Formulating Therapy for this Family
Robert and Christine, a Latino couple in their early 30’s, were referred by Robert’s managed care insurance for family therapy. The couple’s 2 children, 10-year-old Robert Jr. and 8-year-old Madeline are present for the intake session. Christine complains that their son Robert Jr., “has no respect for me and calls me awful names, just like his father”. Robert smirks while Christine talks. He tells you that Christine is, “just like her mother, lazy and fat”. Christina shoots back with,” at least my dad was around when I was a child”. Robert’s reply is, “look what that got you.”
During the psychosocial assessment, you learn that Robert’s father left him when he was 11-years-old and that he was the caretaker of his younger siblings while his mother worked 2 jobs. Christine was raised by both parents, in a very strict, abusive home. Her father was an alcoholic. He sexually abused Christine and her sister. Her mother told both her and her sister to not speak to anyone about the abuse. You notice Madeline hiding in the corner with fear in her eyes during the session. Robert Jr. sits with his arms crossed, smirking like his father.
- Utilizing the information in the reading assignments, in consideration of ethical and cultural factors, discuss how you would formulate therapy for this family?
- When families are unable to adjust to change, they often try the same solutions over and over again without success. What do you see in this family that illustrate this process?
- Discuss your treatment of this family with regard to each of the following:
- Bowen’s Family Systems Therapy
- Structural Family Therapy
- Strategic Family Therapy