Strategic/Structural Family Therapy Case Study

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Introduction Children and youth who are at-risk for behavioral problems can have a negative impact on how well the family functions. African American youth who live in poverty are thought to be at-risk for several behavioral problems such as dropping out of school, conduct problems, fighting, criminal involvement, and substance abuse (Nebbitt et al, 2014, Wilson, Foster, Anderson, & Mance, 2009). They are often exposed to violence in their neighborhoods and families, and many of the schools that they attend have fewer resources, all of which help to increase the likelihood of acting out or behavior problems. Parents and families who live in poverty often do not have the education, knowledge or access to intervention or treatment that …show more content…

These researchers believe that intensive intervention approaches are needed for youth who display antisocial behaviors because such behaviors put them at even greater risk for abusing substances. They also state that when youth engage in antisocial behaviors, the parents tend to be less accepting of them, show less affection, support and attachment to them. The parents may also have harsher attitudes and discipline with such youth. In addition, according to Santisteban et al (1997), research has shown that parents of youth with antisocial behaviors often use reinforcement inappropriately, use inconsistent parenting styles, and have a lot of family conflict and poor attachment to their children. Family therapy and intervention can be useful in helping parents to become a protective factor to help youth deal with stressors they are facing and to prevent their abuse of substances. However, if families do not receive interventions or help, youth with antisocial behaviors are more likely to be influenced by antisocial peers, drug use, and criminal activity in their neighborhoods. Also, if the parents force their problematic youth out of the home too soon, then they will be more easily influenced by …show more content…

Brief Strategic Family Therapy (BSFT) in particular, has been found to be useful in helping to improve family functioning for those who are at risk for substance abuse. According to these researchers, BSFT is rooted in Structural Family Therapy, which was developed by Salvador Minuchin. They state that this approach was developed to help urban minority families living in poverty, and that it operates on the assumption that the therapy will be brief, provides flexibility in its use, and the major goal is to change the family system (e.g. based on the specific needs of the family). There are three major components of BSFT, which include: joining, family pattern diagnosis, and restructuring. In the study conducted by Santisteban et al (1997), African American and Hispanic American youth ages 12 to 14 and their parents participated in a BFST intervention program. The youth were given both pre-tests and post-tests to measure their behavior problems, conduct, anxiety, family functioning, and substance use. The researchers found that BFST was effective in improving conduct disorder, socialized aggression, as well as overall family functioning. They also found each of these factors were predictive of the likelihood of substance abuse initiation in the future (Santisteban et al,

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