Family therapy theories used in family health care
FAMILY THERAPY THEORIESFAMILY THERAPY THEORIESUSED IN FAMILY HEALTHUSED IN FAMILY HEALTHCARECAREBYARUN.M
INTRODUCTIONINTRODUCTIONFamily therapy theories, in contrast tofamily social science theories, arepractice theories. They have beendeveloped to work with troubled familiesand therefore, are pathology oriented forthe most part.
MOST PROMINENT FAMILYMOST PROMINENT FAMILYTHERAPY THEORIESTHERAPY THEORIES• Structural family therapy theories• Family systems therapy theory• Family interactional / communicationtheory
1 . STRUCTURAL FAMILY1 . STRUCTURAL FAMILYTHERAPY THEORYTHERAPY THEORYMinuchin & associates developedsystems oriented approach to familytherapy mostly describing the problems& identifying the solutions.Minuchin (1974) conceptualized thefamily as an open sociocultural systemthat is continually faced with demandsfor change from within and outside thefamily.
MAJOR CONCEPTSMAJOR CONCEPTSTransactional patterns AdaptationSubsystemsBoundaries
Transactional patterns- Repeatedpatterns of transactions that become lawsthat govern the interactions & conduct ofvarious family members. Adaptation - Availability of alternativetransactional pattern, as well as the family’sability to mobilize these alternativetransactional patterns to meet external &internal demands for change.
Subsystems- Are the ways in which the familysystem differentiates & carries out its affective &socialization functions.These subsystems in families are usuallyindividual or relation / relational subsystems suchas the marital, parent - child and sibling subsystemin the two - parent nuclear family. Boundaries- Ensure differentiation of thefamily subsystems. The clarity of these boundariesprovided a barometer of how well the familyfunctions
USESUSES• The goal of family therapy is to facilitate atransformation in family structure.• So that can be used in attempts to changefamily patterns through in sessionmanipulation of family interaction.• This therapy is present – centered, action -oriented & problem focused.
• This therapy theory is used to assess,plan, implement & evaluate the care ofthe family.• Intervention includes joint with familiesdirectly to restructure the family andworking with family success throughpraise & support.• The role of therapist is active, directive& action oriented.
2. FAMILY SYSTEMS2. FAMILY SYSTEMSTHERAPY THEORY BYTHERAPY THEORY BYMURRAY BOWENMURRAY BOWEN• Family systems therapytheory partially stems fromgeneral systems theory.
MAJOR CONCEPTSMAJOR CONCEPTSDifferentiation of selfNuclear family emotional systemsMultigenerational transmission processThe family projection processTrianglesSibling positionsEmotional cut offSocial regression
UsesUsesThe major focus of Bowen’s family systemtherapy is on promoting differentiation of selffrom family and of intellect from emotion.So we can assess the family members gaininsight & understanding into the past and arefreed to choose how they will behave in thepresent.(It needs long & expensive work)
3.FAMILY INTERACTIONAL /3.FAMILY INTERACTIONAL /COMMUNICATION THERAPYCOMMUNICATION THERAPYTHEORIESTHEORIESVirginia Satir (1972) developed familyinteractional / communication therapy theories.Satir identified that the family interactionalhealth depends on its ability to share andunderstand the member’s feelings, needs andbehaviour patterns. Satir found that healthynursing families help their members knowthemselves through communication toeveryday event.
MAJOR CONCEPTSMAJOR CONCEPTS• Self worth• Communication• Rules• Links to society
Self Worth- Integrity-Honest- Responsibility- Compassion-LoveCommunication- Verbal- Body movements- Posture-Tone of voiceRulesResponsibilities- Activity- Special privileges- Facial Expression- Language- Territoriality- AuthorityLink to Society- Schools- Church- Political groups- Recreational group- Recreational clubs- FriendsFamily Interaction
USESUSESThis theory is used to assess the psychosocialconcepts of the normal individual.It is used to solve the problem in the family.It is used for making the decision in the family.E.g.; newly married couple in a family tomake a decision to conceive or not.