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LGBT Therapy/Intergenerational Family Therapy
- 1. T. B. Maberry Nova Southeastern University
- 2. • Speech-Language Pathology • Psychological Counseling • Governing Bodies • Similarities • Differences
- 3. • L – Lesbian • G – Gay • B – Bisexual • T – Transgendered • Q – Queer • I – Intersex • A – Asexual • A – Ally • What’s With All the Words?
- 5. • Why the specialization? • Issues in the LGBT Community • Who is affected?
- 6. • Why the specialization? • Issues • Who? • Approach • Safe Zone
- 7. • Murray Bowen • Family Systems “Family” of Therapy Approaches
- 8. • 8 Core Concepts • Goals of Approach
- 9. • Implications for Speech-Language Pathology • Populations? • Benefits? • Outcomes?
- 10. • Similarities • Differences • Overlap?
- 11. • Shared Model of Practice • Future of the “Family” • Implications for Speech- Language Pathology
- 12. • A Survey of LGBT Americans. (2013, June 13). Retrieved October 10, 2014, from http://www.pewsocialtrends.org/2013/06/13/a-survey-of-lgbt-americans/ • Atkins, C. P. (2007). Graduate SLP/Aud clinicians on counseling: self-perceptions and awareness of boundaries. Contemporary Issues in Communication Science & Disorders, 34, 4-11. • Brown, J. (2008, September 1). Is Bowen Theory Still Relevant In the Family Therapy Field? A discussion of common challenges and confusion about the usefulness of Murray Bowen’s Family Systems Approach. Retrieved October 13, 2014, from http://www.thefsi.com.au/wp-content/uploads/ 2014/01/Is-Bowen-Theory-still-relevant-in-the-Family-Therapy- field.docx.pdf • Family Beach (n.d.) [Digital Image] Retrieved from http://www.goodtherapy.org/ admin/includes/ckfinder/userfiles/images/family-stands-hand-in-hand-on- sunset-beach.jpg • Green, E., & Peterson, E. (2003, January 1). LGBTQI Terminology. Retrieved October 13, 2014, from http://www.lgbt.ucla.edudocumentsLGBTTerminology.pdf
- 13. • Luterman, D. M. (2008). Counseling persons with communication disorders and their families (5th ed.). Austin, TX: Pro-ed. • Modern Family. (n.d.). [Digital Image] Retrieved from http:// thenypost.files.wordpress.com/2013/08/tvwb_modern_family- 300x300.jpg • Psychiatry, Psychology, Counseling, and Therapy: What to Expect. (n.d.). Retrieved from http://www.webmd.com/mental-health/guide-to- psychiatry-and-counseling?page=2#2 • Simpson Family Fight. (n.d.) [Digital Image] Retrieved from http://i13.tinypic.com/5zeojgi.gif • Two Dads. (n.d.). [Digital Image] Retrieved from http://www.webweaver.nu/clipart/baby-new-parents.shtml • Two Moms. (n.d.) [Digital Image] Retrieved from http://www.webweaver.nu/ clipart/baby-new-parents.shtml • Young and Old. (n.d.). [Digital Image] Retrieved from http:// ryanbelt1115.wordpress.com/
Editor's Notes
- GOOD AFTERNOON EVERYONE – AS I SAID IN MY EMAIL, I HOPE TO MAKE THIS PRESENTATION BOTH INFORMATIVE AS WELL AS ENTERTAINING. I CHOSE THIS TEMPLATE FOR MY PRESENTATION BECAUSE I HOPE THAT IT GETS THE GEARS MOVING IN YOUR MINDS AND ENCOURAGES SOME THINKING IN WAYS THAT YOU DIDN’T ALREADY ENGAGE IN. IF YOU HAVEN’T ALREADY GATHERED BY OUR TIME TOGETHER, I LOVE TO MAKE PEOPLE LAUGH AND HUMOR IS MY DEFAULT SETTING ESPECIALLY WHEN I GET ANXIOUS. SO I AM APOLOGIZING IN ADVANCE IF ANYTHING I PRESENT TO YOU TODAY IS PERCEIVED AS OFFENSIVE. THAT IS DEFINTELY NOT MY INTENT I MERELY WANT TO EXPOSE YOU TO SOME LANGUAGE AND TERMINOLOGY THAT YOU MAY NOT BE FAMILIAR WITH.
