Defining Couple and Family

blessinghomoeopathAI and Robotics

Nov 30, 2013 (3 years and 4 months ago)

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Defining Couple and Family
Therapy

Two essential ways to define family therapy

1.
A therapeutic endeavor that focuses on altering the
interactions and improving the functioning among family
members

2.
Having more than one family member involved in the
treatment sessions



Comparison of Couple and Family
Therapy

Issues unique to couple therapy

Sexual problems

Possibility of someone leaving relationship

Issues common to couple and family therapy

Communication

Attachment

Problem
-
solving

Early Family therapy

Became prominent in the 1950s

Core importance of the family system and a
rejection of usefulness of individual therapy

General systems therapy

Cybernetics

The science of communication and control in man and
machine

Paradoxical interventions

Therapist suggests the opposite of what was sought to
produce psychological reactance and a reverse effect


Systems Theory Applied to
Personality and Psychopathology

People act as they do because they are parts of a
system, not because of individual development,
intrapsychic conflict, or learned behavior

Humans are part of an open system


There is an ongoing exchange with those lying
outside the system

Three cornerstones

Circular causality

Cybernetics

Communication process



Primary Dimensions of Structural
Family Therapy

Boundaries

The rules defining who participates and how they
participate in various operations

Range of boundaries from disengagement to enmeshment

Alliances

Represent the joining or opposition of one member of a
system to another in carrying out various operations

Triangulation

Power

Depicts the relative influence of each family member on
the outcome of various family activities

Strategic Approaches

Associated with team approaches and the detached stance on
the part of the therapist

Types of strategic approaches

Mental research institute model

Haley’s problem
-
solving therapy

Milan systemic therapy

Solution
-
focused therapy

Cognitive
-
Behavioral Approaches

Central mechanisms

Classical and operant conditioning

Social exchange mechanisms

Homework assignments

Interventions

Monitoring

Skills training

Behavior exchange

Shaping

Large amount of empirical support

Psychoeducational
Approaches

First developed in the context of schizophrenia

Survival skills

Crisis management

Intergenerational Approaches

Bowen therapy

Differentiation of self

Family projection process

Genograms

Other approaches

Invisible loyalties

Ledgers

Multidirected partiality

Psychodynamic Approaches

Active, dynamic formulations in couple and family therapy

Importance of unconscious mental processes and early
experiences

Understanding transference and countertransference

Additional Psychotherapeutic
Approaches

Experiential Approaches

Accentuating the healing power of emotional moments in
therapy for restoring a sense of liveliness and connection

Narrative Approaches

Social constructivism

Problem
-
oriented descriptions are replaced by stories of
accomplishment

Integrative Approaches

Merges the raw material of the various approaches at
three distinct levels: theory, strategy, and intervention

Generic Integrative Family Therapy

Multilevel biopsychosocial understanding of human
functioning

Intervention strategies

Psychoeducation

Behavioral Methods

Cognitive and narrative strategies

Focus on emotion