scholarly journals Change in Family Therapy

2020 ◽  
Vol 16 (2) ◽  
pp. 169-183
Author(s):  
Peter Muntigl ◽  
Adam O. Horvath

A fundamental theoretical premise in Structural Family Therapy (SFT) is that changes in individual members and improvements in intra-familial relations are realized by repairing the family structure. Dysfunctional families are conceptualized in terms of individuals taking on inappropriate roles (e.g., children acting as if they were parents) and the boundaries between parental executive levels and the children/sibling level are unclear, too rigid, or highly permeable. The therapist’s role is to temporarily engage (join) with family members in a way that generates in-session interactions that exemplify the desirable family structure. While the theory supporting these interventions are well developed, there has been little work done on explicating how such tasks may be interactively accomplished in clinical practice. Drawing from the methods of conversation analysis, our aim for this paper is to show how a master therapist in SFT accomplishes some of these transformations during a single therapy session. We focus on the discursive resources through which the therapist is able to readjust the role relationships between a mother and her daughter (i.e., in such a way that the mother can adopt a more agentive position vis-a-vis her children) and how the therapist’s actions indexed core SFT principles of restructuring the family.

1984 ◽  
Vol 29 (2) ◽  
pp. 89-97 ◽  
Author(s):  
P.D. Steinhauer ◽  
G.W. Tisdall

For almost thirty years after the development of family therapy, the concurrent use of family and individual psychotherapy was seen as incompatible by leading proponents of each modality. Although recently the literature has revealed an increased willingness to utilize family and individual therapies concurrently, the decision for or against any such combination has been left largely to the intuition or bias of the individual clinician. This paper suggests the concurrent use of family and individual psychotherapies when disturbances of family structure and interaction co-exist with, reinforce, and are maintained by largely ego-syntonic internalized psychopathology (that is, the character defences of individual family members). It provides a rationale for integrating the concurrent therapies, and uses clinical examples to illustrate how each can potentiate the other. There is a discussion of indications and contraindications for the integrated use of concurrent family and individual therapy. From their attempts to apply these principles, the authors conclude that the experience for the family, the individual and the therapists is that the selective and integrated use of concurrent family and individual therapies can achieve more than can either therapy alone — the whole is greater than the sum of the parts.


2004 ◽  
Vol 32 (4) ◽  
pp. 569-577 ◽  
Author(s):  
Charleen Alderfer

This reaction to Whiston and Keller is that of a family therapist with great respect for the amount of work the article represents. Two theories of family therapy, structural and Bowenian, are discussed with particular attention to the contributions each can make in understanding the influences of families on career choices. The functional and dysfunctional family processes and dynamics of each theory are considered. Examples of how either family structure might influence career choices are included. The need for cooperative research between family therapists and counselors is stressed.


Author(s):  
Dragana Šćepović PhD

The subject of this empirical research is a comprehensive view of the impact of functionality and dysfunctionality of the family on the emotional skills of children in relation to sex, age of children and the family structure. The main objective of the research is to determine whether there is a link between functionality and dysfunctionality of family and emotional skills of children in relation to sex, age of children and the family structure. The study used the basic, general, and data collection methods (test method). Test method, scaling technique was used in the empirical part of the research for data collection using instrument questionnaire of emotional competence. In accordance with the hypothesis of research we were examined whether there is a statistically significant difference in the level of development of emotional abilities between the functional groups of children from families and groups of children from dysfunctional families in relation to age (12-13, 14, 15 and 16 years), in relation to gender (male and female) in relation to family structure (complete and incomplete). The results showed that the statistically significant difference and clearly defined border between the groups in relation to: emotional abilities and age (12-13 years) - Analysis MANOVA p = .011 and discriminant analysis p = .011; emotional skills and gender (male) - Analysis MANOVA p = .042 and discriminant analysis p = .046; and emotional skills, and family structure (incomplete) - Analysis MANOVA p = .138 and discriminant analysis p = .069. The results showed that it was possible to define the characteristics, the homogeneity of the group and the distance between them, which confirmed that children from functioning families in relation to these variables have developed skills of emotional intelligence of children from dysfunctional families.