- WHAT ARE: SPEECH-LANGUAGE PATHOLOGISTS? WE ARE TEACHERS, MEDICAL PROFESSIONALS, EXPERTS WITHIN A SPECIALTY, AND WE AID IN REHABILITATION. AS MENTIONED IN PREVIOUS PRESENTATIONS, WE ARE QUALIFIED PROFESIONALS IN THE FIELD TO COUNSEL PATIENTS AND THEIR FAMILIES ON MATTERS WITHIN OUR SCOPE OF PRACTICE TO AID IN THE ACCEPTANCE AND TREATMENT OF COMMUNICATION, SWALLOWING, AND ASSOCIATED DISORDERS. WHAT ARE: PSYCHOLOGISTS AND/OR COUNSELORS - I WAS VERY INTERESTED TO LEARN THAT THERE IS A DISTINCTION BETWEEN PSYCHOLOGISTS AND COUNSELORS AS IT PERTAINS TO THE SCOPE OF ISSUES BEING DISCUSSED AND THE DURATION OF TREATMENT. COUNSELING ITSELF, REFERS MORE DIRECTLY TO A SHORT TERM TREATMENT THAT FOCUSES ON A SPECIFIC ISSUE OR ISSUES WHEREAS PSYCHOTHERAPY REFERS TO A LONGER DURATION OF TREATMENT AND THE GOAL IS TO DELVE MORE INTO THE UNDERLYING ISSUES, SO IN ESSENCE YOU ARE NOT TREATING THE PATIENT’S SYMPTOMS YOU ARE FOCUSING MORE ON THE UNDERLYING ETIOLOGY. COUNSELING AS WELL AS PSYCHOTHERAPY MAY BE FACILITATED BY A COUNSELOR, WHO MAY BE A LICENSED MENTAL HEALTH COUNSELOR WITH AT LEAST A MASTERS LEVEL DEGREE IN PSYCHOLOGY, COUNSELING, OR SOME RELATED FIELD THEREIN. COUNSELING AND PSYCHOTHERAPY MAY BE FACILITATED BY A CLINICAL SOCIAL WORKER AND/OR A PSYCHIATRIC MENTAL HEALTH NURSE. INTERESTING POINT: DEPENDING ON THE STATE IN WHICH THE MENTAL HEALTH NURSE AND/OR PSYCHOLOGIST IS PRACTICING IN THEY MAY BE THE TEAM PROFESSIONAL WHO IS PRESCRIBING THE SUGGESTED MEDICATION FOR THE PATIENT OR A PSYCHIATRIST WILL WORK IN CONJUNCTION WITH THEIR TREATMENT IN ORDER TO BEST FIT THE PATIENT NEEDS. THE DEGREE OR SEVERITY OF THE ISSUES BEING ADDRESSED AND AVAILABILITY OF DISCIPLINES WOULD DETERMINE WHICH MENTAL HEALTH PROFESSIONALS WOULD BE MOST BENEFICIAL TO THE PATIENT. GOVERNING BODIES: INITIALLY I THOUGHT WELL THIS IS EASY, YOU HAVE THE AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION OR ASHA AND THEN YOU HAVE THE AMERICAN PSYCHOLOGICAL ASSOCIATION (APA), BUT THEN WHEN YOU FACTOR IN THE DIFFERENT DISCIPLINES THAT ARE ABLE TO CO-TREAT OR OVERLAP THEIR TREATMENTS YOU HAVE TO ADD: THE AMERICAN PSYCHIATRIC ASSOCIATION (APA) AMERICAN COUNSELING ASSOCIATION (ACA), AMERICAN NURSING ASSOCIATION (ANA), AMERICAN PSYCHIATRIC NURSES ASSOCIATION (APNA), NATIONAL ASSOICATION OF SOCIAL WORKERS (NASW) SO OBVIOUSLY WE COULD DISCUSS THE SIGNIFICANCE AND