The purpose of this study is to examine the effectivity of Multiple Family therapy. This study is addressed to building the cognitive behavioral model and Solution Focused Family Therapy that could be applicable to the dysfunctional family and verifying the utility of this model through appling it t...
The purpose of this study is to examine the effectivity of Multiple Family therapy. This study is addressed to building the cognitive behavioral model and Solution Focused Family Therapy that could be applicable to the dysfunctional family and verifying the utility of this model through appling it to a clinical case. The theoretical framework for this study were built upon the social learning theory, cognitive theory, psychodynamic theory, ecological perspective and solution focused family therapy. On this theoretical background, the family treatment process could be divided into four phases : initial contact, assessment, intervention, and evaluation. Each phases of intervention process involves the therapist's skills and techniques applicable to the client's behavioral goals. First of all, in the initial phase, skills and techniques of learning, respondent learning, modeling and self-efficacy are used in order to minimize "premature" termination and increase therapist's attractiveness to the client, enhance motivation to continue and heighten the client's susceptibility to the therapist's influence to build and develope the therapeutic relationship between themselves and their clients. In this phase therapist's employ the interpersonal skills necessary to relate therapist's themselves to a wide range of different types of people. 2nd, in the assessment phase, skills and techniques of operant learning, respondent learning, cognitive concept, self-regulation, and script are used in order to assess the dysfunctional family interaction. Especially therapist's focus cognitive process involving irrational thoughts, negative or distorted self-statement, internalized social imperativeness or injunction and problem areas of self-control. Also therapist's focus overt behavioral interactions involving internal family dynamics and external family relationships. 3rd, in the intervention phase, techniques related to therapeutic procedures are used in terms of cognitive pattern modification involving cognitive restructuring, self-instruction, re-decision therapy, self-control method and behavioral modification involving behavioral parent training, behavioral marital therapy, interpersonal relationship training. Finally, in evaluation phase, techniques of operant learning, respondent learning, and reciprocity of person and environment are used in order to evaluate the effectiveness of intervention and ensure the generalization of positive change from the setting of intervention to the natural environment, namely, the client's real-life situation. The research questions up for this study are as follow; The application of the model to the clinical case revealed the following results. First, in the interaction between parent and children, mother's cognitive structuring involving irrational belief arouses anger against children, and mother's punitive, demanding behaviors strengthens children's maladjusted behaviors. 2nd, in the unsuccessful marital relationship wife's irrational thought also arouses anger against husband; Wife's punitive behavior enhance husband's maladjusted behaviors, that is partner's communication skill is lack; husband's negative self-statement causes his maladjusted behaviors and conflicts of marital relationship, husband's disturbed behaviors is lack of self-control capacity, and husband is lack of skills of spouse role distribution in the business relationship. The techniques of Cognitive-Behavioral and Solution Focused Brief Therapy approach were effectively demonstrated with the case study. Concerning the therapeutic effectiveness, cognitive procesures and behavioral modification were effective not only in ellevating the symptoms of the children and reinforcing adaptive behavior, but also in increasing tolerance, empathy of the that may improve the whole family's functioning, especially mother's increased empathy and a less critical view of children's behaviors and husband's behaviors. Through the case analysis in the present study the following merits of Multiple Family Therapy approach to family treatment were found. 1. This multiple Family Therapy is more flexible than traditional single theoretical approaches. 2. Marital problem or other problems in the family hidden behind the symptoms of the child could be traced when this approach is utilized. 3. This Model is more than effective and efficient than teamwork approach. 4. This approach could be developed as a new therapeutic model.
The purpose of this study is to examine the effectivity of Multiple Family therapy. This study is addressed to building the cognitive behavioral model and Solution Focused Family Therapy that could be applicable to the dysfunctional family and verifying the utility of this model through appling it to a clinical case. The theoretical framework for this study were built upon the social learning theory, cognitive theory, psychodynamic theory, ecological perspective and solution focused family therapy. On this theoretical background, the family treatment process could be divided into four phases : initial contact, assessment, intervention, and evaluation. Each phases of intervention process involves the therapist's skills and techniques applicable to the client's behavioral goals. First of all, in the initial phase, skills and techniques of learning, respondent learning, modeling and self-efficacy are used in order to minimize "premature" termination and increase therapist's attractiveness to the client, enhance motivation to continue and heighten the client's susceptibility to the therapist's influence to build and develope the therapeutic relationship between themselves and their clients. In this phase therapist's employ the interpersonal skills necessary to relate therapist's themselves to a wide range of different types of people. 2nd, in the assessment phase, skills and techniques of operant learning, respondent learning, cognitive concept, self-regulation, and script are used in order to assess the dysfunctional family interaction. Especially therapist's focus cognitive process involving irrational thoughts, negative or distorted self-statement, internalized social imperativeness or injunction and problem areas of self-control. Also therapist's focus overt behavioral interactions involving internal family dynamics and external family relationships. 3rd, in the intervention phase, techniques related to therapeutic procedures are used in terms of cognitive pattern modification involving cognitive restructuring, self-instruction, re-decision therapy, self-control method and behavioral modification involving behavioral parent training, behavioral marital therapy, interpersonal relationship training. Finally, in evaluation phase, techniques of operant learning, respondent learning, and reciprocity of person and environment are used in order to evaluate the effectiveness of intervention and ensure the generalization of positive change from the setting of intervention to the natural environment, namely, the client's real-life situation. The research questions up for this study are as follow; The application of the model to the clinical case revealed the following results. First, in the interaction between parent and children, mother's cognitive structuring involving irrational belief arouses anger against children, and mother's punitive, demanding behaviors strengthens children's maladjusted behaviors. 2nd, in the unsuccessful marital relationship wife's irrational thought also arouses anger against husband; Wife's punitive behavior enhance husband's maladjusted behaviors, that is partner's communication skill is lack; husband's negative self-statement causes his maladjusted behaviors and conflicts of marital relationship, husband's disturbed behaviors is lack of self-control capacity, and husband is lack of skills of spouse role distribution in the business relationship. The techniques of Cognitive-Behavioral and Solution Focused Brief Therapy approach were effectively demonstrated with the case study. Concerning the therapeutic effectiveness, cognitive procesures and behavioral modification were effective not only in ellevating the symptoms of the children and reinforcing adaptive behavior, but also in increasing tolerance, empathy of the that may improve the whole family's functioning, especially mother's increased empathy and a less critical view of children's behaviors and husband's behaviors. Through the case analysis in the present study the following merits of Multiple Family Therapy approach to family treatment were found. 1. This multiple Family Therapy is more flexible than traditional single theoretical approaches. 2. Marital problem or other problems in the family hidden behind the symptoms of the child could be traced when this approach is utilized. 3. This Model is more than effective and efficient than teamwork approach. 4. This approach could be developed as a new therapeutic model.
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