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The Townsend Family Treatment Plan

The Townsend Family Treatment Plan

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Published by Kenny Letizia
A structural family therapeutic approach to family therapy. Depending on the needs of the specific client family specific techniques and interventions may be drawn upon to provide the best client outcome. The goal is client wellness.
A structural family therapeutic approach to family therapy. Depending on the needs of the specific client family specific techniques and interventions may be drawn upon to provide the best client outcome. The goal is client wellness.

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Published by: Kenny Letizia on Nov 20, 2011
Copyright:Attribution Non-commercial


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Running head: TOWNSEND FAMILY TREATMENT PLAN 1Townsend family treatment planKenneth M. LetiziaMFCC 561 November 2, 2011Patsy Pinkney Phillips, Ph.D., LMFT
2Townsend family treatment planTheoretical Approach and Description of FamilyThe Townsend family will be treated from a Structural Family Therapy (SFT) approach.SFT addresses many problems of functioning within the family system. The therapist joins thefamily system attempting to understand family operation dynamics, family functioning, andemotional connections within the family. The main goal is to intervene and disrupt dysfunctionalrelationships existing within the family system. Disruptions of old patterns can lead tostabilization and more positive, healthier patterns can emerge. Structural family therapy aims toreframe the organization of the family.Structure is a primary component of a healthy family. Every family has a structure andorganization based on family values, beliefs, and interaction. Family structure can be positive,negative, too rigid, or too diffuse structure can be damaging. Subsystem interactions play animportant role in SFT. Evaluation of familial roles within the subsystems will help the therapistidentify relations that exist between the family members.Mr. Townsend a 51-year-old White male father of four and husband have been referred tocounseling for the treatment of depressive symptoms brought on by an injury. Because of theinjury to Mr. Townsend’s, back which occurred during a chiropractic visit, Mr. Townsendaccepted disability leave from his job as a skilled artisan. Over the next six months, Mr.Townsend slipped into a deep depression. Mrs. Townsend age 53 will also be seen, and three of the four siblings attended family assessment: Roger age 25, Greg 24, and Brad 19. Daughter Lois22, married living outside the local area could not attend. Initially treatment was limited to Mr.Townsend but further assessment suggested family therapy would better suit the needs of the
3Townsends. His family does not identify Mr. Townsend’s pain and depression as the presenting problem associated with treatment. Post-family assessment, the Townsends display diffuseenmeshed boundaries and no clear establishment of who is in charge within the family dynamicat this time. Hanna (2007) stated, “Symptoms are regarded as consequence of organizationaldifficulties. Organization must evolve to meet the developmental tasks for each stage of thefamily life cycle” (p. 10).(Note while serving in the military 30 years prior, Mr. Townsend was diagnosed asschizophrenic; however, negative psychiatric history after this occurrence would suggestquestionable diagnosis at the time).Precipitating Event/Primary ProblemInitially therapy began with Mr. Townsend seeking help for depression brought on by aninjury occurring in chiropractic care. About one-month ago, Mr. Townsend was prescribedantidepressant medication that had emotional and conduct order side effects. “Adjustmentdisorder with mixed disturbance of emotion and conduct 309.4” (American PsychiatricAssociation, 2000, p. 680). Therapist belief, the medication brought on these new symptomsassociated with an already depressive situation and through proper therapy and psychiatricevaluation, these problems should cease within a two-month period. Emmerson, Ph.D. (2006)stated, “The use of antidepressant may allow a period of time for other ego states to gain a habitof interacting with the outside world” (p. 163).Presenting Problem

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