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Differences between families in the past and now
Family therapy
Strengths and weaknesses of family therapy
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Recommended: Differences between families in the past and now
In the last therapy session, Steve was going to spend time with Allison negotiating with his daughter about what she can and cannot do. Betty-Ann needs to spend time with Allison to build a different kind of relationship. I believe the next intervention would be to use Normal Family Development. Bowen believed that normal family development occurs when the family members are differentiated, feel little anxiety, and remain a rewarding and healthy emotional contact with each member of the family (Gehart, 2015). In Normal Family Development the family members, are connected across the generations, have little emotional fusion and distance, people would support family members who have different emotions and feelings and can support differentiation, have family members who can use one another for feedback …show more content…
rather than emotional crutches (Gehart, 2015). Detriangulation is when the therapist tries to maintain therapeutic neutrality (Gehart, 2015). When working with a couple, the therapist would need to be “invited” by the client to join their side. The client would ask the therapist questions like “Do you believe that Allison should not be allowed to see her friend, Samantha?” or “Do you think that Samantha is not a good friend to Allison?” The therapist would examine their part in the problem dynamic and they would invite the client to maintain a sense of autonomy. The therapist would “validate” the client’s feelings by saying something like, “I’m sorry that the experience that you have had, had hurt you.” Or “You are entitled to feel that way”. The purpose of the intervention is to help the family grow together and build a healthier family. The goal of this intervention encourages the family members to work with one another to become a healthier family. The purpose of detrianglation is to lead the family to grow together. Another purpose is to build good communication with the each family member. The goal is to promote healthier behaviors with each family member. The target of this intervention is Betty-Ann, Allison, and Steve.
This would be important for all family members to be included in this intervention. The therapist would need to get an emotional response from all members of the family, so that the therapist can create a healthy emotional connection with each family member. The target members of detriangulation would be with Steve, Betty-Ann, and Allison. Some questions that would apply to this intervention could be: “Steve, you had the assignment to negotiate with Allison about the rules that she made up for herself, how did that process go? Did it bring you closer together with Allison?” Another question, “Betty-Ann, I wanted you to establish more of a connection with Allison. How did you do so? How did that help the relationship that you had with Allison?” The desired outcome of this intervention is to bring each family member closer to all family members, so that the family can have healthier emotional processes, and learn to work with others in the family. This will also encourage healthier communication. The desired outcome for detrigulation is to promote healthy emotions and to eliminate unhealthy
emotions.
Structured Family Therapy (SFT) refers the mere undesignated rules that structure how a family interacts with one another (Walsh, 2010). The family unit is composed of systems or parts, and the parts must be unified to compile a whole unit to create homeostasis (Broderick, 1993). SFT therapy is warranted when dysfunction enters the family unit, and creates a deficiency of adaption by the individual which disrupts the family structure (Boyle, 2000). The family structure is composed of major components such as: subsystems, executive authority, boundaries, rules, roles, alliances, triangles, flexibility, and communication (Walsh,
Nichols, M. P. (2010). Family therapy concepts and methods (9 ed.). Boston, MA: Allyn & Bacon.
“Exiles are the highly vulnerable, sensitive parts of us that were most hurt by emotional injuries in the past.” Thereby, people attempt to disconnect from these painful emotions and memories in order to never experience them again. This leads to other inner entities becoming managers of those emotions. For example, a child that was abused by a family member in the middle of the night in their bedroom may as an adult be taken back to their sense of fear when their partner mistakenly awakens them in the middle of the night. Their managers would be activated to control the environment and suppress their feelings. However, “When the managers fail to control the exiled emotions, extreme behaviors emerge, such as addictions, binges, rages and anger, and Schwartz refers to them as firefighters.” This is where a conflict between married couples can emerge requiring intervention. The husband has no idea what his wife is feeling in that moment and believes her reaction or requirements are unrealistic. Yet through IFS therapy, the care seekers can come to acknowledge the real emotion at hand and as Schwarts says, “They stop berating themselves and instead, get to know, rather than try to eliminate, the extreme inner voices or emotions that have plagued them.” By addressing these emotions, clients can learn to lead themselves and see their
Rosa and Miguel are experiencing relationship problems due to developmental and financial stressors. This has created a turbulent home environment. Miguel’s verbal abuse and open hostility has Rosa emotionally overwhelmed. He is not physically abusive; however, his anger is upsetting the household. The children are also displaying emotional and physical stress related symptoms. Rosa and Miguel come from emotionally unstable homes, which has impacted their ability to communicate and manage their emotions. Due their inability to communicate in a productive manner, they have sought help to resolve their problems. Both have expressed the concern that they are repeating the harmful behavior they experienced as children. They
Interventions: describe the reframing technique and explain its uses, be present with the client and reflect content and feelings.
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
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).
Assuredly though, Kevin’s family is supportive of him, and this is a valuable basis for an on-going alliance. Furthermore, the learned problem-solving and communication strategies equip each individual to navigate through potential future conflicts, reducing the need for repeat-therapy. Lastly, though it is unknown whether Kevin is medicated for his depressive disorder, young people have an improved outcome with a combined treatment approach of pharmacotherapy and either CBT or systemic family therapy (A. Hall, personal communication, 17 April 2014; March, 2006; The Werry Centre, 2010; Nayar, 2012). All safety and appropriateness considered, this approach would improve Kevin’s mood and ability to engage in therapy and as a consequence, also improve his other social relationships (Nayar, 2012).
John Banmen said “Virginia Satir, the pioneer of conjoint family therapy, has, over the years taught, and developed a family therapy system based on the belief that people have the resources to move their life patterns from a basic survival level to a higher level of becoming more fully human.” A brief overview of Satir’s work will define communication and self-esteem as Satir would use them, create an understanding of family dynamics, which allows the reader to fully conceptualize how Satir’s put her theory into practice.
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.
There are tensions within the family, and there is a chance the intervention will lead to arguments, hostility, or undue defensiveness. 2. Most of the people participating in the intervention have very little experience dealing with
A systems based treatment plan is necessary when working with this family and a systemic assessment is needed to accomplish this. “A systemic assessment will typically reveal that marital and/or parenting issues are contributing to the presenting problem” (Gehart, p. 37, 2016). The therapist will start by using a genogram. A genogram was used to analyze the Andersen family, as it is a structured way of collecting information about the family. It allows the therapist to gather details and “identifies not only problematic intergenerational patterns, but also alternate ways for relating and handling problems” (Gehart, 2014, p. 237). A genogram is a visual representation of the family and their history that will display
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
intervention. Families in Society. Vol. 88, pg. 42. Proquest Direct database. Retrieved February 25, 2015.
I talked to Ms. Graham about two weeks ago because I had been briefly told that Ms. Graham’s activities regarding taking care of Sara were being monitored by Dr. Taylor and Sara’s parents. That came up early one morning because I was on my way to walk Sarah from her car to the school building. I don’t remember my exact words, but later that same day when the kids got on the