Posted: September 6th, 2022

Week 2: Family Assessment and Phases of Family Therapy

Week 2: Family Assessment and Phases of Family Therapy

A household’s patterns of habits influences [sic] the person and due to this fact might must be an element of the therapy plan. In marriage and household remedy, the unit of therapy is not simply the particular person – even when solely a single particular person is interviewed – it’s the set of relationships during which the particular person is imbedded.

—American Affiliation of Marriage and Family Therapy, “About Marriage and Family Therapists”

When points come up inside a household unit, the household typically presents with one member recognized because the “downside.” Nevertheless, you’ll often discover that the difficulty is just not essentially the “downside consumer,” however reasonably dysfunctional household patterns and relationships. To higher perceive such patterns and relationships and develop a household therapy plan, it’s important that the practitioner appropriately assess all members of the family. This requires you to have a powerful basis in household Assessment and remedy.

This week, as you discover household Assessment and remedy, you assess consumer households presenting for psychotherapy.
Studying Assets
Required Readings

American Psychiatric Affiliation. (2013). Diagnostic and statistical handbook of psychological problems (fifth ed.). Washington, DC: Writer.

L’Abate, L. (2015). Highlights from 60 years of follow, analysis, and instructing in household remedy. American Journal of Family Therapy, 43(2), 180-196. doi:10.1080/01926187.2014.1002367

Mojta, C., Falconier, M. Okay., & Huebner, A. J. (2014). Fostering self-awareness in novice therapists utilizing inner household techniques remedy. American Journal of Family Therapy, 42(1), 67–78. doi:10.1080/01926187.2013.772870

Nichols, M., & Davis, S. D. (2020). The necessities of household remedy (seventh ed.). Boston, MA: Pearson.

Chapter 2, “Fundamental Strategies of Family Therapy” (pp. 23-39)
Chapter three, “The Basic Ideas of Family Therapy” (pp. 40-55)

Nichols, M., & Tafuri, S. (2013). Strategies of structural household Assessment: A qualitative Assessment of how specialists promote a systemic perspective. Family Course of, 52(2), 207-215. doi:10.1111/famp.12025

Papero, D. V. (2014). Aiding the two-person system: An strategy based mostly on the Bowen concept. Australian & New Zealand Journal of Family Therapy, 35(four), 386-397. doi:10.1002/anzf.1079

Wheeler, Okay. (Ed.). (2014). Psychotherapy for the superior follow psychiatric nurse: A how-to information for evidence-based follow. New York, NY: Springer.

Chapter 12, “Family Therapy” (pp. 429–468)

Doc: Group Therapy Progress Word

Required Media

Laureate Schooling (Producer). (2013a). Hernandez household> Classes 1—6 [Video file]. Writer: Baltimore, MD.

Word: The approximate size of this media piece is 52 minutes.

Psychotherapy.web (Producer). (2006). Instruments and methods for household remedy. [Video file]. Mill Valley, CA: Writer.

The approximate size of this media piece is 52 minutes.

Task : Hernandez Family Assessment

Assessment is as important to household remedy as it’s to particular person remedy. Though households typically current with one particular person recognized because the “downside,” the Assessment course of will enable you higher perceive household roles and decide whether or not the recognized downside consumer is the truth is the foundation of the household’s points. As you look at the Hernandez Family: Classes 1-6 movies on this week’s Studying Assets, take into account the way you may assess and deal with the consumer household.
Studying Aims
College students will:

Assess consumer households presenting for psychotherapy

To arrange:

Assessment this week’s Studying Assets and replicate on the insights they supply on household Assessment.
View the Hernandez Family: Classes 1-6 movies, and take into account the way you may assess the household within the case examine.

Word: For steering on writing a complete consumer Assessment, check with pages 137–142 of Wheeler (2014) on this week’s Studying Assets.

The Task

Handle in a complete consumer Assessment of the Hernandez household the next:

Demographic info
Presenting downside
Historical past or current sickness
Previous psychiatric historical past
Medical historical past
Substance use historical past
Developmental historical past
Family psychiatric historical past
Psychosocial historical past
Historical past of abuse and/or trauma
Assessment of techniques
Bodily Assessment
Psychological standing examination
Differential prognosis
Case formulation
Therapy plan

Word: Any merchandise you’re unable to deal with from the video ought to be marked “must be added to” as you’d in an precise complete consumer Assessment

By Day 7
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Hernandez Family Assessment

