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Experiential family therapy
Family Therapy
Strengths and weaknesses of family therapy
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Great treatment plan to help out your clients! I like how you focus on a variety of techniques to approach the needs of your clients and strategize to respect their decisions, however you still implement some of the requirements of your treatment. For example, you said that your patient “will not be forced to eat but will be required to sit at the table for regular breakfast, lunch and dinner hours”. I believe this is a good approach to expose your client to a support group because it will allow them to slowly start to change their eating habits and if they see other patients doing it as well they will most likely do it. It gives them the sensation that they are not alone and that they are given an option to start addressing the problem. Being …show more content…
able to recognize that they have a condition on their own is a big part of the process I believe, because you can provide all the resources in the world but if the person does not do it willingly then there is no point. Allowing them to feel comfortable enough to make their own decision definitely builds trust and that way your client will most likely cope with the different approaches that you propose. I guess that in the more extreme cases, your alternative for medication will be the best approach.
The fact that your treatment plan will allow them to leave the house on certain periods of times serves as a positive reinforcer, for it works in their favor to show progress and good behavior. It gives them a motivation to get better and to work towards progress. The proposed family-based therapy session would be such a great enhancer to the overall process because it gives the patient an opportunity to work with its own family and as a unit identify how family behaviors can affect the patient and learn new ways to resolve any conflict. Maintaining a healthy family interaction will definitely be beneficial for the patient because it will allow the patient to feel comfortable around their own family and most of all, be able to rely on the family when dealing with different issues that come with the disorder such as depression and anxiety. For example, being able to understand how a person diagnosed with bulimia feels may help that family member provide better assistance and understanding to the situation. One of the key factors when working with anyone dealing with any condition that brings forth mental stress is definitely patience, and the family should be able to at least minimize stressors for the
client. Also, you said that the “goal is to reinstate good eating habits by targeting an eliminating triggers along with bulimic patterns” and I totally agree with this because being able to control what your client eats will eliminate the binge eating which will eliminate the compensatory behavior that are absolutely damaging to the body. I appreciate that you acknowledge the fact that treatment may not be effective for all clients, and so proposing different approaches for different types of clients will make you a great therapist. Towards the end of your proposed treatment plan you said that “patients who are not in a severe bulimic state will benefit from the exposure to individuals who are and that exposure to severe cases can prevent the escalation of their bulimia”. Is interesting that you say this because I never thought of this. After reading your post I can see how witnessing someone at a worst state can make you realize how you need to change or else you would end up the same way and possibly worst. This may be a wakeup call and this may make them realize that their condition can get worst if they don’t put effort towards changing their behavior. Someone who deals with an eating disorder experiences a rough time, and so a treatment plan that gives them various alternatives and chances to finding what works best for them is sure awesome!
An average client that attends this facility is someone suffering with an eating disorder. An average client might be someone who is having trouble having a healthy relationship with food and needs others to intervene. An average client that is attending the Laureate Eating Disorders Program, may have one or more of these common eating disorders: anorexia, bulimia, avoidant/restrictive food intake disorder, and binge eating disorder. The Laureate Eating Disorders Program offers inpatient, outpatient, intensive outpatient, partial hospitalization, and residential treatment to adolescents and adults. The facility not only addresses the fact that the client has an eating disorder, but goes deeper to try to help the client understand why.
Structural therapy focuses on the family as a whole. It is concerned about how the issues effect the family relationships and connections. This theory concentrates on how well the understanding is amongst the family members and counselor. The members of the family are prompted to understand how the issues were created, where did the issues come from, when the issues started effecting their family, and what the family needs to overcome their issues. Its focus is to help others understand and improve negative behavior. The structural therapy concentrates on the interaction and boundaries of families with separating the whole family into smaller groups. The subsystems will create a clearer understanding of what issues are hurting their family environment (Gladding, S. T. 2010). The counselor is concerned about the members interaction because this reveals how strong the relationships and connections are in the home. The boundaries are important because they create an understanding that there are limits and order, and the boundaries can be diffused, rigid, or clear (Gladding, S. T. 2010). The counselor is expected to identify techniques so members can understand which boundaries are clear, positive, and healthy (Gladding, S. T. 2010).
Lastly, there is family therapy, and in my opinion the most important. This is essential for both the patient and members of their family to understand and learn how to cope with this behavior. This style of therapy will teach family members not to be co-dependent and allow the patient to take responsibility for their actions.
