Thursday, March 31, 2016

Family Life Cycle Stages


1. Married Couples without children
2. Child bearing families
3. Families with pre-school children
4. Families with school children
5. Families with teenagers
6. Families launching young adults
7. Middle aged parents- empty nest to retirement
8. Aging Family members- retirement to death of both spouses

Family Stage impact on Problems
Vertical Stressorso Relational patterns that are transmitted from one generation to another
o Family attitudes
o Secrets
o Taboos
o Hopes
o Failures
o Expectations
o Emotional Struggles

Horizontal stressors include predictable events that occur as families move from one life cycle stage to another.o Birth of a child
o Parenting adolescent children
o Children leaving home
o Death of a parent
o Menopause
o Health concerns
o Changes in self image
o Career shifts
o Infidelity
o Infertility

Thursday, March 24, 2016

Historical Trauma

■ The collective emotional and psychological injury both over the life span of an individual and across family generations, as a result of a societal/ethnic/racial trauma.
o Holocaust
o Native American Genocide
o Japanese Concentration camps
o Slavery
■ Detrimental Effects
o Psychological
◆ Depression
◆ Suicide
o Behavioral
◆ Alcoholism
o Medical
◆ Heat disease
o Societal
◆ Child abuse and domestic violence
◆ Treatment Goals
o Psycho educational and normalization of feelings regarding the trauma
o Sharing effects of trauma in order to provide relief
o Collective mourning/healing in order to create positive group identity and reunion with community
■ Survivors' child complex
o Fixation to trauma
o Failed attempts to resolve past
■ Disenfranchised grief
o Loss cannot be openly mourned (due to culture or present societal circumstances)
■ Transposition
o Living in the past and the present
■ Psychological Symptoms of Trauma
o Nightmares
o Perceived obligation to ancestors
o Individual feels inhibited with shame
o Society suffers the loss of an ancestral tradition
o 1st Generation often has Post Traumatic Stress Disorder
■ Coping strategies
o Memory candles
o Living testaments
o Bring back ancestral tradition

Thursday, March 10, 2016

Adlerian Therapy Process

Adlerian Therapy Process

■ The role of the client
o Explore private logic- concepts about self, others and life
o Discover purposes of behavior or symptoms of basic mistakes associated with their coping.
o Learn how to correct faulty assumptions and conclusions

■ The Client Therapist Relationship
o Based on mutual trust, respect, confidence and alignment of goals.
o Collaborative relationship
o Develop a therapeutic contract (goals for therapy)
o Emphasis of responsibility on client for his or her own behaviors

■ Establish a therapeutic relationship
o Therapists gets to know the client as a person
o Collaborate on goals for therapy
o Supportive therapist creates caring human connection
o Therapist work to make client feel deeply understood and accepted.
o Client focuses on what needs to change in therapy.

■ Explore the psychological dynamic operating in the client
o Consists of a subjective interview
o Clients tells own story as expert on own life
o Therapists listens for cues to client’s coping and approach to life

o Objective interview
■ Family constellation
■ Early recollections
■ Personal priorities
■ Integration and summary

■ Encourage development of self understanding (insight into purpose)
o Understanding motivates that operate in client’s life
o Client disclosure and therapist interpretation (open ended manner)
o Make unconscious into conscious
o Confront resistance to help client and therapist align
o Explore purposes of symptoms, feelings, behaviors and human difficulties or block

■ Help client make new choices (reorientation and reeducation)
o Encouragement process
o Change and search for new possibilities
o Make a difference through change in behavior, attitude and perceptions.

Thursday, March 3, 2016

Experiential Therapy

Experiential Therapy

Basic Dimensions of the Human Condition

■ The capacity for self awareness:
o The greater our awareness, the greater our possibilities for freedom
o Awareness is realizing
● We are finite- time is limited
● We have potential, the choice to act or not to act
● Meaning is not automatic- we must seek it
● We are subject to loneliness, meaninglessness, emptiness, guilt and isolation

■ The tension between freedom and responsibility
o People are free to choose among alternatives and have a large role in shaping personal destinies
o Manner in which we live and what we become are result of our choices
o People must accept responsibility for directing own lives

■ Creation of an identity and establishing meaningful relationships
o Identity is the courage to be
o We must trust ourselves to search within and find our own answers
o Our great fear is that we will discover there is no core, no self
o Aloneness
● We must tolerate being alone with self
● We must have a relationship with ourselves first
o Struggling with identity
● We are trapped in doing mode to avoid experience of being
o Relatedness
● At their best our relationships are based on our desire for fulfillment, not our deprivation

■ The search for meaning
o Like pleasure, meaning but be pursued
● Finding meaning in life is a byproduct of a commitment to creating, loving, and working
o Life is not meaningful in itself, the individual must create and discover meaning
o Goals deal with
● Discarding old values
● Coping with meaninglessness
● Creating new meaning

■ Accepting anxiety as a condition of living
o Anxiety arises from striving to survive and maintain own being
o Existential anxiety is normal- life cannot be lived, not can death be faced, without anxiety
● Anxiety can be a stimulus for growth as we become aware of and accept our freedom
● We can blunt our anxiety by creating the illusion that there is security to life
● If we have the courage to face ourselves and life we may be frightened, but we will be able to change
o Neurotic anxiety creates guilt

■ The awareness of death and nonbeing
o Awareness of death is a basic human condition which gives significant to our living
o We must think about death if we are to think significantly about life
o If we defend against death our lives can become meaningless
o We learn to live in the “now”
o One day at a time results in a zest for life and creativity