As we enter the field of Marriage and Family Counseling we need to determine what modality would best serve our clients. Of course, depending upon the concerns the family enter counseling for will help determine the modality applied when working with your client. Deblinger (2006) reports, TF-CBT can be an effective modality when working with families when there has been past traumatic experiences. One of the components when using TF-CBT is making clients aware of their cognitive triangle, which teaches them how to recognizing triggers in their thoughts, feelings, and behaviors and teaching them skills recognize and manage them. This is done by the means of teaching the family new effective tool such as relaxation skills, psychoeducation
... J. (2011) “Cognitive behavior therapy enables client and therapist to work on cycles of thought and behavior that perpetuate low mood” (Pp. 1). Finally, the Trauma Focused Cognitive Behavior Therapy will aid the family to understand the traumatizing stress they have endured. According to Cohen & Mannarino (2008) “Children may develop different problems in response to traumatic exposure” (Pp. 1).
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.
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).
Initially, TFCBT was developed to treat sexually abused children, where parents play a key role in the treatment process (How to Implement Trauma-Focused Cognitive Behavioral Therapy, 2004). This form of psychotherapy focuses on a patient’s emotional and psychological difficulties due to trauma. Specifically, TFCBT is used ...
There can be some potential barriers when using TF-CBT. Therapists have to take into consideration that when having the session with the child and the parent, the parent may have experienced sexual abuse as well as a child, and this may open up some past wounds that have not been resolved (Foster, 2014). Foster (2014) also states there is a risk that a child and/or family may want to drop out due to the dynamics of the family, the severity of the symptoms of the child, the stress of the parent, whether or not if the parent believes in counseling, or if the child’s symptoms get worse before they get better and the parent takes them out of therapy.
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
“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.
Resick, P. A., & Schnicke, M. K. (2007). Cognitive therapy for posttraumatic stress disorder. Journal of Cognitive Psychotherapy, 15(4), 321–329.
Structural family therapist have exemplified within the context relational therapies that uncovers stressors in relationship between individuals (Vetere, 2001). Structural family therapy has been known to be called “interventive approach” because of the “intensity” to encourage clients to change (Hammond & Nichols, 2014).
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Cognitive-Behavioral Family Therapy (CBT) emphasizes on modifying parent’s behavior and improving communication skills. According to Nichols (2013), “Consequences that accelerate behavior are reinforcers; those that decelerate behavior are punishers” (p. 186). For example, Gladys’ behavior will be regulated by using reinforcements or punishment.
In the use of family CBT, the presumption is made that an individual family member’s thoughts and behaviors impacts the other family member and results in adoption of similar thoughts and behaviors throughout their lives (Nichols, 2014; Epstein, 2002). The social worker identified a presenting issue between the couple regarding a prenuptial agreement. Further, noting that Bob recently adopted negative thoughts surrounding the intentions of Edith and the relationship. The conflict surrounding the prenuptial agreement had not previously existed. In CBT it is essential to identify the negative thoughts and then explore the underlying irrational ideas behind these thoughts. CBT assessment evaluates how the individual’s environment and those interactions
The cognitive processes that serve as the focus of treatment in CBT include perceptions, self-statements, attributions, expectations, beliefs, and images (Kazdin, 1994). Most cognitive-behavioral based techniques are applied in the context of psychotherapy sessions in which the clients are seen individually, or in a group, by professional therapists. Intervention programs are designed to help clients become aware of their maladaptive cognitive processes and teach them how to notice, catch, monitor, and interrupt the cognitive-affective-behavioral chains to produce more adaptive coping responses (Mah...
The primary purpose of building a therapeutic treatment plan is to visualize the entire picture of what is needed for the family and to avoid developing a plan based on symptoms. A therapist that proceeds to complete therapy without properly listening, observing and evaluating factors related to the family will have difficulties developing therapeutic task, addressing client goals that are unique to the family and maintaining interventions and understanding clues from the client’s perspectives. Additionally, the therapeutic treatment plan allows the therapist to become familiar with diversity concerns that he/she may not be familiar with (Gehart, 2014).
One of the qualities of REBT is that it helps clients see how their musings, sentiments and practices are connected by utilizing the ABC framework (Psychology.jrank.org, 2014.) "A" being the Activating event and/or objective situation, "B" being Beliefs and "C" being the Consequence (McLeod, 2014.) The beliefs (B) of the activating event (A) completely affects the consequence (C) and thus influences the client's feelings, practices and different contemplations. Subsequently if one circumstance happens to both individual A and individual B, they most likely would not respond the same with respect to the same circumstance (Basic-counseling-skills.com, 2014.) It likewise empowers an individual to break down their objectives and difficulties while spurring them to focus on, I quote “ The irrational belief system and principles they were following to try to achieve their goals” and “ The rational belief system and principles they could follow to increase the likelihood of achieving their goals” (Thestrengthsfoundation.org, 2014.) REBT permits the client's goals and issues to be surveyed immediately and is very active directive. Clients are taught to work towards adapting new aptitudes so they can understand that they are in charge of their emotional, behavioural and thinking responses to scenes in their lives. Clients are taught to recognize and face their convictions, and the therapist energizes a