Introduction Substance use affects not only the individual who is using but the whole family unit. The family can be an important key factor in an individual's life when they choose to seek treatment. The family can help the individual who is addicted or they can negatively contribute to them relapsing. Family therapy is treatment that can reduce substance use and improve the family dynamics in a household. Brief Strategic Family Therapy is a common therapy used to treat substance use in families. This paper will explain why family therapy is important. It will also explain what Brief Strategic Family Therapy is and the process that families go through in it. Why is Family Therapy Important? Over 20 million of the 12 to 25 year olds in the …show more content…
Substance use does not only affect the individual with the problem but the whole family unit. Family therapy is treatment that can reduce substance use and improve the family dynamics in a household (Szapocznik, 2013). BSFT is a type of psychotherapy. It is a evidence based practice that works to reduce drug use, behavioral problems, and strengthen the family unit. The main goal of psychotherapy is change. When an individual has a problem with substance use, the actions of that individual impact those close to them. The family starts to suffer along with the individual. Family therapy is a way for the entire family to heal together and work on their problems together. Brief Strategic Family Therapy can be effective only when the family is willing to come in and work together to overcome their …show more content…
The family has influence on how the dependent which in this case is the adolescent behaves, thinks, feels, etc. The effectiveness of the therapy relies on the effort of the family to work together. Usually, the family comes into therapy blaming the dependent for his or her actions and fail to realize that the home environment is contributing to it. This can lead to the dependent feeling worthless and creating more problems in the family. Family therapy changes the family dynamic by creating rules and boundaries in the house. The therapist creates interventions for the family during therapy to work on these issues (Szapocznik,
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).
Copello, A., Velleman, R., & Templeton, L. (2005). Family interventions in the treatment of alcohol and drug problems. Drug & Alcohol Review, 24(4), 369-385. doi:10.1080/09595230500302356
Within a family system, individuals were seen as a product of the family unit, rather than exclusions of the unit; this eliminated compulsions and obsessions in a family unit (Taylor, Asmundson, & Jang, 2011). Within family system therapy, the goal is to be capable of eliminating abnormalities in functions that affect all individuals and to treat or respond to the entire family; the goal is to also focus on the identified family member, reducing their extreme stress (Carr, 2000). The family system therapy searches for the balance between the independent individual performance and the function of the group (Taylor, Asmundson, & Jang,
A Harm Reduction approach to therapy begins with the intent to lessen any high-risk behavior that can be linked back to substance abuse. A treatment plan that focuses on the clients positive behaviors is developed. Hazardous behaviors are addressed through means of educating, and motivating the client. Once a client is properly educated in the positive ways to prevent or lessen harm through substance abuse, they are often motivated to begin to use their treatment as something that focuses on working towards complete recovery from their addiction. Moderation Management and Controlled Use is an approach that is intended to reduce consumption and therefore reduce harm to an individual. The individual is encouraged and taught productive ways to reduce drug intake and gain more control over situations that involve use such as limiting use, attending support groups, forming positive support system within their group of friend or wi...
The concept of Structural family therapy is how the therapist “view the family as a system structured according to set patterns and rules that govern family interactions” (2003, Gehart & Tuttle, p. 23). The therapist goal is to interact with the clients during the therapy session to obtain an understanding of the reported problem. This process will allow the therapist to assist the clients with changing their structure. Strategic family therapy concept is to attempt to address a specific problem of the family in a shorter timeframe than other therapeutic services. Both approaches strive to assist the clients with overcoming their family issues, however views the structure of the family differently. For example, structural approach works with the family by identifying the problems and improving the behavior with and strategic therapy works with changing the client behavior to improve the problem.
In our society families are the foundation of all human relationships. Therefore learning to maintain and develop healthy families are the goals of family therapist. Counselors can use the Structural Family Therapy approach in counseling hurting families. The pioneer of structural family therapy is Salvador Minuchin (Hammond & Nichols, 2014).
There are many contributing factors and political issues that address substance abuse. Throughout the years, many researchers have designed many interventions and social policies designed to treat people who have used, abused, and became addicted to substances. Today, there are many new studies that address substance abuse at the individual, group, family, and community or policy levels. Today, there are many services that are effective for decreasing recidivism in youth who have completed a substance abuse program. A substance abuse treatment program or center is the best way to treat individuals who have abused substances.
