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Strengths and weaknesses of structural family therapy
Roles of family in the modern family
Strengths and weaknesses of structural family therapy
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The Bridge family consist of husband Chris, age 54, wife Marguerite, age 49 and daughters Erica, age 16, and Christina, age 14. Chris and Marguerite have been married for 18 years. Chris became a long haul truck driver five years ago after losing his job of 16 years as a technician for AT&T. The family went through a difficult adjustment period when Chris lost his job at AT&T. Chris experienced a lot of embarrassment when he lost his job. Although, Chris was not happy at the job, losing the job was difficult for the household. The job loss created fiction with the marriage and the friction was witnessed by the children. It became so bad at times that the children thought their parents were going to divorce. Chris decided to change …show more content…
The objective of structural family therapy for this family would be to improve the functionality of the family system and restore the structured family system with development (Collins, Jordan, & Coleman, 2010). Additionally, since the family dynamics are somewhat different since the father is away often and the girls were younger when the family dysfunction initiated, it may be appropriate to work on boundaries in therapy. McAdams, et al.(2016) found that “foundational structural principles of family hierarchy, system and subsystem boundaries, and member alliances all continue to play a central role in current applications of the structural model, and the assessment criteria applied most recently to structural family therapy process and outcome research are likewise grounded in those structural principles” (McAdams, et al., …show more content…
In essence, the therapist is to mimic the family. The therapist will mimic the family’s mood, behavior, posture, tone and other factors that can be mimicked in a session. Mimicking helps to build rapport and helps bring comfort to the family. For this family, mimicking maybe more effective for rapport building with Erica and Christina. Unbalancing in therapy helps to bring some steadiness in the family therapy session. Unbalancing is a practice to be used on needed occasions. When unbalancing, the therapist have to briefly take sides in the
The structural therapy interventions specifically, aim to reorganize and restructure the family by questioning their organization. We have to use certain types of role playing during therapy, reverse the roles between them to find spontaneous interactions and to find spontaneous interactions between them and to try to change their “reality” about a
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).
Family therapy differs from other kinds of therapy in the most basic premise that the unity of the problem is not one person but two or more. This is not a patient whose evil is stimulated by others but a symptomatic behavior product of a relationship between two or more people (Danny Wedding, Raymond J. Corsini ( 2013). Find the problem that the family wants to correct and identify in a clear manner. Initially, as a therapist trying to change the low expectations of the family to one where change within the family and theorize on what can happen. Using a genogram will be useful to analyze the addresses and relationships of each person in the
Nichols, M. P. (2010). Family therapy concepts and methods (9 ed.). Boston, MA: Allyn & Bacon.
Gladding, S. T. (2010). Ch9.Family therapy: History, theory, and practice (5th ed.). Boston, MA: Pearson. Chapter 9, “Psychodynamic and Bowen Family Therapies”
According to Richard Charles (2001) “the effectiveness of family systems theory rests not much on empirical research but on clinical reports of positive treatment outcomes, the personal benefits experienced by the families that underwent this kind of treatment, and the elegance of Bowen’s theory” (p. 279). Bowen’s family systems theory views the family as an emotional unit and is a theory of human behavior. Systems thinking is used to describe the complex interactions in the unit. However, the client’s ability to differentiate himself/herself from the family of origin is the basis for Bowen’s family systems theory. In addition, the primary focus for growth within the emotional system is differentiation of self.
Substance use affects not only the individual who is using but the whole family unit. The family can be an important key factor in an individual's life when they choose to seek treatment. The family can help the individual who is addicted or they can negatively contribute to them relapsing. Family therapy is treatment that can reduce substance use and improve the family dynamics in a household. Brief Strategic Family Therapy is a common therapy used to treat substance use in families. This paper will explain why family therapy is important. It will also explain what Brief Strategic Family Therapy is and the process that families go through in it.
Fred, Wilma, and Rose present an interesting perspective when looking at their family through a Structural Family Systems Theory. When trying to work with the family a social worker will utilize Functional Family Therapy in order to understand their structure and maybe ameliorate some of the family’s problems. Using Rose and her family as the clients it will be able explain what interventions we can use when we learn the constructs of the theory.
Since the 20th century, researchers have sought out solutions to help assist families and the individual components that make up family systems overcome the challenges and schisms that can inhibit individuation and stability. Two theoretical perspectives, the family-systems theory and the family-development theory, were conceived to gain as Balswick & Balswick (2014) noted, gain “a wide-angle view of family life” (p. 22). Though these two theories have merit, one I found to be more advantageous in gaining a better understanding of the family as an actively metastasizing organism, which needs to be approached more adaptively.
Structural Family Therapy offers a framework that provides order and meaning within the family connections (Nichols, 2013). Divorce for a family is considered a significant transition for all parties involved. When counseling a family going through divorce the structural family therapist’s job is to build an alliance with the family and obtain information about the structure. The structure of the family consists of the roles, interactions, organization, and hierarchy. Family therapy yields the belief that changing the organization of the family leads to change in the individual members. The structural family therapist often will try to become part of the family to gain a perspective of their issues as whole so not to place the focus on one individual. Joining is an empathetic approach in helping families explain and break down their individual stories without uncomfortable challenge or unnecessary confrontation (Nichols, 2013). It is important to note that family dysfunction that often leads to divorce is not attributed to one individual, but the entire family system. In structural family therapy, part of dealing with the issue of divorce in the family is to focus on the interactions between all the family members both positive and negative. Through these interactions the therapist can discover where the conflicts arise, which will in turn help the therapist understand how these negative interaction affect the family. Family therapy in these cases allows for repair of long-standing interactional patterns in which divorce is just one of a series of ongoing transactions that are disruptive to the child’s development (Kaplan, 1977, p.75). The structural family therapist often has the family play out these family interactions via enactments so that he can get a firsthand look at maladaptive patterns, roles, and
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.
...to fix the relationship, but instead stays neutral and asks questions to help the family discover their own roles in the problem. In Minuchin’s structural model, the therapist changes behaviors by opening alternative patterns of interaction within the family structure (Nichols, 2010). The therapist produces change by joining the family, probing for areas of flexibility, and then activating dormant structural alternatives. The structural therapist helps family members to expand their perspectives enough to explore unfamiliar possible solutions.
Nichols, M. P. (2013). Bowen family systems therapy. In M. P. Nichols & R. C. Schwartz, Family therapy: Concepts and methods (10th ed., pp. 76-96). Boston: Allyn and Bacon
According to Monica McGoldrick, “A genogram should always be part of a more general process of joining, assessing and helping a family (McGoldrick, 1999).” Although I feel it really should depend of the presenting issues of the family, there is a great deal of merit to its use. Genograms allow for the “Tracking [of] critical events and changes on family functioning allows us to notice anniversary reactions,” or most importantly in Jared’s case “systemic connected between seeming coincidences…its resources and vulnerability to future stresses…” (McGoldrick, 1999). Simply making mental notes while Jared’s aunt was speaking, and eventually putting those notes to paper, both Kassi, his intake counselor and I, realized the issues surrounding Jared’s unbecoming behavior began five years ago. Five years ago can be interpreted as time full of change, difficult change, for Jared. It was around this time that his aunt had moved into the household and the torch that symbolized his parenting moved from his grandmother to his aunt. His aunt moved in because not only was her father sick, but her mother could no longer take care of her husband because she also became sick. She was
The goal of the therapist is to prevent relationship breakdown, and relationship distress. The therapist can work on the client's communication skills, remove conflict, and increase commitment levels in the parental subsystem (Schofield, Mumford, Jurkovic, & Jurkovic,