Strengths And Weaknesses Of Structural Family Therapy

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.

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.

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 focuses on encouraging proactive healthy change within the family, with an emphasis on structure, subsystems, and boundaries. Family Structure is invisible set of rules that organize the ways family members relate to each other. Structure resists change. The therapist will essentially be a change agent to facilitate this reorganization (Minuchin,

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

According to Minuchin and Fishman (1981), it is the task of the family therapist to persuade family members that reality, or their view of the problem, can be stretched or modified. In reframing, the

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

The direct role of the strategic family therapist is more invasive than any other therapist. In the strategic family therapy the therapist spends most of their time giving attention directly to the family to focus on their challenges. The role of the strategic family therapist provides solutions to the client’s issues. As a strategic family therapist it important that the therapist focuses on the core issues within the family. The therapists will start interventions based on the needs of the family. The main concerns of the strategic therapist are the functionality of the family. The basic role of the therapist is problem solving in therapeutic sessions. This will enable the therapist to motivate family members to work towards

therapy aims to improve family relations, and the family is encouraged to become a type of

The structural family theory developed by Salvador Minuchin in the 1960’s, used to focus structural change within a dysfunctional family. The purpose of understanding the structure of the family has been to assist in creating a healthy balance within the

It is important to note that it is the right type of relationships, rather than a large quantity of relationships which are the goal of relational therapy. An integration of ideas from structural family therapy helps us see that relationships can also be the source of many problems. In families, if there are imbalances or structural disorganization, the relationships are not able to

My theoretical approach to family therapy is very integrative as I believe families cannot be described nor treated from a single-school approach. I view humans through a humanistic and existential lens but am more technically structural and solution-based. With this integrative approach, I believe I will be the most effective in helping families grow and reach their goals.

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.