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Keys to Family Therapy The concept of the family is a

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Keys to Family Therapy The concept of the family is a System. Not a Linear model of Causality A = B= C= . . . It speaks of Circular Causality – PowerPoint PPT presentation

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Title: Keys to Family Therapy The concept of the family is a


1
Keys to Family Therapy
  • The concept of the family is a System.
  • Not a Linear model of Causality
  • A gt Bgt Cgt . . .
  • It speaks of Circular Causality
  • A
  • E B
  • D C

2
Keys to Family Therapy
  • Within the system, there are people, but also the
    RELATIONSHIPS
  • It 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 Scapegoat
  • Concept of the Identified Patient
  • So with this basic use of Systems Theory, we now
    see problems in families in a different light.

4
All Systems Have . . .
  • RULES
  • These rules are communicated through not only
    what they SAY, but also what they DO.
  • PURPOSE
  • Primary purpose is Survival.
  • STRUCTURE
  • Hierarchy and Patterns in Relationships

5
Added note on STRUCTURE
  • Structure breeds Stability
  • Stability breeds Security
  • This 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
  • Intimacy
  • Conflict Resolution
  • Communication
  • Psychological Health of Couple

7
Research on Real Families
  • Healthy Profile
  • Legitimate 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 Profile
  • Caring 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 CONTENT
  • LISTEN FOR PROCESS
  • Make 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 Phase
  • Task Setting Phase
  • Involves use of Directives
  • Front-door behavioral and basic communication
  • Back-door utilizes the familys resistance

11
Assessing the Familys Problem
  • The family is BLOCKED.
  • Simple and straightforward
  • Help them past the Hurdle
  • There is DISPLACEMENT.
  • Scapegoat and Identified Patient issues
  • Help them to see the True Problem
  • There is DAMAGE.
  • On the issues of Structure, Rule, or Purpose
  • Help them truly become a NEW SYSTEM

12
If Blocked . . .
  • Teach them what they need.
  • Behavioral interventions
  • Parenting skills (discipline and nurturing)
  • Marriage maintenance practices
  • Connecting with any other institutions
  • Educational services
  • Social Services
  • Churches
  • Communication skills
  • Genograms

13
If Displacement . . .
  • Help them to see the patterns.
  • Dyads Symmetrical Escalation and Pathological
    Complementarity
  • Triads Triangulation
  • Seek to balance the relationships
  • The symptom is held by the family to keep their
    family together
  • Issue a block, a strategic question, or a
    reframe

14
If there is Damage . . .
  • Help them to Re-structure
  • Challenge family norms
  • Clarify boundary issues (disengagement and
    enmeshment)
  • Help them with New Rules
  • Increase Awareness and Introduce New Choices
  • Help them with a New Purpose
  • Reframing the context or emotional output
  • Use of Paradoxical Interventions

15
Biblical Principles
  • Original Design Marriage Works
  • After the Fall Marriage Becomes Work
  • The Promise Marriage Will Work Again
  • But for the Present
  • We must keep Working to Make it Work

16
Working at what?
  • Commitment (permanence)
  • Value Your Spouses Uniqueness
  • Different, but Necessary
  • Nurture Your Friendship
  • Grow towards each other, as you both grow closer
    to God.

17
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.
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