Therapeutic Relationship: A Structural Family Therapist's Approach

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Role of the Therapist and the Therapeutic Relationship In the SFT model, the therapist takes an active directional stance (Goldenberg & Goldenberg, 2013, p. 273). This creatively active approach allows the therapist to become part of the family system in order to unbalance and change the family’s structure and perspective, and is especially effective with difficult families (Seligman, 2004, pp. 245-246). However, therapeutic change is a delicate process and must occur in a trusting therapeutic relationship: too little involvement on the part of the therapist, and the family’s structural status quo will continue to be maintained; too much direction before the family is ready can cause a premature termination of therapy (Vetere, 2001, p. 135). In recent years, the structural family therapist’s approach has evolved: the …show more content…

137). On the other hand, family therapists working with Asian Americans have found the structural approach, combined with strategic interventions, to be helpful (Hays, 2008, p. 185). Sciarra (1999) found SFT was effective in helping immigrant families experiencing intrafamilial separation and reunion (para. 1). For example, parents, who arrive in the United States before their children often expect their reunited children will be immediately happy and grateful, and feel helpless and victimized by their children’s negative behavior, causing dysfunction in the family hierarchy (para. 4). Bicultural effectiveness training, used in the context of SFT, reframes the conflict between reunited immigrant parents and children as a conflict between cultures, and the result of this training is the “transition from intergenerational dysfunction to bicultural effectiveness” (para.

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