Week 5 Case Study & Discussion - Structural/Experiential

Goldenberg/Goldenberg, Family Therapy, 8th

edition © Brooks/Cole Cengage 2013 1

Experiential Models

• A Humanistic Approach

• Phenomenological Psychotherapy

• A Shared Philosophical Commitment • The inherent goodness and growth potential of all human beings

• Interpersonal encounters

• Primacy of emotional experience over rational thought

Experiential Models

• Symbolic-Experiential Family Therapy • Carl Whitaker

• The role of experience in producing change

• Self of the therapist

• Normalizing human behavior

• Establishing therapeutic goals

(continued on next slide)

Goldenberg/Goldenberg, Family Therapy, 8th

edition © Brooks/Cole Cengage 2013 2

Goldenberg/Goldenberg, Family Therapy, 8th

edition © Brooks/Cole Cengage 2013 3

Experiential Models

• Symbolic-Experiential Family Therapy (continued) • The therapeutic process

• Co-therapy

• Phases of therapy

• Therapy is as much for the therapist as it is for the client.

Experiential Models

• Gestalt Family Therapy (Kempler) • Existential psychotherapy

• The therapeutic encounter

• The gestalt family therapy credo

Goldenberg/Goldenberg, Family Therapy, 8th

edition © Brooks/Cole Cengage 2013 4

Goldenberg/Goldenberg, Family Therapy, 8th

edition © Brooks/Cole Cengage 2013 5

Experiential Models

Virginia Satir/The Human Validation Process

•Symptoms and Family Balance

•Self Esteem

•Coping Skills

•Individual Growth and Development

•Family Roles and Communication Styles

•“Threat and Reward” and “Seed” Models

•Family Assessment and Intervention

•Family Reconstruction

Goldenberg/Goldenberg, Family Therapy, 8th

edition © Brooks/Cole Cengage 2013 6

Experiential Models

Emotionally Focused Couple Therapy/Greenberg and Johnson

• Brief Integrative Approach

• The Change Process

• Attachment Theory Based

• Nine Steps in the Treatment Model

• Well-Supported by Empirical Research

The Structural Model

• The Three Theses of the Structural Model • An individual’s symptoms are best understood as rooted in the context of

family transaction patterns.

• Change in family organization or structure must take place before the symptoms are relieved.

• The therapist must provide a directive leadership role in changing the structure or context in which the symptom is embedded

Goldenberg/Goldenberg, Family Therapy, 8th

edition © Brooks/Cole Cengage 2013 7

Goldenberg/Goldenberg, Family Therapy, 8th

edition © Brooks/Cole Cengage 2013 8

The Structural Model

• Wholeness, Hierarchy, & Subsystems

• Salvador Minuchin • Families and family therapy

• Psychosomatic families

• Family Structure • Operational rules

• Interactive routines

• Transactional patterns

• Complementary patterns

• Instrumental/expressive roles

Goldenberg/Goldenberg, Family Therapy, 8th

edition © Brooks/Cole Cengage 2013 9

The Structural Model

• Subsystems

• Family Dysfunction • Enmeshment

• Disengagement

• Boundary permeability

• Alignments, Power, & Coalitions

• Goals of Therapy • Joining and accommodating

• Assessment of family interactions

• Monitoring family dysfunctional sets

• Continued on next slide

Goldenberg/Goldenberg, Family Therapy, 8th

edition © Brooks/Cole Cengage 2013 10

The Structural Model

Monitoring Family Dysfunctional Sets (continued)

• Mapping

• Unbalancing

• Tracking

• Enactments

Restructuring Transactional Patterns

• Reframing

• Increasing family stress