Defining couple and family therapy
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Defining Couple and Family Therapy. Two essential ways to define family therapy A therapeutic endeavor that focuses on altering the interactions and improving the functioning among family members Having more than one family member involved in the treatment sessions.

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Defining Couple and Family Therapy

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Defining couple and family therapy

Defining Couple and Family Therapy

  • Two essential ways to define family therapy

    • A therapeutic endeavor that focuses on altering the interactions and improving the functioning among family members

    • Having more than one family member involved in the treatment sessions


Comparison of couple and family therapy

Comparison of Couple and Family Therapy

  • Issues unique to couple therapy

    • Sexual problems

    • Possibility of someone leaving relationship

  • Issues common to couple and family therapy

    • Communication

    • Attachment

    • Problem-solving


Early family therapy

Early Family therapy

  • Became prominent in the 1950s

  • Core importance of the family system and a rejection of usefulness of individual therapy

  • General systems therapy

  • Cybernetics

    • The science of communication and control in man and machine

  • Paradoxical interventions

    • Therapist suggests the opposite of what was sought to produce psychological reactance and a reverse effect


Systems theory applied to personality and psychopathology

Systems Theory Applied to Personality and Psychopathology

  • People act as they do because they are parts of a system, not because of individual development, intrapsychic conflict, or learned behavior

  • Humans are part of an open system

    • There is an ongoing exchange with those lying outside the system

  • Three cornerstones

    • Circular causality

    • Cybernetics

    • Communication process


Primary dimensions of structural family therapy

Primary Dimensions of Structural Family Therapy

  • Boundaries

    • The rules defining who participates and how they participate in various operations

    • Range of boundaries from disengagement to enmeshment

  • Alliances

    • Represent the joining or opposition of one member of a system to another in carrying out various operations

    • Triangulation

  • Power

    • Depicts the relative influence of each family member on the outcome of various family activities


Strategic approaches

Strategic Approaches

  • Associated with team approaches and the detached stance on the part of the therapist

  • Types of strategic approaches

    • Mental research institute model

    • Haley’s problem-solving therapy

    • Milan systemic therapy

    • Solution-focused therapy


Cognitive behavioral approaches

Cognitive-Behavioral Approaches

  • Central mechanisms

    • Classical and operant conditioning

    • Social exchange mechanisms

    • Homework assignments

  • Interventions

    • Monitoring

    • Skills training

    • Behavior exchange

    • Shaping

  • Large amount of empirical support


Psychoeducational approaches

Psychoeducational Approaches

  • First developed in the context of schizophrenia

  • Survival skills

  • Crisis management


Intergenerational approaches

Intergenerational Approaches

  • Bowen therapy

    • Differentiation of self

    • Family projection process

    • Genograms

  • Other approaches

    • Invisible loyalties

    • Ledgers

    • Multidirected partiality


Psychodynamic approaches

Psychodynamic Approaches

  • Active, dynamic formulations in couple and family therapy

  • Importance of unconscious mental processes and early experiences

  • Understanding transference and countertransference


Additional psychotherapeutic approaches

Additional Psychotherapeutic Approaches

  • Experiential Approaches

    • Accentuating the healing power of emotional moments in therapy for restoring a sense of liveliness and connection

  • Narrative Approaches

    • Social constructivism

    • Problem-oriented descriptions are replaced by stories of accomplishment

  • Integrative Approaches

    • Merges the raw material of the various approaches at three distinct levels: theory, strategy, and intervention


Generic integrative family therapy

Generic Integrative Family Therapy

  • Multilevel biopsychosocial understanding of human functioning

  • Intervention strategies

    • Psychoeducation

    • Behavioral Methods

    • Cognitive and narrative strategies

    • Focus on emotion


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