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Psychodynamic Family Therapy
Transcript of Psychodynamic Family Therapy
Gary Hundley Psychodynamic Theory The Beginning Object Relations Theory Self Psychology Interventions Used Treatment and Goals Unique Assessment Measures Strengths and Weaknesses of Psychodynamic Models Psychoanalysis
Family has an impact
Emphasis on social factors
Stressed the role of interpersonal relationships with family and outsiders
Viewed that family as a unit that impacted the child Emphasizes the need in people for attachments and relationships
The interacting forces within and around the person are examined
Viewed as the founder of Object Relations Theory
Viewed drives motivated by objects
W. R. D. Fairbairn
Basic human drive is to relate to outside objects (people)
Dr. James Framo
Stressed the relationship between intrapsychic and interpersonal relationship.
Detriangulated the child from the parents in therapy by dismissing the child and dealing with the parental dyad. Heinz Kohut
Disorders are products of poor experiences with childhood that do not develop confident feelings about one self. Therapy format
Family treatment allows for
Understanding that problems are connected to malfunction of the family system
Mobilizing and reorganizing the family can allow positive change
Improve family functioning
Improve family communication
Decrease family conflict
The family is able to share and increase relating with groups
Increase and improve social functioning
Understand family coalitions and roles
Nuclear family unit
Extended family and effects of same
Unconscious conflict of each individual and effects to the family unit
The Multi-Problem Screening Inventory (MPSI)
The Family Assessment Device (FAD)
The Self-Report Family Inventory (SFI)
Employing Psychodynamic Models
The Drive Reduction theory
Ego Psychology theory
Object Relation theory
The Self-psychology theory Mc Master Model of Family Functioning (MMFF)
Empirical based research project begun in the late 1950s at Mc Gill University in Montreal.
Program moved to Mc Master University in Hamilton, Ontario, Canada in the 1960s to 1970s.
Project focus on family structure, organization and transactional patterns.
MMFF Three Areas of Focus
MMFF Clinical Rating Scale That Probes Family Functioning in Six Crucial Areas
Family problem solving
Psychodynamic strength in Family therapy is to identify unresolved conflicts from the past that continue to attach themselves to current objects and situations.
Focuses on the monadic that problems reside within the individual.
People can be understood more accurately and the dialogue can be more easily interpreted if viewed systemically , within the client’s relationships dynamic
Long-term therapy does focus attention on conflicts developed in each client’s early formative years.
The length of treatment and high cost are no longer feasible.
The effectiveness psychodynamic therapy in symptom control has been challenged.
Strengths and Weaknesses Continued Object relations therapy
Therapist does more than search for past trauma
Therapy is briefer, and is aimed more directly at helping client’s current personal and interpersonal difficulties.
Dysfunctional family relationships results from unresolved infantile problems with parents, carried over form the individual’s parents and if left unresolved will transfer along to future generations.
Other therapeutic models tend to take a broader, less defined view References
Goldenberg, H & Goldenberg, I (2008). Family Therapy: Research on Family Assessment and Therapeutic Outcomes. Chapter 17, pp415-416. Thomson Brooks/Cole
Pinsof, W. M., Wynne, L. C., & Hambright, A. B. (1996, Summer). The outcomes of couple and family therapy: Findings, conclusions, and recommendations. Psychotherapy: Theory, Research, Practice, Training, 33(2), 321-331. Ebscohost Online Database.
Rozas, L. W., & Grady, M. (April, 2011). Making Room for Dynamics in Evidence-Based Practice: the Role of Psychodynamic Theory in Client Centered Approaches. «Journal of Teaching in Social Work, 31» (2), 210-223.
Retrieved from: http://www.cornerstonebh.com/famther.htm. When should we use family therapy?
Retrieved from: http://brownprojects.wustl.edu/cmhsrmeasures/o4.html, Family Assessment Devise (FAD). CMHSR Measures Collection
Retrieve from: http://www.walmyr.commpsi html. Multi-Problem Screening Inventory (MPSI).
Retrieve from: http://www.iprc.unc.edu/longscan/pages/measures/Ages5to11/Self-Report%20Family%20Inventory.pdf