As we enter the field of Marriage and Family Counseling we need to determine what modality would best serve our clients. Of course, depending upon the concerns the family enter counseling for will help determine the modality applied when working with your client. Deblinger (2006) reports, TF-CBT can be an effective modality when working with families when there has been past traumatic experiences. One of the components when using TF-CBT is making clients aware of their cognitive triangle, which teaches them how to recognizing triggers in their thoughts, feelings, and behaviors and teaching them skills recognize and manage them. This is done by the means of teaching the family new effective tool such as relaxation skills, psychoeducation
Cognitive-Behavioral Family Therapy (CBT) emphasizes on modifying parent’s behavior and improving communication skills. According to Nichols (2013), “Consequences that accelerate behavior are reinforcers; those that decelerate behavior are punishers” (p. 186). For example, Gladys’ behavior will be regulated by using reinforcements or punishment.
There can be some potential barriers when using TF-CBT. Therapists have to take into consideration that when having the session with the child and the parent, the parent may have experienced sexual abuse as well as a child, and this may open up some past wounds that have not been resolved (Foster, 2014). Foster (2014) also states there is a risk that a child and/or family may want to drop out due to the dynamics of the family, the severity of the symptoms of the child, the stress of the parent, whether or not if the parent believes in counseling, or if the child’s symptoms get worse before they get better and the parent takes them out of therapy.
The main techniques that will be used to achieve the goals are: (1) drawing a genogram, which will help him to visually see how what the family transactional patterns of relating have been, (2) he will learn to operate in a neutralized triangle, because with this approach, the belief is that the therapeutic process is already a form of triangulation, and therefore this therapy is based on the premise that tension in relationships will dissipate if the individual remains in contact with a third person- and if that third person remains emotionally neutral and objective, (3) process questions will be asked during sessions to tone down the emotion and to foster self-reflection, which lowers anxiety and helps to neutralize the triangle, (4) the therapist will act as a coach, which is a means of asking questions designed to help increase his self-focus, so that he increases his awareness of his own role in the family emotional processes and how his responses contribute to the emotional field and (5) finally, Grant will be encouraged to take the “I” position, in which he will need to learn to express how he feels instead of pointing fingers at what others are
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Resick, P. A., & Schnicke, M. K. (2007). Cognitive therapy for posttraumatic stress disorder. Journal of Cognitive Psychotherapy, 15(4), 321–329.
In the use of family CBT, the presumption is made that an individual family member’s thoughts and behaviors impacts the other family member and results in adoption of similar thoughts and behaviors throughout their lives (Nichols, 2014; Epstein, 2002). The social worker identified a presenting issue between the couple regarding a prenuptial agreement. Further, noting that Bob recently adopted negative thoughts surrounding the intentions of Edith and the relationship. The conflict surrounding the prenuptial agreement had not previously existed. In CBT it is essential to identify the negative thoughts and then explore the underlying irrational ideas behind these thoughts. CBT assessment evaluates how the individual’s environment and those interactions
Initially, TFCBT was developed to treat sexually abused children, where parents play a key role in the treatment process (How to Implement Trauma-Focused Cognitive Behavioral Therapy, 2004). This form of psychotherapy focuses on a patient’s emotional and psychological difficulties due to trauma. Specifically, TFCBT is used ...
The cognitive processes that serve as the focus of treatment in CBT include perceptions, self-statements, attributions, expectations, beliefs, and images (Kazdin, 1994). Most cognitive-behavioral based techniques are applied in the context of psychotherapy sessions in which the clients are seen individually, or in a group, by professional therapists. Intervention programs are designed to help clients become aware of their maladaptive cognitive processes and teach them how to notice, catch, monitor, and interrupt the cognitive-affective-behavioral chains to produce more adaptive coping responses (Mah...
The case would be approached with the notion that a persons' way of thinking affects their feelings and actions regarding any particular situation. Approaching the case from this perspective forms the basis for cognitive behavioral therapy (CBT). The CBT approach allows the individual to develop a positive response to life challenges even though the situation may tend to remain similar. CBT focuses on learning, unlike other psychotherapeutic approaches which rely in abundance on analyzing and exploring individual's relationship with their immediate environment. The therapist’s role in CBT is to guide the patient through a learning process on how to develop and implement new methods of thinking and behaving throughout
The primary purpose of building a therapeutic treatment plan is to visualize the entire picture of what is needed for the family and to avoid developing a plan based on symptoms. A therapist that proceeds to complete therapy without properly listening, observing and evaluating factors related to the family will have difficulties developing therapeutic task, addressing client goals that are unique to the family and maintaining interventions and understanding clues from the client’s perspectives. Additionally, the therapeutic treatment plan allows the therapist to become familiar with diversity concerns that he/she may not be familiar with (Gehart, 2014).
One of the qualities of REBT is that it helps clients see how their musings, sentiments and practices are connected by utilizing the ABC framework (Psychology.jrank.org, 2014.) "A" being the Activating event and/or objective situation, "B" being Beliefs and "C" being the Consequence (McLeod, 2014.) The beliefs (B) of the activating event (A) completely affects the consequence (C) and thus influences the client's feelings, practices and different contemplations. Subsequently if one circumstance happens to both individual A and individual B, they most likely would not respond the same with respect to the same circumstance (Basic-counseling-skills.com, 2014.) It likewise empowers an individual to break down their objectives and difficulties while spurring them to focus on, I quote “ The irrational belief system and principles they were following to try to achieve their goals” and “ The rational belief system and principles they could follow to increase the likelihood of achieving their goals” (Thestrengthsfoundation.org, 2014.) REBT permits the client's goals and issues to be surveyed immediately and is very active directive. Clients are taught to work towards adapting new aptitudes so they can understand that they are in charge of their emotional, behavioural and thinking responses to scenes in their lives. Clients are taught to recognize and face their convictions, and the therapist energizes a
As a social worker it is often complex to determine which theory to employ in practice, each client will warrant for an in-debt assessment of the presenting problem and goals the client desires to achieve. This paper will explore one family intervention model that can be applied to the Taylor family. The two theories analyzed are Cognitive Behavioral Family Theory, (CBFT) and Structural Family Theory (SFT); both theories can be utilized when assisting individuals or families. The social worker will focus on the Cognitive Behavioral Family Therapy model when applying treatment and interventions to the Taylor family case.
Understanding the components of building an effective helping relationship is fundamental. The therapeutic alliance evolves from an effective helping relationship. In family therapy the alliance, exist among the individuals, subgroups, and whole family. It is imperative for the family and clinician to have a positive relationship in order progress towards resolution of the presenting problem. In the alliance, the clinician and family work as a team. The alliance can have an impact on the outcome of therapy. Positive alliances increase the likelihood of resolution and positive outcome in therapy. A negative alliance will yield a less than expectable outcome. The therapeutic alliance hinges on the bond that is created between the client and clinician. Having a positive therapeutic alliance and solid theoretical rationale a family therapist can join hands with his or her client(s) and together can achieve goals.
“Cognitive-behavior therapy refers to those approaches inspired by the work of Albert Ellis (1962) and Aaron Beck (1976) that emphasize the need for attitude change to promote and maintain behavior modification” (Nichols, 2013, p.185). A fictitious case study will next be presented in order to describe ways in which cognitive behavioral therapy can be used to treat the family members given their presenting problems.
Structural family therapist have exemplified within the context relational therapies that uncovers stressors in relationship between individuals (Vetere, 2001). Structural family therapy has been known to be called “interventive approach” because of the “intensity” to encourage clients to change (Hammond & Nichols, 2014).