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TUBAs terapeutiske praksis med børn og unge af misbrugere

By Josephine Sandgren and Luna Mai Brehm Nielsen


This bachelor thesis “TUBAs terapeutiske praksis med børn og unge af misbrugere” is written at Roskilde University by Josephine Sandgren and Luna Mai Brehm Nielsen. It is written inside the framework of the 2015 spring semester course in Psychology. The thesis explores some of the different consequences it has for children who live and grow up with parents who have substance abuse problems. More specifically, given consequences are highlighted and scrutinised by a selected case study of the Danish organisation TUBA (Terapi og rådgivning for Unge som er Børn af Alkoholmisbrugere); TUBA being an organisation that provides therapy for children of alcoholics. Using the framework developed by Dreier, Markard and Holzkamp’s entitled ‘portrait of practice’, this thesis analyses TUBA’s terms of work by focusing on how they have a purpose in relation to their therapeutic work. In TUBA’s technical presentation, they describes their theoretical base as ‘nonspecific’; meaning that their theoretical focus is pragmatic being as such more focused on whatever suits the individual’s needs, and, therefore, on how they think they can help them achieve a better life, despite their problematic childhood. It becomes clear through the portrait of practice that, firstly, the therapists work with a strict focus on the client and, secondly that they have a psychodynamic and existential/humanistic approach influencing, how they work with children. Thus, they do not, as they otherwise proclaim themselves, use a purely nonspecific psychological approach. That this is true becomes vivid when witnessing their insisting making the children take responsibility for their own life, and act actively to pursue the best life possible. Furthermore their strict focus on the individual is also challenged by their frequent use of group therapy. Using group therapy requires an academic/theoretical breadth and a great overview for the therapist, both to, as they claim to do, keep the individual focus whilst also making sure that there is a useful group dynamic. There has to be a great deal of comfort and recognisability in the group as to provide the children with the best possible means to achieve their therapeutically ends. There has to be an equality between the children and the therapist to make the progress authentic, and, as such, make it possible for the therapist to help the children in what (s)he thinks is the best way towards a better and more independent and self-controlled life. Likewise, it must be demanded that the children are engaged and active in their own process to fulfil their goals. All this is crucial for the children's possibility to make their own decisions on how to live their lives. Thus, this thesis concludes, the psychodynamic, existential and psychotherapeutic perspectives needs to be supplemented by a more ingrained narrative focus in the work with the children, given how the children are urged to talk about their childhood and how it has had an effect on how their situation is today and, ultimately, how they can create better options for themselves. Therefore it is clear that the practical conditions of TUBA’s therapeutic work have a great meaning for the progress with the children in group therapy, and the conditions is an argument for TUBA’s theoretical and methodical basis

Topics: TUBA, Børn, Misbrug, Terapi
Year: 2015
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