SCOPE OF PRACTICE ALL DAY AND MAKE 50 DIFFERENT COMPARE AND CONTRAST CHARTS FOR THE GOVERNANCE AREAS BUT INSTEAD I’LL KEEP IT TO SLPs AND COUNSELING PROFESSIONALS. BOTH: AID IN THE REHABILITATION PROCESS AND FOCUS ON HELPING A PATIENT AND THEIR FAMILY MEMBERS UNDERSTAND WHAT IS GOING ON AND TRY TO HELP THEM BY PROVIDING CARE GUIDED BY CLINICIAN JUDGMENT AND SOUND EVIDENCED BASED PRACTICE. SIMILARLY TO COUNSELORS, SLPs ARE OFTEN CALLED TO PROVIDE A SHORT TERM TREATMENT THAT FOCUSED ON A SPECIFIC DISORDER OR DELAY. (PLEASE DON’T HATE ME FOR USING THE STEREOTYPICAL FIRST THOUGHT OF EVERYONE WHO THINKS THEY KNOW WHAT SLPs DO) THE BEST EXAMPLE I COULD THINK OF FOR THIS WOULD BE THOSE OF YOU WHO SPECIALIZE IN SCHOOL BASED PEDS THERAPY FOCUSING ON ARTICULATION AND WORKING WITH R REMEDIATION. IF IT’S FOUND THAT THERE IS NO STRUCTURAL OR ANATOMICAL ISSUE WITH THE CHILD AND IT REALLY IS JUST A MATTER OF TEACHING THE WAY THAT THE ARTICULATION RHYTHM WORKS THEN IT’S A “RELATIVELY” SHORTER DURATION OF TREATMENT COMPARED TO IF YOU WERE WORKING WITH A PATIENT WHO HAS SUFFERED A SEVERE CVA, BOTH ARE IMPORTANT TO ADDRESS BUT WILL MOST LIKELY NOT TAKE AS LONG. DIFFERENCES: SLPs FOCUS IS ON THE PHYSICAL WITH HINTS OF PSYCHOLOGICAL PEPPERED IN. WE DO COUNSEL BUT IN AN EFFORT TO MAKE THE PHYSICAL MEDICINE TREATMENT WE PROVIDE BE MORE BENEFICIAL TO THE PATIENT. PSYCHOLOGISTS/COUNSELORS/AND ASSOCIATED MEDICAL PROFESSIONALS FOCUS PREDOMINANTLY ON THE PATIENTS MENTAL HEALTH, THIS MAY INVOLVE THE ADDITION OF MEDICATION AS AN ADJUNCT THERAPY BUT THE MAIN FOCUS IS ON MENTAL HEALTH.
- LESBIAN IS A TERM MOST OFTEN USED BY FEMALE IDENTIFYING INDIVIDUALS ATRRACTED EITHER/OR EMOTIONALLY, ROMANTICALLY OR EROTICALLY TO OTHER FEMALE-INDENTIFIED INDIVIDUALS. LESBIAN IS A EUROCENTRIC CATERGORY THAT IS NOT NECESSARILY USED TO REPRESENT OTHER NON-EUROPEAN ETHNIC GROUPS SUCH AS AFRICAN-AMERICANS, ASIAN-AMERICANS, ETC HOWEVER MANY GROUPS DO EMBRACE THE COLLOQUALISIM. GAY IS A TERM OFTEN USED TO DESCRIBE ANYONE WITHIN THE LGBT COMMUNITY WHO DOES NOT IDENTIFY AS HETEROSEXUAL. IT IS GENERALLY USED TO DESCRIBE ANY SELF-IDENTIFIED MALE WHO ENGAGES IN EMOTIONAL, ROMANTIC OR EROTIC ACTIVITY WITH ANOTHER SELF-IDENTIFIED MALE HOWEVER MANY MEN WHO ENGAGE IN THESE ACTIVITIES DO NOT CONSIDER THEMSELVES GAY OR HOMOSEXUAL AND THEREFORE THE WORD SHOULD BE USED CAUTIOUSLY. BISEXUAL – AN INDIVIDUAL WHO IS ATTRACTED EITHER/OR EMOTIONALLY, ROMANTICALLY, OR EROTICALLY TO BOTH FEMALE AND MALE IDENTIFIED INDIVIDUALS. THIS DIVISION DOES NOT HAVE TO BE EQUAL AND THERE MAY BE A PREFERENCE OF THE INDIVIDUAL TO WHAT CHARACTERISTICS OR TRAITS THEY ARE ATTRACTED TO WITHIN THEIR GIVEN PARTNER AND/OR PARTNERS IDENTIFIED GENDER. TRANSGENDERED - A PERSON WHO IS TRANS, EMBRACES A GENDER THAT IS DIFFERENT THAT THEIR ANATOMICALLY DERVICED SEX. IT IS IMPORTANT TO REMEMBER THAT SEXUAL ORIENTATION VARIES AND IS NOT SOLEY DEPENDENT ON GENDER IDENTITY. QUEER IS AN UMBRELLA TERM THAT ENCOMPASSES A MYRIAD OF PREFERENCES, ORITENTATIONS, AND HABITS THAT ARE NOT EXCLUSIVELY A PART OF THE HETEROSEXUAL AND/OR MONOGAMOUS MAJORITY. INTERSEX IS A TERM USED TO DESCRIBE AN INDIVIDUAL WHO IDENTIFIES AS HAVING TRAITS OR CHARACTERISTICS OF BOTH TRADITIONAL GENDERS ASEXUAL IS GIVEN TO INDIVIDUALS WHO ARE NOT ATTRACTED TO ANYONE OR THEY DO NOT IDENTIFIY WITH A SPECIFIC ORIENTATION ALLY IS THE NAME GIVEN TO AN INDIVIDUAL WHO OPPOSES THE STATUS QUO OF THE HETERO-MINDED SOCIETY AND THEIR OWN NOTIONS OF TRADITIONAL THINKINGS AND ACCEPTS THAT IT IS A MATTER OF SOCIAL JUSTICE THAT ALL VOICES BE HEARD AND GIVEN EQUAL RIGHTS. QUEER, INTERSEX, ASEXUAL, AND ALLY ARE TERMS WHICH ARE ASSOCIATED WITH THE LGBT MONIKER BUT NOT ALWAYS AT THE FOREFRONT OF PEOPLE’S MINDS. ALRIGHT SO WHAT’S WITH ALL THE WORDS? WHY IS THIS ANYWHERE NEAR RELEVANT TO THE TOPIC OF LGBT THERAPY? IN A NUTSHELL, OUR GENDER SYSTEM AS IT PRESENTLY STANDS, IS ANTIQUATED AND EXCLUSIVE OF A MULTITUDE OF PEOPLE. SINCE PEOPLE HAVE A NEED TO VALIDATED AND RECOGNIZED, WE (MEANING THE LGBT COMMUNITY) HAVE RESORTED TO ALL OF THESE TERMS AND DEFINITIONS.
- ACCORDING TO THE PEW RESEARCH CENTER RESPONDENTS TO THE LGBT SURVEY ON ATTITUDES, EXPERIENCES, AND VALUES: 4/10 INDIVIDUALS IDENTIFY THEMSELVES AS BISEXUAL. GAY MEN ARE 36% OF THE SAMPLE, FOLLOWED BY LESBIANS AT 19%, AND TRANSGENDERED ADULTS AT 5%. WHILE THESE SHARES ARE CONSISTENT WITH FINDINGS FROM OTHER SURVEYS OF THE LGBT POPULATION IT IS IMPORTANT TO CONSIDER THE CHALLENGES OF ESTIMATING THE SIZE AND COMPOSITION OF SELF-IDENTIFICATION OR WHETHER TO INCLUDE THE MEASURES OF SEXUAL ATTRACTION AND SEXUAL BEHAVIOR. WITH ALL SURVEY RESEARCH PARTICIPATION MATTERS AS WELL AND MANY INDIVIDUALS MAY FEAR JUST GIVING OUT THEIR SEXUAL IDENTITY.
