A Case Study of Solution-Focused Brief Family Therapy

Abstract

Solution-focused brief therapy (SFBT) was developed as a form of family therapy. Recently, these features have blurred. This case study explores how Insoo Kim Berg interacts with multiple family members in SFBT. The results indicate that she used a circular procedure to ensure that all the family members were involved in the process. The analysis demonstrates the importance of purposeful use of language and the influence of systems theory in SFBT. SFBT provides a useful framework that enables a family therapist to work together with families to help them make the changes they want with their own strengths and resources.     

The Use of Strategic Family Therapy in the School Setting: A Case Study

The authors describe a school counselor's shift from a traditional, individualized counseling approach to the use of strategic family therapy as a way of helping a young man succeed in school and leave home.     

Using Symbolic-Experiential Family Therapy to Treat Adjustment Disorder: A Case Study

Despite studies claiming Adjustment Disorders (AD) affect up to 10% of the general population, research is severely lacking for effective treatment recommendations and screening tools. This article presents the treatment of a 30-year old Caucasian male diagnosed with AD - mixed anxiety and depression subtype. After 12 standard 60-minute sessions, treatment using a Symbolic-Experiential Family Therapy (SEFT) approach resulted in the alleviation of depression and anxiety symptoms. This case study provides preliminary evidence for the effectiveness of SEFT using a mixed methods case study. Implications for further study, and the usefulness of SEFT for the treatment of AD, is presented.     

Family Therapy in Iran: A Case Study of Obsessive‐Compulsive Disorder

Iranian clinical psychologists have devised family therapy methods that use cognitive behavior models that fit with their collectivist Islamic culture. The authors review Islamic‐based strategies and describe family therapy with a culturally specific case of childhood obsessive‐compulsive disorder. Family therapy, adapted to integrated, religious‐based cognitive behavior therapy seems appropriate for clients who are served in Iran. Los psicólogos clínicos iraníes han ideado métodos de terapia de familia que emplean modelos cognitivo‐conductuales que se ajustan a su cultura colectivista islámica. Los autores examinan estrategias basadas en el Islam y describen la terapia de familia con un caso culturalmente específico de trastorno obsesivo compulsivo en la niñez. La terapia de familia, adaptada a una terapia integrada cognitivo‐conductual basada en la religión, parece apropiada para clientes tratados en Irán.     

Integrating Narrative Family Therapy in an Outdoor Behavioral Healthcare Program: A Case Study

Adolescent mental health is a significant societal concern in the United States. Diagnosable mental health disorders have been reported at rates of 10–20 % among children and adolescents and this does not include adolescents experiencing personal and interpersonal distress not meeting diagnostic criteria. Adolescents who do not respond to traditional mental health services are often placed in residential treatment centers or other out-of-home treatment programs. Outdoor Behavioral Healthcare (OBH) is growing as a viable treatment option for adolescents who struggle with emotional, behavioral or substance related problems; however, questions have been raised about how to integrate the family into an OBH treatment setting. This article describes a case study illustrating how techniques from Narrative Family Therapy can be used to accomplish this integration, and offers a view of using Narrative Family Therapy to further involve families in the treatment and post-treatment process in an OBH program.     

Application of The Assimilation Model in The Context of Family Therapy: A Case Study

In this case study the aim was to apply the APES (Assimilation of Problematic Experiences Scale) model to the analysis of the family therapeutic treatment process. This was done as a qualitative methodological triangulation in a case of the family of a 10-year old psychotic boy. The study suggests that assimilation model is suitable for many kinds of data in analyzing family therapeutic treatment processes, makes the change more comprehensible, and yields information about the effectiveness of experiential family therapy techniques.     

Case Report: Smuggling Family Therapy Through

Therapists with a family systems orientation are, on occasion, called upon to work in settings where political constraint, cultural patterns or the unchangeable expectations of the clinical population make it impossible to identify the treatment as being directed at the family. Under these circumstances, family therapy concepts and techniques may be employed by smuggling them in under another label. This article describes a setting in which such a strategy was necessary.     

