Who Writes the “Therapeutic Story” of Families in Extreme Distress: Overcoming the Coalition of Despair

ABSTRACT

When families in extreme distress come to social workers, the enormity of their needs often stresses the workers. The problems which these families face often require material and personal resources in excess of what the agency can provide. This places the worker in a position of being under pressure from both sides the clients and the organization. In these situations, the workers and families together can become subject to a coalition of despair. It is characterized by exhaustion and losing hope that therapeutic change is possible. A way to overcome or avoid the coalition is proposed.