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Saboteurs, Scapegoats And Secrets: Diagnosis In Family Therapy

February 21, 2019November 27, 2017 by admin

IN CLINICAL PRACTICE one becomes more and more impressed with the importance of interviewing and understanding the whole family in certain situations. Family attitudes can make or break a successful treatment program, so a diagnostic interview should be held to determine how a family functions.

The Diagnostic Interview

The diagnostic interview is different from a therapeutic interview, especially concerning the referring agent and the family. No commitment for ongoing work is made prior to the diagnostic interview. The possibilities for further counselling are assessed with the family, and ideally with the referring agent,'at or shortly after the diagnostic interview. The referring agent may be a public health nurse, teacher, child care worker, or social worker from a community agency. We hope to have all the important members of the family present at the diagnostic interview. In practice this usually means everyone living in the same house as...

Confidentiality Issues When Minor Children Disclose Family Secrets in Family Counseling

February 5, 2019June 24, 2017 by admin

Individuals involved in family counseling have the right to confidentiality, but do minor children within the family have that same right? Various professional counseling specialties are faced with confidentiality issues when children and adolescents are involved in counseling including school counselors, clinical mental health counselors, and family counselors. Counselors are often faced with minors disclosing family secrets and other controversial information during counseling sessions. Fall and Lyons (in press) discussed the ethical considerations of family secret disclosure from an adult perspective and in the larger family counseling group session context. This article continues to address a variation of the theme of family secrets while bringing to light how confidentiality relates to minor children expressing family secrets during individual sessions. Confidentiality is the cornerstone of the counseling relationship be it individual, group, or family counseling (Smith, 1999). Family counselors are generally trained how to address confidentiality from an adult perspective when it comes to the family context. How confidentiality with minors is viewed in the...

Dysfunctional Family Relationships

January 15, 2019January 14, 2019 by admin

Understanding Dysfunctional Relationship Patterns in Your Family

Many people hope that once they leave home, they will leave their family and childhood problems behind. However, many find that they experience similar problems, as well as similar feelings and relationship patterns, long after they have left the family environment. Ideally, children grow up in family environments which help them feel worthwhile and valuable. They learn that their feelings and needs are important and can be expressed. Children growing up in such supportive environments are likely to form healthy, open relationships in adulthood. However, families may fail to provide for many of their children’s emotional and physical needs. In addition, the families’ communication patterns may severely limit the child’s expressions of feelings and needs. Children growing up in such families are likely to develop low self esteem and feel that their needs are not important or perhaps should not be taken seriously by others. As a result, they may form unsatisfying relationships as adults.....