To free family members from the power of unconscious constraints so they can relate in a healthy way.
o Differentiation of the self
o A psychological separation from others
o A third party is recruited to reduce anxiety and stabilize a couples' relationship
• Parent has psychological problems, passed down to another generation, same relationship problems as they grew up with.
• Whereas the parent was abused previously, now the child takes on a power figure, the child is no longer alone, the parent now protects them. The child needs to be the victim in order for the parent to become a protector.
Encourage members to be themselves by freely expressing what they are thinking and feeling
Interventions create turmoil and intensify what is going on here and now in the family
- Modifying the family's transactional rules
- Developing more appropriate boundaries
- Creation of an effective hierarchical structure
Focus is on family interactions to understand the structure, or organization of the family
Symptoms are a by-product of structural failings
Structural changes must occur in a family before an individual's symptoms can be reduced
The roles are confused, enmeshed, problematic. Therapist might ask family to enact their typical behavior and then change family structure. Example daughter teaming with father against the son/brother. Therapist tells father to step away and let siblings discuss problems.
• Developing strategies to fix the problem. Give the family homework to do without explaining the underlying motive and reason, which will ultimately fix the problem. Ex of child, alienated parent and target parent (do bad, spend more time with target...)
• The reason for this is that through the establishment of clear behavioral goals, clients are pressured to clarify ambiguous dissatisfactions
• The one with the symptom is the one with the power. Therapist prescribes an exercise for the family to do, doesn't require discussion, family does it to fix problem.
• Strategic power intervention to alter the power shift.
Social Constructionist - Narrative Therapy
• Storytelling. Client tells the story about their life.
• Solution focused, rather than on problems
• Miracle questions, reflecting
• Get client to create a new story with better outcomes