Scholar’s Title
Institutional Affiliation
Course
Professor’s Title
Date

Hernandez Family Assessment
Introduction
The Hernandez household’s household Assessment, each the spouse and the husband, requires a complete analysis of their well being situation. It includes demographic info, presenting challenges, historical past of different diseases, psychiatric historical past, and related medical historical past. The household Assessment additionally evaluates the substance use historical past and developmental historical past. Different elements lined within the Assessment embrace the psychological standing examination, differential prognosis, Assessment of the system and bodily Assessment. In response to the Assessment, the couple might be affected by the post-traumatic dysfunction because of the punishment they acquired at a younger age. A therapy plan can also be half of the Assessment for the situation recognized within the prognosis. The therapy plan will make the most of cognitive habits concept to Help them change their approach of pondering, thus altering their habits. It is usually necessary for them to study higher methods for disciplining their kids. The essay goals at evaluating the Hernandez household and creating a greater understanding of their situation, and making a therapy plan.
Demographic Info
The demographic info of the household reveals it has 4 members of the family. They embrace Juan Hernandez, the husband, 27, Elena Hernandez, the spouse, 25 and their sons Jan Jr. Alberto. The sons are eight and six years, respectively. They reside in Queens, New York. The broad is a child sitter in a close-by house whereas the husband works in an airport within the baggage part. They complain of the price range falls that immediate Juan to work additional time.
Presenting Downside
The presenting downside is that the dad and mom are punishing their kids severely. One of the sons reported the difficulty to a social employee. They punish them by asking them to kneel whereas holding an encyclopedia in each arms. The dad and mom consider it’s the easiest way to self-discipline their kids. The problem appears to originate from the best way they had been raised. Nevertheless, underlying points may be the trigger of the issue.
Historical past or Current Sickness
The household has no historical past of main sickness, each bodily and psychological. The kids have additionally not been admitted to the hospital for any situation. Nevertheless, the one downside is that they’re punishing their kids harshly. In response to the social employee, the strategy of punishing the youngsters is harsh, and thus an Assessment is required.
Previous Psychiatric Historical past
The household has no historical past of psychiatric circumstances. Nevertheless, an extra Assessment is required to find out if underlying psychological points might trigger the punishment in opposition to their kids. For instance, the extreme punishment at a younger age might be a motive to punish their kids. Different stressors, equivalent to monetary constraints, might additionally influence their psychiatric standing, though it has not been recognized. A previous psychiatric examination is unavailable to find out they don’t have any psychological situation.
Medical Historical past
The Hernandez household has no important historical past of sickness or hospital admissions. As an example, they don’t have any cardiovascular, respiratory, accidents, automobile accidents or bruises. Additionally they don’t have any pores and skin situation. A complete report of their situation and that of the prolonged household is just not out there. Subsequently, no info is offered on hereditary circumstances. Hernandez’s household has no historical past of life-style ailments equivalent to diabetes. Nevertheless, additional Assessment could also be required sooner or later to determine their well being standing.
Substance Abuse Historical past
The household has no incidences of drug and substance abuse, together with the sons. Nevertheless, Juan and Elena often take alcohol whereas hanging out with their friends.
Developmental Historical past
The kids and dad and mom have hit their developmental milestones. No abnormalities in development are recorded.
Family Psychiatric Historical past
The household has no psychiatric historical past. Nevertheless, based mostly on their technique of disciplining their kids, there’s a want for additional Assessment. Additionally they strongly defend their type of parenting, which can also be a warning signal of psychiatric circumstances.
Psychosocial Historical past
The household is heterosexual in nature. There isn’t any info out there if the youngsters might be participating or supporting gay relations.
Historical past of Abuse/Trauma
Juan states that his father harshly disciplined him. He states that he would ask him to kneel whereas holding two encyclopedias in each arms. His mom was even worse since she would ask him to get extra books. He believes equally disciplining the youngsters is the appropriate solution to go. The kids have additionally been traumatized or abused by extreme punishment. Nevertheless, the dad and mom don’t recognize that their type of punishment is a type of abuse.
Assessment of Programs (ROS)
Respiratory – The household has no background of chest pains, coughing or wheezing. Additionally they don’t have any paroxysmal nocturnal dyspnea or hemoptysis.
Cardiovascular – All members of the family don’t have any historical past of dyspnea, edema, shortness of breath, palpitations, and discomfort.
Gastrointestinal – No historical past of diarrhea, anorexia, jaundice, vomiting, constipation, heartburn, or nausea.
Genitourinary System – No reported urinary incontinence circumstances, flank ache, dysfunctional urinary bleeding, or urinary circulate modifications.
Central Nervous System – The household has no dizziness, lack of consciousness or paresthesia.
Musculoskeletal System – The household has no again ache, joint swelling, myalgia or arthralgia.
Bodily Assessment
A bodily examination is just not required at this stage because the focus is to judge the affected person’s psychological well being situation on account of their present habits. Nevertheless, the sons haven’t reported any bodily harm in consequence of the punishment.
Psychological Standing Examination
Juan and Elena Hernandez are well-groomed for the event. They’re acutely aware of time and place and cooperative through the interview. Their speech is audible, and their regular rhythm fee reveals no abnormalities. They’re anxious in regards to the outcomes and the necessity to come for varied classes. They attempt to stay calm all through the interview. The couple’s long-term and short-term reminiscence are intact. Their perception and judgment through the dialog present they’re wholesome. Nevertheless, the one warning signal is that their previous habits might be a trigger of underlying issues.
Differential Analysis
1. Put up-traumatic dysfunction
2. Persona problems
three. Psychosocial and environmental circumstances
Case Formulation
Publicity to life stressors is one of the main causes for the post-traumatic dysfunction (Shalev et al., 2017). In response to the American Psychological Affiliation (APA), individuals who expertise trauma or stress for a very long time are prone to depict life-style modifications (Aalbers et al., 2017). As an example, punishing the youngsters severely might be because of the monetary constraints and the punishment from their dad and mom. Juan admits that they discovered the punishment from their dad and mom. Different life stressors, equivalent to making an attempt to make ends meet (Bollens & Fox, 2019). Particularly, they point out they aren’t out there for all of the parenting classes since Juan has to work further hours. Proof from previous literature reveals that dad or mum can vent their anger and frustration on their kids (Manchaiahet al., 2020). The way in which they deal with their kids is an indicator of underlying psychological challenges.
Therapy Plan
A therapy plan will contain group remedy for the couple. They need to attend varied classes to discover their downside and current an answer. As an example, a therapist will use cognitive habits concept to Help change their pondering and emotional patterns (Edmondson & von Känel, 2017). The pondering and feelings will alter habits and modeling higher punishment strategies (Haynes et al., 2016). Group remedy is efficient since each dad and mom help extreme punishment. Additionally they have to agree on the choice measures of punishing their kids with out abusing them. It can additionally promote cohesion and restrict the chance of battle. The therapy plan can also be goal-oriented, making it attainable for the couple to realize the objectives they set along with a therapist (Sege et al., 2018).
Conclusion
Hernandez’s household demonstrates that they’ve an underlying situation on account of their type of disciplining their kids. The excellent household Assessment covers varied areas, together with demographic info, historical past of sickness, present presenting downside, medical historical past and developmental historical past. It additionally examines the historical past of drug and substance abuse, trauma and abuse, bodily Assessment, differential prognosis, case formulation, and therapy plan. The prognosis reveals they might be affected by the post-traumatic dysfunction. Subsequently, they require therapy, together with cognitive habits remedy. The main focus is to mannequin their habits by altering their patterns of pondering and feelings. The couple additionally must embrace the truth that their present punishment mannequin is much like a type of abuse. Subsequently, they should change to make sure they don’t hurt their kids mentally, thus inflicting comparable psychological challenges of their households. They need to try to seek out various strategies of resolving their points on account of life stressors equivalent to monetary challenges.

