Harry Aponte: A Case-To-Case Study

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.

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.

According to Nichols and Davis (2017), family structure refers to the way a family is organized into subsystems (Nichols & Davis, 2017). The movie Ordinary People, during the first interaction between Beth and Calvin, we see there is a disconnect within the

Structural family therapy is associated with the work of Salvador Minuchin and is an evidence based therapy influenced by brief strategic and eco-systemic structural family therapy (Gerhart, 2014). Structural family therapists are active in the counseling sessions and will want to have all of the members of the family participate in the counseling sessions. The therapist is then able to map family structures in order to resolve relation problems between family members. The therapist will then make assessments and set goals to restructure the family interactions while focusing on family strengths.

Structural Family Therapy (SFT) has a few interventions within the theoretical model that I could see myself using with clients (families) from diverse backgrounds with diverse presenting problems. I am in agreement with the way this model looks at the different types of families and the types of issues they present with such as the patterns common to troubled families; some being "enmeshed," chaotic and tightly interconnected, while others are "disengaged," isolated and seemingly unrelated. This model also helped me understand that families are structured in "subsystems" with "boundaries," their members not seeing these complexities and problems that are going on

Salvador Minuchin, born and raised in Argentina, is known as the founder of structural family therapy (Colapinto, 1982). Before creating what would be known as his most lasting contribution, Minuchin spent years paving his way to his success. Traveling back and forth from Israel to the United States, Minuchin finally settled down in the year 1954 where he began training in psychoanalysis at the William Alanson White Institute in the United States (Nichols, 2014). Following the White Institute, Minuchin began working at the Wiltwyck School, which consisted of delinquent boys from unsystematic, multi-problem, underprivileged families (Colapinto, 1982). At the time Minuchin began working there, therapists had found that certain clinical populations were not responding to traditional psychotherapy (Lappin, 1988). In fact, the population of delinquent children, like those that Minuchin was working with at Wiltwyck, resisted even more so than other populations to this traditional psychotherapy (Lappin, 1988). This was due to the fact that the traditional psychotherapeutic techniques used, were developed for middle-class patients who were verbally articulate (Colapinto, 1982). It was then when Minuchin realized that a new model of change was needed, particularly one that worked with unprivileged, delinquent boys (Lappin, 1988).

Structural Family Therapy (SFT) is an approach used in family therapy settings. In every family there are both strengths and weaknesses in how the family functions, this type of therapy focuses on the ability of families to move forward any dysfunctional issues they can encounter. In every family there has to be structure, a way of doing things, who is in charge and yet still be able to adapt to change when it is necessary or problems begin to occur, in order to repair and alter issues of dysfunction and reposition family boundaries, many therapists who use the structural family approach have the belief that the problems the family is experiencing “emerge in families when their boundaries (that define structures) are not clear and when

Structural family therapy is a model of treatment based on systems theory that was developed by Salvador Minuchin. Structural family therapy features emphasis is mostly on structural change as the main goal of therapy; it pays close attention to the individual but also acknowledges the importance of family in the healing process of the individual.

Reconstruction and change are essential for the family system to facilitate the homeostatic process, as explained by the fourth principle of the theory (Minuchin, 1985). It includes family questioning current methods, evaluating and developing potential arrangements. While earlier principles analyse the wholeness of the family system, the fifth principle explains that families can be examined in various segments such as the parent-children subsystem, sibling subsystem and spousal subsystem (Minuchin, 1985). Within the family, relationships between members are formed, and the interactions between each subsystem are regulated by unspoken rules and arrangements, and this is the final principle of family systems theory (Minuchin, 1985). Each subsystem operates independently, and it may encounter changes in the relationship due to various determinants.

Structural Family Therapy (SFT) was invented by Salvador Minuchin while working with lower-socioeconomic-level Black families (Gladding, 2015). A main premise of the theory is that “an individual’s

The Portokalos family appears to have a cultural component that attributes to their behavior and interactions in the system. The family comes from a collectivist perspective; therefore, separation and boundaries may be difficult to establish. Therefore, for the Portokalos family, to enact change, the treatment must work within a collectivist perspective. Utilizing elements of SFT for treatment may be appropriate because SFT has a natural inclination to structure and hierarchies, similar to collectivist societies. The purpose of this section is to address some of the SFT techniques, that I as a therapist, would utilize on the Portokalos family and conclude with a discussion on potential changes that can occur if the techniques are successful.

The family is made up of five people: Claudia, the IP; Carolyn, mother; Laura, the sister; Don, the brother; and David, the father. The family is coming into therapy because there have been mounting concerns about Claudia and her behavior—acting out, staying out late, some fairly typical teenage stuff. For the purpose of this paper, I will be starting at the beginning where the family is first coming into therapy. I will first school that I will apply is Structural Family Therapy and the second school is Bowen Family Therapy.

therapy aims to improve family relations, and the family is encouraged to become a type of

I believe what make contextual therapy model approach different from some of the other MFT approaches is that the contextual family model is more of an influential approach. Also, the contextual family model deals with examining the intrapsychic and the interpersonal dynamic to raise the awareness and give insight to the client, to create new ways to behave and relate to others ( Gehart, 2014). Through the communication and processing, the therapist helps the client and family to govern different aspect of family structure, beliefs, power, and hierarchy. This model searches for intergenerational balance of justice and trustworthiness in family based on the concept of relational ethics and forgiveness in helping conflicted families to rebuild a level

The structural family theory developed by Salvador Minuchin in the 1960’s, used to focus structural change within a dysfunctional family. The purpose of understanding the structure of the family has been to assist in creating a healthy balance within the