in the therapeutic relationship. London: Karnac Books.
Fredman, G. (2004). Transforming emotion: Conversations in counselling and psychotherapy.
London: Whurr Publishers.
Frosh, S. (2002). After words: The personal in gender, culture and psychotherapy. London:
Palgrave.
Frosh, S. (2009). What does the Other want? In C. Flaskas & D. Pocock (Eds.), Systems and
psychoanalysis: Contemporary integrations in family therapy (pp. 185–202). London:
Karnac Books.
Gibney, P. (2003). The pragmatics of therapeutic practice. Buckingham, UK: Open University
Press.
Hubble, M.A., Duncan, B.L., & Miller, S.D. (Eds.). (1999). The heart and soul of change:
What works in therapy. Washington, DC: American Psychological Association.
Kraemer, S. (2009). Is there another word for it? Countertransference in family therapy. In
C. Flaskas & D. Pocock (Eds.), Systems and psychoanalysis: Contemporary integrations in
family therapy (pp. 39–56). London: Karnac Books.
Larner, G. (2000). Toward a common ground in psychoanalysis and family therapy: On
knowing not to know. Journal of Family Therapy, 22, 61–82.
Larner, G. (2004). Levinas: Therapy as discourse ethics. In T. Strong & D. Pare (Eds.),
Furthering talk: Advanced in the discursive therapies (pp. 15–32). New York: Kluwer
Academic.
Larner, G. (2009). Intersecting Levinas and Bion: The ethical container in psychoanalysis
and family therapy. In C. Flaskas & D. Pocock (Eds.), Systems and psychoanalysis:
Contemporary integrations in family therapy (pp. 203–220). London: Karnac Books.
Pedersen, P.D., Crether, H.C., & Carlson, J. (2008). Inclusive cultural empathy: Making
relationships central in counseling and psychotherapy. Washington, DC: American
Psychological Association.
Perry, R. (1993). Empathy — still at the heart of therapy: The interplay of context and
empathy. Australian and New Zealand Journal of Family Therapy, 14, 63–74.
Pocock, D. (1997). Feeling understood in family therapy. Journal of Family Therapy, 19,
283–302.
Pocock, D. (2005). Systems of the heart: Evoking the feeling self in family therapy. In C.
Flaskas, B. Mason & A. Perlesz (Eds.), The space between: Experience, context and process
in the therapeutic relationship (pp. 127–139). London: Karnac Books.
Pocock, D. (2009). Working with emotional systems: Four new maps. In C. Flaskas & D.
Pocock (Eds.), Systems and psychoanalysis: Contemporary integrations in family therapy (pp.
93–110). London: Karnac Books.
Rober, P. (1999). The therapist’s inner conversation in family therapy practice: Some ideas
about the self of the therapist, therapeutic impasse and the process of reflection. Family
Process, 38, 209–28.
Rober, P. (2002). Constructive hypothesizing, dialogic understanding, and the therapist’s
inner conversation: Some ideas of knowing and not-knowing in the family therapy
session. Journal of Marital and Family Therapy, 28, 467–478.
Rober, P. (2005). Family therapy as a dialogue of living persons: A perspective inspired by
Bakhtin, Volosinov and Shotter. Journal of Marital and Family Therapy, 31, 385–397.
Rorty, R. (1980). Philosophy and the mirror of nature. Princeton, NJ: Princeton University Press.
Sprenkle, D.H., & Blow, A.J. (2004). Common factors and our sacred models. Journal of
Marital and Family Therapy, 30, 113–129.
Tempel, L. (2007). Pathways to the clinician’s experience of empathy in engaging single
mothers at risk for physical abuse of their children. Clinical Social Work, 35, 257–265.