Strategic family therapy is when the therapist initiated most of what happens during a therapy session and designs an approach for each problem that comes up. To be a successful strategic therapist a person should identify problems that can be solved, set goals for the course of therapy, design interventions or tools to meet those goals, and take client’s responses into consideration. Strategic family therapy is really a combination of a few family therapy models Strategic family therapy developed from the communications theory which evolved from MRI (mental research institute)’s brief therapy, Haley’s Strategic model, and the Milan Team’s systemic model. Strategic therapy uses all of these methods together to help the progression of therapy and to bring about change. Strategic family therapy has a few different types such as a model from Jay Haley, MRI (mental research institute), and The Milan Team. Each of these models has different concepts, strengths, and weaknesses that make strategic family therapy a truly diverse type of family therapy. There are many key terms which are used by one or multiple schools of Strategic family therapy. One of the most important terms is that of the communication paradigm. The communication paradigm states that people are always communicating. All behaviors are a form of communication and can occur on many different levels at the same time. A behavior can be verbal, nonverbal, or Meta communication. For example a couple comes in to therapy because a husband does not communicate with his wife. The husband states that he loves his wife and does not like the idea of therapy. This is verbal communication. The husband also taps his foot constantly and has his arms crossed in front of him. This cou... ... middle of paper ... ...ocation often using a two-way mirror. This gives the Milan team a unique collaborative aspect to therapy. Often the therapists meet beforehand at a pre-session meeting to discuss the clients. Then the session takes place and then there is an intersession where the therapists collaborate on an intervention for the clients. That intervention is then introduced to the client’s in therapy, After the conclusion of therapy the therapists meet again to discuss how the therapy session went and what could be improved upon in the future. The Milan team also puts a positive spin in client’s symptoms, often a simple reframing. The Milan Team also employs circular thinking or questioning. This is designed to throw off the clients thinking by orienting those towards seeing themselves in a relational context. This often gives new light to the circular nature of familial problems.
Experiential Family Therapy is a therapy that encourages patients to address subconscious issues through actions, and role playing. It is a treatment that is used for a group of people in order to determine the source of problem in the family (Gurman and Kniskern, 2014). Experiential Family Therapy has its strengths and weaknesses. One of the strengths of this therapy is that, it focuses on the present and patients are able to express their emotions on what is happening to them presently. The client will have time to share everything about his/her life experiences one on one without any fears. As a result, it helps the client in the healing process because, he/she is able to express their feelings freely and come out of the problem. Therefore, in this type of therapy, the clients are deeply involved in solving their issues. It helps clients to scrutinize their individual connections and to initiate a self-discovery through therapy, on how their relationships influence their current behaviors (Gurman and Kniskern, 2014). By examining their personal relationships through experiential family therapy, family members are able to
Structural therapy focuses on the family as a whole. It is concerned about how the issues effect the family relationships and connections. This theory concentrates on how well the understanding is amongst the family members and counselor. The members of the family are prompted to understand how the issues were created, where did the issues come from, when the issues started effecting their family, and what the family needs to overcome their issues. Its focus is to help others understand and improve negative behavior. The structural therapy concentrates on the interaction and boundaries of families with separating the whole family into smaller groups. The subsystems will create a clearer understanding of what issues are hurting their family environment (Gladding, S. T. 2010). The counselor is concerned about the members interaction because this reveals how strong the relationships and connections are in the home. The boundaries are important because they create an understanding that there are limits and order, and the boundaries can be diffused, rigid, or clear (Gladding, S. T. 2010). The counselor is expected to identify techniques so members can understand which boundaries are clear, positive, and healthy (Gladding, S. T. 2010).
By using the collaborative therapy approach the therapist is a facilitator and not the one in charge, allowing a positive therapist and client relationship, and build trust. The client is the expert and drives the
In the SFT model, the therapist takes an active directional stance (Goldenberg & Goldenberg, 2013, p. 273). This creatively active approach allows the therapist to become part of the family system in order to unbalance and change the family’s structure and perspective, and is especially effective with difficult families (Seligman, 2004, pp. 245-246). However, therapeutic change is a delicate process and must occur in a trusting therapeutic relationship: too little involvement on the part of the therapist, and the family’s structural status quo will continue to be maintained; too much direction before the family is ready can cause a premature termination of therapy (Vetere, 2001, p. 135).
