Behavioral, Intergenerational, and Structural Approaches Paper
Carey Go
MFCC/556
June 3, 2014
Behavioral, Intergenerational, and Structural Approaches Paper After assessing my nuclear and extended family using a genogram, it was apparent that a history of mental illness was a pattern within my paternal extended family. My family never went to therapy, but I truly think that it would have been beneficial throughout my childhood and teenage years. Solution-focused therapy, narrative therapy, and intergenerational therapy and three therapies that can aide families in healing processes from lack of unity, communication, and negative patterns.
Mental Illness Pattern The pattern that I identified within my
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A therapist using narrative therapy considers race, gender, socio economic status, and sexual orientation in congruence with their interventions (Dallos and Vetere, 2014). The theory assumes that people have the skills, values, and commitments that can help them change their problems. The narrative framework of therapy focuses on multiple stories that have shaped a person’s identity (Dallos and Vetere, 2014). The clients can tell their stories and the therapist will find a common theme. The client’s stories will allow them to express themselves using their most memorable events that have “shaped their perspective on the world” (Dallos and Vetere, 2014). Usually narrative therapy will show that the client’s stories are “dominated with problems” and the clients have identified themselves with their issues (Dallos and Vetere, 2014). For example, instead of being a person who has experienced anxiety, the client will explain that they “have always been an anxious person”. The client, along with the therapist, can learn how to externalize the problem, specify the problem, change the negative to a positive, and tell a new, more positive narrative (Dallos and Vetere, 2014). Narrative therapy would have helped to explain and address the issues of mental illness in my family because each family member would have been able to tell his or her own stories. I
The family system is founded on the notions that for change to occur in the life of an individual, the therapist must understand and work with the family as a whole. In working with the family, the therapist can understand how the individual in counseling functions within his family system and how the client’s behaviors connect to other people in the family. This theory also holds the perception that symptoms are a set of family habits and patterns passed down by generation and not a result of a psychological problem or an inability to change (Corey, 2017). Furthermore, the family system theory holds the idea that when a change occurs everyone in the unit is affected by the change.
The narrative therapy approach allows the client the freedom to present their story and then to verbally rewrite the story in a more positive, healthy way.
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.
Solution-focused therapy is different from narrative and collaborative therapy because it focuses more on discovering solutions to problems by asking miracle and scaling questions (Goldenberg & Goldenberg, 2013). Solution-focused therapists utilize miracle and scaling questions to help clients change their thoughts and behavior. Miracle questions challenge clients to think about what their lives could be like if all their problems suddenly went away and were solved (Henderson & Thompson, 2016). Scaling questions challenge the client to magnify their view of the current circumstance (Goldenberg & Goldenberg, 2013). Solution-focused therapy is also different from narrative and collaborative therapy because the counselor leads the counseling session. Counselors lay out clear expectations for their clients to change, and expect them to actively participate in counseling so change occurs. The third difference between the three approaches is that solution-focused therapy is complaint-based, while narrative and collaborative therapy is not (Goldenberg & Goldenberg, 2013). Clients come to counseling with a complaint, and counselors typically work with those who ready and willing to change. Another difference is that solution-focused therapy consists of five steps, which are “co-constructing a problem and goal, identifying and amplifying exceptions, assigning tasks, evaluating effectiveness, and reevaluating problems and goals” (Goldenberg & Goldenberg, 2013, p. 382). Collaborative and narrative therapy do not follow these five
Psychodynamic therapy has been around for ages, and has been very beneficial for clients who are suffering from an array of difficulties in life. This form of therapy has the client focus on the past and understand how it has positively or negatively affected his/her behavior and outlook on life. There are many advantages and disadvantages to taking this historical approach when working with families.
This paper will use the book The Family Crucible to demonstrate the authors’ family systems approach to therapy. Narrative theory is compared and contrasted with family systems theory, and is ultimately integrated into my own theoretical foundation for practice as a social worker.
This essay aims to compare and contrast the classical Bowen Family System Therapy to the more modern Solution Focused Therapy. Comparison will be made in the following areas (1) broad theoretical formulations, (2) normal family development, (3) development of behavioural disorder, (4) goals of therapy, (5) conditions for behavioural change, (6) assessment methods and (7) techniques. Note that in the last decade, parts of Bowen’s theories have been criticized due to the paucity of empirical evidence. For example, his
My first assumption of family therapy was to involve the parents and the individual that had the problem. This book explored further what it
Prior to establishing his theory post-World War II, Bowen studied the origins of schizophrenia and postulated that transgenerational maternal enmeshment was its cause. Bowen’s thoughts on this were similar to those on individuation. Though he believed psychoanalysis was too individualized for family therapy, the psychoanalytic notion that one’s interactions are driven by unconscious motivation was the theory’s germ of inspiration. Goldenberg & Goldenberg (2012) write that the most essential piece Bowen’s family systems theory is that the individual needs to resolve anxiety arising from their family of origin to find a sense of individuality. This concept is traceable to Bowen’s psychoanalytic roots as a psychiatrist.
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
Narrative therapy is a social constructive philosophical approach to psychotherapy that has been developed to help clients deconstruct their negative and self-defeating life stories while rebuilding healthy and positive life stories through the use of various techniques. This paper will discuss the leading figures, some concepts and techniques, ethics, some similarities and dissimilarities of other theories compared to Narrative therapy. This paper will also address my personal integration of faith regarding the theory of Narrative therapy.
In the system of family therapy Dr Murray Bowen developed a new approach to family therapy that was different from other family theorist because it emphasized on the family’s emotional system and its history that may be traced through the family dynamics of the parents, and grandparents. His approach looks at human emotions and the patterns that are commonly developed and similar in all family systems.
Approaches to Family Therapy: Minuchin, Haley, Bowen, & Whitaker Treating families in therapy can be a complex undertaking for a therapist, as they are dealing not only with a group of individuals but also with an overall system. Throughout history several key theorists have attempted to demystify the challenges families face and construct approaches to treatment. However, there have been key similarities and differences among the theoretical orientations along the way. While some have simply broadened or expanded from existing theories, others have stood in stark
Systemic therapy was based on Minuchin’s Structural Therapy model (1968) followed by Bateson's cybernetic model (1972) The first order cybernetic model considerd that problems within a family system should be focused on by strategically solving problems, meeting family goals and help change a person's dysfunctional behaviour. D Shazer (1985). These concepts in Systemic therapy were known as the major paradigms and were taught by therapists such as Minuchin in Milan until the information-processing systems were introduced. They were characterized by the therapist's observation of the system from the external social world. Minuchin S & Fisherman,HC (1981)
have clearly had some impact on his life as a result of the effect the question had left on him, as mentioned earlier. In one article, they discuss how family therapy can actually increase relatives provision to social support and overall reduce depressive symptoms often found in patients (Fredman, Baucom, Boeding, & Miklowitz, 2015). For this reason moving forward and in the future, it is so critical to always be conscious of a families role in overall patient care and consider the family a huge contribution to the system.