Substance disorders affects all social, educational, cultural, and age groups. Substance abuse research often focusses on the abuser and the family as a whole but not how it affects their spouse. United States misuse is linked to approximately 590,000 deaths and is responsible for injury or illness to almost 40 million individuals every year. (Cox, R., Ketner, J. & Blow, A. 2013). The consequences resulted from this disorder, are not only related to the substance abusers, but also have a great influence on their behavior and other layers of their life, especially their wives (Salehyan, Bigdeli, & Hashemian 2011). When the husband or boyfriend has an addiction the wife takes on responsibilities of her spouse which causes an increase in stress. Marriage is generally described as a protective factor against substance use. The concept of codependency was developed to explain what happens to the spouse of a substance abuser.
Substance abuse is considered a family disease among addiction specialists. For this reason, outpatient programs may find it beneficial to incorporate family therapy and educational programs into the treatment program. Family therapy can marshal the resources and strength of the family unit to support the recovery
Drug and alcohol abuse has become a worldwide epidemic within today’s society. The battle against drugs and alcohol is not going to diminish. Therefore, we as a society need to work together to address these problems while incorporating successful treatment plans and services for these individuals. The addiction to these substances does not only effect oneself, but can also have profound consequences for the children and families. When children are involved in a family structure that abuses alcohol or drugs an array of dysfunction becomes evident. Children might be subjected to child maltreatment, child abuse, physical/sexual abuse, or neglect, among many other inappropriate parenting practices.
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 Family Therapy offers a framework that provides order and meaning within the family connections (Nichols, 2013). Divorce for a family is considered a significant transition for all parties involved. When counseling a family going through divorce the structural family therapist’s job is to build an alliance with the family and obtain information about the structure. The structure of the family consists of the roles, interactions, organization, and hierarchy. Family therapy yields the belief that changing the organization of the family leads to change in the individual members. The structural family therapist often will try to become part of the family to gain a perspective of their issues as whole so not to place the focus on one individual. Joining is an empathetic approach in helping families explain and break down their individual stories without uncomfortable challenge or unnecessary confrontation (Nichols, 2013). It is important to note that family dysfunction that often leads to divorce is not attributed to one individual, but the entire family system. In structural family therapy, part of dealing with the issue of divorce in the family is to focus on the interactions between all the family members both positive and negative. Through these interactions the therapist can discover where the conflicts arise, which will in turn help the therapist understand how these negative interaction affect the family. Family therapy in these cases allows for repair of long-standing interactional patterns in which divorce is just one of a series of ongoing transactions that are disruptive to the child’s development (Kaplan, 1977, p.75). The structural family therapist often has the family play out these family interactions via enactments so that he can get a firsthand look at maladaptive patterns, roles, and
It is acknowledged that when families are involved, it is beneficial to rehabilitation and recovery (Cohen, Glynn, Murray-Swank, Barrio, Fischer, Perlick, Rotondi, Sayers, Sherman, & Dixon, 2008). Family Psychoeducation (FPE) is an evidence-based practice, that is designed to involve and educate family members in assisting their loved one with their rehabilitation and recovery (Lucksted, et al., 2012). It is recommended that family who have continuous contact with their family member with SPMI, take family psychoeducation (Glanville & Dixon, 2005). The program goes for at least nine months, and provides education, family support, crisis intervention and problem-solving skills (Glanville & Dixon, 2005). It can be done in a single-family or multi-family setting (Drapalski, Leith, & Dixon, 2009). The goal is to work with family members in attaining the best outcome for their loved one with SPMI (Glanville & Dixon, 2005). Several studies have found when families participated in FPE program for at least nine months, it can reduce the relapse and rehospitalization of their relative up to 50% (Drapalski, et al., 2009). There are also studies that have found that FPE leads to the decrease in negative symptoms, and improved social functioning for the individual with SPMI (Drapalski, et al., 2009). Family psychoeducation has also been found to reduce subjective burden for family
...y therapy in the treatment of alcohol-related problems: A review of behavioural family therapy, family systems theraphy and treatment matching research. Alcoholism Treatment Quarterly, (17)3, 13-23.
The theoretical perspective approach useful for analyzing this family is the family systems theory. This approach views individual problems in relationship to other family members and significant others within the social environment. The family system theory is easily amendable to include techniques from other theories including cognitive behavioral strategies to create the most effective treatment plan for the client systems.