When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and TherapyBartlett, Steven J.
Science
When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and Therapy
Bartlett, Steven J.
Consumer education; Counseling; Psychotherapy
The purpose of marriage or family therapy is not only to resolve
existing problems but also to help clients cultivate a new way of
communicating and interacting together. Marriage therapy and family
therapy of course seek to relieve emotional distress by helping to
reduce or end conflicts and to lessen anxiety, frustration, anger, or
resentments. But beyond these, marriage and family therapists try to
show clients how to complement one another's personal needs. They also
attempt to strengthen bonds between them so that they are able to face
crises and emotional upsets with greater strength, balance, and
courage. And they try to redirect clients' values in a way that will
support the personal growth of each person.
How long marriage or family therapy will take depends primarily on the
goals of the couple or family. Here are some estimates:
* to reduce tensions: perhaps six sessions
* to reduce symptoms such as emotional distress or behavioral problems:
ten to fifteen sessions
* to improve communication habits: twenty-five to thirty sessions over
six to eight months
* to restructure relationships so that members of the family system
will have more independence and will cultivate an awareness that they
do have separate identities: forty sessions or more
WHAT MARRIAGE AND
FAMILY THERAPIES ARE LIKE
Marriage therapy and family therapy are distinct from group therapy in
two important ways. First, unlike in group therapy the clients in
marriage or family therapy have a shared history and, if therapy is
successful, will often be able to enjoy a shared future. Second, in
marriage and family therapy, the therapist is more active and directive
than in group therapy. Any changes made by members of a group come
about because of interactions among the group members; a group
therapist acts as a moderator or facilitator, while the role of a
marriage or family therapist resembles that of a teacher.
{197}
Marriage and family therapy focuses on _present_ interactions between
husband and wife or among family members. It is not that the past is
judged to be unimportant, but it is not generally useful to pay a great
deal of attention to what has already happened. What causes problems
_now_ are the current patterns and habits of interaction in the family
or marriage. A wife may have been drinking for fifteen years because
her mother undermined her sense of self-confidence, but the fact is
that she no longer lives with her mother. However, she _did_ choose to
live with a man who continued her mother's pattern of undermining
abuse. A marriage therapist will focus on present difficulties and, by
doing this, may be able to help her resolve her drinking problem by
improving a troubled relationship with her husband.
Public-domain text, read in full here on John Shaqi.
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