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Family Counseling Approach Research Paper
Rhonda Wright
School of Behavioral Science Liberty University
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Abstract
The professional counselor is equipped to lead, guide, and direct individuals in accomplishing
meeting their goals. Although, a professional may meet with one individual for personal reasons
without the family present the family is affected. Family counseling is very important in helping
creating a wholeness of the family unit. The family is a system that is comprised of a unit which
can breakdown. It is imperitave for this system to be reconciled and repaired. This paper has
discussed the impact of the These are models are psychodynamic and psychoanalytic models.
connected to a plethora of different therapies such as Cognitive Behavioral Therapy (CBT), Talk
Therapy, focus therapy and many more. This paper will delve into the development and historical
events for both models.
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Family Counseling Approach Research Paper
Part I
Leading Figures
Sigmund Freud (1856-1939) was the founder for both of the Psychodynamic and
Psychoanalysis models. According to the Sigmund Freud Institute of Psychoanalysis “Freud was
trained in neurology and worked with patients who suffered from hysteria, a condition marked by
uncontrollable emotional outburst, fears and anxieties” (Sigmund Freud | Institute of
Psychoanalysis, n.d.). In his research Freud used the psychodynamic and psychoanalytic models
interchangeably. According to Shedler (2010) “The words psychodynamic and psychoanalytic
are often confused. Remember that Freud’s theories were psychoanalytic, where the term
psychodynamic refers to both his theories and those of his followers.” Sigmund Freud was asked
to worked with women who struggled with emotional dysregulation, physical symptoms and
paralysis which the onset of these occurrences was unknown. At the time of his research and
working with women they were at a lower social economic status then men, they were
disregarded and more susceptible to mental illness. Freud determined that this was due to being
detached from the womb their original environment. According to Horney (1951) “In 1885,
Freud travelled to Paris to study at the Salpetriere Hospital with Jean Mart Charcot, a famous
neurologist studying hypnosis and hysteria. Freud was deeply affected by Charcot’s work, and
upon returning to Vienna he started using hypnosis in his own clinical work with patients.”
Development of the Theory/Historical Events
Sigmund Freud was able to develop different theories in relation with his view of
psychodynamic, and psychoanalysis. The foundation was laid upon “defense mechanisms which
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included denying a reality, repressing or pushing away painful thoughts” (Sigmund Freud |
Institute of Psychoanalysis, n.d.). Freud is known for the “Theory of the mind, Theory of self,
Psychosexual stages” (Sigmund Freud | Institute of Psychoanalysis, n.d.). The stages connected
to his psychosexual are the oral stage which is observed in the first year of an infant’s life. The
anal stage during the toddler’s two-three years stage of life, the Phallic state 3-5 years, the latent
stage 6-11 years, and the final stage is referred to as the genital stage, from adolescence and into
adulthood and beyond.
There are strengths and weakness to Freud’s theory a weakness is that his theories are
unreliable due to lack of scientific research. He and other researchers have not been able to
accuracy keep up with any test subjects to determine the outcomes for how one’s parenting skills
have affected their personality. There may be other variable in relation to human development.
He is also known for being sexist. Some have called him perverted due to his observation in
relation to the human anatomy and the psychosocial development. Another weakness that critics
have stated is that he is sexist due to his beliefs that women who do not accept a low position in
society are flawed. All Colleges, University, and other programs continue to teach on Sigmund
Freud’s psychodynamic, and psychoanalytical models and have been teaching on them for
decades.
Basic Assumptions and Key Philosophy
Psychoanalytic and psychodynamic models in family therapy is developed through cognitive
behavioral therapy, emotional regulation, talk therapy, and solution focused therapy. According
to Busch et al. (2009) “The efficacy of psychoanalytic and psychodynamic therapies has been
very limited. There have been randomized controlled trials of reliably” (p.131). There are
specific studies being done through research such as “The panic focused” (Busch et al. 2009 p.
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132). This study was conducted from 1997-2005 at Weill Cornell Medical College using
therapist who were Ph.D., psychologist or M.D.s after psychiatric residency” (Busch et al. 2009
p. 132). This was an open clinical trial and was not an efficacy study due to there was not
comparison condition and was designed to determine if the research study through the
psychoanalytic model would be successful.
Another assumption is that the neurobiological is affected by a psychoanalytic theory.
This assumption was made by a researcher who found that babies are not born as “blank slates”
they are born with needs that they are able to express through their mean of communication. Dr.
Mark Leonard Solms writes that “Psychoanalysis rest upon three core claims about the emotional
mind that were once considered controversial and are now widely accepted” (Solms, 2018). This
author addressed three questions in relation to psychoanalysis. First, he addressed how the
emotional mind works? Second what does psychoanalytic treatment strive to achieve? Third,
what is the effectiveness?
