Family counseling 2

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Health Services Academy *

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Psychology

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Nov 24, 2024

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1 Family Counseling Student’s Name The Department, Institutional Affiliation Course Number and Name The Instructor’s Name and Title The Assignment’s Due Date

2 Family Counseling Week 2: The Home-Based Treatment Approach The treatment of individuals with emotional or behavioral conditions with family-based interventions has shown considerable effectiveness. One of the family-based interventions that have proved to be effective is the manualized home-based family intervention. According to Connery and Brekke (1999), a manualized home-based family intervention is effective when used for ethnic minority families such as the African-Americans, particularly those with serious mental conditions. This approach is effective because it is founded on the assumption that an individual's residence is the most efficient location for achieving the long-term affirmative outcomes from the mental health services. This is to mean that individuals from marginal racial groups need to be assisted in the context of their home environments. The main advantage here is that mental health professionals have the opportunity to correctly evaluate the family dynamics and persuade the family members to accomplish more efficient roles than the primary care providers. Goldenberg and Goldenberg (2013) stated that group dynamics and the manners of small groups work as the structures for family-based therapies. For this reason, the manualized home-based family intervention assists in the examination of the powers of the absolute family, the kinship network, and the family as a whole. As a counselor, I would also pay residence visits on a weekly basis while taking into consideration the family's cultural values, beliefs, and behaviors before and when providing the services. However, as a counselor, I should have maintained the engagement, evaluation, and development of the service plan as well as monitored the approaches for coping with mental conditions at the family level.

3 Week 3: Ethical Dilemmas From the article, it is apparent that people have shifted their interactions and association with social media platforms in recent years. According to Jordan et al. (2014), technology poses different challenges for therapists and counselors attempting to uphold a nuanced code of ethics and maintain boundaries between their professional and personal digital presences. In a world that is swiftly going digital, it has become impossible to succeed as a counselor without some sort of social media application. For this reason, Wardi-Zonna, Hardy, and Hardy (2020) stated that family therapists should be concerned about particular ethical issues that could arise as a result of social media utilization. In this case, it is significant that counselors are well-informed about the manner in which social media influence clients' individual interactions, together with the ethical insinuations of their professional utilization of social media. From an individual perspective, it is critical to integrate the seven guidelines that are set to help health professionals to evaluate and monitor their application of social media. Integrating these recommendations would assist therapists in fighting the moral implications connected to the use of social media in the counseling profession. Also, integrating the recommendations would allow professionals who decide to use social media to obtain continuous direction and consultation on how to use the platforms in ethical and effective ways in their practice. This means that integrating the recommendations into the code of ethics would lay the foundation for the adjustment of the existing moral codes that do not include social media use. Week 4: Family Therapists According to Bowen, the extent to which any member of a family is implicated in the family from minute to minute depends on that individual's basic level of engagement in the

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4 family ego mass (Haefner, 2014). At times, the emotional proximity can be so strong that family members know each other's thoughts, dreams, feelings, and fantasies. For this reason, Bowen recommended that a counselor dealing with family members become free of the unsolved emotional affections to their family of origin. This would ensure that the unfinished business does not negatively impact their work with families. One of the ways to deal with the unfinished business that is negatively affecting the professional work when dealing with a family is by cutting the cords with the family members. According to El-Shormilisy (2019), cutting the cords involves establishing meaningful contact with significant others outside of the family. This can assist the family therapist in taking actions that are independent of the emotionality around them. On the other hand, resolving one's emotional attachments to the family of origin reduces the individual struggle to achieve a separation of self from the family of origin. Some of the signs that would illustrate unfinished business would be greater distance, socially and emotionally, for self-preservation. This means that when communication is demanded, it results in being superficial and brief. The additional resources that would be used to help in dealing with the unfinished business would be family-based interventions to address issues of emotional cutoff. Week 5: Experiential Models Alvarez, Stauffer, Sacksteder, Beale, and Tucker (2020) indicated that experiential models in family therapy work as intuitive approaches that utilize active and multisensory techniques. In most cases, experiential models increase the possibilities of family therapists to uncover new information that can stimulate change and development in a family system. One of the most critical experiential models is the Emotionally Focused Couples Therapy (EFT). Beasley and Ager (2019) defined the Emotionally Focused Couples Therapy as an attachment- based and conceptualized intervention that evaluates the negative and rigid interaction patterns.

