Drug use since age 11 related to mental health problems including severe anxiety, depression, and PTSD symptoms stemming from exposure to domestic and community violence. Isaac was both using and selling drugs.
Family therapy is a treatment modality that can be used alone or in combination with other treatment modalities. Family therapy strategies include psychodynamic, structural, strategic, and cognitive-behavioral schools.
In this article the different schools are described and a case of a depressed teenager is used to illustrate how each type of family therapy is implemented. This influence also occurs in the reverse manner: This bidirectional influence is greater when the child has a psychiatric disorder.
In fact, child treatment has been referred to as de-facto family therapy. When a family functions better, the child functions better. If the focus is on the set of relationships in which the person is intertwined, family work can be done regardless of who is initially involved.
Interventions in family therapy are geared toward the family as a unit with the perspective that some individual symptoms are products of relationship struggles within this unit.
These individual symptoms are viewed as arising from and being complicated by the family system matrix. Introduction to the Case: A Year-Old Boy and His Family J was a year-old boy who first encountered mental health treatment after he admitted to his parents that he had thoughts of hurting himself.
The mother then became enraged at her husband and told her husband that if he kicks out J, she is going, too.
J admitted to feeling depressed for several months prior to this episode. He wanted to be an actor and said that he did not see the point of studying or going to school.
Although he did well academically in the 9th and 10th grade, his grades declined significantly in 11th grade to the point that he was ineligible to participate in extracurricular activities like the drama club.
He admitted to having difficulty fitting in and was associating with the kids who skipped class and took drugs. After breaking up with his girlfriend, he cut himself superficially on his forearm with a razor and had fleeting thoughts of suicide. The Influence of Family: Using this model in relation to a child, the family environment would be the most important social factor.
It is easy to understand how this family environment substantially impacts a child. On the other hand, risk factors for childhood psychiatric disorders include the negative family processes of parental pathology, family and marital conflict, coercive parenting practices, and persistent negative affect.
One study found that adopted children with a high genetic risk for schizophrenia were more sensitive to adverse rearing practices in their adoptive family than were adopted children with low genetic risk.
The characteristics of family functioning associated with disordered rearing included a tendency to be critical, to be constricted, and to have boundary problems.
The conclusion was that both genetic risk and rearing environment were interactive in promoting either the protection against or the emergence of schizophrenia in the adoptive child.
Even siblings, who are similar due to their genetic makeup, are different based on their individual temperaments. His mother reported that his biological father was abusive toward her, but not the children. J had little contact with his biological father since the divorce, but contacted him recently because he wanted to leave his current family and live with him in another state.
She also experienced chronic headaches and fatigue, which sometimes limited her involvement with her children. Of her children, she felt most similar in temperament to J.
She feared that without more parental supervision he could end up like her and put himself in dangerous situations. J always had a distanced relationship with his stepfather. He forced J to cut his hair and change his style of clothes after he was caught smoking. J admitted that sometimes he feared him when his temper ignited.
The stepfather was generally suspicious of mental health providers and viewed psychiatric symptoms as an excuse or a weakness.
J felt his older sister was not held to the same standard as he was because of her psychiatric illness, and he felt this was unfair. His sister also smoked cigarettes and, as far as J could remember, had never been reprimanded for this behavior.
She got along well with her siblings, but spent most of her time with her mother at the exclusion of peers. Several times a year she would complain of a stomachache until she was allowed to stay home from school.
This was more frequent following the altercation between J and his stepfather, which raised the stress level for everyone in the home. Psychodynamic Family Therapy Family therapy can be divided into several different schools of thought: Although the goals of each school are similar, the techniques and strategies each employs are unique.
A combination of these approaches is used in contemporary family therapy. The psychodynamic approach to family therapy is based on psychoanalytic theory.Integrative Psychotherapy takes into account many views of human functioning.
The psychodynamic, client-centered, behaviorist, cognitive, family therapy, Gestalt therapy, body-psychotherapies, object relations theories, psychoanalytic self psychology, and transactional analysis approaches are all considered within a dynamic systems .
APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
In Integrative Family Therapy, Jay Lebow. Case Vignettes for Review. you have neither had the requisite number of classes nor supervised practice by an approved supervisor in couples and family therapy. However, one of your clients that you have been seeing individually has been discussing issues related to his marriage and asks if he might bring his wife in for couples counseling.
Follow This Format And Deliver an Awesome Case Presentation! Mary presents with multiple concerns related to an unfulfilling marriage, potential loss of employment, and concerns over her husband’s gambling. Mary is devoted to her husband and family, but is clearly struggling with their financial difficulties.
She complains about. Love's great service: Thoughts and a case vignette of couple therapy one of the things we do is to re-constitute a family.
Suddenly then, we find that love has led us back into the cauldron that created us. Without overstating the case, the marriage therapist assumes that the dynamics of the relationship, while possibly damaging and.
Clinical Theory and Practice Integrative Family Therapy Fam Proc , The Integrative Revolution in Couple and Family Therapy JAY LEBOW, Ph.D.a aDirector of Research, Chicago Center for Family Health, Suite , E.
Illinois, Chicago IL ; Clinical Associate Professor, Department of Psychiatry and Behavioral Sciences, University of Chicago.