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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
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