Structural Family Therapy : An Evidence Based Therapy

For this assignment, two different theoretical approaches will be discussed, Bowenian family therapy and structural family therapy, and they will be used individually to construct a treatment plan to help clients reach their goals. Within each treatment plan discussed, short-term and long-term goals of therapy will be established and the family’s presenting problems will be defined. Two techniques that will be assigned to help them reach their therapeutic goals and any expected outcome from using those techniques will be discussed.

The movie Ordinary People is a movie which looks at a family struck by tragedy, It shows how an upper middle-class family handles life when tragedy strikes unexpectedly, and family order is turned into chaos. The movie in essence sheds light into a family, due to a tragedy, has turned into separate individuals living in the same house, who lack of communicating their grief effectively. The movie was shown through a realistic lens, without over dramatization; looked into misplaced guilt at every level. The inability of the family to work through the tragedies lead them to a place where they each felt a breakdown within each other as well as the family dynamic.

Structural Family Therapy (SFT) has a few interventions within the theoretical model that I could see myself using with clients (families) from diverse backgrounds with diverse presenting problems. I am in agreement with the way this model looks at the different types of families and the types of issues they present with such as the patterns common to troubled families; some being "enmeshed," chaotic and tightly interconnected, while others are "disengaged," isolated and seemingly unrelated. This model also helped me understand that families are structured in "subsystems" with "boundaries," their members not seeing these complexities and problems that are going on

Salvador Minuchin, born and raised in Argentina, is known as the founder of structural family therapy (Colapinto, 1982). Before creating what would be known as his most lasting contribution, Minuchin spent years paving his way to his success. Traveling back and forth from Israel to the United States, Minuchin finally settled down in the year 1954 where he began training in psychoanalysis at the William Alanson White Institute in the United States (Nichols, 2014). Following the White Institute, Minuchin began working at the Wiltwyck School, which consisted of delinquent boys from unsystematic, multi-problem, underprivileged families (Colapinto, 1982). At the time Minuchin began working there, therapists had found that certain clinical populations were not responding to traditional psychotherapy (Lappin, 1988). In fact, the population of delinquent children, like those that Minuchin was working with at Wiltwyck, resisted even more so than other populations to this traditional psychotherapy (Lappin, 1988). This was due to the fact that the traditional psychotherapeutic techniques used, were developed for middle-class patients who were verbally articulate (Colapinto, 1982). It was then when Minuchin realized that a new model of change was needed, particularly one that worked with unprivileged, delinquent boys (Lappin, 1988).

In conceptualising the development of the family system, Bowenian therapists are past-focused. They believe that emotional fusion that is passed down from one generation to the next is the cause of psychological problems (Nichols, 2010, pp 119-122). Normal family development according to Solution Focused therapist produces families with flexible structures, clear boundaries and well-organised hierarchies. This is quite similar to Bowenian’s concept of normal family development. Differentiated individuals after all need to have clear boundaries. Similarly, flexible structures and well-organised hierarchies do promote low anxiety and therefore generate positive emotional contact between family members. The difference is that instead of being past-focused, Solution Focused therapy assiduously avoids the past and focuses their clients as much as possible on the present and future. (Nichols, 2010, pp 321).

Structural Family Therapy (SFT) is an approach used in family therapy settings. In every family there are both strengths and weaknesses in how the family functions, this type of therapy focuses on the ability of families to move forward any dysfunctional issues they can encounter. In every family there has to be structure, a way of doing things, who is in charge and yet still be able to adapt to change when it is necessary or problems begin to occur, in order to repair and alter issues of dysfunction and reposition family boundaries, many therapists who use the structural family approach have the belief that the problems the family is experiencing “emerge in families when their boundaries (that define structures) are not clear and when

Structural family therapy is a model of treatment based on systems theory that was developed by Salvador Minuchin. Structural family therapy features emphasis is mostly on structural change as the main goal of therapy; it pays close attention to the individual but also acknowledges the importance of family in the healing process of the individual.

Family therapy is a form of psychotherapy employed to assist members of a family in improving communication systems, conflict resolution, and to help the family to deal with certain problems that manifest in the behavior of members. In most cases, deviance in a family member is an indication of underlying family dysfunctions. This paper looks the counselling procedure that can be applied to help the Kline family solve their problems. It answers certain questions including those of the expected challenges during therapy and ways of dealing with the challenges.

My first assumption of family therapy was to involve the parents and the individual that had the problem. This book explored further what it

The identified problems in the family are the lack communication, rigid boundaries, and weak subsystems within the family. The structural family therapy focuses on the interactions with the family rather than focusing exclusively on the identified person or patient (Nichols, and Tafuri, 2013). In addition, through utilizing, the structuralism approach, the family will be able to think beyond symptomatic behaviors and see their choices and process relationships between group members and other systems (Vetere, 2003). The family will also be able to broaden their understanding of how each family member contributes to the problem or communication patterns within the family (Nicols et al., 2013). Furthermore, based on the research structionalism will encourage the family to problem solve in a safe therapeutic environment (Vetere, 2003). In therapy, the family will be able to express their feelings and thoughts without judgments or bias from the therapist.

Structural Family Therapy (SFT) was invented by Salvador Minuchin while working with lower-socioeconomic-level Black families (Gladding, 2015). A main premise of the theory is that “an individual’s

In the Structural Family Therapy model, therapy is not focused solely on the individual, but upon the person within the family system (Colapinto, 1982; Minuchin, 1974). The major idea behind viewing the family in this way is that “an individual’s symptoms are best understood when examined in the context of the family interactional patterns,” (Gladding, 1998, p. 210). In SFT, there are two basic assumptions: 1) families possess the skills to solve their own problems; and 2) family members usually are acting with good intentions, and as such, no

therapy aims to improve family relations, and the family is encouraged to become a type of

Bowenian family counseling approach presents similar aspects that range throughout various family counseling theories. One approach to family counseling that is similar to Bowenian theory is structural therapy. Structural family counseling focuses on habitual behaviors and the role individual’s play in relation to those behaviors (Bohlinger, n.d.). Bowenian therapy reviews a minimum of three generations to assess transgenerational patterns. Both therapies point out a form of boundaries, however, Bowenian therapy looks to differentiate individuals within a family group, as oppose to structural therapy, which desires to change, clarify, and mark boundaries within a family (Nelson, n.d.). Experimental therapy recognizes discord when togetherness and autonomy are not balanced, like Bowenian therapy (Bohlinger, n.d.). Like solution based and cognitive–behavioral therapy, the role of the Bowenian counselor is to teach and coach clients (Nelson, n.d.). Also, like Milan therapy, Bowenian therapists are to remain neutral and avoid taking side within the family (avoid triangles) (Nelson, n.d.). Like object-relations therapy, Bowenian therapy seeks to help clients differentiate themselves (Nelson, n.d.). Although the Bowenian concept presents several similarities to other approaches, there are numerous

It is important to note that it is the right type of relationships, rather than a large quantity of relationships which are the goal of relational therapy. An integration of ideas from structural family therapy helps us see that relationships can also be the source of many problems. In families, if there are imbalances or structural disorganization, the relationships are not able to