5 One of the benefits of the model is that it absorbs the unenthusiastic consequences that characterize misery in couple relationships in the context of emotional disconnection and apprehensive affection. Similarly, Emotionally Focused Couples Therapy draws on the systemic and humanistic values to assist in creating a safer attachment bond in a relationship. On the other hand, EFT helps in the integration of intrapsychic perception given by the empirical approaches with a general interpersonal view to assist troubled couples shape expressive accessibility, engagement, and responsiveness, which are the primary pillars of affection refuge. Through its three stages, EFT assists partners in comprehending how their pessimistic interactions power a self-reinforcing cycle of misery. Equally, the model involves a restructuring interaction stage that involves the shaping of new core emotional experiences and novel associations that contribute to a safer connection. Through this model, couples are encouraged to investigate and share their connection vulnerabilities and requirements with their partner in session. Such practices build new constructive cycles of contact and caring, facilitating secure connections. Lastly, the model involves a consolidation stage that assists partners in utilizing their more safe connections connection and enhancing affiliation functioning to resolve issues in their daily lives. Week 5: The Human Validation Process Model The Human Validation Process Model (HVP) is a systematic therapy approach that centers on family development and health rather than pathology and dysfunction. According to Satir and Bitter (2002), HVP facilitates the application of existing strengths and resources in each member of the family as well as takes into consideration the responsibilities of the society and the larger structures in the family's growth and development through time. It is apparent that HVP emphasizes the collaborative efforts of the therapist and family members with the aim of achieving the family's well-being. The main objective is to release the potential perspective

6 inherent in the family by means of clear and congruent communication. Also, the model is associated with building and increasing self-esteem. However, it is obvious that it would take more than the healing power of love to repair dysfunction in a family. This means that Munuchin's argument has some logic in it. This is because change is not only considered possible but is encouraged. According to Virginia Satir, therapists using this approach must involve non- verbal communication, including interpersonal interaction, body language, and other nonverbal cues when in conversation with family members (Robinson, 2018). It is worth noting that repairing a dysfunctional family requires a collaborative effort to build a new support network. To confirm this point, Virginia Satir suggested the importance of revealing to family members the source of their old learning to allow them to create a more practical picture of the source of the issue and to start the process of assisting each other to discover their own identity. Week 6: An Approach to Family Therapy That Is Most Comfortable In the field of psychology and sociology, family therapy focuses on solving issues that prevent a family from healthy functioning. According to Carr (2019), a family therapy intervention is an approach that assists professionals in using the attitudes of theoretical and clinical openness that appreciate the past, present and future well-being of a family. In this context, it is essential to note that the strategic, behavioral, and cognitive-behavioral models of family therapy are some of the interventions that use various therapeutic strategies to counter issues in the family. The differences in these models are rooted in how they frame the issue, and this is the foundation of their uniqueness. One of the family therapies that I would feel most comfortable using is strategic family therapy. Szapocznik and Hervis (2020) argued that a strategic model of family therapy provides straightforward and direct approaches to addressing the real issues in a family. In simple terms, strategic models of family therapy allow

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7 professionals to close the gap and the scope of the problem and enable them to focus on the behavioral patterns that lead to the issue. Here, a strategic model of family therapy works best when focusing on a presenting issue and developing a treatment plan. In this case, it allows therapists to promote change by offering guidelines to eradicate the negative patterns of interpersonal exchange in a family. Similarly, this model provides in a simple way how the family functions and how some family factors influence behavior issues. The model is comfortable to use because all the family members are connected, enabling the intervention to be targeted to the issue. Week 7: Aspects of Solution-Focused Therapy Solution-Focused Brief Therapy (SFBT), also Solution-Focused Therapy (SFT), is a temporary objective-focused evidence-based curative intervention, which involves optimistic psychological guidelines and operations, and which assists individuals in transforming by creating solutions instead of focusing on issues. According to De Shazer et al. (2021), SFT is a hope, pleasant, optimistic emotion extracting and future-oriented tool for motivating, devising, sustaining, and accomplishing the preferred behavioral adjustments. It is worth noting that SFT professionals produce resolutions by initially producing a comprehensive explanation of how an individual's life will be different when the issue is gone. In this context, the least challenging aspect of SFT is where the client and the therapist investigate through the professional's life knowledge and behavioral collection to discover the compulsory resources required to co- constructing a realistic and sustainable solution that a client can readily implement. This aspect involves identifying and evaluating different existing "exceptions," such as times when the individual has successfully coped with or addressed the identified challenges or difficulties. However, one of the most challenging aspects of SFT is focusing on quick solutions where