- SO WHAT I’VE PRESENTED TO YOU THUS FAR, SHOWS THE COMPLEX NATURE OF THE LGBT COMMUNITY AND A VERY BRIEF SUMMARY OF THE BREAKDOWN OF INDIVIDUALS (WHO CHOSE TO VOLUNTEER THE INFORMATION) IN AMERICA WHO IDENTIFY AS NON-HETEROSEXUAL. ON IT’S FACE, SUPERFICIALLY THE ISSUES REGARDING SEXUALITY, ROMANCE OR GENDER IDENTIFICATION MAY NOT BE IMMEDIATELY CONSIDERED TO BE A SOURCE OF ANXIETY OR CONCERN. I MEAN WHY WOULD THEY BE, ALL THAT “STUFF” IS CONSIDERED PRIVATE AND IS NO ONE’S BUSINESS BUT BUT THE INDVIDUAL’S OWN. AND SOMETIMES, MORE OFTEN THAN NOT, WE AS HUMANS, ARE OUR OWN WORST ENEMIES. DESPITE WHETHER OR NOT PEOPLE SAY THINGS DIRECTLY TO YOU, SOCIETAL PERCEPTIONS, MAJORITY VIEWPOINTS, AND OPINIONS OFTEN DICTATE HOW WE FEEL ABOUT OURSELVES.
- I THINK IT’S IMPORTANT TO HIGHLIGHT THAT WITHIN THE EARLIER VERSIONS OF THE DSM OR DIAGNOSTIC AND STATISTICAL MANUAL, HOMOSEXUALITY WAS CONSIDERED TO BE A MENTAL ILLNESS AND UNFORTUNATELY SOME OF THE OLD SCHOOL PROFESSIONALS HAVE THAT SAME THINKING AND DO NOT ADAPT THEIR LANGUAGE TO THE ACCEPTED VERNACULAR OF TERMINOLOGIES USED WITHIN THE LGBT COMMUNITY. EVEN THOUGH THERE IS AN INCREASE IN THE ACCEPTANCE OF THE LGBT COMMUNITY AS A WHOLE, THERE IS STILL A PERCEPTUAL AND TANGIBLE, STATISTICAL PREVALENCE BASED ON THE CURRENT DISCRIMINATION AS IT EXISTS TODAY. JUST SOME OF THE ISSUES THAT FACE THE LGBT COMMUNITY INCLUDE: -OPPRESSION -DISCRIMINATION -MARGINALIZATION -DEPRESSION -STRESS AND ANXIETY -SUBSTANCE ABUSE -SUICIDE OR SELF HARM -BULLYING AND SOCIAL REJECTION WHAT IS THE APPROACH TAKEN WHEN WORKING WITH LGBT INDIVIDUALS? AS WITH ANY THERAPY, THE CLINICIAN PROVIDING TREATMENT MUST FIRST HAVE AN UNDERSTANDING OF WHAT ISSUES OR ETIOLOGIES THEY’RE WORKING WITH AND WHAT FRAME OF MIND THEIR PATIENT IS IN. WHILE ANY NUMBER OF THERAPISTS, COUNSELORS, OR CERTIFIED MEDICAL PROFESSIONALS ARE QUALIFIED TO TREAT INDIVIDUALS WITHIN THE LGBT COMMUNITY, MANY PEOPLE REGARDLESS OF THEIR ORIENTATION, GENDER, IDENTIFICATION, ARE MORE COMFORTABLE WITH A THERAPIST WHO SPECIALIZES IN OR HAS MORE EXPERIENCE DEALING WITH LGBT ISSUES AND MORE SPECIFICALLY, THE ISSUE OR ISSUES IN QUESTION FOR THIS PATIENT. JUST TO ELABORATE ON ONE OF THE ABOVE IDENTIFIED LGBT ISSUES THAT A THERAPIST MAY ENCOUNTER: - ANXIETY AND CONFUSION OVER SEXUAL ORIENTATION EVEN AFTER COMING OUT, AN INDIVIDUAL WILL CONTINUE TO GROW AND DISCOVER NEW THINGS ABOUT THEMSELVES. DESPITE THEIR THOUGHTS AND FEELINGS REGARDING THEIR SEXUALITY OR GENDER IDENTITY, MANY INDIVIDUALS ARE STILL SUBJECT TO SOCIETAL VIEWS, PERCEPTIONS, AND PRECONCEIVED NOTIONS ABOUT FOR EXAMPLE “FAMILY”. A WOMAN