"Applications of Narrative Theory and Therapy to the Practice of Family Medicine"
Johanna Shapiro, PhD and Valerie Ross, MS
Narrative therapy is a form of psychotherapy, pioneered in Australia and New Zealand in the 1980s, that emphasizes the importance of story and language in the development and expression of interpersonal and intrapersonal problems. It uses therapeutic questioning to help clients recognize and reflect on the discrepant but positive elements of their current problem-saturated stories and to empower them to reformulate a more-preferred life direction.
narrative-theory-and-therapy.article.pdf
Johanna Shapiro, PhD and Valerie Ross, MS
Narrative therapy is a form of psychotherapy, pioneered in Australia and New Zealand in the 1980s, that emphasizes the importance of story and language in the development and expression of interpersonal and intrapersonal problems. It uses therapeutic questioning to help clients recognize and reflect on the discrepant but positive elements of their current problem-saturated stories and to empower them to reformulate a more-preferred life direction.
narrative-theory-and-therapy.article.pdf
(א) וַיִּפֹּ֥ל יוֹסֵ֖ף עַל־פְּנֵ֣י אָבִ֑יו וַיֵּ֥בְךְּ עָלָ֖יו וַיִּשַּׁק־לֽוֹ׃ (ב) וַיְצַ֨ו יוֹסֵ֤ף אֶת־עֲבָדָיו֙ אֶת־הָרֹ֣פְאִ֔ים לַחֲנֹ֖ט אֶת־אָבִ֑יו וַיַּחַנְט֥וּ הָרֹפְאִ֖ים אֶת־יִשְׂרָאֵֽל׃ (ג) וַיִּמְלְאוּ־לוֹ֙ אַרְבָּעִ֣ים י֔וֹם כִּ֛י כֵּ֥ן יִמְלְא֖וּ יְמֵ֣י הַחֲנֻטִ֑ים וַיִּבְכּ֥וּ אֹת֛וֹ מִצְרַ֖יִם שִׁבְעִ֥ים יֽוֹם׃ (ד) וַיַּֽעַבְרוּ֙ יְמֵ֣י בְכִית֔וֹ וַיְדַבֵּ֣ר יוֹסֵ֔ף אֶל־בֵּ֥ית פַּרְעֹ֖ה לֵאמֹ֑ר אִם־נָ֨א מָצָ֤אתִי חֵן֙ בְּעֵ֣ינֵיכֶ֔ם דַּבְּרוּ־נָ֕א בְּאׇזְנֵ֥י פַרְעֹ֖ה לֵאמֹֽר׃ (ה) אָבִ֞י הִשְׁבִּיעַ֣נִי לֵאמֹ֗ר הִנֵּ֣ה אָנֹכִי֮ מֵת֒ בְּקִבְרִ֗י אֲשֶׁ֨ר כָּרִ֤יתִי לִי֙ בְּאֶ֣רֶץ כְּנַ֔עַן שָׁ֖מָּה תִּקְבְּרֵ֑נִי וְעַתָּ֗ה אֶֽעֱלֶה־נָּ֛א וְאֶקְבְּרָ֥ה אֶת־אָבִ֖י וְאָשֽׁוּבָה׃ (ו) וַיֹּ֖אמֶר פַּרְעֹ֑ה עֲלֵ֛ה וּקְבֹ֥ר אֶת־אָבִ֖יךָ כַּאֲשֶׁ֥ר הִשְׁבִּיעֶֽךָ׃ (ז) וַיַּ֥עַל יוֹסֵ֖ף לִקְבֹּ֣ר אֶת־אָבִ֑יו וַיַּֽעֲל֨וּ אִתּ֜וֹ כׇּל־עַבְדֵ֤י פַרְעֹה֙ זִקְנֵ֣י בֵית֔וֹ וְכֹ֖ל זִקְנֵ֥י אֶֽרֶץ־מִצְרָֽיִם׃ (ח) וְכֹל֙ בֵּ֣ית יוֹסֵ֔ף וְאֶחָ֖יו וּבֵ֣ית אָבִ֑יו רַ֗ק טַפָּם֙ וְצֹאנָ֣ם וּבְקָרָ֔ם עָזְב֖וּ בְּאֶ֥רֶץ גֹּֽשֶׁן׃ (ט) וַיַּ֣עַל עִמּ֔וֹ גַּם־רֶ֖כֶב גַּם־פָּרָשִׁ֑ים וַיְהִ֥י הַֽמַּחֲנֶ֖ה כָּבֵ֥ד מְאֹֽד׃ (י) וַיָּבֹ֜אוּ עַד־גֹּ֣רֶן הָאָטָ֗ד אֲשֶׁר֙ בְּעֵ֣בֶר הַיַּרְדֵּ֔ן וַיִּ֨סְפְּדוּ־שָׁ֔ם מִסְפֵּ֛ד גָּד֥וֹל וְכָבֵ֖ד מְאֹ֑ד וַיַּ֧עַשׂ לְאָבִ֛יו אֵ֖בֶל שִׁבְעַ֥ת יָמִֽים׃ (יא) וַיַּ֡רְא יוֹשֵׁב֩ הָאָ֨רֶץ הַֽכְּנַעֲנִ֜י אֶת־הָאֵ֗בֶל בְּגֹ֙רֶן֙ הָֽאָטָ֔ד וַיֹּ֣אמְר֔וּ אֵֽבֶל־כָּבֵ֥ד זֶ֖ה לְמִצְרָ֑יִם עַל־כֵּ֞ן קָרָ֤א שְׁמָהּ֙ אָבֵ֣ל מִצְרַ֔יִם אֲשֶׁ֖ר בְּעֵ֥בֶר הַיַּרְדֵּֽן׃ (יב) וַיַּעֲשׂ֥וּ בָנָ֖יו ל֑וֹ כֵּ֖ן כַּאֲשֶׁ֥ר צִוָּֽם׃ (יג) וַיִּשְׂא֨וּ אֹת֤וֹ בָנָיו֙ אַ֣רְצָה כְּנַ֔עַן וַיִּקְבְּר֣וּ אֹת֔וֹ בִּמְעָרַ֖ת שְׂדֵ֣ה הַמַּכְפֵּלָ֑ה אֲשֶׁ֣ר קָנָה֩ אַבְרָהָ֨ם אֶת־הַשָּׂדֶ֜ה לַאֲחֻזַּת־קֶ֗בֶר מֵאֵ֛ת עֶפְרֹ֥ן הַחִתִּ֖י עַל־פְּנֵ֥י מַמְרֵֽא׃ (יד) וַיָּ֨שׇׁב יוֹסֵ֤ף מִצְרַ֙יְמָה֙ ה֣וּא וְאֶחָ֔יו וְכׇל־הָעֹלִ֥ים אִתּ֖וֹ לִקְבֹּ֣ר אֶת־אָבִ֑יו אַחֲרֵ֖י קׇבְר֥וֹ אֶת־אָבִֽיו׃ (טו) וַיִּרְא֤וּ אֲחֵֽי־יוֹסֵף֙ כִּי־מֵ֣ת אֲבִיהֶ֔ם וַיֹּ֣אמְר֔וּ ל֥וּ יִשְׂטְמֵ֖נוּ יוֹסֵ֑ף וְהָשֵׁ֤ב יָשִׁיב֙ לָ֔נוּ אֵ֚ת כׇּל־הָ֣רָעָ֔ה אֲשֶׁ֥ר גָּמַ֖לְנוּ אֹתֽוֹ׃ (טז) וַיְצַוּ֕וּ אֶל־יוֹסֵ֖ף לֵאמֹ֑ר אָבִ֣יךָ צִוָּ֔ה לִפְנֵ֥י מוֹת֖וֹ לֵאמֹֽר׃ (יז) כֹּֽה־תֹאמְר֣וּ לְיוֹסֵ֗ף אָ֣נָּ֡א שָׂ֣א נָ֠א פֶּ֣שַׁע אַחֶ֤יךָ וְחַטָּאתָם֙ כִּי־רָעָ֣ה גְמָל֔וּךָ וְעַתָּה֙ שָׂ֣א נָ֔א לְפֶ֥שַׁע עַבְדֵ֖י אֱלֹהֵ֣י אָבִ֑יךָ וַיֵּ֥בְךְּ יוֹסֵ֖ף בְּדַבְּרָ֥ם אֵלָֽיו׃ (יח) וַיֵּלְכוּ֙ גַּם־אֶחָ֔יו וַֽיִּפְּל֖וּ לְפָנָ֑יו וַיֹּ֣אמְר֔וּ הִנֶּ֥נּֽוּ לְךָ֖ לַעֲבָדִֽים׃ (יט) וַיֹּ֧אמֶר אֲלֵהֶ֛ם יוֹסֵ֖ף אַל־תִּירָ֑אוּ כִּ֛י הֲתַ֥חַת אֱלֹהִ֖ים אָֽנִי׃ (כ) וְאַתֶּ֕ם חֲשַׁבְתֶּ֥ם עָלַ֖י רָעָ֑ה אֱלֹהִים֙ חֲשָׁבָ֣הּ לְטֹבָ֔ה לְמַ֗עַן עֲשֹׂ֛ה כַּיּ֥וֹם הַזֶּ֖ה לְהַחֲיֹ֥ת עַם־רָֽב׃ (כא) וְעַתָּה֙ אַל־תִּירָ֔אוּ אָנֹכִ֛י אֲכַלְכֵּ֥ל אֶתְכֶ֖ם וְאֶֽת־טַפְּכֶ֑ם וַיְנַחֵ֣ם אוֹתָ֔ם וַיְדַבֵּ֖ר עַל־לִבָּֽם׃ (כב) וַיֵּ֤שֶׁב יוֹסֵף֙ בְּמִצְרַ֔יִם ה֖וּא וּבֵ֣ית אָבִ֑יו וַיְחִ֣י יוֹסֵ֔ף מֵאָ֥ה וָעֶ֖שֶׂר שָׁנִֽים׃
(1) Joseph flung himself upon his father’s face and wept over him and kissed him. (2) Then Joseph ordered the physicians in his service to embalm his father, and the physicians embalmed Israel. (3) It required forty days, for such is the full period of embalming. The Egyptians bewailed him seventy days; (4) and when the wailing period was over, Joseph spoke to Pharaoh’s court, saying, “Do me this favor, and lay this appeal before Pharaoh: (5) ‘My father made me swear, saying, “I am about to die. Be sure to bury me in the grave which I made ready for myself in the land of Canaan.” Now, therefore, let me go up and bury my father; then I shall return.’” (6) And Pharaoh said, “Go up and bury your father, as he made you promise on oath.” (7) So Joseph went up to bury his