Sunday, September 27, 2015

Strategic Family Therapy

Goals of Therapy
o Define resolvable complaints

o Identify attempted solutions

o Understand the clients language for describing the problem
- Haley believed symptomatic behavior is voluntary.
- Milan believed preliminary hypothesis about the assumption that the identified patients problems are serving a homeostatic or protective function for the family.
- The idea is to apply techniques to manipulate and solve he problem with or for the family.
- Paradoxical directives are used to break down resistance and address symptoms.


The Counseling Process
o Introduce treatment setup

o Inquire bout and define the problem

o Estimate the behavior maintaining the problem

o Set goals for treatment

o Select and make behavioral interventions

o Terminate therapy


Techniques

o Identify behaviors that maintain problems, they are generally tried solutions that did not work because they deny the problem exists. An attempt to solve something that isn't really a problem makes a solution impossible.
- For example: a parent buys a child toys when what the child wants is attention.

o Reframe the problem for the family.
- For example: tell the identified patient Mom doesn't know how to tell you she loves you, so she buys you toys instead.

o Interrupt problem maintaining sequences by doing something that runs counter to common sense. This is a paradoxical intervention.
- For example: tell a child, When mom starts fussing over you, act over dependent until she cant maintain the behavior.

o Prescribe the symptom.
- Ignore someone's depression to get attention.

o Directives are used as thoughtful suggestions targeted to specific requirements of the case.