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COUN 200 Family

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heather snell

on 19 January 2015

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Transcript of COUN 200 Family

Family Therapy = Family Therapies
1.Multigenerational 2.Human Validation 3.Experiential 4.Structural 5.Strategic
Multi generational approach.
Primary source of human emotional
experience is extended family unit.
Human Validation
Children's detective on parents
Presenting issue seldom the issue
Self esteem
Multi-Generational Approach: Murray Bowen
Human Validation Approach Virgina Satir
Experiential Family Therapy:

Carl Whitaker
Experience! as unique
Recover then problems re-emerge
when return to family?.
Salvador Minuchin
Structural Approach
Structure of the family
Family as a map, technical system.
Structural Approach: Salavdor Minuchin
Strategic Family Therapy
Strategies for change?
WHAT TO DO about it?
Strategic Family Therapy Cloe Madanes &Jay Hayley
Multi-Generational: Murray Bowen
Human Validation: Virginia Satir
Experiential: Carl Whitaker
Structural: Salvador Minuchin
Strategic: Cloe Madanes & Jay Hayley
Same but Different?
View family from interactive & systemic perspective
Individual affected by system and system affects individual
Dealing with ALL parts of a system if change is to take place and be maintained.
Not one absolute reality …

All of the above BUT
Various theories of change & strategies
Multi-Generational Approach: Key Concepts
Differentiation of self
Larger family systems
Emotional cutoff
Multigenerational transmission process
Extended family systems therapy
Family of Origin
THINK: Glasser + CBT meet the family
Multi- Generational
Decrease anxiety
Maximum self-differentiation
Therapeutic Relationship:
Relationship not emphasized
Relationship temporary ….
Role and Function:
Therapist rational
Neutral but active
Gather information
Questions, tracking interactional sequences, homework, educating. Genograms. Family patterns, family life cycle.

Rules within a family unit
Self Esteem - need to validate unique coping styles
Realize self-worth
Relationship between therapist & family members
Person Centred + Adlerian meets the family

Human Validation Key Concepts:
Human Validation
Change patterns of poor communication
Generate + self-esteem
Strengthening coping skills
Facilitate healthy communication,
Quality essential
Unconditional positive regard
Therapist as a guide
Demonstrates HOW to communicate
Techniques & Methods:
Drama, role play, narrative, expressive arts, reframing, touch, family reconstruction, family mapping, family sculpting
Treating whole family note one patient.
Symbolic-experiential approach / co-therapists.
“Heart sense.” Emotional level of system,

“Symbolism” & real life experiences
Profound understanding of family's emotional life.
Beyond the rules of polite society
"Every marriage is a battle between two families struggling to reproduce themselves."
Gestalt + Reality meets the family
Experiential Family Therapy
Experiential Family Work
Increase awareness of present experience
Facilitate individual growth
More effective interactional patterns … Authenticity
Therapeutic Relationship:
Relationship important.
Therapist joins the family
Create atmosphere of understanding & acceptance
Enable family members to tap their resources
Therapist personally
Self-disclosure & authenticity
Stress activator, growth activator, provocateur, creativity stimulator, keen observer.
Techniques & Methods:
Use self as a technique
Issuing directives.
Joining & accommodating,
Restructuring, enacting
Family mapping.
Structural Approach
Key Concepts:
Charting relationships
Subsets of family.
Power dynamics
Disrupt dysfunctional relationships
Adlerian + Behavior meet the family
Treat symptoms
Change dysfunctional transactional patterns Identify rules governing interactions
Develop clear boundaries
Appropriate hierarchies
Create functional & reliable structures
Structural Family Work:
Therapeutic Relationship:
Relationship temporary
Stage director
Family as the cast.
Joins the system
Manipulate structure to modify
Deal with family as a unit, in the present t
Techniques & Methods:
Tracking transactional sequences, reframing, issuing directives, joining & accommodating, enactment, family mapping.
Strategic Family Therapy
Key Concepts:
Communications model
Systemic understanding with pragmatic intervention.
Strategies to facilitate change
Creative provocative REACT
Parental hierarchies & cross generational coalitions Alternative solutions.
Brief Solution + Behavior + Reality meet the family
Strategic Approach
Solution focused
Insight not important.
Resolve presenting problems or symptoms
Change current behavioral sequences.
Therapeutic Relationship:
Relationship is not critical element of change.
Therapist is active and directive
Consultant & expert.
Manipulative & authoritarian
Deal with resistance.
Prescriptive & paradoxical.
Therapist IS agent responsible for changing organization
Techniques & Methods:
Paradoxical interventions
Tracking interactional sequences
Full transcript