Use of ideal family therapy case study

Excerpt from Example:

Dana is a aged beautiful female with family that appear to constantly put her straight down whenever they get together. They appear to be self-centered and attention seeking. The mother features set anticipations she spots on her family and seems furious whenever they will not meet these expectations. For example , the mother suggested Dana get breast enhancement surgery to appease her boyfriend Matt. Her sis, Joanie likewise commented on Dana’s appearance, making sure to let Dana know she came out overweight or perhaps had a large rear end. These kinds of comments can easily and do influence people’s self-pride especially when the original source of these kinds of comments happen to be from people who person adores or is supposed to trust.

Dana takes anything and says nothing, saying yes with the remarks and sense like your woman truly is definitely overweight regardless if objectively people see her as incredibly appealing. She also are not able to say how she feels actually around her boyfriend. Ellen for example , wanted to engage in coitus with her and the lady did not want to. However , she did engage in coitus and then later proceeded to binge and purge. Nilai appears to lack assertion in her activities and serves in a obedient, compliant, acquiescent, subservient, docile, meek, dutiful, tractable, complacent way.

Dana would not communicate her feelings, her desires, and this results in lack of self-esteem, self-worth, and potential body image concerns. She should communicate with her mother, her sister, and her sweetheart how she feels when they touch upon her appearance or question her to do something the girl does not wish to accomplish. She must voice her concerns in a manner that shows her expectations but does not cause unnecessary turmoil. Dana seems to not manage stress very well from being unable to finish college and binging and purging each day. Therefore , intellectual behavioral family therapy might be the best option as it involves addressing specific problems in a shorter time frame and allows the therapist to direct the behaviors. While it can come with various issues, cognitive behavioral relatives therapy may help address long standing family complications in a innovative, imaginative way (Poulsen et al., 2014).

The reason why the mother and sister has to be present rather than the father and brother is basically because they do not help the problems just as much as Joanie and Dana’s mother do. The brother is Peace Corps and the father takes a suggestively submissive position besides the mom. The main challenges in interaction appear to arrive directly from Dana’s interactions with her sister and mom. Here the relationships should be analyzed to determine why Joanie makes such negative feedback of Nilai and why the mom is always making remarks upon Dana to improve her appearance.

While there is also models useful in such an instance as Dana’s cognitive behavioral family remedy seems the most useful due to the family active and the lack of communication among the list of family members, specifically towards Nilai. Nevertheless, solution-focused therapy and narrative remedy have their uses. For example , story therapy will help the patient determine skills, worth, and the expertise to live these values in order that person can successfully deal with whatever challenges he or she confronts. Instead of directing where the family members goes in the treatment, with it Dana gets to see whom she is and her id is formed by way of her own self-awareness of her skills and values (Lopes ou al., 2014).

By beefing up a patient just like Dana which has a means of learning about her personal identity and understand her true needs, she may then forge a means of attaining them. This kind of therapy unit also allows someone like Dana to develop self-esteem and self-worth, allowing her to confront the down sides she may possibly have with her and perhaps with her family. Yet , it seems her family has to be a part of the treatment for presently there to be any resolution in communication together and Credit. Therefore , narrative therapy may not be the best option. The other option, solution-focused therapy.

Like cognitive behavioral therapy the place that the therapist redirects the conversation and the direction of the remedy, solution-focused therapy aims to searches for ways to fix problems rather than simply speaking about them (Gingerich Peterson, 2013). Solution-focused remedy looks for past solutions or perhaps other means of solving concerns. Dana includes a previous issue with finishing college or university. With solutions-focused therapy the aim would be to get Dana into school and graduate in the event that she wanted to achieve that aim. The problem with this kind of remedy model may be the limited reputation of core problems Nilai has just like her interactions with her family. Solutions-focused therapy would not consider just how problems may possibly arise beyond someone’s control and may not really be enough to help someone just like Dana handle the adverse self-image and doubt attributable to her mother and sister’s constant unfavorable remarks.

Although cognitive behavioral family remedy does not necessitate extensive examination of concerns, and helps bring about actions like agenda placing, it does possess room pertaining to recognition of said challenges through behavioral techniques just like mood check in, groundwork review, homework assignment, and summary, exploring the family’s core dynamics. Intellectual behaviroal therapy also attempts for swift change as opposed to the procedural with times prolonged changes seen in solution-focused remedy. Both remedies can nevertheless allow the person receiving the therapy to understand and develop means of coping with strains and struggles by taking a proactive method of resolving challenges. One last difference between both remedies is solution-focused therapy relies upon compliments and searching for alternatives a patient utilized in the past rather than looking at the role family members may play in the current handling of anxiety by the individual.

Dana features what a large number of will consider bulimia. Your woman binges and purges during stressful instances. Her mom and sister make bad comments that will make her think less than due to seeking attention for themselves. The mother and sister are definitely the focus of the family therapy in terms of identifying problems inside the family. Their very own behavior has to be exaggerated thus everyone in the family can realize why their activities may be harmful to Nilai.

The 1st task nevertheless , is defining objectives. The first target is building rapport and assessing friends and family structure and dynamic. The second reason is getting a very clear statement of interest like Dana’s disordered ingesting and purging. The next