WHO HAS SELF-IDENTIFIED AS LESBIAN IS IN A LOVING AND COMMITTED RELATIONSHIP WITH HER FEMALE PARTNER. HOWEVER, AS THE THOUGHT OF STARTING A FAMILY ONE DAY COMES INTO PLAY, SHE CONSIDERS WHETHER OR NOT SHE SHOULD PURSUE SOME FORM OF A RELATIONSHIP WITH A MALE IN ORDER TO START A FAMILY. SINCE WE ARE NOT DIRECTLY INVOLVED WITHIN THIS SITUATION, IT IS VERY EASY FOR US TO COME UP WITH OUR OWN IDEAS AND SUGGESTIONS FOR WHAT SHE CAN DO, FOR EXAMPLE “INVITRO FERTILIZATION, SPERM DONOR, ETC.” THEREIN LIES THE NECESSITY OF TRAINED PROFESSIONALS BECAUSE THIS ISN’T NECESSARILY ONE WOULD THINK OF IN THE “HEAT OF THE MOMENT” BECAUSE IT IS A VERY EMOTIONALLY CHARGED SITUATION AND IT’S NOT ONE PERSON MAKING THE DECISION BUT A COUPLE. MANY OF YOU MAY HAVE HEARD THE TERM “SAFE ZONE” BUT FOR THOSE OF YOU WHO HAVE NOT: SAFE ZONE IS A TRAINING DESIGNED TO EDUCATE PEOPLE WHO WISH TO BECOME CERTIFIED, FOR LACK OF A BETTER WORD, IN UNDERSTANDING IN THE ISSUES FACED BY THE LGBT COMMUNITY OR OTHER MARGINALIZED PERSONS SO THAT THEY ARE ABLE TO FACILITATE A DESIGNATED AREA OR “SAFE SPACE” WHERE THESE INDIVIDUALS CAN RELAX AND DISCUSS THEIR CONCERNS OR ISSUES IN A “SAFE SPACE”
- FAMILY THERAPY LOOKS AT THE FAMILY IN TERMS OF AN “EMOTIONAL UNIT” BASICALLY, THE TOTAL IS A SUM OF ITS PARTS. AN INDIVIDUAL IS AN INDIVIDUAL BUT THEY ARE A PART OF A FAMILIAL UNIT AND THERE THOUGHTS, FEELINGS, AND IDEAS ARE SHAPED BY THE THOUGHTS, FEELINGS, AND IDEAS OF THE WHOLE AND HOW THEY ARE EXPRESSED. MURRAY BOWEN IS THE PRIMARY PSYCHOANALYST CREDITED WITH DEVELOPMENT OF THE FAMILY SYSTEMS MODEL OF THERAPY HE WANTED TO CREATED A MORE SCIENTIFIC AND OBJECTIVE TREATMENT PROCESS PUT LESS DEPENDENCY ON THE CONVENTIONAL DIAGNOSTIC FRAMEWORKS AND PATHOLOGICAL LANGUAGE SO BASICALLY HE WANTED THE THERAPISTS TO THROW OUT WHAT THEY THOUGHT THEY KNEW ABOUT THE DISEASE OR DISORDER AND TREAT THAT SITUATION FOR THAT PATIENT AS IT RELATED TO THEIR FAMILIAL UNIT BOWEN BELIEVED THAT THE CHALLENGES THAT THERAPISTS EXPERIENCED WITHIN THEIR OWN FAMILIAL UNIT COULD BE OF BENEFIT TO THE TREATMENT IN ORDER TO BETTER UNDERSTAND THEIR PATIENTS AND WOULD AID IN NORMALIZING THE PATIENT BEHAVIOR FAMILY OF FAMILY SYSTEMS OF THERAPY APPROACHES STRUCTURAL FAMILY THERAPY THIS LOOKS AT FAMILIAL RELATIONSHIPS, BEHAVIORS, AND PATTERNS AS DEMONSTRATED WITHIN THE SPECIFIC THERAPY SESSIONS IN ORDER TO EVALUATE FAMILIAL STRUCTURE. THIS ALSO ENCOURAGES EVALUATION OF THE FAMILIAL SUBSYSTEMS, SO HOW ARE MOM AND DAD INTERACTING WITH ONE ANOTHER, OR HOW THE SIBLINGS COMMUNICATE WITH EACHOTHER IN FRONT OF DIFFERENT MEMBERS OF THE FAMILY. STRATEGIC FAMILY