Live Supervision in Family Therapy and Social Facilitation Effects: A Case Study with Physiological Measures

In this case study a family therapy trainee is treating a family during a live supervision session while wearing a blood-pressure monitor. The data are used to illustrate the paradox inherent in live supervision from a social facilitation theory standpoint: While the peer group is considered essential to the process of supervision by some models, the presence of observers and coactors is hypothesized to give rise to negative social facilitation effects which may inhibit the acquisition of complex skills and prolong the training phase of the professionalization process.     

Families Leaving Family Therapy After One or Two Sessions: A Multiple Descriptive Case Study

A multiple case study design was used to discover something of the experiences of families, therapists, and members of the reflecting team of the first and or second session of family therapy in an attempt to answer questions regarding why families drop out after only one or two sessions. It was found that the families attending these sessions found them to be ineffective in assisting them to re-author the stories of their lives. There many reasons for this being the case.     

A Case of Functional Urinary Retention: The Use of Family Play Therapy

This case presents a technique for doing family therapy in families with young children. In family play therapy, the entire family plays together, allowing full participation of even the youngest children in the therapeutic process. Standard family therapy interventions in the latter part of each session make use of family interaction patterns and unconscious processes revealed during the earlier play. In the case presented here, the technique was successfully applied to a family with a 3-year-old son who had functional urinary retention. This case also provided an opportunity for interdisciplinary collaboration between the separate Child and Family Services at a major teaching hospital.     

Creating All in the Family: A Case Study in Creative Thinking

Research examining the development of creative works suggests that creative products often build on previous works and that, in such cases, the new work can be seen as an extension and synthesis of works known to the creator at that time (Weisberg, 2003a). In recent years, several investigators have applied quantitative methods to the analysis of the development of creative works (e.g., Martindale, 1990; Simonton, 1998; Weisberg, 2003b). The present study extended this quantitative orientation to the analysis of the development of the innovative 1970s television show All in the Family (AITF). The family structure, character portrayals, topical emphases, and goals of AITF were compared with those of its purported "parent," the British situation comedy Till Death Us Do Part (TDUDP), as well as with those of 4 "control" U.S. situation comedies. Statistical analyses demonstrated significant relationships between AITF and TDUDP, while showing significant differences between AITF and TDUDP and the other American shows. Many of the innovations in AITF can be seen as extensions of ideas present in TDUDP. The present study provides further evidence for the feasibility and usefulness of applying quantitative methods to the analysis of the development of creative products. On a substantive level, it appears that AITF represents another in a long line of creative products that built on and extended what was already available to create something new.     

Fostering Client Creativity in Family Therapy: A Process Research Study

Creativity has been shown to enhance problem solving, and to increase flexibility and adaptability—qualities associated with positive therapeutic outcomes. Literature related to therapist and/or client creativity is primarily anecdotal. Empirical literature addressing how therapists can facilitate the creativity of their clients in family therapy is scarce. In this study, the researchers used process methodology to code the behavior of therapists and clients in 31 videotaped family therapy sessions. Results show a significant positive correlation between interventions that induce positive affect and the creative client behaviors of optimism and playfulness.     

Practice and Training in Family Therapy: A Known Group Study

The present study reports on a comparative survey of the belief and action systems of graduates who had been intensively trained in one of three of the major models of family therapy: Bowenian, communications, and strategic. An analysis of the factor-analyzed assumptions (belief system) and style (action system) items showed consistently greater divergence among the three models than convergence, as well as a remarkable synchronicity between the respective literature on these three models and their implementation, as represented by family therapists intensively trained in each model. A comparison of the present study's findings with previous research strongly supports the potency of formal and intensive training for developing adherents of a particular model and suggests that the distinctiveness of each model needs to be more fully developed in preference to premature attempts to develop generic or inclusive models that may become internally inconsistent and therefore difficult to operationalize in practice.