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Structural vs. Strategic Family Therapy

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Jessica Summers

on 31 October 2013

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Transcript of Structural vs. Strategic Family Therapy

Structural vs. Strategic Family Therapy
by Stacey Hembury, Carrie Scott, and Jessica Summers

Structural Therapy
Strategic Therapy
\
Strength based, outcome orientated
Emphasizes context of the family

Uses spatial and organizational metaphors to describe problems and identify solutions

Looks at the family, presenting problems and process of change

Key Terms and Treatment Goals
Family structure
Family subsystems
Boundaries

Goals:
Transform the system
Bring about structural change within the system
Modify roles
Establish boundaries



Interventions and Assessment
Enactments
Family mapping
Reframing


Uses FDST Assessment Tool
References
Bitter, James Robert. (2014). Theory and Practice of Family Therapy and Counseling. Retrieved from Bitter, James Robert, CCMH565, University of Phoenix website.
Colapinto, J. (1982). Structural Family Therapy. Retrieved from http://colapinto.com/files/SFT.doc
Cottrell, D. D., & Boston, P. P. (2002). Practitioner Review: The effectiveness of systemic family therapy for children and adolescents. Journal Of Child Psychology & Psychiatry & Allied Disciplines, 43(5), 573-586.
McLendon, D., McLendon, T., & Petr, C. G. (2005). Family-Directed Structural Therapy. Journal Of Marital & Family Therapy, 31(4), 327-339. doi:10.1111/j.1752-0606.2005.tb01574.
McLendon, T. (2007). Best Practices for Families with Children Who Experience Substance Abuse, Juvenile Delinquency, and Serious Emotional Disturbance. Retrieved from http://kuscholarworks.ku.edu/dspace/bitstream/1808/3890/1/Best%20Practices%20No.%2019.pdf



Strengths and Weaknesses
very efficient, usually 8-10 sessions
engages family from first session
reinforces work
provides framework
measurable outcomes
not appropriate for domestic violence or threat of harm to self situations
stability must be demonstrated prior
Research
Has positive effects, lasting effects are still being determined.
Models privilege directive or task orientated interventions over understanding the meaning of symptoms
Key Concepts and Terms
Joining
Reframing
Directives
Paradoxical Interventions
Double Binds
Circular questioning
Treatment Goals
MRI model
The Washington School
The Milan Model
Interventions and Assessments
Therapist decides on interventions to reorganize the family
Therapist monitors outcomes
Strengths and Weaknesses
Time limited
Doesn't incorporate multicultural perspectives, relies on "common sense"
Research
More effective than individual psychodynamic
More effective than group therapy for conduct problems
Families were more engaged
Effective tx for youth behavior problems and poor family functioning
Full transcript