Transgenerational 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.

A therapist will face problems, issues and client troubles everyday. The professional must understand how their client relates to the world around them. These feelings and ideas affect how the client sees the problem and how they respond to their situation. Their actions, in turn, have bearing on individual thoughts, needs, and emotions. The therapist must be aware of the client's history, values, and culture in order to provide effective therapy. This paper will outline and provide information as to the importance of cultural competence and diversity in family therapy.

In 1985 Dr. Howard Liddle developed Multidimensional Family Therapy (MDFT) in an effort to combat adolescent substance abuse along with associated mental health and behavioral issues (Rowe, 2010). Combining multiple theoretical frameworks, such as developmental psychology, family systems theory, and the risk and protective model of adolescent substance abuse, Liddle created a multi-systems approach to focus on the adolescent as an individual, family member, and peer; the parents as individuals and their caregiving roles; the family and their interconnected relationships as well as the family environment; and extra-familial influential systems, such as school, peer networks, and the juvenile justice system (Liddle, 2010). This ecological conceptual framework allows for MDFT to delve deeper into understanding the adolescent’s intersecting environments and relationships in regard to their own development and substance abuse.

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.

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).

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

In conceptualising the development of the family system, Bowenian therapists are past-focused. They believe that emotional fusion that is passed down from one generation to the next is the cause of psychological problems (Nichols, 2010, pp 119-122). Normal family development according to Solution Focused therapist produces families with flexible structures, clear boundaries and well-organised hierarchies. This is quite similar to Bowenian’s concept of normal family development. Differentiated individuals after all need to have clear boundaries. Similarly, flexible structures and well-organised hierarchies do promote low anxiety and therefore generate positive emotional contact between family members. The difference is that instead of being past-focused, Solution Focused therapy assiduously avoids the past and focuses their clients as much as possible on the present and future. (Nichols, 2010, pp 321).

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.

Marriage and family therapists believe that the family patterns may affect an individual’s psychological and physical well being and therefore need to be part of therapy. During a therapy session even if only one person is being interviewed, the therapists focuses on a set of relationships that the person is embedded in. The entire family is involved in solving clients problems regardless of whether the issue in individual or family.

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

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

Becvar, D. & Becvar R. (2009). Family therapy: a systemic integration. (7th ed.). Boston, MA: Pearson Education.

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

Thus, intergenerational and psychoanalytic family therapies “share several key concepts and practices: examining a client’s early relationships to understand present functioning; tracing transgenerational and extended family dynamics to understand a client’s complaints; promoting