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. …show more content…
One the reframe was accepted and in place and it was clear that their children, Toula and Nick were not leaving the family, but rather gaining more distance to find themselves, Gus and Maria would be more open to this shift.
It appears that the Portokalos family have both Gus and Maria as authority figures working against each other instead of working with together. So to shift the hierarchy, I would utilize restructure techniques that would establish a fusion of the overt and covert authorities in place. Although establishing the new hierarchy may cause confrontation among Gus and Maria, it is necessary to grow the system. Therefore, the goal would be to fuse these authorities to create a cohesive hierarchy with one set of rules across the subsystems.
Utilizing enactments may benefit the family, as this would provide a clearer understanding of the dynamic and the relationships between each of the members in the Portokalos family. This provides more opportunity to question and probe what the system thinks about these interactions. Understanding which relationships may be viewed as problematic, which can later be used as a catalyst to demonstrate a need for change.
Changes that would
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 basic concepts of this type of therapy are boundaries, subsystems, complementary and alignments which are easily applied and grasped. The most important aspect the therapist must keep in perspective is that every family is made up of structure and that these structures are seen only when the members of the family interact. If the therapist does not consider the entire structure of the family and intervene in only one of the many subsystems are most likely not to attain a lasting change.
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.
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.
Each family member will be taught on the importance of listening to the issues raised other members of the family. This will lay down the foundation for the future sessions. I will also coach the members of the Kline household on how to provide suitable feedback on issues raised by other family members. The session shall also entail a discussion of the expectations of each family member. It is a good point to begin instructing the family on the necessary required in order for those changes to be achieved.
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
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
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
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
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
Every family has a unique system with a set of rules, mostly unspoken, that govern their behavior and interactions. In dysfunctional families, the symptom of their dysfunction is typically sourced within their family system. The symptom also has a function – it protects family members from uncomfortable conflict. Dysfunctional families and couples often maintain negative patterns of interacting, and are unable to transition into new behavioral patterns without therapeutic intervention. In order to help families develop out of their systematic ways of behaving, it is important to understand the specific family system that is presented. With a keen understanding of the family’s culture, beliefs, etc., the therapist can develop therapeutic rituals, which are prescribed actions aimed at altering behavioral patterns that are responsible for maintaining the symptom. The ritual is not a verbal explanation or criticism of the family system, rather it is a specific set of actions designed to help families create new patterns of interaction and meaning in their relationships. (p, 5).