techniques used in family therapy

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Page 1: Techniques Used in Family Therapy

8/10/2019 Techniques Used in Family Therapy

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Techniques used in Family Therapy

Family therapy uses a range of counseling and other techniques including:

Structural therapy - Looks at the Identifies and Re-Orders the organisation of the

family system

Strategic therapy - Looks at patterns of interactions between family members

Systemic/Milan therapy - Focuses on belief systems

Narrative Therapy - Restoring of dominant problem-saturated narrative, emphasison context, separation of the problem from the person

Transgenerational Therapy - Transgenerational transmission of unhelpful patterns of belief and behaviour.

communication theorymedia and communications psychologypsychoeducationpsychotherapyrelationship counselingrelationship educationsystemic coachingsystems theoryreality therapyattachment-focused family therapy

the genogram

The number of sessions depends on the situation, but the average is 5-20 sessions. Afamily therapist usually meets several members of the family at the same time. Thishas the advantage of making differences between the ways family members perceivemutual relations as well as interaction patterns in the session apparent both for thetherapist and the family. These patterns frequently mirror habitual interactionpatterns at home, even though the therapist is now incorporated into the familysystem. Therapy interventions usually focus on relationship patterns rather than onanalyzing impulses of the unconscious mind or early childhood trauma of individualsas a Freudian therapist would do - although some schools of family therapy, for

example psychodynamic and intergenerational, do consider such individual andhistorical factors (thus embracing both linear and circular causation) and they mayuse instruments such as the genogram to help to elucidate the patterns ofrelationship across generations.

The distinctive feature of family therapy is its perspective and analytical frameworkrather than the number of people present at a therapy session. Specifically, familytherapists are relational therapists: They are generally more interested in what goeson between individuals rather than within one or more individuals, although somefamily therapists—in particular those who identify as psychodynamic, objectrelations, intergenerational, or experiential family therapists (EFTs)—tend to be as

interested in individuals as in the systems those individuals and their relationshipsconstitute. Depending on the conflicts at issue and the progress of therapy to date, a

Page 2: Techniques Used in Family Therapy

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therapist may focus on analyzing specific previous instances of conflict, as byreviewing a past incident and suggesting alternative ways family members mighthave responded to one another during it, or instead proceed directly to addressingthe sources of conflict at a more abstract level, as by pointing out patterns ofinteraction that the family might have not noticed.

Family therapists tend to be more interested in the maintenance and/or solving ofproblems rather than in trying to identify a single cause. Some families may perceivecause-effect analyses as attempts to allocate blame to one or more individuals, withthe effect that for many families a focus on causation is of little or no clinical utility.It is important to note that a circular way of problem evaluation is used as opposed toa linear route. Using this method, families can be helped by finding patterns of

 behaviour, what the causes are, and what can be done to better their situation.[25]Evidence base

Family therapy has an evolving evidence base. A summary of current evidence is

available via the UK's Association of Family Therapy.[26]

 According to a 2004 French government study conducted by INSERM, family andcouples therapy was the second most effective therapy after Cognitive behavioraltherapy.[27] The study used meta-analysis of over a hundred secondary studies tofind some level of effectiveness that was either "proven" or "presumed" to exist. Ofthe treatments studied, family therapy was presumed or proven effective at treatingschizophrenia, bipolar disorder, anorexia and alcohol dependency.[27]