Key Concepts
A key concept for psychodynamic therapy is (PDT) is that it focuses on the unconscious
mind. This unconscious mind is where an individual’s behaviors are manifested. The goal of
psychodynamic therapy is for the client to become self-aware and how self-awareness influences
their behavior. There are several ways that a therapist can conduct psychodynamic therapy.
According to Shedler (2010) “Short-term psychodynamic therapies can contribute to the
armamentarium of treatments for substance abuse disorders. Brief psychodynamic therapies
probable have the best chance to be effective when they are integrated into a relatively
comprehensive substance abuse treatment program” (p. 65). Psychodynamic therapy is one of the
oldest forms of therapy. This therapy is based on a multifaceted therapy human development and
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human interaction. According to Shedler (2010), “The theory supporting psychodynamic therapy
originated in and is informed by psychoanalytic theory” (p. 65). This author goes on to say that
“there are four schools of psychoanalytic therapy” (p. 65). These schools consist of: “Freudian
psychology, Ego Psychology, Object relations psychology, and Self- Psychology” (2010, p. 67).
These schools have their own hidden theories of human personality, psychopathology formation
approaches that incorporate techniques for therapy.
Techniques
Cognitive-behavioral therapy is a major technique that is used in psychodynamic
therapies used within the family counseling sessions. According to Stiles et al. (2008),
“Psychotherapy’s equivalence paradox is that treatments tend to have equivalently positive
outcomes despite non-equivalence paradox is that treatments tend to have equivalently positive
outcomes despite non-equivalent theories and techniques” (p. 667). Cognitive behavioral therapy
uses a simple formula that helps the client process their thoughts by getting them to think about
what they are thinking about. The goal for CBT is for the client to learn how to change their
thinking. For most client the conversations they have with themselves is unhealthy and self-
defeating.
The best way for CBT to work is to encourage the clients to work in stages starting with
being mindful of their thoughts, triggers to the thoughts, and retracing steps within their minds to
determine what brought about a particular thought. It is best for the client to write down patterns
connected to triggering thoughts. Such as thoughts that are triggered by the five senses; sight,
sound, smell, touch, and auditory sounds. A second stage would be for the therapist to help the
clients understand their behaviors which are connected to their thoughts. Through
psychodynamic therapy a client can learn new behaviors by changing their thoughts. When one
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can change the way, they think they can learn how to change their lifestyle. Psychodynamic and
psychoanalytic therapies are all related to the inner critic of the client. The goal is to help the
client see themselves as worthy and valuable. Lowinger et al. (2022), writes “An enduring state
of self-criticism characterized by self-attack and feeling of worthlessness and shame has been
conceptualized as an inner critic. Fairbainian object relations theory has described the inner critic
as an internalized bad object often represented of an abusive or rejecting parental figure” (p.5).
Similarities
The similarities that connect the psychodynamic and psychoanalytic models both want to
understand how the past affects the present, and the how the conscious mind and the unconscious
mind affect and interact with one another. Both models are person centered therapy in human
development by helping the clients develop coping skills, change their thinking process, and
change unhealthy habits.
Dissimilarities
The differences consist of the length of therapy whereas psychodynamic is a short-term
treatment where the client will meet one or two times a week, and psychanalytic therapy is long
term where the client meets with the therapist for three to five times a week. Psychoanalytic
therapy is able to help the client dig deep into those core issues and root causes which may have
come from the clients’ childhood.
Another difference would be psychoanalysis focuses on the areas of a person’s life that
have been traumatized, and psychodynamics work with a clients psyche those repressed
memories that are affecting the behavior and lifestyle of the client.
New Knowledge
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The new knowledge that I have learned are the different therapies that are applied to both
models. One new one that I have learned while writing this paper is that of “Narrative Therapy”
Which focuses on helping clients find their value and the gifts that are within them. Also, another
focus is human action through the lens of a story. According to Wallis et al. (2011), “narrative
approaches build a structure so that human life can see as storied and narrative as the organizing
principle for human action” (pg. 487). This therapy helps clients confront their problems by
learning coping skills to deal with their current situation. This is where the term clients are the
experts of themselves. It is through this type of therapy a therapist can allow the client to tell
their story out loud. When a person hears themselves talk out a problem, they are able to find the
solution to what they are struggling with. As a family therapist narrative therapy would work
well with a therapist who is well trained in this area. This therapy would allow the members to
hear themselves work through their internal issues by understanding how it is affecting the
family dynamic.
