Presentation on theme: "Keys to Family Therapy The concept of the family is a “System.”"— Presentation transcript:
1 Keys to Family Therapy The concept of the family is a “System.” Not a Linear model of CausalityA => B=> C=> . . .It speaks of “Circular” CausalityAE BD C
2 Keys to Family TherapyWithin the system, there are people, but also the RELATIONSHIPSIt is in the Relationships that you see the dynamics and the problems of the family.To make it easy on us, in an otherwise complex task of looking at everything:We look at Dyads (two person systems)We look at Triads (three person systems)
3 Keys to Family Therapy Dyads= look at the power and control Triads= look at the “odd man out”Concept of the ScapegoatConcept of the Identified PatientSo with this basic use of Systems Theory, we now see “problems” in families in a different light.
4 All Systems Have . . .RULESThese rules are communicated through not only what they SAY, but also what they DO.PURPOSEPrimary purpose is Survival.STRUCTUREHierarchy and Patterns in Relationships
5 Added note on STRUCTURE Structure breeds StabilityStability breeds SecurityThis is what we all want.It starts with “good structure”My view is that the Bible has some great things to say about families and “good structure.”The Family is the first system that God ordained and therefore it has prominence.
6 Structure: Starts with the couple. THE MARRIAGE PYRAMID:IntimacyConflict ResolutionCommunicationPsychological Health of Couple
7 Research on Real Families Healthy ProfileLegitimate source of authority.Stable rule system.Nurturing Behavior.Effective childrearing and marriage-focusing behaviors.Set of Goals (both family-wide and individual)Flexibility and adaptability to cope.
8 Research on Real Families Emotional ProfileCaring and supportive attitudes.Respect for all members and their views.Motivation.High level of initiation.Strong marital/parental coalition with boundaries.Individuality balanced by cooperation.Congruent methods.Ability to express affection.Spontaneity and humor.
9 Doing Therapy I like to keep the first interview very structured. Interview the whole family, if possible.Focus on Communication:BUT NOT CONTENTLISTEN FOR PROCESSMake a note as to who has the POWER.Be confident, positive, and in control.
10 1st Interview Social Phase Problem Phase Interaction Phase Goal Setting PhaseTask Setting PhaseInvolves use of DirectivesFront-door: behavioral and basic communicationBack-door: utilizes the family’s resistance
11 Assessing the Family’s Problem The family is BLOCKED.Simple and straightforwardHelp them past the HurdleThere is DISPLACEMENT.Scapegoat and Identified Patient issuesHelp them to see the True ProblemThere is DAMAGE.On the issues of Structure, Rule, or PurposeHelp them truly become a NEW SYSTEM
12 If Blocked . . . Teach them what they need. Behavioral interventions Parenting skills (discipline and nurturing)Marriage maintenance practicesConnecting with any other institutionsEducational servicesSocial ServicesChurchesCommunication skillsGenograms
13 If Displacement . . . Help them to see the patterns. Dyads: Symmetrical Escalation and Pathological ComplementarityTriads: TriangulationSeek to balance the relationshipsThe “symptom” is held by the family to keep their family togetherIssue a “block,” a “strategic question,” or a “reframe”
14 If there is Damage . . . Help them to “Re-structure” Challenge family normsClarify boundary issues (disengagement and enmeshment)Help them with New RulesIncrease Awareness and Introduce New ChoicesHelp them with a New PurposeReframing the context or emotional outputUse of Paradoxical Interventions
15 “Working” at what? Commitment (permanence) Value Your Spouse’s UniquenessDifferent, but NecessaryNurture Your Friendship
16 Leave you with a quote:“Husbands, live your lives in such a way, that you would be the kind of man a woman could LIVE for, and wives, live your lives in such a way, that you would be the kind of woman a man would DIE for.