Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Integration of Bowen Family Therapy with Contextual Family Therapy
Don’t take our word for it - see why 10 million students trust us with their essay needs.
B. The Role of the Therapist and Key Assumptions Nagy developed the primary role of the therapist to operate in an unbiased capacity and promote fairness with each individual family member (Frank, 1984). The therapist limits judgments by acknowledging pain and using empathy and fairness. The key assumptions that the therapist must master in contextual therapy include the following: entitlement, loyalty, parentification, revolving slate and ledger of merits (Metcalf, 2011). Entitlement represent a source of individual freedom which allows individual to become inventive and establish a sense of satisfaction for life and future relationships. Entitlement can be constructive and destructive. Constructive entitlement produces blessings, …show more content…
The ledger of merits is observed by Nagy as the give and take approach to developing relationships. Individuals in the family that use acknowledgement, understanding and fairness can apply the concept of the leger of merits to invoke change. A ledge that is unbalanced produces a pattern of lack of confidence and inequity. C. Interventions, Goals, Length of Treatment, Critiques and Cultural Competency The intervention process used in contextual family therapy involves framing the discussion to properly address everyone separate story and they move the discussion to the collect desires of the family (Sude, 2015). Interventions that the therapist can use involve given verbal permission for the client to express feelings, thoughts and perspectives. The therapist then uses the intervention process to explore the nature of the clients individual and family conflicts. The primary purpose of goal setting in contextual family therapy is to facilitate dialogue at each phase of therapy (Metcalf, 2011). A short example of goals that the therapist sets include first open discussions on the identity and root of the present conflict. The second goal would be to decease the level of present conflict. The third goal is to reach a level of reduced tension, increased satisfaction and improved communication …show more content…
Additionally, contextual family therapy helps each member identify the concept of justice in the other family member. The limitations with contextual family therapy is that members of the family that lack the cognitive ability to properly appreciate the concepts of contextual family therapy may have difficulties viewing fairness in other family
In conclusion, Anderson et al. (2010) discussed the relationship between therapeutic models and the techniques utilized by them. However, the contextual model that they posit in this article is built upon a postmodern philosophy and has numerous flaws. As a result, I reject many of their arguments, at least as they are presented. Despite this, there was some information (albeit modified) from this article that I can incorporate into my own practice as a therapist.
As a social worker it is often complex to determine which theory to employ in practice, each client will warrant for an in-debt assessment of the presenting problem and goals the client desires to achieve. This paper will explore one family intervention model that can be applied to the Taylor family. The two theories analyzed are Cognitive Behavioral Family Theory, (CBFT) and Structural Family Theory (SFT); both theories can be utilized when assisting individuals or families. The social worker will focus on the Cognitive Behavioral Family Therapy model when applying treatment and interventions to the Taylor family case.
While CBT has many advantages, it alone does not encompass all of the concepts I believe are necessary to tackle a client’s needs. Therefore, I draw upon concepts from various theories to assist clients in achieving their goals. Pulling from Reality therapy, a key concept I utilize is focusing on what the client is doing and how to get them to evaluate whether they’re present actions are working for them. CBT does use some form of this in the sense that one must examine and establish their cognitive misconceptions; however, I prefer to extract this concept from Reality therapy because CBT tends to do so by focusing on the past. I am a firm believer that while the past can shape who you are, it does little good to remain focused on it. Focusing on overt behavior, precision in specifying the goals of treatment, development of specific treatment plans, and objective evaluation of therapy outcomes all come from Behavior therapy (Corey, 2013, p. 474). Behavior therapy is highly structured much like that of CBT. By utilizing this aspect of Behavior therapy, I am better able to closely observe where a client is currently and where they are headed. Lastly, I pull from Person-Centered therapy as the final key concept of my counseling approach. PCT focuses on the fact that client’s have the potential to become aware of their problems and resolve them (Corey, 2013). This Person-Centered therapy concept has overlap with CBT as
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).
The counseling session should be centered on the client and their understanding of their world and/or problems not heavily weighted on the counselor interpretation of the client’s situation. The role of the counselor is to examine a problem needs changing and discover options in overcoming their problem. Bringing about change can help change the client’s narrative on their problem in the future and/or on life in the process.
“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.
Interventions: describe the reframing technique and explain its uses, be present with the client and reflect content and feelings.
Therefore, Experiential Family Therapy is a non-traditional therapy. According to Goldberg and Goldberg (2012), another weakness is that, the clinicians who use Experiential Family Therapy only focus on the family members’ experiences to come out with an outcome on the problem. Another weakness is that, in Experiential Family Therapy, the therapist pushes the clients to confront their issues, and does not offer a solution. In this therapy, the client is pressed to confront heir issues and find answers to their problems, instead of helping them to find solutions for their current
...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).
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
For this reason, some of the brief therapies, such as strategic family therapy or solution-focused therapy, that focus on rapid change without much attention to understanding, might be more appropriate. However, I believe these brief therapies do not give clients enough time to really parse out their problem. I am wary of counseling that limits clients’ ability to tell their stories fully, which seems like just one more way of silencing people, oppressing them, and keeping them in line. In working with my clients I want to collectively understand how problem-saturated stories developed, the cultural, familial, or biological factors that might be involved, and the availability of choices. I believe that narrative therapy is the most flexible approach in this respect because although not brief, it is efficient and seems to be effective long-term, although more research is needed, which is challenging because of the subjective nature of this approach (Madigan, 2011). In my therapy practice, I want to leave clients feeling hopeful and liberated by helping them to see the problem as separate from their identities and as only one story to choose from several, and by acknowledging the contextual factors contributing to the
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.
The CBT theoretical formulation focuses on the whole family. “As behavior therapist shifted their attention from individuals to family relationships, they came to rely on Thibaut and Kelley’s theory of social exchange, according to which people strive to maximize rewards and minimize costs in relationships” (Nichols,