Information provided by the family is an important source of information about the family. However, one cannot ignore outside sources of information as well. For instance, the worker may contact the school, neighbors, or others who are involved with the family to examine factors that may influence the current situation. The assessment plan will involve contacting the school to find out about Conrad's performance in terms of grades, attendance and overall performance.
Systemic Goals
The case of the Jarretts is complex, with many individual goals that must be completed on the way to resolution of the systemic problems. In this case, the identified patient is Conrad, as he was the one who tried to commit suicide. The goal of family therapy is the ability of family members to differentiate, improved communication between family members, the loosening of previously automatic behavior patterns, and the resolution of the problem that led to the crisis.
In the case of the Jarretts, they are all dealing with grief over the loss of Buck in a different way. This was the event that triggered communication problems and allowed problems that were already in existence to come to the surface. All of the family members must come to terms with their grief and be allowed to process through their loss in a healthy manner. This represents key individual goals, as well as family systemic goals as well. Resolution of grief should be a key treatment goal.
The second major issue of concern is communication among family members. This is a particular concern for Beth, who refuses to speak to anyone about her grief and loss. Resolving communication issues between Beth and Calvin, Calvin and Conrad, and Beth and Conrad will be key goals of the treatment plan.
The ultimate goals of the family treatment plan will be to develop a family in which all members have healed from their grief and the loss of their family member. They need to maintain open lines of communication where all family members can express their feelings. Open communication is a key goal for this family. All members of the family need to feel that they are important members of the family unit.
Systemic goals need to be clearly stated and concrete. They must include specific tasks to be done by each family member and by the family as a whole. The goals must clearly state the payoffs for each action. They must also provide specific timeframes for completing the tasks. Some of these issues do not apply to the Jarretts.
One example of a concrete goal for the Jarretts may be to complete a series of individual therapy sessions to help them work through their grief as individuals. It is difficult to place a timeframe on this goal, as the length of time needed for therapy may differ from family member to family member. Family therapy is another goal that needs to be a part of this plan. The family will participate in therapy sessions weekly at first, then tapering off to monthly as they progress. One concrete goal of therapy may be to establish family rituals, or other ways to honor the memory of Buck in a positive manner. This will help family members to put their loss in the proper context and to recognize and acknowledge their loss in a positive manner.
Individual therapy for family members should focus on teaching them positive ways to express their feelings. Family therapy should coincide with the above mentioned therapy to help family members to learn to communicate there feelings to one another. A potential goal for this portion of the treatment process may be to have them schedule weekly family activities together to encourage bonding through good times together. The purpose of this intervention is to allow them to focus on their time as a family rather than as individuals.
Theory
Bowen family systems theory is one of the most relevant theories to this case. Bowen theory views the family as an emotional unit and uses systems theory to examine interactions within the unit. In any family, the members are highly emotionally connected. However, family members can feel emotionally disconnected from their family. Bowen suggests that families can be so disconnected from one another that they can feel that their emotions are the same (Bowen Center for Study of the Family, 2010).
According to Bowen, the connectedness of the family makes the members interdependent on one another for emotional support. Changes in one persons functioning has a reciprocal affect...
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