As a narrative therapist with this particular family the goal would be to be an empathic listener and touch on the key facts they describe as part of their narrative to unravel and mend the dilemma that brought them into therapy.
Therapist: First, thank you very much for coming in today to discuss what has been going on.
Therapist: Enrique why don’t you begin by telling me why you think Sophia wanted everyone to come into therapy?
Therapist: Sophia you are concerned about Enrique’s anger. Why do you suppose Enrique’s anger has increased?
The first set of questions are open ended questions to inquire about what their thoughts and feelings are about each other and the situation. There is also the two circular questions to touch on each
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The purpose of externalization is to separate the problem from the person (Gehart, 2014). The most effect way of externalizing is to have a conversational dialogue that is curious (Capella, 2011). Laying out the foundation of the problem in mapping is important so that each of the family members can identify the pattern of the problem and that they are not the problem (Gehart, 2014). Additionally, the use of scaffolding conversations can be used to focus the family on taking action or being proactive in improvement (Gehart, 2014). This would be the beginning stages before defining a new narrative for each family member that establishes growth and resilience.
References:
Capella (2011). Narrative Skills. Practice Exercises for Developing Counseling Skills, Part 1: Developing Curiosity. Retrieved from: http:/ search.alexanderstreet.com.library.capella.edu/counseling-therapy/view/work/1779344/
Gehart, D. (2014). Mastering competencies in family therapy: A practical approach to theories and clinical case documentation. (2nd ed.). California State University,Northridge:
3. How frequently do you get this upset at home? The therapist sees Judith’s anger as it progresses when the topic is discussed. This question can be used to see how often Judith get upset with Richard at home. It also brings it into the next step into what can be done to prevent anger. Another way to ask this question would be…How does your anger escalate to this point at home?
This paper is going to look into two models of intervention that Ben and I think might help him cope with things going on in his every day life. The two that we have chosen are Cognitive-behavioral therapy and Narrative therapy. We will look into both of these and also as we do that we will find out what the role of the social worker is in both cases.
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.
The premise of narrative therapy was developed as a way of removing the blame in sessions. This could allow the opportunity in hopes of gaining empowerment within the client. Narrative therapy is thought of as more of a collaboration between the therapist and the client to allow recognition of his or her natural competencies, expertise and unique skills that one possesses. By practicing the narrative therapy process it is conceived that the client can then return with a sort of plan or outline that can assist in guiding them towards more productive and hopeful positive changes within their lives. Humans are generally viewed as separate entities from that of their own issues at hand. This being said, humans take their problems and have way of either blaming themselves directly or tossing it to another directly, instead of matching the issues with the symptoms. We as humans need reasons for everything in order to compartmentalize our situations. It is just how humans are naturally wired.
Haley and Madanes’ approach to strategic family therapy argues that change occurs through the process of the family carrying out assignments issued by the therapist. As described in Madanes’ Strategic Family Therapy (1981), “strategic therapists attempt to design a therapeutic strategy for each specific problem.” Therapists issue directives that are designed to shift the framework of the family to resolve the displaying problem. Treatment of these issues would include intense involvement, carefully planned interventions designed to reach clear goals, frequent use of therapist-generated directives or assignments, and paradoxical procedures.
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.
Family therapy is a technique that has many alternative approaches to every aspect of treatment which Nichols (2014), states may present a challenge when describing a basic technique. The two models of family therapy in which I feel that I would be most effective and comfortable with would be, experiential family therapy and solution-focused brief therapy. I feel most comfortable with these models because, I adapt to the role of the therapist of both therapies naturally. According to Nichols (2014), when families seek therapy they are stuck in a life-cycle transition, sometimes they are obvious and sometimes they are not obvious. I’ve found that during the first session an excellent question is to ask the client why now so that they can
Often times, people live through painful events in their life that can alter their perception of themselves, their family, and the world. Narrative therapy offers the client the opportunity to re-write their story and gain a different perspective of specific events. It is important to understand that within the history of narrative therapy, therapists view client’s stories through a political lens. Often times, focusing on the oppression and cultural dominance that exists within the constructs of our society. Thus, empowering clients to change their story allows them to break free from the constraints that have shaped their outlook and allow for alternative ways of thinking.
What we bring as a person to the counseling room determines the direction we take with our clients. Coming from what I describe as a dysfunctional family and my questions of why is my family the way it is, why do I behave or think the way I do I drown to the family counseling theory. Many people including myself have why questions about their family. Some of those why questions are, “why is my family like this, where did I get this habit from, will my family ever change? The family systems approach helps solve some of those why questions.
This paper will look at the logic of narrative therapy by focusing on 5 major points. This paper will begin by discussing how the narrative approach defines and perceives problems. It will address how narrative therapy views the nature of the relationship between the client and the professional. This paper will look at how problems are solved using the narrative approach. It will also focus on three main techniques used in narrative therapy, which will include externalization, deconstruction and re-authoring. This paper will also include a short narrative critique of the medical model.
Katherine a 48 year old women started drinking socially at the age of 18 however, her drinking increase to daily use by 21. Katherine always maintained employment and lived on her own until recently. Katherine lost her job she maintained for the last 13 years two years ago due to drinking on the job which resulted in her becoming homeless. At this time period Katherine lived with different family members subsequently, katherine’s drinking increase even more once she was unemployed. Katherine had several life threatening hospitalization due to her diabetic condition. For that reason her family members took action thus cutting all assistance off until she sought out treatment. Kathrine first went into a detox facility then into intensive
Narrative therapy is one of the post-modern therapies used today. Narrative therapy helps individuals identify their values, skills, and knowledge they have to effectively face problems in their lives. The key ideas of narrative therapy are: people’s stories give meaning to their lives, stories are shaped by emotional themes, a person’s story shapes his/her personality, people seek counseling when their stories do not match their lived experiences, and people who have less social power benefit greatly from Narrative Counseling. The concern is with meaning making and there is an emphasis on mindfulness and positive psychology. The process of Narrative therapy starts in the initial stage exploring the client’s issues. It then transitions into the insight stage to a deeper understanding of the issues. The insight stage is followed by the action stage, where the client and therapist work to change the story and therefore change the outcome. Lastly, there is the termination phase.
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).
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).
She is observed to be in this stage because she is resistant to change her behaviour. Additionally, she doesn’t have the insight to determine that “people are responsible for their own behaviour and how they react to other people’s behaviour in their environment” (C. Marino, personal communication, 2001). The client stated that she would be fine if her son “stopped causing her grief”. However, when queried about her reaction to the son’s behaviour and actions, she just simply stated that the son could rectify the situation if he “would cooperate with the London people.” The client was visibly upset during the interview and wringing her hands. When she would get to the most sensitive areas of her distress, she would make a joke and laugh at herself. However, the client stressed that she was not responsible for her distress, as it was her son’s responsibility that she was upset.