sg_chpt4

Treatment follows a six step procedure outlined by

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Unformatted text preview: reframing (see below) – helping the father reinterpret the child’s behavior as reflecting his unhappiness rather than being disrespectful. Treatment follows a six-step procedure (outlined by Nichols & Schwartz, p. 367368): Chapter 4: Strategic & Systemic 1. Introduction to the treatment set-up. The therapist obtains basic information from the family; explains that sessions are recorded; obtains appropriate permission for recording; and discusses the length of treatment and the reasons for the involvement of multiple professionals. 2. Inquiry into and definition of the problem. The therapist asks the family about the problem that brought them to treatment. The problem must be one that the family can clearly define if treatment is to be successful. Vague complaints, such as “we just don’t get along,” do not lend themselves to interventions. 3. Estimation of the behaviors maintaining the problem. Certain behaviors or interactions among family members are assumed to be maintaining the problem. The therapist’s observations of the family interactions and inquiry into the problem should continue until he/she has a clear picture of the reinforcing behaviors. 4. a. Setting the goals for treatment. Once the problem has been articulated clearly, the therapist and family can negotiate goals for change. Goals should be measurable and observable. To help quantify the goals the therapist might ask questions such as, “What will be the first sign that things are getting better?” b. Exploring previous attempts to solve the problem. It is helpful to know what solutions the family has already tried for several reasons. The behaviors associated with attempts at solving the problem may be maintaining the problem. Knowing the attempts the family has made helps the therapist avoid strategies that repeat the family’s efforts and points to other strategies. There are three general types of solutions the family may have tried, and each suggests a specific intervention strategy. The family might have: a. denied a real problem (ignore evidence of drug abuse in a teenager)...
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