ICDL SoCal Inst Family Dynamics-P Marquart

8/14/2019 ICDL SoCal Inst Family Dynamics-P Marquart

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Family Dynamics

Pat Marquart, MFT

ICDL Southern California Regional Institute

2009-2010


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A Clinical OverviewDr. Saul Brown

1. Degree of organization or

disorganization of clients family

system

2. Level of sophistication about

psychological and/or developmentalissues and openness to

professional advice


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A Clinical Overview

3. Persistence of the dysfunction, or in

this case the neurological problem,

in the identified client

4. Emotional pain and interpersonal

disruption caused by clients

dysfunction


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A Clinical Overview

5. The degree of consensus between

the parents that professional help is

needed .

6. Availability of appropriate mentalhealth or developmental therapy

resources.


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7. The attitudes present in the clients

school, social group, and extended

family.

A Clinical Overview


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Developmental Cycle of

Families 1. Basic commitment to marriage

2. Sub-systems for mutual nurturance

3. Interpersonal Mechanisms for encouragement ofeach person's individuality and autonomy

4. Facilitating ego mastery for each

5. Maintaining family integration duringadolescence and young adulthood

6. Achieving mutual validation

Dr. Saul Brown


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Family Systems Theory:

Murray Bowen, M.D. Families are systems of interconnected

and interdependent individuals, who

cannot be understood in isolation fromthe system

Each member has a role to play and

rules to respect


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Resistance to Change

Response to the demands placed on

the system

Stress of an unexpected event, placing

overwhelming demands on the family

system to change in order toaccommodate this event


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Changes in Roles

Changes in roles may maintain the

stability in the relationship, but it may

also push the family towards a differentequilibrium

Examples: Depression

Hospitalization


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Triangles ( or Triads)

Murray Bowen contends that it is the

building block of emotional systems.

Spreading the tension can stabilize asystem, but nothing gets resolved.

Paradox: While a triangle is more

stable than a dyad, it creates an oddman out - difficult to tolerate.


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Avoiding triangulation

With families under stress, the tendencyto triangulate may increase.

Families have a number ofprofessionals working with them- thepotential for triads, or triangulation, willincrease.

Professionals must be aware of and notparticipate in alliances


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Parallel Process

Specific relationship issues that families bring

to the intervention situation may evoke

feelings that are linked to providers ownpersonal issues and conflicts.

Professionals can become frustrated when

their treatment goals are not met


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Providers

Parallel process: Enacting it

In a parallel process to the issues that mayimpact a parent-child relationship, the

providers own emotional reactions and

background can impede their sensitivity to the

very families they are trying to help


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Family-Provider Relationships

DIR approach: The success of the

intervention will rest on the quality of the

relationships between professionalproviders and family members, even

when this relationship itself is not the

focus of the interventionBarbara Kalmanson, PhD


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Ghosts in the Nursery:

Dr. Selma Fraiberg

Refers to the childs involvement in the

parents unresolved psychological

issues

Remember: In every nursery there are

ghosts. They can cause transientmischief or more serious problems


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DIR Treatment Plan

The provider will formulate a treatment

plan with parents that is respectful ofthe childs rhythms and idiosyncrasiesas well as of the parents care givingstyle.


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The meaning of Childrens

Behavior When providers follow the childs lead

while observing, parents learn that the

childs behavior is important and hasmeaning.

The subjective experience of the

parents and infants, rather than theobjective experience, should be the

focus of intervention


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Importance of Recognizing

Coping PatternsTendency to withdraw

Tendency to over-control

Tendency both to over-stimulate and to withdrawTendency to overprotect

Tendency to avoid


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Caregiver Patterns

1. Comforting

2. Uses affect cueing and gestures

3. Expands continuous flow of interactions 4. Finds appropriate level of stimulation

5. Ability to engage in relationship

6. Can read cues and signals 7. Encourages development


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DIR Parenting in Daily Living

Supporting parents to understand and

be the expert on their child

Building DIR into their daily life

Making a plan for Floortime Sessions


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REFERENCES

The Child with Special Needs: Stanley Greenspan, M.D. and Serena Wieder, Ph.D

The Developmental Cycle of Families: Clinical Implications

Saul L. Brown, M.D.

Engaging Autism: Stanley Greenspan, M.D. and Serena Wieder,Ph.D

Family-provider relationships: The basis of all interventionsBarbara Kalmanson, Ph.D.

www.thebowencenter.org

Documents

ICDL SoCal Inst Family Dynamics-P Marquart