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Family Therapy An Overview Quizlet
Strengths and weaknesses of family therapy
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Sample group met the criteria of externalizing non-compliance, negative and or violent behavior with peers; internalizing problems including anxiety, depression, and suicidal ideations without suicide attempts; significant academic difficulties and initiation of drug and or alcohol use. Study did not include adolescents who presented with suicide ideation with attempts or those who exhibited psychotic behaviors. This study utilized parent reporting of externalizing and internalizing behavior clinical range on Revised Behavior Problem Checklist (RBPC) before engaging participants in treatment. Results: As hypothesized by study, BSFT was more effective treatment than Community Comparison practice. Study results confirmed using a Chi-square analysis of engagement rates revealed a 43/53; 81% engagement rate 71% retention rate for families utilizing BSFT compared to 31/51; 61% engagement rate of families in CC. The study result also indicated more effective retention and treatment achievement for severe cases. The study results suggest a significant contribution to existing research on benefits of Family systems paradigm for engagement and therapeutic treatment. Study findings also indicate that within the conditions, adolescents from families that engaged revealed greater levels of anxiety withdrawal compared with adolescents from families …show more content…
that failed to engage. Results suggest that reported higher levels of anxiety by the primary care givers could actually rise likelihood of clients engaging in treatment. Discussion: I really enjoyed reading through the article.
It was very informative and a good demonstration of utilization of Strategic family theory on realistic problems affecting families in communities. However, I would have liked for the study to include participants who reported suicidal ideation with attempt and also those with psychotic behaviors. This is because in my internship experience, I have encountered adolescents ages 10-16 years old presenting with suicidal ideation and attempts and psychotic tendencies. I am aware that this study was completed in 2001. Therefore there could be more reach done addressing these
issues. I also found myself wondering if cultural factors could have been considered while selecting participants in the study. This is because I have learned from my graduate studies in MFT that it is always crucial for any therapeutic process to be multicultural competent. I feel the study failed to consider possible cultural influences on engagement, reengagement and retention. I also feel the sample could have been more inclusive if Caucasian American participants were sought. As a Christian, I belief research influences practice and it is important for behavioral health professionals to maintain a fair and balanced view regarding the cultural values of those who seek treatment from our institutions. As a Marriage and Family Therapist in training, I know I have to always self-check to avoid personal biases influence on any therapeutic process engaging families. The question then becomes, how do we as behavioral health professional attain more engagement to treatment from these communities without appearing to be judgmental or stereo typing? Conclusion: Overall, I feel the research project validated the usefulness of Brief Strategic family theory in maintain engagement, encouraging reengagement and retaining families needing treatment for behavioral problems. I feel this is a very important topic because it affects many families across diverse cultures. I believe that all families, whether single parent, two parent or otherwise experience a need for seeking therapeutic treatment for adolescents at one time or another. I am more optimistic could benefit from therapeutic for the utility of BSFT after reading through this article. I was especially encouraged that the study compared the effectiveness of BSFT with Community programs that are sometimes tend to be utilized by some cultural groups in our society such as African Americans and Hispanics.
The Adolescent Pathology Scale (APS) was first administered in 1998 (Reynolds, 1998). The APS ambitiously measures 40 dimensions of adolescent psychopathology. (Konold, 2001). 25 of these dimensions are a reflection from the DSM-IV. The APS scales includes: 20 scales of clinical disorders, 5 scales of personality disorders, 11 scales of psychosocial problems, and 4 scales of response style indicators. There are also three additional factors (Internalizing, Externalizing, and Personality) that can be obtained by the combination of various scales (Konold, 2001). The author states that the APS is not intended to provide for a formal diagnosis of various disorders (Piersel, 2001). In addition, the APS-short form assesses the frequency of symptoms
Within a family system, individuals were seen as a product of the family unit, rather than exclusions of the unit; this eliminated compulsions and obsessions in a family unit (Taylor, Asmundson, & Jang, 2011). Within family system therapy, the goal is to be capable of eliminating abnormalities in functions that affect all individuals and to treat or respond to the entire family; the goal is to also focus on the identified family member, reducing their extreme stress (Carr, 2000). The family system therapy searches for the balance between the independent individual performance and the function of the group (Taylor, Asmundson, & Jang,
Also, the whole family needs to come to term with the health condition, make change in priorities and schedule, and keep the family. For example, it can be much more stressful for a young or a newly married couple because they may have more experience to overcome life's difficulties. As a result, as with individual maturation, family development can be delayed or even revert to a previous level of functioning (Hockenberry, p 762.) Therefore, health care providers need to apply family development theory while planning care for a child and family with chronic health condition. Indeed, family centered care should be a part of that intervention. Parents and family members have huge and comprehensive caregiving responsibilities for their chronically ill child at home or at hospital. Moreover, the main goal taking care of chronic ill child is to “minimize the progression of the disease and maximize the child’s physical, cognitive, psychological potential” (Hockenberry, p 763). Therefore, it is essential to family being part of the child care to give highest quality of care. On the other hand, we are as a part of the health care provider need to give attention to all
Among the many avenues of intervention available to a caregiver’s disposal is the Internal Family Systems Therapy (IFS), which was popularized by Richard C. Schwartz in 1995 . The premise of IFS Therapy is every person’s has internal entities, which are more than thoughts or feelings, but rather distinct personalities full of emotion and desire. Furthermore, trauma does not create these parts of the psyche but rather forces some entities from valuable functions, (such as acceptance, clarity and compassion) to extreme or protective roles, which causes the individual to lose their true self. Over all, the goal of IFS is not to eliminate these entities, but rather accept them and talk them back into their rightful role—inner leadership. All in all, IFS is a valuable resource for intervention because IFS allows a care seeker to address their true emotion or belief that is causing the conflict and at the same time, it allows the caregiver to remain self-aware as they
The conventional view of family therapy is a narrow one. According to this view, therapy treats an entire group - at least father, mother, and child - not just an individual patient. In the therapeutic situation, these family members present a major component of their everyday life.
