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This essay argues that gender is an irreducible category of clinical observation and theorizing, as crucial to the family therapy paradigm as the concept of "generation." Gender, therefore, is not a secondary, mediating variable like race, class, or ethnicity, but, rather, a fundamental, organizing principle of all family systems. The author analyzes the history and politics of family therapy in order to explicate how gender, as a co-equal concept, was erased as a universal principle of family organization, leaving only generation. The theoretical and clinical implications of situating gender at the center of family therapy are then discussed.
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