BY:

NINAMA JAYDIP J.THIRD YEAR BASIC B.SC NURSING

SCON,ZUNDAL

FAMILY THERAPY

Family is the most powerful primary social system or primary social group , to which a person ever belongs. for example , birth,childhood,puberty,marriage and death etc...

Family is a source of emotional attachment where an individual experiences all type of emotions whether it is positive or negative within the family.

Most family therapists identify the individual’s psychiatric problems which are inseparably related to the family in which he lives.

INTRODUCTION

Family therapy is that branch of psychiatry which sees an individual’s psychiatric symptoms as inseparably related to the family in which he lives.thus the focus of treatment is not the individual,but the family.

DEFINITION

Change the relationship through changing the interaction among the people who make up the family or marital unit.

Improve group interaction and help each member to function efficiently.

Reduce the dysfunctional behaviour and interaction of individual family member.

Mobilize family resources in problem solvation . Encourage adaptive family problem solving or

coping behaviour.

AIMS

Improve family communication skills. Meet the emotional needs of family

members. Strengthen the family’s ability to cope-up

with major life stressors. Improve the integration of family system

into the societal system. Accept the illness of family members. Understand treatment regimen and extend

their cooperation in implementation of treatment and follow-up services.

Assists to locate the community resources. Reduces the family stress and establishes

balance in the family life.

Relational problem within the family unit Psychoses Schizophrenia Reactive depression Anxiety disorders Psychosomatic disorder Uncontrolled anxiety or hostility Substances abuse Childhood psychiatric disorders Bipolar disorder

INDICATION

ASSESSMENT OF ▸ Family structure ▸ roles/ function / responsibilities ▸ boundaries or limitations ▸ communication patterns and skills ▸ resources ▸ problem solving skills

COMPONENTS

TEACHING ▸ communication skills ▸ problem solving skills

WRITING BEHAVIOURAL MARITAL CONTRACT ASSIGNMENTS, e.g.homework,problem

solvation situations.

FAMILIES MAY BE REFERRED FOR TREATMENT BY: Private physicians Welfare agencies, e.g.school, parol officers,judges Family physicians Emergency room psychiatric OPD, e.g. after crisis

within the family ,drug abuse After discharging from psychiatric hospital for follow-up

services Marital or sibling conflicts Situation crisis and maturation crisis,e.g.birth of a child,

sudden death of family member.

CLIENT SELECTION

Family counsellor evaluates the areas of family functions or the activities which are associated with family life.

Healthy families will guide the individual, how they will function in intimate relationships in the work place, within their culture and in the society in general.

THE FUNCTION OF FAMILY

Use of decision making,provision of all family activities, rule making, provision of financial and other support, successful negotiations with extra familial systems with present and future planning.

MANAGEMENT

Boundaries will maintain a distiction between individuals within the family.

Clear boundaries within the family and allow for differences among members.

Diffused boundaries are blending together the roles, thoughts and feeling of the individual; rigid boundaries prevent family members from trying out new ideas.

BOUNDARY FUNCION

Communication patterns are vital in family life, healthy communication within the family encourages its members to express their feelings or emotions appropriately.

Open expression of feelings is always essential ; whatever it may be either joy or sorrow or conflict or angry; healthy communication will always help the family members to solve their problems.

COMMUNICATION FUNCTION

Healthy families are concerned with each other’s needs, most of the time physical and emotional needs are met, they feel support from those around and are free to grow and are free to grow and explore new roles and facets of their personalities.

SUPPORTIVE FUNCTION

Socialization skills are learnt by each individual within the family. They learn how to interact,negotiate and plan ,adopts coping skills. Child learns how to function effectively within their

Socialization function

Replacement of species through the propagation of progeny.

Family is a medium where the sex relationship are controlled and regulated.

BIOLOGICAL FUNCTION

Love,belongingness,affection,intimate relationship,sympathy, security,attention, emotional satisfaction ,care of the offspring , sexual relationship , companionship, intimacy, etc..will be atteined through family.

PSYCHOLOGICAL FUNCTION

Mother is the first teacher and primary care giver,who will take care of the children. Child’s personality and character formation will be attained through family; it exercises more influence on the body and mind of the child where his personality will be mouled.

EDUCATIONAL FUNCTION

Protects the interest of the child, provides security to cultivate healthy behaviour.

PROTECTIVE FUNCTION

Family creates an atmosphere where the child’s interest can be fulfilled, the family provides entertainment for all its members.

The love among family members will creat positive interest in the child.

RECREATIONAL FUNCTION

Family develops religious thoughts ,kind heartedness and fellow belonging.

The child learns moral values ,ethics ,codes, honesty,truthfulness,traditions and religious patterns through family.

RELIGIOUS FUNCTION

Family mound is members according to its culture. Family serves as an instrument for transmission and continuity of culture.it transmits idea , folkways ,mores, customs, traditions, belief and values from one generation to other generation.

CULTURAL FUNCTION

Maintains social status and controls members activities

Accumulates and transmits social heritage and contact with all its members

Provides physical shelter ,food ,clothing which are necessary to the existences of life

It is a primary socializing agency and basic institution

Every member within the family will try to maintain total family health status

Promote safety and security and lays emphasis on kinship patterns

SOCIAL FUNCTION

TYPES OF FAMILY THERAPY

Each family member will have single family therapist; they will work out on specific issue that have been defined by individual members; occasionally the family members will meet along with their therapist to observe how each member will be relating to one another in solving the issues.

INDIVIDUAL FAMILY THERAPY

Family interaction is the focus of therapy. Family therapist observes the family

interaction pattern and helps the family members to clearly define the problems which were pointed out by the family members and suggests the ways or solutions to attack the problem and help the family members to implement to activities,evaluates its effects and if needed,modifined strutegies

Will be taken Nuclear families will be considered in single family therapy.

SINGLE FAMILY THERAPY

Whenever, there are relational problems among the couple or marital unit, family therapy will be considered , couples together visit the family therapist; interaction, communication styles, each partner’s goals hopes and expectations and suggest certain methods or ways to solve the problems or to find a commen ground to resolve the conflicts.partners have to recognize and respect each others similarities and difference.

COUPLES THERAPY

This therapy encourges the family members to formulate new relationships outside the group, it provides support for all the families.

It improves the interaction pattern, social skills, individuals responsibilities among the group, methods of confronting and dealing with common problems, issues ability to function well in the home and within the community.

MULTIPLE FAMILY GROUP THERAPY

In this therapy 4-5 families meet weekly to discuss about their problems and dealing the issues which are common to them.

It includes 40-60 members like family members, friends, neighbours, well-wishers, professional groups, who invested in the outcome of the current crisis.thus, therapy may be conducted within the family or in community itself. A person or group of individuals invested efforts and resources, now they are experiencing certain crisis. The group know each other and interact on a regular basis.

NETWORK THERAPY

It will be effective, especially as a family treatment modality combined with other modalities like psychopharmacology.

INDICATIONS: schizophrenia cases medical illness

PSYCHO-EDUCATION FAMILY THERAPY

Family work promotes and supports families in coping with a family number with severe mental illness.

Sharing of mental health care information. feeling of stigmatization , sadness,

helplessness, and hopelessness. it maybe helped in parent management

training.

AIMS

The problems related to relation problems, abuse or neglect or bereavement has to be identified for example:

Impaired adjustment Impaired parenting Sexual dysfunctioning Strain of care giver Spiritual distress Defect in utilization of defense/ coping

mechanisms impaired communication pattern

NURSING DIAGNOSIS

THANK YOU