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Strategic family therapy
Strengths and weaknesses of systemic and structural approach in family therapy
Strategic Family Therapy, developed by Jay Haley, Milton Erickson, and Cloe Madanes
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Strategic Therapy was inspired by Gregory Bateson and Milton Erickson In the 1950s, Gregory Bateson’s research on communication at Palo Alto was the accidental discovery of strategic therapy. Bateson’s work on double-blind communication influenced many therapists to begin to think of communication from a different view (Madanes, 1981) According to Bateson, families become trapped in dysfunctional patterns when they cling to solutions that don’t work (Haley, & Richeport-Haley, 2003). Madanes states that, “The approach suggests that the interchange of messages between people defines relationships, and these relationships are stabilized by homeostatic processes in the form of actions of family members within the family” (Madanes, 1981). The theory that emerged out of this different view of therapy focused on changing the family system by arranging that family members behave, or communicate, differently with one another (Madanes, 1981). Madanes suggests that is emerging theory did not focus on the past but instead focused on the present because the focus was placed on how to people communicated at the present time (Madanes, 1981). In the 1960s, directives were used by family therapist in the interview to change communication pathways, such as requiring people to talk together who had habitually not done so (Madanes, 1981). According to Madanes, directives were also given for outside the interview, particularly as a result of the influence of Milton’s Erickson’s directive therapy on the communication therapists (Madanes, 1981). Bateson and Erickson’s ideas came to be the foundation of strategic family therapy. In strategic family therapy, therapist set clear goals, which always include solving the presenting problem. Madanes b... ... middle of paper ... ...e team analyzes the family's reaction and plan for the next session (Niolon, Ph. D., 1999). Works Cited Haley, J. (2011). Jay Haley: the strategic therapist. Retrieved from http://www.jay-haley-on-therapy.com/html/strategic_therapy.html Strategic family therapy. (2011). Retrieved from http://www.allpsychologycareers.com/topics/strategic-family-therapy.html Niolon, Ph. D., Richard. (1999, December). Strategic family theory and therapy. Retrieved from http://www.psychpage.com/learning/library/counseling/strategic.html Madanes, Cloe. (1981).Strategic family therapy. San Francisco: Jossey-Bass Inc. Haley, Jay, & Richeport-Haley, Madeleine. (2003). The art of strategic therapy. New York: Brunner-Routledge. Nichols, M.P. (2011). Strategic family therapy. In A.Dodge (5th Ed.), The Essentials of family therapy (pp. 97-121). Boston, MA: Pearson. (Nichols, 2011)
All of the family members were present for the sixth meeting including Janice, Leon, Beatrice, Kat, and Guy. The family was introduced to Dialectical Behavior Therapy (DBT). DBT was defined to the family and each family member was encouraged to practice using DBT skills in their daily lives. In addition the family was made aware of the benefits of using DBT. The family was in agreeance that the individual goals of Kat would be the focus of the session.
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.
Gladding, S. T. (2010). Family therapy: History, theory, and practice (5th Ed.). Boston, MA: Pearson
Brief Strategic Family Therapy (BSFT) in particular, has been found to be useful in helping to improve family functioning for those who are at risk for substance abuse. According to these researchers, BSFT is rooted in Structural Family Therapy, which was developed by Salvador Minuchin. They state that this approach was developed to help urban minority families living in poverty, and that it operates on the assumption that the therapy will be brief, provides flexibility in its use, and the major goal is to change the family system (e.g. based on the specific needs of the family). There are three major components of BSFT, which include: joining, family pattern diagnosis, and restructuring. In the study conducted by Santisteban et al (1997), African American and Hispanic American youth ages 12 to 14 and their parents participated in a BFST intervention program. The youth were given both pre-tests and post-tests to measure their behavior problems, conduct, anxiety, family functioning, and substance use. The researchers found that BFST was effective in improving conduct disorder, socialized aggression, as well as overall family functioning. They also found each of these factors were predictive of the likelihood of substance abuse initiation in the future (Santisteban et al,
Nichols, M. P. (2010). Family therapy concepts and methods (9 ed.). Boston, MA: Allyn & Bacon.
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
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.
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).
Duty, G. (2010, December 10). Family Systems Therapy. Lecture presented at Principles of Counseling Class Notes, Bethany.
Nichols, M. P. (2011). The essentials of family therapy. Boston, Ma.: Allyn and Bacon. (Original work published 5th)
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.
Gehart, D. (2014). Mastering competencies in family therapy: A practical guide to theories and clinical case documentation. Belmont, CA: Brooks/Cole.
Family members’ ability to effectively express their emotions, insights, and ideas to each other reflects how well members relate to each other, and how well the family functions as a whole. According to Kirst-Ashman & Hull (2012) assessing communication patterns within a family is crucial to the planned change process that must occur in order to assist families reconcile their problems in the best possible way (p.331). There are various facets of communication in addition to verbal and nonverbal communication. There are at least five different paths of communication, referred to as avenues of communication, which include: consonance, condemnation, submission, intellectualization, and indifference (p. 331-332). An assessment of the various facets of communication used by a family is useful in indicating where change is
The techniques used in marriage and family counseling can be different. For instance, counselors will sometimes handle family therapy in different ways than they would couples or marital therapy. Both family and marriage c...