1. Relational Reframe (1 session)
-Shifting the family’s view of treatment from focusing on the adolescent as “the problem” to enhancement of family relationships as an important part of the solution.
-Task 1 begins with the therapist orienting the family to session and treatment goals
-e.g., “I’d like to spend some time today getting to know each of you, who you are, what you like to do, and then I’d like to find out more about what has brought you to treatment, your understanding about [adolescent’s] depression, and what I think will be helpful. By the end of today’s session, I’m hoping that we can form an agreement and some goals for treatment”
-The therapist starts with some basic joining with the family
-e.g., what does each family member enjoy doing, discussion of particular interests, and strengths, along with basic information gathering about family context (e.g., who lives in the home, what kind of neighborhood they live in, involvement of extended family in their lives, etc.).
-Therapist makes a shift to assessment of the adolescent’s depression
-e.g., “So, now I’d like to find out a little more about what has brought you in for treatment. [To adolescent], I know you’ve been struggling with some difficult thoughts and feelings recently. Tell me more about that”)
-Therapist makes a marked shift away from assessment of depression and into an assessment of attachment.
-Often beginning with questions about family contributions to the teen’s depression
-The pivotal
These shared meanings become the powerful routes through which the therapist and teenager communicate best” (pg. 117). This suggestion has allowed me to broaden my style and approach to creating a more comfortable space for adolescents to open up and share. This he adds would serve as a shortcut for difficult events and the way they express those events verbally, allowing a more unique and connected space for the teenager and myself.
WHAT IMPACT HAS THE RELATIONAL APPROACH, AS DESCRIBED IN ‘BEYOND EMPATHY’ AND MEARNS AND COOPER’S ‘WORKING AT RELATIONAL DEPTH’, HAD ON YOUR CLIENT WORK. ILLUSTRATE YOUR ANSWER WITH REFERENCE TO A SINGLE SESSION WITH A CLIENT.
1. In general the purpose of the Functional Family Therapy Program is a short-term family-based prevention and intervention treatment applied across various context for treatment of at-risk and juvenile adolescents to address delinquent and behavior problems in hopes to modify community relations. The specific activities offered by the program are develop systemic and individualized family-based orientation to address behavioral problems of at-risk and juvenile delinquent adolescents. Participants then undergo three specific intervention phases in sequence: engagement and motivation, behavior change, and generalization. Each phase holds goals with assessment objectives, addressing different risk and protective aspects necessary for specific techniques from professions to address family and individual disruption.
Children’s mental illness affects approximately one fifth of youth worldwide, and although it is the children who experience symptoms directly, implications associated with mental illness can impact entire families (Richardson, Cobham, McDermott & Murray, 2013). As such, healthcare systems are being redesigned to include a focus on family-centeredness. In the case of children’s mental health specifically, family-centered coordinated care represents an understanding of treatment, not only derived from the child’s experience, but also from the parents’ and caregivers’ perspectives (Olin, Hemmelgarn, Madenwald, & Hoagwood, 2015). Unlike other interventions in children’s mental health, this treatment approach acknowledges the vital role that families play in promoting the health and wellbeing of children, and it serves to empower family members by including them in treatment practices and decision-making processes (McGinty, Worthington, & Dennison, 2008; Olin et al., 2015). Through this collaborative approach to children’s mental health, partnerships can be established among health care providers, patients, and families, who each contribute to continued stabilization (Johnson, 2000; McGinty et al., 2008). Moreover, family-centered coordinated care serves to link children and adolescents with appropriate treatment interventions, while correspondingly introducing families to resources that foster parental
Therapeutic communication techniques were used in obtaining information from Irene during the interview. A technique used was asking open-ended questions before proceeding with more specific ones. Questions encouraged Irene to discuss details on her own terms without being limited to one-worded responses (Taylor, Lillis & Lynn, 2015). By starting with general open-ended questions, the author gained an understanding of Irene’s current level of consciousness while building a relationship between the two parties (Weber & Farrell, 2016).
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.
Becvar, D. & Becvar R. (2009). Family therapy: a systemic integration. (7th ed.). Boston, MA: Pearson Education.
Treatments include but are not limited to: “Brand name” family therapies, diversion, probation, or residential placement. These treatments that youths complete are key to saving money in the future due to reducing the need for future incarceration and the costs that come with it.
The chapter opens with a case—Robert F. Kennedy High School—depicting the many problems facing David King, the new principal of a deeply troubled urban high school. A school that opened with high hopes only a few years ago now finds itself mired in conflict and dissatisfaction. King’s first meeting with his new administrative staff produces a blow-up in which a male housemaster physically threatens the chair of the English department. By the end of the case, the situation feels overwhelming. Is there hope? The authors follow
Through conversation the counselor and Selvin identified, challenged and replaced fearful self talk with positive, realistic, and empowering self talk.
The techniques of counseling is a very interesting subject. After reading the first two chapters of the book, there are various techniques and ideas that caught my attention such as yield theory, termination, the tale of mithridates and the morale of the story. One among them that piqued my interest was the technique of reframing. I would define reframing as a way to look at a situation, relationship or person differently by changing its meaning. The idea behind the technique is to show the client a different perspective or point of view of an incident that affected them deeply.
My first assumption of family therapy was to involve the parents and the individual that had the problem. This book explored further what it
Therapeutic communication aims to accentuate understanding of the client’s situations to health professionals, to achieve a greater outcome of health. It focuses on the clients need not the nurses. Pontes (2008) notes that health professionals verbally communicate with clarity and brevity
The assessment can be re-administering at different points throughout the therapeutic relationship to monitor the effectiveness of individual and family interventions, can be used as an outcome measure in treatment effectiveness research, as well as a process measure in the areas of family interaction, adolescent development, and theoretical research (enter citation & additional reference including
Family is something that plays a tremendous role in our life. Even though the structure of families has changed over the years, it is important to acknowledge that there many families out there whether they are traditional families, nuclear family, stepfamilies or others which tend to have different types of problems in their families. Therefore, many families attempt to go to family therapy in order for them to obtain help in solving the different types of issues they might have at home. As stated in the book Family Therapy by Michael P. Nichols (2013), “The power of family therapy derives from bringing parents and children together to transform their interaction… What keeps people stuck in their inability to see their own participation in the problems that plague them. With eyes fixed firmly on what recalcitrant others are doing, it’s hard for most people to see the patterns that bind them together. The family therapist’s job is to give them a wake-up call” (2013).