Treatment Goals Discussion of treatment goals occurred with the family and themes emerged around interactions and effective communication. The first goal: The client and family will learn how to identifying stressors and learn emotion regulation. The second goal: the family will learn effective communication skills and interactions to develop a secure attachment. The third goal: build caregiver self esteem and confidence, not only improve self-image, but to model behaviors for her daughters. Treatment Plan EFFT and Play Therapy Techniques is a modification of EFFT that assists in the understanding of children’s behaviors, emotions, and thoughts (Wittenborn, A., Faber, A., Havery, A., & Thomas, V, 2006). It provides the therapist with the opportunity to assess the attachment needs of the child, while allowing the parents to understand and reestablish a connection with their child. This therapy encourages effective displaying of emotions and interactions between both parties (Wittenborn, A., Faber, A., Havery, A., & Thomas, V, 2006). In this case, the attachment is maladaptive, as evidenced by the mother’s inappropriate placement of worries onto her 10 year-old daughter and multiple traumatic events in the family – which disrupted communication and trust. This type of therapy has major stages that the therapist enacted with the client and their parent. The treatment plan below details the use of adapted EEFT and the major steps involved in therapy for this family. Stage 1:
Salvador Minuchin viewed joining a paramount precursor to familial change (Miuchin & Fishman, 1981). Given that the therapist is going to be in a position of shifting transactions between family members through the process of challenging current dynamics, the therapist needs to “earn his right to lead” (Miuchin & Fishman, 1981, p. 29). In structural family therapy model, “joining is letting the family know that the therapist understands them and is working with and for them” (Miuchin & Fishman, 1981, pp. 31-32). I am starting with joining because I believe this will the most important initial therapeutic intervention with the Maxson, as a young white female therapist given the amount of discrimination faced by family members, which is especially vocalized by Troy (Washington, Back, & Rudin, 2016). In joining, I must also pay attention to my own values regarding family role and respect the position of individual family members prior to shifting how parental decisions are made (Melito, 2003). I would first seek to understand the particular perspective and experience of each family member. It will also be during this part of treatment that I would start testing the hypotheses formulated upon initial contacts with the family (Minuchin, 1981).
It is important to establish and maintain effective communication, professionalism, and a scientific relationship with clients. It is essential to always preserve the relationship because it is vital to the client’s success of treatment. It is also imperative to consider the way in which information is delivered to clients and their family or caregivers. One must eliminate jargoning while attempting to communicate with clients. The use of scientific terminology of a particular study can become lost when engaging with a client or family members. By eliminating jargoning we are reaching them in a way that is easily understood by those not proficient in those terms of the field. Those that understand the intervention are more likely to adhere
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
According to the vignette, I feel most comfortable choosing Bowenian family therapy as the pioneer approach and narrative family therapy as the postmodern approach for this family. Of course, that decision would be according to the family needs and if they were unreceptive, I would modify my approach. For the purposes of this paper, the approaches mentioned above are the two that might be most appropriate to proceed through assessment and treatment.
, I believe the authors’ were instrumental in providing a clear example of what the family really needed and searched for. The family needed to realize that in order for the family to make a real change they need to utilize a structure that included the entire family. They also needed to know that the therapists were completely serious
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.
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) 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
Complicated grief is having many difficult dealing with loss. Even though that sometimes the loss has according many time before.according to katherine walsh there have been a history of depression or even anxiety for a person to go through a complicated grief. Complicated grief is when it last a long period of time and you can't just move on it hold on to you very tight. For complicated grief therapy is required. According to phsyo guides 10 percent of people going through a loss going through a complicated grief. There may need family therapy to help them during this period of time. J.william gave 4 way to deal with the loss. The first one is trying to accept that there are gone and there are not coming back. The second one is dealing with
Family Group Conferencing is a meeting between family members, the victims and other people like a social worker or an advocate are gathered together to talk about how to take care of their child and also discuss the best way of supporting their family. The people closely work together in order to help find the victims the best decision for their problem. This consists of four stages, which are
A main key concept of NT is that the problem a client presents with is viewed separate from the client. The problem is not the person; it is something the person has. Therefore, the goal of NT is to change the effects resulting from the problem and not the person themselves. To do this, NT uses the technique of externalizing the problem. To externalize the problem, the problem is first given a name and then it is explored and applied to the clients believes, values, behaviors, and ideals that has formed the clients identity. The negative aspects of these areas get rewritten into the new story. The process of externalizing the problem allows the client to see their problem separate from themselves so they can better
The first long-term goal is to improve communication skills among each family member. The interventions created to achieve this goal includes: 1) Rosalyn and Carl will complete weekly worksheets and homework assignments provided by their family therapist, 2) Each family member will learn and practice using I-statements to decreasing blaming behavior and increase self awareness, and 3) Each family member will write a letter to address one another and identify how their feelings in regards to the problems identified in therapy along with their ideas of how they can be a part of the solution to decrease the anxiety in the family.
therapy aims to improve family relations, and the family is encouraged to become a type of
It consists of establishing good rapport, ensuring a trusting therapeutic relationship, using appropriate and available community resources, and developing a treatment plan based on mutual goals with the individual and the family.
Therefore, this therapy can be used to help families with schizophrenic members, violent temperaments, uncontrolled substance or alcohol abuse, chronic problems (that affect all members), and those who want to improve relationship skills. Its goal is to build a supportive collaboration between counselor and the family and teaches skill-building techniques to help families gain control over their circumstances. Strength and resiliency are taught to families dealing with chronic problems (Goldenberg & Goldenberg, 2013, p.415). Psychoeducation does follow some of the techniques used by traditional treatments, such as cooperating with the family, acquiring the trust of its members, remaining unbiased, and figuring out the best methods to have positive conclusions. In summary, the program helps families learn problem-solving approaches that will help them have prosperous marital or parent-child relationships (Goldenberg & Goldenberg, 2013, p.416).