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Instructions-FamilyTherapy.docx

Family Therapy Course

Please put the question or section name above each paragraph

Write a short description of a person in crisis for alcohol abuse. Include the person’s age, gender, ethnicity/race, marital status, and any other relevant unidentified descriptive information.

Describe the client’s presenting problem and the crisis event. Explain why this situation is considered a crisis.

Discuss how ethnicity, race, gender, age, class, sexual orientation, or other diversity characteristics may affect the client and the crisis intervention.

Provide an overview of the social problem that may be helpful to know in planning the assessment and intervention. For example, this is an alcohol abuse case, provide a summary of the scope, indicators, and consequences to the victim and the family.

Design a specific crisis intervention based on the content using the below method of theory for intervention. Include any other scholarly resources that you find particularly helpful.

Write a conclusion to your intervention plan. What do you anticipate the outcome to be?

Include at least two actions you take to avoid personal burnout in working with this issue.

Length: 5-6 pages use at least 4 articles to cite.

Structural Family Systems (Minuchin):

General Concepts:

- Symptoms are the result of dysfunctional role assignments

and overly rigid or overly diffuse boundaries

- The focus is change in the family structure, not the

presenting problem

- Dysfunctional families lack alternatives resulting from

inflexible family structure

- Action-oriented, not insight-oriented

- Healthy subsystems are free of interference from other

subsystems

- Attention paid to cultural considerations and family

metaphors

- Focuses on family life cycle adjustments

Role of the Therapist:

- Stage director; observer; educator

- Active in making interventions to uncover & modify

underlying structure of family

Timeframe: Here and now

Duration: Short term

Unit of Treatment: Whole Family

How Change Occurs:

- Through Restructuring and Realigning the Hierarchy

Termination Criteria:

- Presenting problem is resolved

- Family system restructured to allow problem-solving

- Family has skills to resolve future conflicts

Early Stage Goals:

- Form therapeutic subsystem (Joining)

- Assess boundaries, alliances, coalitions

- Symptom reduction

- Relabel the presenting problem and reframe the family’s

view of it

- Remove the IP label

- Set goals

Early Stage Interventions:

- Joining, accommodating, mimesis

- Confirmation and empathy

- Reframe Problem as family problem

- Enactments: e.g. draw picture of family – shows power

distribution

- Tracking

- Family Mapping: look for alliances and splits

Middle Stage Goals:

- Change underlying family structure and patterns that

maintain symptoms

- Strengthen boundaries between subsystems

- Restructure: boundaries, hierarchy, alignments

- Create a cohesive executive subsystem

- Educate about development issues

Middle Stage Interventions:

- Re-enactment

- Manipulate intensity – e.g. repetition of themes, blocking

or encouraging interactions, modulating voice

- Boundary making – e.g. changing the placement of people

in the room

- Paradoxical interventions – if clients aren’t compliant – do

more of what doesn’t

- Unbalance the system – e.g. support “one down” person

- Teach conflict resolution skills (communication skills,

parenting skills)

- Psychoeducation – regarding family patterns and

developmental issues

- Shaping competence – by highlighting strengths and

progress

Late Stage Goals:

- Consolidate Gains

Late Stage Interventions:

- Highlight therapeutic progress

- Mark structural alterations

- Emphasize strengths

- Discontinue sessions digressively