Part II Personal Integration
At the age of two I was removed from my mother, according to my father’s mother she
was a neglectful parent. I remember meeting my father when I was around the age of five years
old. It was on Christmas Day I remember him being tall and scary. That day my life changed my
father moved into an apartment and I was sent to live with him. He would leave me home alone
while he worked an overnight shift. I would stay up crying and screaming because I was scared
and the apartment was dark. I also thought that the Vampire from Dark Shadows soap opera was
going to come and get me. My grandmother would watch that during the day once she realized I
was having anxiety she stopped watching at least while I was there.
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When I started school, I struggled and at that time there was not any diagnosis for
dyslexia. My father thought I was dumb and would beat me because I could not perform as he
expected. After about two years I learned how to recognize my father’s mood when he walked
through the door. I learned that three seconds was all I had to determine if it was safe to stay in
the room or to relocate into another room away from his presence. There were days that the
beatings would last for hours. I was sent to school with black eyes, whelps on my body, purple
ears, knots on my forehead, and bald spots in my head from him throwing me around by my hair.
I did go to the nurse at school to let her know that I was hurt, and all she would say was “ooh” At
that time there was not anyone who would be mandated to report child abuse and I was left to
take the brunt of my father’s wrath.
My grandmother told him I needed to go to church and he took me on Sundays’ and
being a young child, I was fascinated by the Catholic Church. They had pretty windows where
the light would shine through and make very pretty colors. I was five or six and I did not know
what the priest was talking about so my attention span was very short. After Church we would
get home and I would get beat for not paying attention. At the age of eight years old I attempted
suicide for the first time and for many years after I have tried even into my adulthood. At the age
of 12 years old I ran way to my mother’s house and my grandmother made him pick me up and
bring me home. That beating had me wishing I was dead he beat me so much that he had to take
a nap. I considered murder that day. I stood over him and stared at him as he laid on the sofa and
slept and thought about stabbing him.
Running away became a cycle for me for many years and when the abuse stopped from
my father because I was no longer living with him, I picked up where he left off. I abused myself
by getting involved in illegal drugs and continue suicide attempts. I learned that cutting would
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relieve the internal pain. At the age of 13 I went to church with this lady who lived across the
street and I found out that being with Jesus was a safe place. Seeing that I was not made to go to
Church I did not stay long. I stayed long enough to get saved and experience what being in the
presence of God was like. For many years the Lord has covered me He has watched over me.
Even in my active addition and dark lifestyle He (Adonai, Jesus Christ, and the Holy Spirit)
watched over me. At the age of 25 is when the Lord heard me. He heard my heart He heard my
pain, and He heard my cry. He told me He cares for me and I went to church and there is where
my relationship with Jesus Christ began.
Although there is a lot more that I have experienced it would be too much to write and I
want to get to how the Lord has saved me for His purpose and not my own. When Jesus told me
he cares during a time when I felt as if there was not anyone who cared, I began to hear his voice
and became curious about who He was and what His name was. The very first scripture I
remember reading was in the Book of John. This is where Jesus met the women at the well and
the first scripture, I remembered (New International Version John 4:13) “Jesus answered
everyone who drinks this water will be thirsty again, but whoever drinks the water I give them
will never thirst. Indeed, the water I give them will become in them a spring of water welling up
to eternal life.” Jesus Christ has filled me with His living water.
Once I found that I loved Jesus and He loved me I have wanted to do what He has called
me to. I realized that I can help people who are like me, those who are broken, hurting, and are in
need of the love of Christ. The Lord gave me (New International Version Acts 5:21) where the
angel of the Lord told the disciples to go into the Temple and to teach about this new way of life.
This is what I am currently doing. The Lord has sent me back to get those who are bound by
addiction and mental health issues.
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When it comes to integration of counseling and Christianity According to Entwistle
(2021) “when it comes to professional counseling some Christians believe that we do it from a
standpoint that is biblical based. For those who have been licensed as professional counselors
believe a wide variety of psychological techniques are consonant with Christian belief and
practice” (pg. 316). As for me I believe as long as I am doing the will of God, I can use other
methods to accomplish the desired goal of helping someone become healthy. It also depends on
the clients’ beliefs and worldview. My job as a Christian and a therapist is to meet the client
where they are without judgement and allowing to understand that I am a safe place for them to
heal. It is up to the Lord with how He wants to work in the client’s life and allowing me to be a
part of it is an extra blessing.
Part III
Symbis Assessment
I have not had the opportunity to get married and I am single. I have come close to
marriage at least twice and today I am grateful that neither one worked out, and it was not in the
plan of God for us to go through with it. The five issues I notice in relationships are the lack of
building friendships. Most couples are co-habiting before marriage and becoming intimate with
each other before getting to know who they are as a person. Secondly would be the economy and
dealing with finances. Most couples are not able to support themselves due to the job wages, and
the increase in prices. Thirdly would be the lack of family support. Depending on the culture
most couples do not come from a two-parent home and do not know how to run a house with
another person. Fourthly, would be social skills our upcoming generation is lacking the necessary
social skill to thrive in an environment where the consumer is the most important person. They
spend a lot of time on their technology with the lack of parental guidance. With this lack comes
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the lack of coping skills, emotional regulation, interpersonal skill, and communication skills. The
fifth issue would be family development where our parents and children are friends and the
children are allowed to be their own guide.
