I am one of the few Licensed Marital & Family Therapists in Missouri. I have over fifteen years of experience in providing couples, family, and child therapy. I worked at the prestigious Philadelphia Child Guidance Clinic and brought my experience from that clinic to St. Louis. Structural Family Therapy (SFT) is evidence based, practical, outcomes oriented, and strength based. I am the founder and lead therapist for the intensive and personalized couples therapy retreat, Head Over Heals! I also provide therapy and education to caregivers and people with disabilities; and identify myself as a therapist who lives successfully as a woman with a physical disability and hosts the monthly workshop Disabilities: Life, Sex, & Families. I am also
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
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
One of the prominent aspects of SFT is that it can be implemented with a wide variety of client’s, presenting problems and can be patently integrated with other models to address different populations. Navarre (1998) states that SFT is a model that can be used to treat a wide variety of culturally diverse dysfunctional families. According to Navarre (1998) SFT is ideal when working with Chinese and vietnamese families due to the high levels of structure with clear generational boundaries and roles this culture holds. As stated by Navarre (1998) hispanic families such as Mexican-Americans and Cuban families hold characteristics that fit well with SFT; these cultures include extended family members, rely on authority/respect and discourage interactions outside of the family which adds stress to other family members. According to McNeil, Herschberger and Nedela (2013). SFT and community family therapy were integrated and said to be useful in addressing low-income families with adolescents involved in gangs. Although this model has not been adjusted to specifically address couples the same guidelines are used to treat couples effectively (Calapinto, 1991). The couples that are treated using SFT are looked at as another subsystem and their interactions with other family members.
Like I said in the presentation, structural mapping is great to show clients where they are and how far they have come. Once people are on the path to change, sometimes they forget because they are just going. I think there is a lot of power to showing clients how far they have come in their progress of changing for the better. I took on the longest aspect of structural family therapy, and that was the techniques. I was surprised to find no pure structural family therapy model or research done in the last 9-10 years. I know that Dr. Darden talked about how Salvador Minchin’s structural family therapy was sexist and had lots of problems, which developed newer and revised models. But I also see how influential structural family therapy is because many research papers had the model as the foundation or had a
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.
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
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 can also promote a safe environment for individuals to express concerns or feelings to family members. It can improve communication, develop effective problem-solving methods, explore values, and experiment with new behaviors (Thayer 1982). The role of the clinician is to keep the sessions family focused. The clinician must recognize who the "identified patient" is or the client the family system has
The identified problems in the family are the lack communication, rigid boundaries, and weak subsystems within the family. The structural family therapy focuses on the interactions with the family rather than focusing exclusively on the identified person or patient (Nichols, and Tafuri, 2013). In addition, through utilizing, the structuralism approach, the family will be able to think beyond symptomatic behaviors and see their choices and process relationships between group members and other systems (Vetere, 2003). The family will also be able to broaden their understanding of how each family member contributes to the problem or communication patterns within the family (Nicols et al., 2013). Furthermore, based on the research structionalism will encourage the family to problem solve in a safe therapeutic environment (Vetere, 2003). In therapy, the family will be able to express their feelings and thoughts without judgments or bias from the therapist.
“The last thing I heard where the sirens. And the last thing I saw where a kaleidoscope of blue and red. And then everything went black, every ounce of air had escaped my lungs and had reached the surface of the lake in the form of little bubbles.” I told Louis Green, possibly the most boring person on earth. I don’t think he wanted to be my therapist anymore then I wanted to be in therapy.
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.
Often times, people live through painful events in their life that can alter their perception of themselves, their family, and the world. Narrative therapy offers the client the opportunity to re-write their story and gain a different perspective of specific events. It is important to understand that within the history of narrative therapy, therapists view client’s stories through a political lens. Often times, focusing on the oppression and cultural dominance that exists within the constructs of our society. Thus, empowering clients to change their story allows them to break free from the constraints that have shaped their outlook and allow for alternative ways of thinking.
This paper will look at the logic of narrative therapy by focusing on 5 major points. This paper will begin by discussing how the narrative approach defines and perceives problems. It will address how narrative therapy views the nature of the relationship between the client and the professional. This paper will look at how problems are solved using the narrative approach. It will also focus on three main techniques used in narrative therapy, which will include externalization, deconstruction and re-authoring. This paper will also include a short narrative critique of the medical model.
Within the early practices of family therapy, it began during the 1950’s and focused upon an individual-therapist relationship (www.abacon.com). Early therapist such as Freud and Rodgers focused upon the individual behavior which was internal, even though they understood that family interactions shapes a person’s
However, it is not merely because I accidentally became exposed to the model as I found an internship that I come to favor this model over others that I have been learning about in this course. I like Structural Family Therapy because it is very relevant and practical with the families that I have encountered. For example, a major goal of Structural Family therapy is to help “families to identify and alter maladaptive family systems or interaction processes, such as transgenerational coalitions, scapegoating, triangulations, and so forth (Barkley, Guevremont, Anastopoulos, & Fletcher, 1992, p. 452). In my work as a family based therapist, it has been easy to observe that these dynamics are common in distressed families and I have seen how damaging they are to individuals and to the family as well. However, through Structural Family Therapy interventions such as enactments, unbalancing, intensity raising, these patterns can be shifted (Minuchin, & Fishman, 1981). Furthermore, Structural family therapy has been continuing to adapt to the challenges of the twenty-first century (McAdams et al, 2016) and that additionally makes it a very appealing model.