Systems (Minuchin)
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Family Therapy Course
Please put the question or section name above each paragraph
Using Structural Family Systems (Minuchin) theory as a foundation for paper, and based on the readings, prepare a case study in which a family is facing a crisis (possible pornographic addiction & sexual addiction). Present the case study considering the potential impact of individual, family, organization, and societal elements. Outline what major interventions might be utilized and an appropriate treatment plan based on the case presented highlighted below).
Please include:
Structural Family Systems (Minuchin) theory implications of the situation.
Structural Family Systems (Minuchin) to address the presented issue
Goals for therapy (below).
Synopsis of the overall treatment plan.
Detailed discussion of the treatment plan.
Termination process (below).
Conclusion / personal reflection of the case.
Case study: The Morales family, consisting of Theo and Marie, are a newly married couple. They dated for 2 years before they married and have been married for 8 months and have no children. Marie stated that during their courtship that she was more adventurous and since becoming comfortable with Theo, she is no longer adventurous. While cleaning their shared apartment, Marie found a few pornographic DVDs under Theo’s side of the bed and now worries that there is pornography on his laptop and that he may be communicating with other women over the internet. She suspects that he may have a pornographic addiction that she never knew about. Theo explains that he has asked his wife to be more adventurous but he gets turned down by her more often than from when they were dating. Theo explains that he is not conversing with other women but just wants to feel wanted.
Length: 5 pages, with a minimum of five resources.
Needed Theory:
Structural Family Systems (Minuchin):
General Concepts:
– Symptoms are the result of dysfunctional role assignments
and overly rigid or overly diffuse boundaries
– The focus is change in the family structure, not the
presenting problem
– Dysfunctional families lack alternatives resulting from
inflexible family structure
– Action-oriented, not insight-oriented
– Healthy subsystems are free of interference from other
subsystems
– Attention paid to cultural considerations and family
metaphors
– Focuses on family life cycle adjustments
Role of the Therapist:
– Stage director; observer; educator
– Active in making interventions to uncover & modify
underlying structure of family
Timeframe: Here and now
Duration: Short term
Unit of Treatment: Whole Family
How Change Occurs:
– Through Restructuring and Realigning the Hierarchy
Termination Criteria:
– Presenting problem is resolved
– Family system restructured to allow problem-solving
– Family has skills to resolve future conflicts
Early Stage Goals:
– Form therapeutic subsystem (Joining)
– Assess boundaries, alliances, coalitions
– Symptom reduction
– Relabel the presenting problem and reframe the family’s
view of it
– Remove the IP label
– Set goals
Early Stage Interventions:
– Joining, accommodating, mimesis
– Confirmation and empathy
– Reframe Problem as family problem
– Enactments: e.g. draw picture of family – shows power
distribution
– Tracking
– Family Mapping: look for alliances and splits
Middle Stage Goals:
– Change underlying family structure and patterns that
maintain symptoms
– Strengthen boundaries between subsystems
– Restructure: boundaries, hierarchy, alignments
– Create a cohesive executive subsystem
– Educate about development issues
Middle Stage Interventions:
– Re-enactment
– Manipulate intensity – e.g. repetition of themes, blocking
or encouraging interactions, modulating voice
– Boundary making – e.g. changing the placement of people
in the room
– Paradoxical interventions – if clients aren’t compliant – do
more of what doesn’t
– Unbalance the system – e.g. support “one down” person
– Teach conflict resolution skills (communication skills,
parenting skills)
– Psychoeducation – regarding family patterns and
developmental issues
– Shaping competence – by highlighting strengths and
progress
Late Stage Goals:
– Consolidate Gains
Late Stage Interventions:
– Highlight therapeutic progress
– Mark structural alterations
– Emphasize strengths
– Discontinue sessions digressively
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