THERAPY THIS STUDIES THE FUNCTIONS AND PROCESSES OF THE FAMILY LIKE FAMILIAL COMMMUNICATION OR FAMILY PROBLEM SOLVING PATTERNS, BUT THIS LOOKS AT THESE THINGS OUTSIDE OF THE THERAPY SESSIONS. SOME OF THE TX TECHNIQUES LOOK AT REDEFINING A PROBLEM WITHIN A GIVEN SCENARIO USING AN INTERVENTION THAT MIGHT ACTUALLY CONTRADICT THE FAMILIES THERAPY GOALS IN ORDER TO STILL GET THE DESIRED OUTCOME. INTERGENERATIONAL FAMILY THERAPY THIS MODEL OF THERAPY MORE OR LESS BROADENS THE THERAPEUTIC LINE OF VISION TO INCLUDE THE INFLUENCES THAT THE MULTIPLE GENERATIONS HAVE ON ONE ANOTHER. FOR EXAMPLE, ANXIETY MAY BE INNATE OR LEARNED BUT INFLUENCED BY A PREVIOUS GENERATION AND HOW THEY DEAL WITH IT. FOR EXAMPLE, I HAVE BEEN FORMALLY DIAGNOSED WITH SOCIAL ANXIETY DISORDER AND I TAKE MEDICATION AND HAVE ATTENDED COUNSELING SESSIONS TO DEAL WITH THIS, LOOKING AT MY FAMILY AS A WHOLE, I SEE THE SAME BEHAVIORS FROM MY MOTHER AND HER FATHER, THAT I HAVE DEMONSTRATED D/T MY ANXIETY. SO A INTERGENERATIONAL SPECIALIST MIGHT DISCUSS WITH MY GRANDFATHER WHAT EVENTS HAVE SHAPED HIS THOUGHTS AND FEELINGS CAUSING HIM TO REACT THE WAY HE DOES WHEN HE IS PRESENTED WITH ANXIETY PROVOKING SITUATIONS AND THEN VERBALIZING HOW IT SPECIFICALLY MAKES HIM FEEL. DOING THIS HELPS TO MANAGE THE ANXIETY AND WHAT I TOOK FROM IT IS THAT IT CREATES KIND OF A POSITIVE TRICKLE DOWN EFFECT THROUGHOUT THE GENERATIONS OF THE FAMILY.
- DIFFERENTIATION OF SELF TRIANGLES NUCLEAR FAMILY EMOTIONAL SYSTEM FAMILY PROJECTION PROCESS MULTIGENERATIONAL TRANSMISSION PROCESS EMOTIONAL CUT-OFF SIBLING POSITION SOCIETAL EMOTIONAL PROGRESS INTERGENERATIONAL FAMILY THERAPY THIS MODEL OF THERAPY MORE OR LESS BROADENS THE THERAPEUTIC LINE OF VISION TO INCLUDE THE INFLUENCES THAT THE MULTIPLE GENERATIONS HAVE ON ONE ANOTHER. FOR EXAMPLE, ANXIETY MAY BE INNATE OR LEARNED BUT INFLUENCED BY A PREVIOUS GENERATION AND HOW THEY DEAL WITH IT. FOR EXAMPLE, I HAVE BEEN FORMALLY DIAGNOSED WITH SOCIAL ANXIETY DISORDER AND I TAKE MEDICATION AND HAVE ATTENDED COUNSELING SESSIONS TO DEAL WITH THIS, LOOKING AT MY FAMILY AS A WHOLE, I SEE THE SAME BEHAVIORS FROM MY MOTHER AND HER FATHER, THAT I HAVE DEMONSTRATED D/T MY ANXIETY. SO A INTERGENERATIONAL SPECIALIST MIGHT DISCUSS WITH MY GRANDFATHER WHAT EVENTS HAVE SHAPED HIS THOUGHTS AND FEELINGS CAUSING HIM TO REACT THE WAY HE DOES WHEN HE IS PRESENTED WITH ANXIETY PROVOKING SITUATIONS AND THEN VERBALIZING HOW IT SPECIFICALLY MAKES HIM FEEL. DOING THIS HELPS TO MANAGE THE ANXIETY AND WHAT I TOOK FROM IT IS THAT IT CREATES KIND OF A POSITIVE TRICKLE DOWN EFFECT THROUGHOUT THE GENERATIONS OF THE FAMILY.
