Create a brochure outlining specific systems-based interventions available for trauma survivors

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Family Therapy Course

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Create a brochure outlining specific systems-based interventions available for trauma survivors. An example of a theory is the Structural Family Systems Theory shown below. The brochure should be designed to educate healthcare professionals (LCSW, physicians, psychiatrists) in the community about your services as Marriage and Family Therapists. Make sure to address the following topics in your brochure:

· How is it useful to approach work with trauma survivors from a systems-based perspective?

· How, as an MFT, you are planning to assist different health care and mental health professionals while working with families, or individuals?

· What unique considerations will you make when treating children that have been the victims of trauma?

· How, as an MFT, will you be able to help couples through a crisis?

Length: 2 page brochure

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


– Attention paid to cultural considerations and family


– 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


– 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


Late Stage Goals:

– Consolidate Gains

Late Stage Interventions:

– Highlight therapeutic progress

– Mark structural alterations

– Emphasize strengths

– Discontinue sessions digressively


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