The family has influence on how the dependent which in this case is the adolescent behaves, thinks, feels, etc. The effectiveness of the therapy relies on the effort of the family to work together. Usually, the family comes into therapy blaming the dependent for his or her actions and fail to realize that the home environment is contributing to it. This can lead to the dependent feeling worthless and creating more problems in the family. Family therapy changes the family dynamic by creating rules and boundaries in the house. The therapist creates interventions for the family during therapy to work on these issues (Szapocznik,
Suicide is one of the youth’s ways out of their problems, not only in the United States but the world. What does drive teens to suicidal thoughts and actions? What are the ways communities help prevent teenage suicide? Perhaps there are signs can be pointed out that would indicate a problem. In two surveys in 1996, both reported in the Journal of Adolescent Health, both also asked relatively the same questions of the violent actions that some people may see in life’. Surprisingly, the numbers for many of the questions were the same, such as teens who witnessed a shooting first hand; they both were about 37% (Pastore, Fisher, and Friedman 321-2). Using information such as this, one cannot blame the recent rise in teenage suicide with the violent problems of life, but more along the lines of depression caused by multiple things, for instance body image. According to many researchers, alcohol is many times a solution to a teen’s problem with life and the hardships people face in it. Many people in the United States overlook the major problem of teenage suicide; this is a mistake
In 2011, the Centers for Disease Control and Prevention established that 6.3% of high school students have attempted suicide in the preceding year. Given the lethal consequences of suicide attempts, determining risk factors among adolescents becomes especially important. Generally speaking, psychiatric disorders and substantial psychosocial impairments are known to be associated with suicide attempts. However, previous research attempting to identify specific risk factors in adolescents is somewhat ambiguous. Nonetheless, one thing is consistent. When measuring the risk of an adolescent committing suicide, information must come from a variety of sources and perspectives. These sources may include but are not limited to a clinical interview with the adolescent, information provided by the parent or guardian, standardized assessments and previous psychiatric documents from the individual.
Family systems therapy helps in knowing and understanding the family values. It helps in knowing the bonds that are generated in the relationship between the different family members. Dave knows that he needs help from his parents, but is not able to express it. This approach will help him to talk to his parents, as well as will help him to get close to his parents in such bad times. It is not easy even to talk to your parents, and hence this theoretical approach describes the path through which one can achieve his desired family objective. Family is important in every need and in every cause. But, this theoretical approach needs to be applied along with the application of integration and application theory (Attree, 2005). Family life alone will not help Dave to come out of his problems; hence, he needs some sort of integration that will handle all his issues. He needs to improve his relations with his friends and colleagues, in order to perform better in his life. And, this will be only possible, if he is able to integrate his professional life as well as personal life in a better way. Further, family systems therapy will help him to stay in a better way with his parents. He will engage them in his every conversation, which in turn will make his life joyful. He will feel more relax, cool, calm, and stress-free in his life
Goldenberg, H. & Goldenberg, I. (2013). Family therapy: An overview (8th ed.). Belmont CA: Thomson Brooks/Cole.
Wilkinson P, Kelvin R, Roberts C, Dubika B, Goodyer I (2011) “Clinical & Psychosocial Predictors of Suicide Attempts and Nonsuicidal Self-Injury in the Adolescents Depression, Anti-Depressants & Psychotherapy Trial (ADAPT)” The American Journal of Psychiatry 168(5) page 495-501
If an adolescent has any signs of depression, look for help in hospital or doctor who could make refer to a specialist or program. Frankel and Kranz (1994) have declared "when a person who has been depressed for long time seems to cheer up, that is often a bad sign"(p.22). Adolescent commit suicide because our attention is missing in their life. Nobody notices signs of an adolescent who is depressed because people are ill informed.
90% of suicide victims suffer from depression. A teen going through depression may seem hopeless, have a lack of sleep or appetite, and interested. Helping depressed teens coop with their illness is also important in preventing suicide. Drug or alcohol use also are associated with suicide. Teens who partake in drug or alcohol use have a likelihood to continue destructive behavior by attempting suicide. If a teen witnessed suicide from another family member, they are three times more likely to commit suicide themselves. By seeing suicide being modeled as an acceptable coping mechanism, they contemplate suicide more seriously. Adolescents that undergo any type of stressful events in their life, have a higher chance of committing suicide because they do not understand how to cope with
Emotional and behavioral disorders manifest from various sources. For some children, the core of these disorders is rooted in such factors as “family adversity...poverty, caregiving instability, maternal depression, family stress…marital discord…dysfunctional parenting patterns…abuse and neglect” (Fox, Dunlap & Cushing, 2002, p. 150). These factors are stressors that affect children both emotionally and behaviorally. Students have their educational performance and academic success impeded by such stressors once in school, which creates even more stress as they find themselves frustrated and failing. As a result, problem behaviors may manifest that can be described as disruptive, impulsive, pre-occupied, resistant to change, aggressive, intimidating, or dishonest. Such behaviors may also inflict self-harm.
I enjoyed reading your post. Weakness regarding the structural family therapy approach is that yet focuses on the family being a whole and a nuclear family; it fails to incorporate other factors such as blended families or extended families and how it will work with this approach considering subsystems and