Family members’ ability to effectively express their emotions, insights, and ideas to each other reflects how well members relate to each other, and how well the family functions as a whole. According to Kirst-Ashman & Hull (2012) assessing communication patterns within a family is crucial to the planned change process that must occur in order to assist families reconcile their problems in the best possible way (p.331). There are various facets of communication in addition to verbal and nonverbal communication. There are at least five different paths of communication, referred to as avenues of communication, which include: consonance, condemnation, submission, intellectualization, and indifference (p. 331-332). An assessment of the various facets of communication used by a family is useful in indicating where change is
Miguel and Rosa have agreed to address the following issues during their treatment. First, they will develop appropriate strategies for managing anger. Second, increase their understanding of ADD and parenting techniques. Third, expand the current support network of their family. We will begin their process by implementing the Brief Strategic Family Therapy model. This therapy allows the family to address their issues collectively and individually. With this approach Miguel and Rosa will address their maladaptive behavior, by developing good communication skills and by helping them to define the family strengths. This therapy will also address Christopher’s aggressive and antisocial behavior, by coaching him in a new behavior. This style therapy along with couple’s therapy and support groups will provide Miguel and Rosa with the tools needed to promote health communication in their relationship, also with how to communicate with their
...n all family members get involved in trying to help. By the individual’s family being apart of their therapy session, it shows how much their family members care for them and want them to get help with whatever issues they may be having. This is very important because it is a sign of love and it is showing the support that they have for one another. Therapist have also found that during strategic family therapy, they can help all family members with helping to encourage each other as well as create rules and interactions that are psychological healthy for all family members who are involved. It will make it easier for the family members to all get along and understand each other. When one person in the family is having issues, the other members should take the time to talk to one another and help each other out, especially the family member who is in need of help.
For this reason, some of the brief therapies, such as strategic family therapy or solution-focused therapy, that focus on rapid change without much attention to understanding, might be more appropriate. However, I believe these brief therapies do not give clients enough time to really parse out their problem. I am wary of counseling that limits clients’ ability to tell their stories fully, which seems like just one more way of silencing people, oppressing them, and keeping them in line. In working with my clients I want to collectively understand how problem-saturated stories developed, the cultural, familial, or biological factors that might be involved, and the availability of choices. I believe that narrative therapy is the most flexible approach in this respect because although not brief, it is efficient and seems to be effective long-term, although more research is needed, which is challenging because of the subjective nature of this approach (Madigan, 2011). In my therapy practice, I want to leave clients feeling hopeful and liberated by helping them to see the problem as separate from their identities and as only one story to choose from several, and by acknowledging the contextual factors contributing to the
Equally important, therapy for parents with children who abuse drugs, participate in treatment interventions in a therapeutic setting with the Family Therapy Model, using Cognitive Behavior Therapy or CBT. The main goal of CBT is to improve family relationships by promoting sobriety and correcting the erratic or destructive behaviors/patterns, which aid in a person’s addiction. The goal is to educate family members about triggers, in the event of a relapse or erratic behaviors that resurface. In the event, families can resolve conflict in a positive way and recognize future erratic behaviors, before it's too late. Nevertheless, the Strategic family therapy is the best option, for Ryan and his family because of the relationship and separation
The intervention process used in contextual family therapy involves framing the discussion to properly address everyone separate story and they move the discussion to the collect desires of the family (Sude, 2015). Interventions that the therapist can use involve given verbal permission for the client to express feelings, thoughts and perspectives. The therapist then uses the intervention process to explore the nature of the clients individual and family conflicts.
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.
Goldenberg, H. & Goldenberg, I. (2013). Family therapy: An overview (8th ed.). Belmont CA: Thomson Brooks/Cole.
Nichols, M. P. (2010). Family therapy concepts and methods (9 ed.). Boston, MA: Allyn & Bacon.
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).
Communication Patterns: How does it Contribute to Marital Adjustment?" Journal of marital and family therapy 25.2 (1999): 211-23. ProQuest Central. Web. 5 Mar. 2013.