Integrating Couples & Family Counseling into Individual - PowerPoint Presentation

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Integrating Couples & Family Counseling into Individual Counseling Slide2

David

KaplanACA Chief Professional Officer

dkaplan@counseling.org www.counseling.org/kaplanSlide3
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Who am I?Slide5

Who am I?

Past President of the American Counseling Association (ACA)Past President of the International Association of Marriage and Family Counselors (IAMFC)

Founding President of New York Association of Marriage and Family CounselingBook: Family Counseling for all CounselorsSlide6

Who am I?

A reasonable number of journal articles (and one in the United Airlines in-flight magazine) about family counseling.Teach coursework in family counseling15 years private practice specializing in family workSlide7

My goals for today

Get you excited about family work, especially going in and out of individual counselingGive you ideas to get you started…

And where to go to keep growingSlide8

Who are you?Slide9

Your Goals for Today?Slide10

What are we going to do?

When do I suggest to my client that they involve family members in their counseling?How do I get family members into my office?

Now that I’ve got the family in my office, what do I do?Where do I go from here?Slide11

The literature supports the use of family work in many areas:

School ProblemsEating disorders

Anxiety disordersUnipolar and bipolar depressionPhysical illnessesSlide12

The literature supports the use of family work in many areas including:

OCDPsychosis

Dissociative Identity DisorderTraumatic brain injurySlide13

Two theories

to embraceSlide14

ConstructivismSlide15

In the latest of a steady stream of small developments, researchers in the Netherlands and Japan reported in the journal Science last week that they had caused an electrical current in a superconducting ring to flow simultaneously clockwise (representing 1) and counterclockwise (0).

http://www.time.com/time/magazine/article/0,9171,423540,00.html

The Purr of the Qubit, George JohnsonSlide16

In a paper published in the current issue of the journal Science, Dr. Christopher Monroe and his colleagues at the National Institute of Standards and Technology in Boulder, Colo., described how they had divided a single beryllium atom into two distinct states of existence and had then separated the two states in space.

http://www.nytimes.com/1996/05/28/science/physicists-put-atom-in-2-places-at-once.html

Physicists Put Atom in 2 Places at Once, Malcolm W. BrowneSlide17

Annie HallSlide18

Q: I’m going to try to present this with minimal confusion since it has me stumped. I currently do social work in a home health setting working alongside nurses (CAN, LPN, RN), therapists (PT, OT, ST), etc. I began working here after almost a year ago from being laid off from a job of 7 years in a totally different setting (very clinical). With that said, here is the deal. My co-workers and I were discussing school. I shared with them that I was working on my PhD and one of them replied, “Well, don’t expect me to call you doctor.”Slide19

I was outdone, all I did was laugh and said, “Don’t worry. I hope not to have to be your doctor.” So, a few people chimed in saying that unless you earn an MD that’s the only thing that makes you a doctor. That’s when my confusion began! After years of schooling, calling professors “Dr.”, working alongside psychiatrists, etc., ,have I all this time been mislead? Of course not, but where is this thinking from? Anyone ever heard or believe the same way? I feel if you work for your degree, you should be respected as such, but not to recognize is at all is totally ridiculous to me.Slide20

A: In order to stay sane on these types of issues, I take a constructivist perspective. There is no “truth” to any of this as the concept of “doctor” (as with any other title) is made up anyway. If some people want to construct their reality that physicians are the only ones entitled to be called Doctor, bless their little hearts. That is their prerogative. I choose to construct a reality that those with PhD’s are entitled to be called Doctor because research doctorates were around for centuries before the PhD appeared on the scene. Fortunately, there are many whose construct of reality is in line with my own.Slide21

So getting back to the sanity part, I have learned that I get to construct my reality and others get to construct their reality. If I want to introduce myself as “Dr. Kaplan,” that’s okay, and if others want to introduce me as “Mr. Kaplan,” that’s okay, too. The insanity part will come into play if you try to force your version of reality on someone else and will be amplified if you get into righteous indignation.

Thanks for an interesting question and for giving me a chance to stretch my constructivist wings.Slide22

Systems Theory

Equilibrium (homeostasis)Seemingly unrelated parts of a system are more related then we think

Law of Unintended ConsequencesSlide23

How to deal with LUCSlide24

Four key systemic areas that determine if you should involve the family

CommunicationProblem SolvingRolesBoundariesSlide25

Preparing for Family Work

Getting the family into your officeAttireSeatingSlide26

COMMUNICATION

Name: SatirFrequency of communicationQuality of communicationTriangulation Slide27

PROBLEM SOLVING

Names: Whitaker, HaleyCompromiseFamily rulesSlide28

ROLES

Names: Bowen, MinuchinPlay appropriate roles

Technique: Separation Triangle Slide29

BOUNDARIES

Name: MinuchinFamily Closeness Continuum

Enmeshment-Interdependence-DisengagementSlide30

BOUNDARIES

Techniques: Disengagement: Spend time togetherDevelop new family

Enmeshment:“Who I am” essay“Going home again” (Bowen)Slide31

Where to go from here

International Association of Marriage and Family Counselorswww.iamfconline.org

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Annotated References

Napier, A., & Whitaker, C. (1978). The family crucible. New York: Harper & Row.

The Family Crucible is one of my favorite books. If you don’t get excited about systems theory after reading this book, you might want to check your pulse. The Family Crucible includes a thorough list of classic readings. Slide33

Annotated References

Minuchin, S., Rosman

, B. L., & Baker, L. (1978). Psychosomatic families: Anorexia Nervosa in context. Cambridge, MA: Harvard University Press. You get two for the price of one with this book. It provides insight into the importance of understanding and changing family roles and boundaries, as well as the family dynamics of eating disorders. Slide34

Annotated References

Satir, V. (1964). Conjoint family therapy

. Palo Alto, CA: Science & Behavior Books. Any book by Satir is useful in understanding the importance of communication in families and how to change dysfunctional patterns to functional ones.Slide35

Annotated References

Haley, J. (1982). Problem solving therapy (2nd ed.). San Francisco: Jossey-Bass.This excellent and intriguing book addresses how to use paradoxical interventions to produce a lot of change in a short amount of time. This is probably not the first family systems theory book to read, because paradox is one of the riskiest and most powerful interventions available, and the book might intimidate you if you aren’t

familiar

with alternative approaches.Slide36

Join C&FC Organizations

International Association of Marriage & Family Counselors (IAMFC) www.iamfc.com

American Association for Marriage & Family Therapy www.aamft.orgSlide37

Get Continuing Education

Ackerman Institute for the Family www.ackerman.orgPhiladelphia Child &

Family Therapy Training Center www.philafamily.com Google “family therapy training institute”Slide38

Just do it!Slide39

Goals for today

Get you excited about family work, especially going in and out of individual counselingGive you ideas to get you started…

And where to go to keep growingSlide40

David

KaplanACA Chief Professional Officer

dkaplan@counseling.org www.counseling.org/kaplan