1. Structural family therapy focuses on transactional patterns, adaptation, subsystems and boundaries within families. The goal is to change problematic family structures through in-session manipulation of family interactions. 2. Family systems therapy emphasizes differentiation of self, multigenerational processes, triangles and emotional cutoff. The long-term focus is on gaining insight into past influences and freely choosing present behaviors. 3. Family interactional therapy examines self-worth, communication, rules and societal links. The assessment and problem-solving aim to improve family members' ability to understand each other's feelings and needs through open communication.

2. FAMILY THERAPY THEORIESFAMILY THERAPY THEORIES
USED IN FAMILY HEALTHUSED IN FAMILY HEALTH
CARECARE
BY
ARUN.M

3. INTRODUCTIONINTRODUCTION
Family therapy theories, in contrast to
family social science theories, are
practice theories. They have been
developed to work with troubled families
and therefore, are pathology oriented for
the most part.

4. CLASSIFICATIONCLASSIFICATION
Experiential
Psychoanalytic
Communication
Strategic
Behavioural
Cognitive
Structural
Narrative
Solution – focused

5. MOST PROMINENT FAMILYMOST PROMINENT FAMILY
THERAPY THEORIESTHERAPY THEORIES
• Structural family therapy theories
• Family systems therapy theory
• Family interactional / communication
theory

6. 1 . STRUCTURAL FAMILY1 . STRUCTURAL FAMILY
THERAPY THEORYTHERAPY THEORY
Minuchin & associates developed
systems oriented approach to family
therapy mostly describing the problems
& identifying the solutions.
Minuchin (1974) conceptualized the
family as an open sociocultural system
that is continually faced with demands
for change from within and outside the
family.

7. MAJOR CONCEPTSMAJOR CONCEPTS
Transactional patterns
 Adaptation
Subsystems
Boundaries

8.  Transactional patterns- Repeated
patterns of transactions that become laws
that govern the interactions & conduct of
various family members.
 Adaptation - Availability of alternative
transactional pattern, as well as the family’s
ability to mobilize these alternative
transactional patterns to meet external &
internal demands for change.

9. Subsystems- Are the ways in which the family
system differentiates & carries out its affective &
socialization functions.
These subsystems in families are usually
individual or relation / relational subsystems such
as the marital, parent - child and sibling subsystem
in the two - parent nuclear family.
 Boundaries- Ensure differentiation of the
family subsystems. The clarity of these boundaries
provided a barometer of how well the family
functions

11. USESUSES
• The goal of family therapy is to facilitate a
transformation in family structure.
• So that can be used in attempts to change
family patterns through in session
manipulation of family interaction.
• This therapy is present – centered, action -
oriented & problem focused.

12. • This therapy theory is used to assess,
plan, implement & evaluate the care of
the family.
• Intervention includes joint with families
directly to restructure the family and
working with family success through
praise & support.
• The role of therapist is active, directive
& action oriented.

13. 2. FAMILY SYSTEMS2. FAMILY SYSTEMS
THERAPY THEORY BYTHERAPY THEORY BY
MURRAY BOWENMURRAY BOWEN
• Family systems therapy
theory partially stems from
general systems theory.

14. MAJOR CONCEPTSMAJOR CONCEPTS
Differentiation of self
Nuclear family emotional systems
Multigenerational transmission process
The family projection process
Triangles
Sibling positions
Emotional cut off
Social regression

15. Differentiation of Self
Togetherness Individuality
Nuclear Family
Multigenerational transmission process
Family projection
process
Triangles
Sibling
Position
Emotional cut off
Social Regression

16. UsesUses
The major focus of Bowen’s family system
therapy is on promoting differentiation of self
from family and of intellect from emotion.
So we can assess the family members gain
insight & understanding into the past and are
freed to choose how they will behave in the
present.
(It needs long & expensive work)

17. 3.FAMILY INTERACTIONAL /3.FAMILY INTERACTIONAL /
COMMUNICATION THERAPYCOMMUNICATION THERAPY
THEORIESTHEORIES
Virginia Satir (1972) developed family
interactional / communication therapy theories.
Satir identified that the family interactional
health depends on its ability to share and
understand the member’s feelings, needs and
behaviour patterns. Satir found that healthy
nursing families help their members know
themselves through communication to
everyday event.

18. MAJOR CONCEPTSMAJOR CONCEPTS
• Self worth
• Communication
• Rules
• Links to society

19. Self Worth
- Integrity
-Honest
- Responsibility
- Compassion
-Love
Communication
- Verbal
- Body movements
- Posture
-Tone of voice
Rules
Responsibilities
- Activity
- Special privileges
- Facial Expression
- Language
- Territoriality
- Authority
Link to Society
- Schools
- Church
- Political groups
- Recreational group
- Recreational clubs
- Friends
Family Interaction

20. USESUSES
This theory is used to assess the psychosocial
concepts 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 to
make a decision to conceive or not.