Assessment Of A Relationship With The Family

For this assignment, two different theoretical approaches will be discussed, Bowenian family therapy and structural family therapy, and they will be used individually to construct a treatment plan to help clients reach their goals. Within each treatment plan discussed, short-term and long-term goals of therapy will be established and the family’s presenting problems will be defined. Two techniques that will be assigned to help them reach their therapeutic goals and any expected outcome from using those techniques will be discussed.

Family is something that plays a tremendous role in our life. Even though the structure of families has changed over the years, it is important to acknowledge that there many families out there whether they are traditional families, nuclear family, stepfamilies or others which tend to have different types of problems in their families. Therefore, many families attempt to go to family therapy in order for them to obtain help in solving the different types of issues they might have at home. As stated in the book Family Therapy by Michael P. Nichols (2013), “The power of family therapy derives from bringing parents and children together to transform their interaction… What keeps people stuck in their inability to see their own participation in the problems that plague them. With eyes fixed firmly on what recalcitrant others are doing, it’s hard for most people to see the patterns that bind them together. The family therapist’s job is to give them a wake-up call” (2013).

In conceptualising the development of the family system, Bowenian therapists are past-focused. They believe that emotional fusion that is passed down from one generation to the next is the cause of psychological problems (Nichols, 2010, pp 119-122). Normal family development according to Solution Focused therapist produces families with flexible structures, clear boundaries and well-organised hierarchies. This is quite similar to Bowenian’s concept of normal family development. Differentiated individuals after all need to have clear boundaries. Similarly, flexible structures and well-organised hierarchies do promote low anxiety and therefore generate positive emotional contact between family members. The difference is that instead of being past-focused, Solution Focused therapy assiduously avoids the past and focuses their clients as much as possible on the present and future. (Nichols, 2010, pp 321).

11. Coping: What methods do you use to deal with stress? Have there been any prominent stressful events in your life lately?

work with individual families and with families as an aggregate within the population (Clark, 2003). Several areas will be presented such as biophysical, psychological, physical environmental, sociocultural, behavioral and health system considerations. The data obtained during family health assessment enable the nurse to make informed decisions about the health care needs of families (Clark).

They are on a regular diet with few restrictions on fried foods and fat intake. The children eat school lunch and the parents from outside restaurant choices. Mom tries to cook a meal a day after work or they seldom eat Subway or Pizza Hut. No variation in weight gain or weight loss reported. They try to eat dinner as a family at home on a regular basis. However, this was not feasible all of the time due to dad’s late night work hours and CH basketball practices after school. They generally get 6-7 hours of sleep per night and denied any sleep deprivation. No exercise program has been implemented by this family. CH is the only physically, athletic member. DH stated that he likes to ride his bike. The children are active in Sunday school and participate in summer camp.

In the Structural Family Therapy model, therapy is not focused solely on the individual, but upon the person within the family system (Colapinto, 1982; Minuchin, 1974). The major idea behind viewing the family in this way is that “an individual’s symptoms are best understood when examined in the context of the family interactional patterns,” (Gladding, 1998, p. 210). In SFT, there are two basic assumptions: 1) families possess the skills to solve their own problems; and 2) family members usually are acting with good intentions, and as such, no

Different assessment examines different features of an individual, or similar assessments examine similar features in different ways. Three assessments that regard family conditions and that are considered important are, the Family Adaptability and Cohesion Evaluation Scales (FACES III), the Family Assessment Device (FAD), and the Self-report Family Inventory (SFI).

Based on Bowen Intergenerational Therapy, the therapist should be aware of the level of differentiation for each individual and especially recognize who has the highest and lowest level of differentiation between generations as the main stimulant to change. Also, Bowenian therapy focuses on how the quality of relationship between family members how affects their emotions. Genogram is vital to help the therapist to recognize patterns between the intimate family and extended family members. A number of patterns emerged in the genogram. Both parents are emigrant from Mexico. AF came from family with patterns of