father; and with him went up all the officials of Pharaoh, the senior members of his court, and all of Egypt’s dignitaries, (8) together with all of Joseph’s household, his brothers, and his father’s household; only their children, their flocks, and their herds were left in the region of Goshen. (9) Chariots, too, and horsemen went up with him; it was a very large troop. (10) When they came to Goren*Goren Or “the threshing floor of.” ha-Atad, which is beyond the Jordan, they held there a very great and solemn lamentation; and he observed a mourning period of seven days for his father. (11) And when the Canaanite inhabitants of the land saw the mourning at Goren ha-Atad, they said, “This is a solemn mourning on the part of the Egyptians.” That is why it was named Abel-mizraim,*Abel-mizraim Interpreted as “the mourning of the Egyptians.” which is beyond the Jordan. (12) Thus his sons did for him as he had instructed them. (13) His sons carried him to the land of Canaan, and buried him in the cave of the field of Machpelah, the field near Mamre, which Abraham had bought for a burial site from Ephron the Hittite. (14) After burying his father, Joseph returned to Egypt, he and his brothers and all who had gone up with him to bury his father. (15) When Joseph’s brothers saw that their father was dead, they said, “What if Joseph still bears a grudge against us and pays us back for all the wrong that we did him!” (16) So they sent this message to Joseph, “Before his death your father left this instruction: (17) So shall you say to Joseph, ‘Forgive, I urge you, the offense and guilt of your brothers who treated you so harshly.’ Therefore, please forgive the offense of the servants of the God of your father’s [house].” And Joseph was in tears as they spoke to him. (18) His brothers went to him themselves, flung themselves before him, and said, “We are prepared to be your slaves.” (19) But Joseph said to them, “Have no fear! Am I a substitute for God? (20) Besides, although you intended me harm, God intended it for good, so as to bring about the present result—the survival of many people. (21) And so, fear not. I will sustain you and your dependents.”*dependents NJPS “children,” trad. “little ones.” See the Dictionary under ṭaph. Thus he reassured them, speaking kindly to them. (22) So Joseph and his father’s household remained in Egypt. Joseph lived one hundred and ten years.
