Components of Family Therapy
The first component is of family therapy is the assessment of the family structure, roles of family members, resources like earning resources, boundaries or limitations in family, communication patterns, and problem-solving skills used by the family.
Teaching communication skills: If there is an issue with the communication skill of the family while interacting so that the person interacting with feels good.
Teaching problem-solving skills: Writing a behavioral marital contract in the case of a married couple. The behavior between the couple towards each other should be good; they have to follow what is written in the contract. Homework assignment to the members included in the family therapy. For example, assignments related to communication skill that has already been taught, and feedback is then noted in the next session.
Patient Selection
When a physician notices any family member suffering due to problems in the family then the families may be referred for treatment by agencies, private physicians. The agencies like the school system, welfare board, judges, and parole officers. The school system works when a child suffers because of the behavior of parents with a child or with each other. In case of a family issue, judges can refer families for treatment. Some families are referred for family therapy by some crisis caused in the family, like in case of drug overdose and family comes to emergency room psychiatric service for a visit. On discharge of the patient from a psychiatric hospital, the patient and the family may be referred for family therapy, for follow up services. Treatment of choice if there is the case of marital problems, the conflict between siblings. Family therapy may be indicated when the problem caused by parents affects the child directly and results in suffering. The sudden death of a family member is a situational crisis and the birth of a first child is a maturational crisis as the mother is finding herself unable to deal with it. These may cause sufficient stress for family therapy.
Types of Family Therapy
Individual family therapy – One therapist treats one family member and solves their problems individually. Occasionally the therapists discuss the issue with the family together, either the issue is being solved or not.
Conjoint family therapy – It is a common type of family therapy also called single-family group therapy. A therapist is assigned to a family and the therapist tries to solve issues in the family and tells how family members should interact with each other. The solutions are given based on problems identified, and behavioral patterns are improved. Effective dealing with problems is discussed with the family.
Couple therapy – The therapist deals with the couple. Their problems are identified and interact together. The difficulties being experienced in the married life of couples are identified. The goals, hopes, and expectations of the couples are assisted.
Multiple family group therapy – the 4 to 5 families are taken. They interact confront and deal with the issues they are facing. Their problems are similar to abuse, being neglected, anger, social skills related. These families support each other.
Multiple impact therapy – Several therapists deal with the problem that is being faced by families in a community.
Network therapy – The family which is being treated by their friends, neighbors professional groups are included. It focuses on making a network and improving the health of that particular family.
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