Importance Of Structural Family Therapy

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 movie Ordinary People is a movie which looks at a family struck by tragedy, It shows how an upper middle-class family handles life when tragedy strikes unexpectedly, and family order is turned into chaos. The movie in essence sheds light into a family, due to a tragedy, has turned into separate individuals living in the same house, who lack of communicating their grief effectively. The movie was shown through a realistic lens, without over dramatization; looked into misplaced guilt at every level. The inability of the family to work through the tragedies lead them to a place where they each felt a breakdown within each other as well as the family dynamic.

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

One goal for the therapist is to determine what the structure is, and then decide whether it is problematic for the family or not. According to Minuchin (1974), “Family structure is the invisible set of functional demands that organizes the ways in which family members interact” (Minuchin p. 51). Additionally, Gladding (2007) suggested:

Family therapy is a form of psychotherapy employed to assist members of a family in improving communication systems, conflict resolution, and to help the family to deal with certain problems that manifest in the behavior of members. In most cases, deviance in a family member is an indication of underlying family dysfunctions. This paper looks the counselling procedure that can be applied to help the Kline family solve their problems. It answers certain questions including those of the expected challenges during therapy and ways of dealing with the challenges.

A common issue to be brought up during the sessions will be Frank’s abandonment along with his alcohol and drug use, inability to care for others, and all-around selfishness. Frank will experience blame from Fiona and the rest of the family. Fiona’s newfound guardianship of her siblings, and role confusion will be identified and obvious during the counseling sessions. Debbie’s pregnancy will also be brought into the session often, as it was what brought the family to counseling. Debbie will present as silent and unwilling to come to a solution. A common theme of the sessions and counseling may be lack of trust in Frank by Fiona and Debbie. Depending on the result of Debbie’s pregnancy decisions, there may be continuing arguments, disapproval, and triangulation occurring in the subsequent sessions.

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

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

Contextual family therapy model is a transgenerational mode that is based on the assumption that a family system behavioral patterns are mostly developed from one generation to another generation. This particular model is more of a distinct type model that is considered to be closely compared or associated to the psychoanalytic family model (Gehart, 2014). The major assumption for change in the contextual approach model, is to help all in the family system to establish a greater balance in each relationship through the intervention of fairness, trust, loyalty, and mutual support. These interventions is considered to be the focal point for the contextual family therapy model (Gangamma, Bartle-Haring &

Bowenian family counseling approach presents similar aspects that range throughout various family counseling theories. One approach to family counseling that is similar to Bowenian theory is structural therapy. Structural family counseling focuses on habitual behaviors and the role individual’s play in relation to those behaviors (Bohlinger, n.d.). Bowenian therapy reviews a minimum of three generations to assess transgenerational patterns. Both therapies point out a form of boundaries, however, Bowenian therapy looks to differentiate individuals within a family group, as oppose to structural therapy, which desires to change, clarify, and mark boundaries within a family (Nelson, n.d.). Experimental therapy recognizes discord when togetherness and autonomy are not balanced, like Bowenian therapy (Bohlinger, n.d.). Like solution based and cognitive–behavioral therapy, the role of the Bowenian counselor is to teach and coach clients (Nelson, n.d.). Also, like Milan therapy, Bowenian therapists are to remain neutral and avoid taking side within the family (avoid triangles) (Nelson, n.d.). Like object-relations therapy, Bowenian therapy seeks to help clients differentiate themselves (Nelson, n.d.). Although the Bowenian concept presents several similarities to other approaches, there are numerous

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

My understanding of the reading is that Salvador Minuchin developed Structural Family Therapy. For Minuchin, analyzing the structure of the family helps a therapist to see how effectively the family functions. According to Nichols (2013), “Family structure refers to the way a family is organized into subsystems whose interactions are regulated by interpersonal boundaries (p. 124).” I believe that our family of origin has to do a lot with the way we function with our current family. For example, a mother would demand her boy to go the store without the boy hesitating. However, if the boy asked the mother to go to the store, the mother would not listen because she is the authority.