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Therapy
with a Family
Families exist in
many forms; nuclear, single parent, step, gay parent,
multi-racial, adoptive, sibling, surrogate, grandparent, foster, family
of choice,
communal, extended, multigenerational, childless couple, single adults,
tribe, to name a few.
When a family comes
to therapy, something isn’t working and they need help figuring
out what to do. Often this involves helping them adapt to new ways of
living together because of growth and development, an unexpected event
or a trauma.
Typically, family problems
are variations of:
- A change in roles
- A need for new
rules
- Adjustment in relationships
The task of therapy
is to determine what changes or adjustments the members need to make
and to support them through these changes. My basic style with families
is similar to my work with individuals and couples. The difference is
often that the issues are more complex and the therapy room, more crowded!
It is important for me to orient the family to therapy, maintain a
good relationship with each member, provide a neutral and supportive environment
in which all are heard, be directive when needed, and set clear goals
and a treatment contract, involving all family members present. It is
often dynamic, interactive and productive.
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