(ה) וְעַתָּ֣ה ׀ אַל־תֵּעָ֣צְב֗וּ וְאַל־יִ֙חַר֙ בְּעֵ֣ינֵיכֶ֔ם כִּֽי־מְכַרְתֶּ֥ם אֹתִ֖י הֵ֑נָּה כִּ֣י לְמִֽחְיָ֔ה שְׁלָחַ֥נִי אֱלֹהִ֖ים לִפְנֵיכֶֽם׃
(5) Now, do not be distressed or reproach yourselves because you sold me hither; it was to save life that God sent me ahead of you.
Just as at the beginning of the story the brothers plotted against Joseph and fabricate a speech (Genesis 37), so they do at the end, although much more benignly. Worried now that after Jacob’s death, Joseph will take revenge on them for all the trouble they caused him, they introduce a hitherto unacknowledged deathbed speech of Jacob. The brothers claim that Jacob told them to tell Joseph that he should forgive his brothers.
(ה) וַיִּרְאוּ אֲחֵי יוֹסֵף כִּי מֵת אֲבִיהֶם. וּמָה רָאוּ עַתָּה שֶׁפָּחֲדוּ. אֶלָּא בְּעֵת שֶׁחָזְרוּ מִקְּבוּרַת אֲבִיהֶם רָאוּ שֶׁהָלַךְ יוֹסֵף לְבָרֵךְ עַל אוֹתוֹ הַבּוֹר שֶׁהִשְׁלִיכוּהוּ אֶחָיו בְּתוֹכוֹ, וּבֵרַךְ עָלָיו, כְּמוֹ שֶׁחַיָּב אָדָם לְבָרֵךְ עַל מָקוֹם שֶׁנַּעֲשָׂה לוֹ נֵס, בָּרוּךְ הַמָּקוֹם שֶׁעָשָׂה לִי נֵס בַּמָּקוֹם הַזֶּה. וְכֵיוָן שֶׁרָאוּ כָּךְ, אָמְרוּ, עַכְשָׁו מֵת אָבִינוּ, לוּ יִשִׂטְמֵנוּ יוֹסֵף וְהָשֵׁב יָשִׁיב לָנוּ אֵת כָּל הָרָעָה אֲשֶׁר גָּמַלְנוּ אֹתוֹ. וַיְצַוּוּ אֶל יוֹסֵף לֵאמֹר אָבִיךָ צִוָּה וְגוֹ', כֹּה תֹאמְרוּ לְיוֹסֵף אָנָּא וְגוֹ'. חִפַּשְׂנוּ וְלֹא מָצָאנוּ שֶׁצִּוָּה יַעֲקֹב דָּבָר זֶה. אֶלָּא בּוֹא וּרְאֵה כַּמָּה גָדוֹל כֹּחַ הַשָּׁלוֹם, שֶׁכָּתַב הַקָּדוֹשׁ בָּרוּךְ הוּא בְּתוֹרָתוֹ עַל כֹּחַ הַשָּׁלוֹם אֵלּוּ הַדְּבָרִים.
(5) And when Joseph’s brethren saw that their father was dead, etc. (Gen. 50:15). What did they see that frightened them? As they were returning from the burial of their father, they saw their brother go to the pit into which they had hurled him, in order to bless it. He blessed the pit with the benediction “Blessed be the place where He performed a miracle for me,” just as any man is required to pronounce a blessing at the place where a miracle had been performed in his behalf. When they beheld this they cried out: Now that our father is dead, Joseph will hate us and will fully requite us for all the evil which we did unto him. And they sent a message unto Joseph, saying: Thy father did command … “So shall ye say unto Joseph: Forgive” (Gen. 50:15–16). We have searched the entire Scripture and are unable to find any place where Jacob uttered this remark. This statement is introduced to teach us the importance of peace. The Holy One, blessed be He, wrote these words in the Torah for the sake of peace alone.