8 critical underlying issues may be missed (Kim, Jordan, Franklin, and Froerer (2019). Here, the quick, objective-based nature of the approach may not enable an empathetic, emotional connection between the client and the therapist. For instance, using the SFT, the client may focus on a contemporary interaction issue rather than the underlying cause of the problem. Since the framework perceives the user as the specialist, it is challenging for the therapist to take what the client says at face value. Week 8: Qualitative or Quantitative Research Approach According to Gambrel and Butler (2013), mixed methods research has gained popularity in the field of social science. This is because it integrates both qualitative and quantitative methods that give the investigator the ability to examine complex and multifaceted phenomena from various views. Qualitative methods assist in collecting and working with non-numerical data and pave the way for interpreting meaning from the gathered information. This means that qualitative research methods are critical in understanding different aspects of human life, particularly through targeted populations and places. Quantitative research methods, on the other hand, place emphasis on objective measurements and the mathematical, statistical, or numerical evaluation of data collected. As a marriage and family therapist, I would feel more comfortable using the qualitative research approach because it is focused on the micro-level of social interactions that compose daily life. This means that the qualitative technique would allow me to investigate the meanings people attribute to their actions, behaviors, and interactions with others. In family and marriage therapy, the qualitative approach would assist in revealing the meaning that informs the actions of the couples or other members of the family (Baškarada and Koronios, 2018). However, quantitative methods would be less appealing because it uses numerical data to identify trends and apply statistical functions to determine the causal and correlative

9 relationships between variables. Also, the approach is less appealing because it provides a less detailed picture of the social phenomenon under study. This means that as a family and marriage therapist, a quantitative approach would lead to slightly fewer insights into the thoughts, drivers, and motivations leading to the social issue under the investigation.

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10 References Alvarez, T. G., Stauffer, G., Lung, D. M., Sacksteder, K., Beale, B., & Tucker, A. R. (2020). Adventure group psychotherapy: An experiential approach to treatment . Routledge. Baškarada, S., & Koronios, A. (2018). A philosophical discussion of qualitative, quantitative, and mixed methods research in social science. Qualitative Research Journal . Beasley, C. C., & Ager, R. (2019). Emotionally focused couples therapy: A systematic review of its effectiveness over the past 19 years. Journal of Evidence-Based Social Work , 16 (2), 144-159. Carr, A. (2019). Family therapy and systemic interventions for child ‐ focused problems: The current evidence base. Journal of Family Therapy , 41 (2), 153-213. Connery, L., & Brekke, J. (1999). A home-based family intervention for ethnic minorities with a mentally ill member. Alcoholism Treatment Quarterly , 17 (1-2), 149-167. De Shazer, S., Dolan, Y., Korman, H., Trepper, T., McCollum, E., & Berg, I. K. (2021). More than miracles: The state of the art of solution-focused brief therapy . Routledge. El-Shormilisy, S. A. M. E. (2019). Insights into Family Dysfunction through Bowen’s Theory and Durang’s Satire: An Interdisciplinary Approach. CDELT Occasional Papers in the Development of English Education , 67 (1), 275-304. Gambrel, L. E., & Butler VI, J. L. (2013). Mixed methods research in marriage and family therapy: A content analysis. Journal of Marital and Family Therapy , 39 (2), 163-181.

11 Goldenberg, H., & Goldenberg, I. (2013). Family therapy: An overview. Ninth Edition, Cengage Learning Haefner, J. (2014). An application of Bowen family systems theory. Issues in mental health nursing , 35 (11), 835-841. Jordan, N. A., Russell, L., Afousi, E., Chemel, T., McVicker, M., Robertson, J., & Winek, J. (2014). The ethical use of social media in marriage and family therapy: Recommendations and future directions. The Family Journal , 22 (1), 105-112. Kim, J., Jordan, S. S., Franklin, C., & Froerer, A. (2019). Is solution-focused brief therapy evidence-based? An update 10 years later. Families in Society , 100 (2), 127-138. Robinson, K. J. (2018). Satir Human Validation Process Model. Marriage and Family Therapy: A Practice-Oriented Approach . Satir, V., & Bitter, J. (2002). The therapist and family therapy: Satir's human validation process model. Family therapy and counseling , 13-45. Szapocznik, J., & Hervis, O. E. (2020). Brief strategic family therapy . American Psychological Association. Wardi-Zonna, K., Hardy, J. L., & Hardy, R. M. (2020). Mental health professionals and the use of social media: Navigating ethical challenges. Journal of Social Work Values and Ethics , 17 (2), 68-77.

Family counseling 2

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