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References
Blatt, S. J., & Luyten, P. (2009). A structural–developmental psychodynamic
approach to psychopathology: Two polarities of experience across the
life span. , (3), 793–Development and Psychopathology 21
814. https://doi.org/10.1017/s0954579409000431
Driver, M. (2017). Motivation and identity: A psychoanalytic perspective on
the turn to identity in motivation research. , (5), Human Relations 70
617–637. https://doi.org/10.1177/0018726716669577
Entwistle, D. N. (2021). Integrative Approaches to Psychology and
Christianity, Fourth Edition: An Introduction to Worldview Issues,
Philosophical Foundations, and Models of Integration. Wipf and Stock
Publishers.
Fonagy, P. (2015). The effectiveness of psychodynamic psychotherapies: An
update. , (2), 137–150. World Psychiatry 14 https://doi.org/10.1002/wps.20235
Guntrip, H. (2018). Psychoanalytic Theory, Therapy and the self. In Routledge
eBooks. Informa. https://doi.org/10.4324/9780429479113
Howlett, S., & Reuber, M. (2009). An augmented model of brief
psychodynamic interpersonal therapy for patients with nonepileptic
seizures. , (1), 125–138. Psychotherapy 46 https://doi.org/10.1037/a0015138
Horney, K. (1951). Neurosis and Human Growth: The Struggle Toward Self-
Realization. Journal of the American Medical Association, 145(2),
124. https://doi.org/10.1001/jama.1951.02920200064035
Kernberg, O. F. (2015). Neurobiological correlates of object relations theory:
The relationship between neurobiological and psychodynamic
development. , (1), 38–International Forum of Psychoanalysis 24
46. https://doi.org/10.1080/0803706x.2014.912352
14
FAMILY COUNSELING APPROACH RESEARCH PAPER
Kernberg, O. F. (2016). The four basic components of psychoanalytic
technique and derived psychoanalytic psychotherapies. World
Psychiatry 15, (3), 287–288. https://doi.org/10.1002/wps.20368
Lowinger, R. J., Cher, D., Matusow, N., & Young, K. S. (2022). The Treatment
of Adult Patients with an Inner Critic - Self-Psychological, Integrative
Relational, and Modern Psychoanalytic Approaches. Psychoanalytic
Social Work, 1–22. https://doi.org/10.1080/15228878.2022.2108682
Midgley, N., Mortimer, R., Cirasola, A., Batra, P., & Kennedy, E. (2021). The
Evidence-Base for Psychodynamic Psychotherapy with Children and
Adolescents: A Narrative Synthesis. Frontiers in
Psychology 12, . https://doi.org/10.3389/fpsyg.2021.662671
Mintz, D., & Belnap, B. A. (2006). A View from Riggs: Treatment Resistance
and Patient Authority—III. What is Psychodynamic
Psychopharmacology? An Approach to Pharmacologic Treatment
Resistance. The Journal of the American Academy of Psychoanalysis
and Dynamic Psychiatry, 34(4), 581–
601. https://doi.org/10.1521/jaap.2006.34.4.581
Stiles, W. B., Barkham, M., Mellor-Clark, J., & Connell, J. (2008). Effectiveness
of cognitive-behavioral, person-centered, and psychodynamic
therapies in UK primary-care routine practice: replication in a larger
sample. , (5), 677–Psychological Medicine 38
688. https://doi.org/10.1017/s0033291707001511
Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American
Psychologist 65, (2), 98–109. https://doi.org/10.1037/a0018378
Sigmund Freud | Institute of Psychoanalysis.
(n.d.). https://psychoanalysis.org.uk/our-authors-and-
theorists/sigmund-freud
15
FAMILY COUNSELING APPROACH RESEARCH PAPER
Wallis, J., Burns, J., & Capdevila, R. (2011). What is narrative therapy and
what is it not? The usefulness of Q methodology to explore accounts of
White and Epston’s (1990) approach to narrative therapy. Clinical
Psychology & Psychotherapy, 18(6), 486–
497. https://doi.org/10.1002/cpp.723
Zimmermann, J., Ehrenthal, J. C., Cierpka, M., Schauenburg, H., Doering, S., &
Benecke, C. (2012). Assessing the Level of Structural Integration Using
Operationalized Psychodynamic Diagnosis (OPD): Implications forDSM–
5. Journal of Personality Assessment, 94(5), 522–
532. https://doi.org/10.1080/00223891.2012.700664