References
Aalbers, D., & Teo, T. H. O. M. A. S. (2017). The American Psychological Affiliation and the torture complicated: A phenomenology of the banality and workings of forms. Journal für Psychologie, 25(1), 179-204.
Bollens, S. H., & Fox, R. A. (2019). Assessment of trauma signs in toddlers and preschoolers residing in poverty. Baby Maltreatment, 24(three), 275-285.
Edmondson, D., & von Känel, R. (2017). Put up-traumatic stress dysfunction and heart problems. The Lancet Psychiatry, four(four), 320-329.
Haynes, P. L., Kelly, M., Warner, L., Quan, S. F., Krakow, B., & Bootzin, R. R. (2016). Cognitive behavioral social rhythm group remedy for veterans with posttraumatic stress dysfunction, melancholy, and sleep disturbance: outcomes from an open trial. Journal of Affective Issues, 192, 234-243.
Manchaiah, V., Vlaescu, G., Varadaraj, S., Aronson, E. P., Fagelson, M. A., Munoz, M. F., … & Beukes, E. W. (2020). Options, Performance, and Acceptability of Web-Based mostly Cognitive Behavioral Therapy for Tinnitus in america. American Journal of Audiology, 1-15.
Sege, R. D., Siegel, B. S., ABUSE, C. O. C., & Committee On Psychosocial Facets Of Baby And Family Well being. (2018). Efficient self-discipline to lift wholesome kids. Pediatrics, 142(6).
Shalev, A., Liberzon, I., & Marmar, C. (2017). Put up-traumatic stress dysfunction. New England Journal of Drugs, 376(25), 2459-2469.

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