["Helping ourselves": the Ludwigshafen multi-family training]

Abstract

Eia Asen developed multi-family-therapy (MFT) in the context of pediatric psychiatric work with predominantly poor and marginalised families from very different cultural, religious, linguistic, and social traditions in inner-city London. This work began with families affected by globalisation, migration, segregation, criminality, and other adverse social and economic effects of Thatcherism. Asen replaced the expert-led diagnostics, patterns of illness and individual medical indication of the case-by-case based model of treatment with a systemic practice developed across decades together with a large multi-professional and multicultural team, which places the family, the social, economic, and educational contexts, as well as traditions and the every-day situations of children and their parents, at the centre of the support. MFT makes particular use of the mutual solidarity, willingness to help and competence of families in comparable situations. The article describes how the child-guidance service has transferred this concept of multi-family training to the outpatient (non-residential) educational support work of the Youth Welfare Department of Ludwigshafen, a medium-sized city with above average social risks. The successes of this pilot project across two-and-a-half years are encouraging and suggest the further development and expansion of this approach.