CNPS 365 Chapter 14

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CNPS 365 Chapter 14: Family Systems Therapy – Photo voice

Family systems therapy Perspective


-client is connected to living systems
-individuals are best understood through assessing the interactions between and among family
members
-the development and behaviour of one family member is interconnected with others in the
family
-symptoms are an expression of a set of habits and patterns within a family
-client’s problematic behaviour may serve a purpose for the family, be unintentionally
maintained by family, symptom of dysfunctional patterns handed down across generations
-treatment needs to address the family as well as the client
-> need to observe the interaction of other family members in broader contexts

Forming a relationship (therapist/client)


-collaborative therapist-client relationship with mutual respect, caring, empathy, general
interest in others
-good therapeutic relationship -> effort at making contact with each person present
-> joining, engagement, care, concern
-> therapist should meet each person with openness and warmth
-asking ‘how’ questions to understand the family process
-all change starts with understanding and accepting things just as they are
-> important to communicate that understanding and empathy
-therapists who use validation & cooperation experience the greatest amount of success

Assessment/diagnosis
-use of genograms -> helps family structure and stories to be more clear and orderly
-use circular or relational questions to get at the systemic issues presented in the family story
-helpful to inquire about family perspectives on issues inherent in each of these layers

Hypothesizing and Sharing Meaning


-hypothesizing flows from the ideas and understandings generated during assessment
-important to be invited to respectful and collaborative dialogues
-sharing hypotheses invites and invokes feedback from different family members

Facilitating Change
-require planning -> include family participation
-knowing the goals and purposes for our behaviours, feelings, and interactions give us choices
about their use

Strengths (diversity/contributions)
-many ethnic and cultural groups place great value on the extended family
-> family approaches will have a distinct advantage over individual therapy (networking)
-neither the individual nor the family is blamed for a particular dysfunction
Limitations (diversity/contributions)
-loss of a personal perspective within a systemic framework

PICTURE -> what would you add/take out?


-> family members can hop and off the boat -> symbolizes how sometimes they are
supportive of your decisions and sometimes they don’t agree
-sand/rocks -> represents the rough patches/disputes between family members

add in:
-

The boat in the picture symbolizes both the therapist and the client’s journey in
understanding the client’s interconnected family relations and past dysfunctions. The boat is
currently docked because the client has reached out for help and is in a safe haven where they
can share how they feel. The therapist will work collaboratively with the client to unravel and
understand the stories the client shares with empathy, respect, and care. In this picture, we
don’t see the journey – it can be long or short – and for some, it can seem like there is no end in
sight. However, the boat also symbolizes that family members can hop on and off it, depending
on their presence in the client’s life. I would add into the image as many people into the boat as
the client believes is representative of their life.

The dog in the image symbolizes a man’s best friend because sometimes a pet can seem
more like family than actual human beings. The unwavering love and care of a dog can be
healing beyond words, which is incredibly meaningful for a client who may feel misunderstood
or alone in a room full of people who should be the closest to them.

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