Pigmentosa Case Studies

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.

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).

My first assumption of family therapy was to involve the parents and the individual that had the problem. This book explored further what it

From a Christian world view perspective integrating the pragmatic approach of CBT with the relational methodology prevalent in family systems theories just seems like a sound idea. Christians express that mankind is created in the image of God and exhibit the relational quality found in Him. Therefore, combining the two modalities would benefit clients in that change is sought with CBT from an “outside-in” orientation and with family systems from the “inside-out”. CBT is based on the dynamic formulation of patients’ problems and an individual conceptualization of each patient in cognitive terms (Beck, 2011). However, changing only one part (i.e., the individual) of the whole (i.e., the family unit) may be difficult at best or impossible at worst if the presenting problem is not conceptualized to include how familial relationships, patterns, communication, and behaviors affect both inter- and intrapersonal skill deficits.

insecurities and the loss of his first spouse. During his interview, we discussed his childhood,

The model to use with the Jacques family would be the cognitive-behavior. The cognitive-behavior therapy offers different treatment. These treatments include adjunctive interventions, communal needs, and aversive control (Wetchler et. al., 2015). The adjunctive interventions would be to look at their behavior interaction. This would include that the Jacques family becomes aware of their communication skills. Communal needs involve the Jacques family learning intimacy, nurturance, and

In this paper I will be describing how the first two session of the Brice family went. I will talk about what systems approach to therapy was used, and will include how Whitaker and Napier conceptualized the family’s difficulties. I will also describe how this differs from an individual understanding, and will talk about what specific interventions they used to support their systemic understanding of this family.

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.

This paper will describe developmental issues in each domain (physical, cognitive, social, and emotional) that are identified when working with the clients and provide and examples of behaviors as evidence. It will also include a discussion on the stage of the family’s life cycle and how the family has transitioned through the life span. Next it will describe as well as document the impact of risk factors on the social and emotional well-being and physical development of the client. This paper applies and accurately interprets systemic assessment tools that are multicultural and developmentally appropriate and demonstrates an awareness of how ethical and legal requirements impact working with this family using examples as evidence. Finally it reflects on one 's personal background and impact on one 's work with this family system, incorporating suggestions for managing this impact.

The following essay will aim to explore two developmental theories. It will also look at how they have become relevant in counselling and psychotherapy practice, how they should be helpful and offer support when a presenting issue occurs from a client, and how the counsellor will work in partnership with the client. The chosen theories are based on John Bowlby’s attachment theory and David Winnicott’s developmental theory.

I think that the Object Relations Theory would best apply to this client and his family. An outline of Object Relations Theory from Walsh (2013) includes its focus, origins & social context, nature of the individual, and intervention goals & techniques. The focus of this theory is on interpersonal relationship patterns, its origins and social context including studies of early childhood deprivation, the effects it has and an interest in the role of early relationships, also known as attachment theory. The nature of the individual includes the assumptions that healthy development requires an environment that is nurturing from the beginning, and that individuals

After a thorough review of the textbook and the course material, the specific family system approach that I choose to explore is the Bowenian Approach for this literature review. This specific family system approach is also known as the Bowen Family System Theory as well (D.V. Papero, 2006). The Bowen Family System Theory was established by Murray Bowen, a theorist and psychiatrist who specialized in treating children who were deranged and had schizophrenia (Rockwell, 2010). In the 1950s, Bowen wanted to explore a new venture so he decided that he wanted all of the family members of each child to be involved in an therapeutic process at the same time (Rockwell, 2010).

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

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.