The medical family therapist assigned to our family when my father became ill suddenly a few years ago was a gift from God. The therapist helped not only my father however, she helped our family understand the severity of my Dad’s condition. My father had a tumor pressing down on his spinal cord which slowly started affecting his balance then eventually his ability to walk. My father before this condition probably never missed a day of work unless he scheduled it off. Furthermore, my Dad was involved in many different activities, and on the board of directors for our church and his local union. When this illness occurred the doctor immediately suggested sitting down with a counselor to discuss my father’s limitation, and the next course of
“Cognitive-behavior therapy refers to those approaches inspired by the work of Albert Ellis (1962) and Aaron Beck (1976) that emphasize the need for attitude change to promote and maintain behavior modification” (Nichols, 2013, p.185). A fictitious case study will next be presented in order to describe ways in which cognitive behavioral therapy can be used to treat the family members given their presenting problems.
Miguel and Rosa have agreed to address the following issues during their treatment. First, they will develop appropriate strategies for managing anger. Second, increase their understanding of ADD and parenting techniques. Third, expand the current support network of their family. We will begin their process by implementing the Brief Strategic Family Therapy model. This therapy allows the family to address their issues collectively and individually. With this approach Miguel and Rosa will address their maladaptive behavior, by developing good communication skills and by helping them to define the family strengths. This therapy will also address Christopher’s aggressive and antisocial behavior, by coaching him in a new behavior. This style therapy along with couple’s therapy and support groups will provide Miguel and Rosa with the tools needed to promote health communication in their relationship, also with how to communicate with their
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.
Experiential Family Therapy is a therapy that encourages patients to address subconscious issues through actions, and role playing. It is a treatment that is used for a group of people in order to determine the source of problem in the family (Gurman and Kniskern, 2014). Experiential Family Therapy has its strengths and weaknesses. One of the strengths of this therapy is that, it focuses on the present and patients are able to express their emotions on what is happening to them presently. The client will have time to share everything about his/her life experiences one on one without any fears. As a result, it helps the client in the healing process because, he/she is able to express their feelings freely and come out of the problem. Therefore, in this type of therapy, the clients are deeply involved in solving their issues. It helps clients to scrutinize their individual connections and to initiate a self-discovery through therapy, on how their relationships influence their current behaviors (Gurman and Kniskern, 2014). By examining their personal relationships through experiential family therapy, family members are able to
...n all family members get involved in trying to help. By the individual’s family being apart of their therapy session, it shows how much their family members care for them and want them to get help with whatever issues they may be having. This is very important because it is a sign of love and it is showing the support that they have for one another. Therapist have also found that during strategic family therapy, they can help all family members with helping to encourage each other as well as create rules and interactions that are psychological healthy for all family members who are involved. It will make it easier for the family members to all get along and understand each other. When one person in the family is having issues, the other members should take the time to talk to one another and help each other out, especially the family member who is in need of help.
In our society families are the foundation of all human relationships. Therefore learning to maintain and develop healthy families are the goals of family therapist. Counselors can use the Structural Family Therapy approach in counseling hurting families. The pioneer of structural family therapy is Salvador Minuchin (Hammond & Nichols, 2014).
reira, J. K. (2014). Can we play too? Experiential techniques for family therapists to actively include children in sessions. The Family Journal, 22(4), 390-396. doi:10.1177/1066480714533639
Goldenberg, H. & Goldenberg, I. (2013). Family therapy: An overview (8th ed.). Belmont CA: Thomson Brooks/Cole.
My theoretical approach to family therapy is very integrative as I believe families cannot be described nor treated from a single-school approach. I view humans through a humanistic and existential lens but am more technically structural and solution-based. With this integrative approach, I believe I will be the most effective in helping families grow and reach their goals.
Parent-Child Interaction Therapy (PCIT) is an evidence-based practice in the treatment of emotional and behavioral disorders for young children. This family centered treatment approach emphasizes on improving the quality of the parent-child relationship and changing parent-child interaction patterns. During PCIT, therapists coach parents via one-way mirror while they interact with their child. The therapist teaches the caregiver strategies that will promote positive behaviors in children who have disruptive or externalizing behavior problems (Child Welfare Information Gateway, 1). The use of live- coaching helps the parent gain strategies in the moment, and allows the therapist to see the different dynamics of the parent-child relationship.
In each, the treatment plan begins with a diagnosis, rationale, and clinical impression for the client and each member of the family. The template is comprehensive. In it, the clinician must a) identify any barriers to treatment (including factors involving motivation, financial situation, transportation, and caregiver availability); b) provide structure/confidentiality information (like custody, child protection, school, and community); c) describe the necessary level of care for the client and/or family; d) review the range of strength-based resources available for each member of the family; e) recommend evidence-based core mental health internal and external treatment approaches; f) explain the specific goals of the treatment (that is, those that are measurable, attainable, realistic and timely); g) identify evidence-based mental health interventions as they will be carried out by each member of the support team; h) outline available support services (including, financial, transportation, and respite care); and, i) describe the multi-system interventions and coordination possible (like impatient, outpatient, school, child protection, family doctor, and any family/friend