Presentation on theme: "F AMILY T HERAPY Presented by: Sana Hamzeh Clinical psychologist Psychotherapist."— Presentation transcript:
F AMILY T HERAPY Presented by: Sana Hamzeh Clinical psychologist Psychotherapist
D EFINITION Family therapy ( as its name indicates) is an interpersonal therapeutic technique applied to family. Family therapies are aimed at patients, as well as their family. 2
DEFINITION 3 Family therapy is directive since the therapist offers the solution for a change. It also is a strong support welcomed by the family.
F AMILY T HERAPY P RINCIPLES To spot the patient’s position in the family Analyse alliances and disrupted family interactions Emphasise that there is no crazy individual in the family, but that the relationship is crazy. 4
All the members are active, even when they are slowing the change down. There are different sorts of family therapy. Each therapy has its specificity (technique and references) 5
P SYCHOANALYTICAL F AMILY T HERAPIES They use individual psychoanalytical concepts to understand the structure of interpersonal conflicts in the family. 6
7 They take into account parents’ unresolved psychological conflicts’ projection on their child, who bears them passively. And they consider transgenerational conflicts’ intervention: Unresolved conflicts between parents and the patient (child) and their own parents are often projected on this child.
Therapists need to meet every member of the family. the patient’s parents, grandparents, brothers and sisters. At least during the first sessions. Then, the sessions will bring the most important members of the family together. 8
How long does a session last for? Sessions last for about an hour and a half. They take place once or twice a month. How does a session take place? Psychoanalytic family therapies involve the usual kind of meetings, during which participants speak. The therapist (sometimes, there are two of them) facilitates the debates. 9
11 The Systemic Family Therapy (TFS) It is a treatment that analyses the communication and forms of interaction within the family.
O BJECTIVE The family shares the symptom together and mobilises to confront the fear of repetition through intervening to respect each and everyone’s role and space.
Why systemic? Relating to a system in its whole There are several concepts Paradoxical communication ( double constraint) The patient becomes the holder of the group’s symptomology The family’s dysfunction consists in domestic violence perpetrated by the husband, violence against children 13
Transmission through generations Women that have not been protected ( within their family of origin ) in their childhood and adolescence can often not identify the suffering of their own children when they will be abused. Transgressions can not be simply explained through the couple’s relationship. 15
16 We have to refer to each spouse’s previous generation to understand their action They are not able to change the perception they have on their son: a bad child has to be punished in order for him to become better. The son plays a role of scapegoat for his parents. He represents the expectations that cannot be fulfilled. The dialogue on relationships is quickly blocked.
Maintaining the couple’s relationship is paradoxically linked to the fact that they avoid recognising the reciprocal disappointment The child enables this process by bearing their aggressiveness and sadism. 17
Therapy sessions resume each and everyone’s difficult past experience. Heal children Humanise adult-child relationships Encourages trust towards adults Transmit other educational schemes than those perverted by the father (in the case of violent fathers) 18
Systemic therapists use the two room process: a room where the family meets with the therapist, a another room separated by a two-way mirror, where a supervisor is located to discuss with the therapist, to protect him from an excessive emotional involvement. The family is of course aware of this setting 19
23 It should be avoided to the patient to be seen as a “scapegoat”. The objective will be to teach a better communication to every family members To obtain a change, an action must be taken on the “how” of every family member’s functioning, rather than the “why”. The family, which is a system pattern, is characterised by two contradictory tendencies: homeostasis and a tendency to change
T HE THERAPIST ’ S ROLE He never appears as the Almighty, official operator, example or model for the family. He collaborates with all the members of the team involved. During the first interview, the therapist looks for the family’s motivations and encourages them to avoid resistances. He keeps away the risk of blames, in order to get the best participation possible. One or two sessions to structure the group 24
The family therapist sometimes gets a feeling of intrusion or even violation of the family’s intimacy. 25