- SO WHAT ARE THE IMPLICATIONS FOR US AS SLPs? IN MY EXPERIENCE, OVERALL, WHEN I AM ABLE TO INCORPORATE FAMILIES INTO TREATMENT SESSIONS THEY ARE ABLE TO ASSIST WITH CARRYOVER INTO THE PATIENT’S OUTSIDE LIFE. I FEEL THAT THIS TYPE OF TREATMENT IS APPLICABLE TO ANY SETTING THAT THE FAMILY IS A PART OF THE PATIENT’S LIFE, BECAUSE WE ALL KNOW THAT SOME PATIENT D/T THEIR OWN CIRCUMSTANCES DO NOT HAVE FAMILY IN THEIR LIVES. BUT IN THE CASE WHERE FAMILY IS PRESENT, EVEN IF IT IS NOT AN ISSUE THAT THE PATIENT’S FAMILY HAS EXPERIENCED FOR EXAMPLE THE PATIENT WHO IS YOUNGER HAS HAD A CVA. THEIR FATHER OR MOTHER MAY HAVE NEVER HAD A CVA BUT WE CAN DISCUSS WITH THEM THEIR THOUGHTS AND FEELINGS REGARDING THE PATIENT’S DX AND HELP THEM GAIN A BETTER UNDERSTANDING OF WHAT IS GOING ON. I FEEL THAT INCORPORATING THE INTERGENERATIONAL APPROACH WILL IMPROVE THERAPY OUTCOMES BECAUSE OF THE ADDITIONAL SUPPORT OF THE FAMILY IN TREATMENT, INCREASED FAMILIAL INVOLVEMENT AND ASSISTANCE IN GENERALIZING WHAT HAS BEEN LEARNED INSIDE THE TREATMENT SESSIONS.
- SOME OF THE SIMILARITIES WITH THESE APPROACHES ARE THAT THEY ARE BOTH TOOLS FOR INCREASING THE PATIENTS MENTAL HEALTH AND WELL BEING. THERE MAY BE SPECIFIC ISSUES THAT NOT ALL THERAPISTS ARE FAMILIAR WITH OR PREPARED TO HANDLE WITHIN THESE POPULATIONS DIFFERENCES ARE THAT WHILE LGBT THERAPY MAY SOMETIMES INCLUDE INCLUDING THE PATIENT’S FAMILY, IT IS MORE LIKELY TO BE A 1:1 DIALOGUE BETWEEN THE THERAPIST AND THE PATIENT BECAUSE ASIDE FROM THIS BEING A PATIENT CENTRIC APPROACH, NOT ALL FAMILY MEMBERS ARE ALWAYS ACCEPTING OR WANT TO BE A PART OF THE THERAPEUTIC PROCESS. FAMILY THERAPY IS VERY MUCH A GROUP EFFORT FOR REHABILITATION.
- MITCHELL AND CAM FROM MODERN FAMILY, LOVE THAT SHOW. I THINK THAT THESE TWO MODELS OF TREATMENT SHOULD BE AND MOST LIKELY WILL BE COMBINED D/T THE GROWING NUMBER OF PEOPLE WHO ARE COMING OUT AS LGBT AND EITHER ARE A PART OF A FAMILIAL UNIT AS A CHILD OR ARE A PARENT OR AWESOMELY ARE LGBT GRANDPARENTS AND HAVE FAMILIES THAT THEY STARTED AND NOW MAY OR MAY NOT HAVE GRANDCHILDREN DEALING WITH SOME OF THE SAME ISSUES THAT THEY HAD DEALT WITH. OBVIOUSLY IF WE ARE IN THE FIELD OF COMMUNICATION AND HELPING PEOPLE, WE ARE GOING TO COME ACROSS DIFFERENT GROUPS OF INDIVIDUALS AND FAMILIES. IT IS A DISSERVICE TO OUR CLIENTS AS WELL AS OURSELVES TO NOT BE PREPARED AND OPEN-MINDED TO THESE INDIVIDUALS AND THEIR NEEDS. THANK YOU FOR LISTENING!