Case Study Discussion – Strategic Family Therapy
Instructions – Case Study Outline
- Read the following case study.
· Week 6 Case Study Discussion – Strategic Family Therapy
The Beyers family has come for therapy. Bill and Maria are the parents, and Veronica and Justine are their two teenage daughters, age 16 and 14, respectively.
Bill: I guess we’ve come to see you because we fight all the time. We don’t have any good times together anymore.
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Order Paper NowMaria: (interrupting) Baloney! We’re in trouble because we don’t have any money. Period. Bill refuses to get a job even though he has an MBA. We should be well off. Instead, we live off of the money my father left us- and that’s going fast. If Bill would just develop a little backbone and get a job, we’d all be fine.
(You notice that Bill withdraws, and Veronica rolls her eyes as her mother talks.)
Maria: I make what little money we earn, and to do it I have to work 10 hours a day. When I get home, no one has done a thing to help the family. Bill is playing computer games likes a 12-years-old, and the girls are text messaging everyone in creation. The other night I refuses to cook dinner and took myself out to a restaurant. They could all starve as far as I am concerned.
Of course, I don’t want things to be like this, but what an I supposed to do, give in every single day of my life? Frankly, I am married to a coward, and the girls are spoiled brats. No one cares about me at all.
Bill: That’s not true, Maria. We all care about you very much.
Maria: Yeah, well, thanks is cheap. Prove it. Go get a job.
Bill: I am trying, but in this market there isn’t much out there. You know I send out my resume to someone practically every day.
Veronica: I am so tired of listening to this same old battle. Mom says Dad’s a wuss, and Dad tires to calm her down. (Turning to her parents): Why don’t you get divorce a already? You obviously don’t love each other anymore.
- 2.Complete the Case Study Outline.
Case Study Outline – Week 6Read the Beyers Family case study. Please respond to this case study from Strategic Family Theoretical Perspective.
1. Background information and Socio-cultural considerations.
2. Assessment (assessment methods must be consistent with the theory you have read for this week’s assignments, video clips or theory mentioned in the vignette).
3. Treatment plans, must list 3 treatment goals that follow logical problem solving.
4. Interventions (Interventions must be consistent from theory/ theories you are using for the case study) include collateral stakeholders as part of the interventions as needed.
5. Discuss future research that may be needed.
Your Case Study Outline should be attached as a Word .doc file (.doc, .docx)
Video links
1. Jay Haley on Directive Family Therapy (2000
2. MFT Exam Strategic Therapy
3. Behavioral Couples Therapy Video
Chapter 11 & 12
Goldenberg, I, Stanton,M & Goldenberg, H. (2017). Family Therapy: An Overview (9th Edition). Cengage Learning.
Attached is more class material to complete this assignment.
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 1
Strategic Models
Communications Outlook
• What Is Occurring in the Family, not Why It It Occurring.
• Social Context for Pathology
• Sequence and Hierarchy of Interactions
• Punctuation
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 2
Strategic Models
• MRI Brief Family Therapy • All behavior is communications
• Communications occur simultaneously and at different levels
• Content (report) and relationship (command)
• Relationships defined by command messages
• Relationships as symmetrical or complimentary
• Symmetrical relationships may become competitive (symmetrical escalation)
• Complementary relationships and superior/inferior roles
• Dynamics of punctuation
• redundant interactive patterns and recursive feedback loops
(continued on next slide)
Strategic Models
MRI Brief Family Therapy (continued)
• Paradoxical Communication • Paradoxical injunction • Double bind message • Redefining, prescribing, restraining
• How Attempted Solutions to Problems Contribute to the Problem Itself
• First Order and Second Order Change
• Relabeling (continued on next slide)
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 3
Strategic Models
Strategic Family Therapy (continued)
• Three Types of Misguided Solutions • Actions needed but not taken
• Unnecessary action taken
• Action taken at the wrong level
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 4
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 5
Strategic Models
• SFT: Haley and Madenes • Brief and active treatment
• The meaning of symptoms/Symptom as strategy
• Power and control
• Triangles, sequences and hierarchies
• Developing therapeutic strategies
• The initial interview
• The use of directives
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 6
Strategic Models
The Milan Systemic Model
• Selvini-Palazzoli, Boscolo, Cecchin, & Prata
• The Early Model • Paradoxes, counterparadoxes, rituals, and positive connotation
• Long brief therapy
• Structured family sessions
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 7
Strategic Models
Milan Systemic Model (continued)
•Hypothesizing, Neutrality, and Circular Questioning • Define each of the above and their role in the theory.
• The role of underscoring “relatedness”with each of these principles
• The invariant prescription
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 8
Strategic Models
• A Post Milan Epistemology
• Karl Tomm • Reflexive questioning
• The addition of “strategizing” to the repertoire of the systemic model
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 9
Behavioral and Cognitive-Behavioral Models
Behavioral Theory
• Leading Figures
• Reinforcements
• Adopting and Family Framework • Couples therapy
• Classical and operant conditioning
• Contingency contract
Behavioral and Cognitive-Behavioral Models
Cognitive Behavioral Theory
• Ellis and Beck
• Cognitive Restructuring
• Schemas
• Role of Assessment • Behavioral analysis
• Problem and functional analysis
• Homework Assignments
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 10
Behavioral and Cognitive-Behavioral Models
• Behavioral Couples Therapy
• Manipulating the Contingencies of Reinforcement
• From Reinforcement to Skills Building
• Therapeutic Contracts
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 11
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 12
Behavioral and Cognitive-Behavioral Models
• Integrative Couples Therapy • Jacobson and Christensen
• Themes of acceptance
• Research on the Behavioral Model • John Gottman
• The four horsemen of the apocalypse
• The 5:1 ratio of positive to negative
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 13
Behavioral and Cognitive-Behavioral Models
• Parent Education (A Behavioral Model) • Family management skills building
• Positive reinforcement, shaping
• Contingency contracting
• Functional Family Therapy • Focus on outcomes of behavior and how to change
them.
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 14
Behavioral and Cognitive-Behavioral Models
• Conjoint Sex Therapy • Sex as a metaphor for couple dynamics
• Need for sexual education
• Skills building
• Masters and Johnson
• Sensate focus, systemic desensitization, communications training
• David Schnarch
• Donald Meichenbaum
