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Management and finding common ground
Published in Kathleen M Berg, Dermot J Hurley, James A McSherry, Nancy E Strange, ‘Rose’, Eating Disorders, 2018
Kathleen M Berg, Dermot J Hurley, James A McSherry, Nancy E Strange, ‘Rose’
Typically, parents and siblings of a young person with an eating disorder are most anxious for guidance in how to deal with some of the problems inherent in living with a person with an eating disorder. If the young person is 19 or younger and living at home, a standard family treatment can be offered that is routinely used with this population (Dare et al., 1990). The Maudsley group in London, UK, combines two family therapy approaches in dealing with eating disorders (Dare and Eisler, 1997). The first is a problem-solving approach directed specifically at the symptoms. The second is a systems approach which invites family members to consider the interconnectedness of their behavior and feelings as they relate to the eating disorder. The problem-solving approach focuses on the immediate issues at hand and the intervention is aimed at the parents’ taking charge of their child’s eating behavior. This aspect of treatment has much in common with Minuchin et al.’s (1978) structural family therapy approach. The process works in three distinct phases. The first involves refeed-ing the client, the second focuses on the renegotiation of new family patterns and the third is a termination phase when healthy weight has been resumed. This approach has been shown to be affective with adolescent eating-disordered clients and good results are maintained at the five-year follow-up mark (Eisler et al., 1997). For adults with severe anorexia nervosa, inpatient staff usually take the parental role in the refeeding process.
Family issues
Published in Quentin Spender, Niki Salt, Judith Dawkins, Tony Kendrick, Peter Hill, David Hall, Jackie Carnell, Child Mental Health in Primary Care, 2018
Quentin Spender, Niki Salt, Judith Dawkins, Tony Kendrick, Peter Hill, David Hall, Jackie Carnell
The basis of structural family therapy is a focus on the nature of family relationships in the here and now. How close or distant are family members in relation to each other? Are boundaries too weak or children too closely involved (enmeshed)? For example, a child who has to stay at home with his anxious and overprotective mother is at risk of developing school refusal. The therapist may reinforce a relationship or boundary that needs strengthening, (e.g. by involving a father more in supporting the mother’s authority, or by setting tasks that demonstrate the authority of the parental subsystem).
Family issues 1
Published in Dr Quentin Spender, Dr Judith Barnsley, Alison Davies, Dr Jenny Murphy, Primary Child and Adolescent Mental Health, 2018
Dr Quentin Spender, Dr Judith Barnsley, Alison Davies, Dr Jenny Murphy
The basis of structural family therapy is the nature of family relationships in the here and now.10 How close or distant are family members from each other? Are boundaries too weak or children too closely involved (enmeshed)? For instance, a child who has to stay at home with his anxious and overprotective mother is at risk of developing school refusal. The therapist may reinforce a relationship or boundary which needs strengthening, for instance by involving a father more in supporting the mother’s authority, or setting tasks which demonstrate the authority of the parental subsystem.
Practice of consensual BDSM and relationship satisfaction
Published in Sexual and Relationship Therapy, 2018
Hannah M.E. Rogak, Jennifer Jo Connor
As noted above, much has been debated about the individual engaging in BDSM activities, but there is also the dimension of functioning and satisfaction in the relationship itself. Several theoretical perspectives offer some insight into why BDSM activities and dynamics work and may contribute to relationship satisfaction. Structural family therapy and systems theory, which look at hierarchy, subsystems, and roles within relationships (Keim & Lappin, 2002; Minuchin, 1974), might suggest that the explicit, negotiated roles and interaction patterns in BDSM relationships help to alleviate relational conflict stemming from differing expectations and conflicting relational and household roles. For instance, couples may decide that the Dominant always initiates sex as part of being “in charge,” whereas perhaps a submissive handles all the bills as part of their service to their Dominant. Thus, arguments about who does what might be less common than in more egalitarian couples, where navigating division of labor and romantic rituals may be more ambiguous (if overtly discussed at all). Thus, the complementarity of roles between Dominants and submissives may help facilitate homeostasis.
The Father-in-law’s Relationship with His Son-in-law: A Preliminary Understanding
Published in Smith College Studies in Social Work, 2018
Geoffrey L. Greif, Michael E. Woolley
Structural family therapy theory offers one way of viewing successful intergenerational family relationships (e.g., Minuchin, 1974; Nichols, 2014). With an emphasis on boundary making, a new couple has to learn how to interact with each other as well as with each set of parents in a way that preserves the integrity of each. In this theory, triangulation is to be avoided, as is seen in Andy’s relationship with Rex, which is mediated through his son rather than directly. Once married into the family, we get a sense from the fathers-in-law with good relationships about how boundaries may be drawn, about the importance of making the son-in-law feel like a family member, and how some relationships become friendships. Morr Serewicz et al. (2008) found that this can happen by parents-in-law sharing family history and, specifically, making the son-in-law feel loved and included. When working with in-law issues, whether it is just around the father-in-law–son-in-law relationships or grandparent–grandchildren relationships, reading the descriptions included here of those that work and considering the issues behind those that are struggling could be helpful. Fathers-in-law can be asked about their own experiences as sons-in-law and what they are looking for in a relationship with their son-in-law. Further, they can be asked what their expectations are given their relationship with their own child. Are they being asked to give unfettered support, as Robert has? Do they want their son-in-law to feel like a son or, depending on the son-in-law’s relationship with his own family (note Mark’s and Abram’s son-in-law), is this not a priority? Are the two men expected to become friends or peers? If the two in-laws’ expectations are closely matched, a positive relationship is more likely to evolve.