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Family therapy approaches paper MFCC/556 course hero
Cbt and family therapy
Family therapy approaches paper MFCC/556 course hero
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According to Goldenberg and Goldenberg (2013), these roles “become rigid, narrowly defined, or stereotyped—or shift rapidly, causing confusion” (p.177). As a CBT family therapist I could work on these schemas and the roles the family has to disrupt the discord and bring a more positive outcome for their problems. Also I would work with families and couples to change their unrealistic expectations about their relationship with one another in order to decrease any destructive mechanisms that are maladaptive to their therapy. In order to continue therapy at home, I would incorporate homework assignments in therapy to my clients that was CBT based in nature (i.e., the use of a diary or journal). The use of CBT based homework assignments is
Equally important, therapy for parents with children who abuse drugs, participate in treatment interventions in a therapeutic setting with the Family Therapy Model, using Cognitive Behavior Therapy or CBT. The main goal of CBT is to improve family relationships by promoting sobriety and correcting the erratic or destructive behaviors/patterns, which aid in a person’s addiction. The goal is to educate family members about triggers, in the event of a relapse or erratic behaviors that resurface. In the event, families can resolve conflict in a positive way and recognize future erratic behaviors, before it's too late. Nevertheless, the Strategic family therapy is the best option, for Ryan and his family because of the relationship and separation
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,
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).
Napier provides a crucial exploration of the therapy of a family struggling with battles for the structure of their family and battles to define and grow their relationships with one another. Napier and Whitaker seamlessly and purposely work with each family member, educating and
Nichols, M. P. (2010). Family therapy concepts and methods (9 ed.). Boston, MA: Allyn & Bacon.
Strategic family therapy is when the therapist initiated most of what happens during a therapy session and designs an approach for each problem that comes up. To be a successful strategic therapist a person should identify problems that can be solved, set goals for the course of therapy, design interventions or tools to meet those goals, and take client’s responses into consideration. Strategic family therapy is really a combination of a few family therapy models Strategic family therapy developed from the communications theory which evolved from MRI (mental research institute)’s brief therapy, Haley’s Strategic model, and the Milan Team’s systemic model. Strategic therapy uses all of these methods together to help the progression of therapy and to bring about change. Strategic family therapy has a few different types such as a model from Jay Haley, MRI (mental research institute), and The Milan Team. Each of these models has different concepts, strengths, and weaknesses that make strategic family therapy a truly diverse type of family therapy.
This therapy assists the individual and finding what the needs are of the person. This makes the therapy unique by finding what is occurring with the person and what they can do to help regulate positive thoughts and emotions. As shown in the article, it mentioned how “some primary skills taught may include mood monitoring, behavioral activation, cognitive restructuring, and the development of problem-solving and social skills” (Mahoney, Kennard, & Mayes, 2011). The purpose of this therapy is to assist the client to create appropriate goals and work towards improving their symptoms. At first, this can be done by having the client monitor their mood and plan in activities they can become engaged in (Mahoney, Kennard, & Mayes, 2011). Therefore, this can play a significant role with my client due to finding what interests she has and if this can help her while handling her depression. The best way to monitor my client’s results would be working with my client and using CBT each time we meet. That way my client has spent enough time understanding her thoughts or emotions and how they have been impacting her
Homework for CBT clients may include reading suggested articles or books, taking surveys, journaling, recording thoughts and challenging negative automatic thoughts, creating timetables and graded exposures (slowing bringing feared items to the forefront).
In the industrial age before World War II, when individual psychotherapy was born and thrived, human beings were essentially seen as machines, with broken parts—including the mind—that could be repaired; after World War II, the dawning information technology age brought a paradigm shift in the view of human life from mechanical to relational, and communication and systems theories provided family therapy with increased validity and prominence. (White, 2009, pp. 200-201). The modern family systems theories that grew out of this paradigm viewed families narrowly as functional or dysfunctional according to the delineation of each theory. Today, postmodern theory suggests that no absolute truth governs individuals or families; instead, people are
Kendall and Choudhury (2003, Cited in Sofronoff, Attwood and Hinton, 2005) emphasised the significance of parent involvement when using CBT with children. Mendlowitz et al. (1999, Cited in Sofronoff et al.) discovered that by implementing a therapy session which allows parents to be involved, could eventually show development to the child’s condition and an increased use of adaptive coping strategy in the child. This proposes that by permitting parents to attend therapy sessions plays a vital role, in terms of effectively treating children’s anxiety disorders. Howard and Kendall (1996, Cited in Barrett, Duffy, Dadds and Rapee) found that implementing a family based CBT program resulted in major improvements at the end of the treatment. When Barrett, Dadds and Rapee (1996) compared child only CBT and child CBT plus family anxiety management training, it was found that both conditions indicated major improvement. The improvements made after treatment were generally maintained over a period of 5-7 years, therefore validating the results of the study. This draws attention to the effectiveness of CBT in long-term. Even though the improvements are only exhibited when therapy sessions are kept continuous and consistent over time, therapies do not provide a permanent cure for mental disorders or illnesses but is just
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
Gladding, S. T. (2011). Family Therapy: History, Theory, and Practice, Fifth Edition. Upper Saddle River, New Jersey: Pearson Education, Inc.
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.