1973 ◽  
Vol 7 (4) ◽  
pp. 249-255 ◽  
Author(s):  
Brian J. McConville

Family structure during adolescence can be conceptualized in terms of changes in a basic dominance-submission family model. While the latency age child usually accepts the father as the dominant decision maker, and the mother as centrally executive, the developing adolescent demands a more powerful role in the family. A number of possible crisis situations from early to late adolescence are described using the model, and strategies for therapy are outlined.


2021 ◽  
Vol 9 (3) ◽  
pp. 113-118
Author(s):  
Herliana Rahmi Saputri

Problems in the family is the result of a reaction to the social interaction between family members. Bad communication and obscurity of interaction between family members leads to misunderstandings in family relationships. Structural Family Therapy used to improve the pattern of communication in the family. The subject consists of three members of the family. The data were obtained using interview and observation. The intervention was carried out in five sessions. The results of the intervention were each family member has a good pattern of communication, reduced misunderstandings, clear regulations and role in the interaction between them.


2018 ◽  
Vol 27 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Natasha Finney ◽  
Eman Tadros

There is a gap in existing literature regarding the integration of family therapies and dialectical behavior therapy (DBT) with high-conflict couples and families. A case application is utilized to highlight how the integration of structural family therapy (SFT) and DBT can inform the conceptualization and treatment of clients. The following case study involves a high-conflict, Children’s Services Bureau–referred couple presenting to therapy with reported multiple stressors and problems. For the purposes of this article, therapeutic change occurs within the family unit, by accepting each member as they are, while at the same time working together to change maladaptive familial structures. The aim of this article is to begin closing the gap in research by exploring how structural family therapy and dialectical behavior can be integrated to create a comprehensive theory and approach to treatment.


2020 ◽  
Vol 19 (4) ◽  
pp. 282-300
Author(s):  
Justin S. Romney ◽  
Lindsey G. Hawkins ◽  
Kristy L. Soloski

Recent studies have shown that suicidality among transgender youth are 3.6 times more likely to report suicidal ideation and 3.2 times more likely to attempt suicide compared with cisgender youth. To alleviate the suicide rates among transgender youth, research suggests the need for family-based interventions. This case study explores the integration of structural family therapy and the Satir growth model to increase connection and support within the family, while also creating clear boundaries that are protective and growth-enhancing. This study provides a session by session overview of how the therapist integrated the models while working with the entire family unit.


2008 ◽  
Vol 67 (4) ◽  
pp. 356-362 ◽  
Author(s):  
Carl-Erik Flodmark ◽  
Torsten Ohlsson

Obesity in children is difficult to treat, but it seems to be easier to treat than adult obesity. The first step in treatment is to identify effective advice relating to nutrition and physical activity. In most treatment studies the macronutrient composition of the diet is not of major importance for treatment outcome. In relation to physical activity fat-utilisation strategies have been described. The second step includes appropriate approaches to lifestyle change. In Europe there are no drugs approved for children, and surgery for children is still limited to research projects. Thus, the major challenge is to develop effective ways of changing lifestyle. Family therapy may be an effective approach in preventing severe obesity from developing during puberty, and a therapeutic strategy based on treatment studies is described. The family-therapy techniques used here are intended to facilitate the family's own attempts to modify their lifestyle, and to increase their own sense of responsibility and readiness to change, i.e. these variables are the prime targets during therapy. Thus, the family, not the therapist, assumes responsibility for the changes achieved. This approach may be helpful in making the therapeutic process less cumbersome for the therapist. Instead of the therapist attempting to persuade the obese subjects to lose weight, it might be more effective to teach them to control their eating patterns through their own efforts. The treatment model includes structural family therapy and solution-focused-brief therapy. The use of such a model makes it possible to train therapists and health professionals to use an evidence-based intervention model.


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