The goal of each session is to manage anxiety and increase the client’s level of differentiation, incorporating “I-statements” (Goldenberg, Goldenberg, 2013, p. 227). The evaluation interview begins with a telephone call between a combination of family members (Goldenberg, Goldenberg, 2013, p. 223). A therapist is to remain neutral and avoid being triangled into family issues. Sessions focus on symptoms in relation to the presenting problem (Goldenberg, Goldenberg, 2013, p. 223). The counselor gages each member’s perspective of the issue, while remaining aware of patterns of emotional functioning (Goldenberg, Goldenberg, 2013, p. 223). Sessions conclude with intentions to understand third-generation family systems. This part of the technique

The objective of doing the genogram is to get to know the patient by gaining understanding of his/her family background. Assessing the family using systemic approach enables health care providers to learn about the ways in which family members interact, what are the family expectations and norms, how effective is the members communication, who makes decisions and how the family deals with life time stressors (Hockenberry & Wilson, 2007). This paper outlines the assessment and analysis of the three generation of Wits’ and Smiths’ families, its relationship, health pattern, habits, tradition and structure. It also provides a nursing teaching plan. The interview was conduced with Alina Wit, a second generation mother of three.

The client had reported these patterns to be considered to be “generational curses”, which implies that the family does not want to continue in these patterns. These instances can be viewed as traumatic events and negatively impacted the emotional well-being of the members’ in the family. For this approach, the genogram is viewed as an essential intervention for allowing family to recognize intergenerational patterns (Hook, 2015). During session with the family, the genogram could help the family to open up about their sexual abuse and how it was dealt with the past. They can also process their feelings of having to raise children on their own. By identifying these patterns, that family could look for potential solutions or options for breaking or avoiding this risk factor. Since the client reported that sexual abuse is not really expressed in her family, it is assumed that the family members affected by this experience have unresolved issues and unhealthy emotional connections. The family session could be used for the family members to process those emotions and develop new positive

The use of mezzo-perspective is to focus on the group or family unit as a whole. Although the mezzo-perspective mainly focuses on a group or family unit, this type of perspective can also benefit an individual because it affects many different individuals at once. Research has shown that family units that are dysfunctional can benefit from structural family therapy. This type of therapy breaks down the family dynamics into subsystems. Each of these subsystems work within groups forming alliances, triangulations and boundaries with one another and others outside of the family. Furthermore, this type of subsystem analysis will be visible in the case study of the Clark family. Bob and Marie are parents of three children that appear to have a breakdown of boundaries both enmeshed and disengaged. Additionally, the parental alliance has fallen apart due to the discord around discipline of the children, over-bearing actions by Marie with her children, and intimacy issues. Lastly, triangulations appear to be repeating through generations, Bob and Marie actions display similarly to their own parents, that they wanted to avoid when having their own family.

A family health assessment is a significant instrument in conveying a health care plan for a family. This paper will discuss the nurse’s role in family assessment and how this task is performed. By the use of family focused open ended questions, 11 functional health patterns were covered. The health patterns were values and health perception, nutrition, sleep and rest, elimination, activities and exercise, cognitive, sensory-perception, self-perception, role relationship, sexuality, and coping. This principle is known as the Gordon’s functional health patterns. Family health assessment defines the assessment of actual and potential problems of individuals (Gordon, 1994). This assessment tool included 11 systematic principles for data collection of the family, and assists the nurses to develop a nursing diagnosis and appropriate interventions. Using Gordon’s functional health patterns, this paper will summarize the findings of each health pattern as well as the family based nursing diagnosis of each assessment. This paper will also discuss different health promotion strategies along with web-based resources, also including a system based theory guide in family assessment.

Murray Bowens family systems theory focuses on ordering and defining relationships and conceptualizes the potential for growth within humans (Metcalf, 2011, p. 39). With this is mind this report aims to explore the history, concepts and principles of Murray Bowen’s family systems theory as well as apply these concepts to a case study regarding the Aleppo family. Firstly this report will explore the historical origins of Bowen’s theory followed by a description of the 8 main concepts and the key principles of the approach of this method. Secondly the report will link the applications of Bowen’s theory to the Aleppo case study and explore how a therapist would interact with this family when utilizing Bowen’s approach. Lastly an evaluation of the strengths and limitations of this approach will be explored.