Family and marital psychotherapy

Abstract

U radu je ukratko prikazana povijest obiteljske terapije na temelju koje se prati razvoj novih koncepata i terapijskih modela. Prikazana je podjela obiteljskih i bračnih terapija na brojne pravce, a navedene u ovom radu su sistemska, dinamska, strukturalna, strateška, transgeneracijska, iskustvena (prvenstveno je didaktičkog karaktera jer se u praksi ovi modeli uvelike preklapaju i nadopunjuju). Svaki terapijski model na jedinstven način tumači disfunkcije obiteljskog sustava te se raspravlja o prikladnosti određenog modela specifičnoj obitelji u odnosu na stanje akutne krize ili u odnosu na obitelji s već kronificiranim problemom. Također, rad naglašava važnost postavljanja terapijskih ciljeva u obiteljskoj i bračnoj terapiji (postavljanje simptoma u kontekst unutarobiteljske dinamike, homeostaze i utjecaja prošlih na sadašnje odnose; motivacija obitelji na promjenu odnosa, a ne samo bavljenje ‘’ponuđenim’’ simptomom) bez obzira na terapijsku tehniku koja se koristi. Istaknuta je važnost toga da obitelj definira problem i sama ponudi modele rješavanja, te važnost ojačavanja bračnog podsustava i prirodnih saveza; poticanje prirodnijeg funkcioniranja obiteljskih podsustava (podsustav bračnog para, podsustav roditelja, podsustav djece); umanjivanje patoloških oblika komunikacije, poticanje izražavanja u ja-formi; razvijanje empatije, razumijevanja, uvažavanja i tolerancije različitosti; definiranje uloga i pravila, poticanje dosljednosti, rad na postavljanju granica, poticanje individuacije i autonomnosti bez straha od “raspada” obitelji te očuvanje svijesti o obiteljskom zajedništvu. Prikazane su indikacije i upotreba genograma.In the article a brief survey of the history of family therapy is given on the basis of which the development of new concepts and therapy models is reviewed. The division of family and marital therapies into a number of models is primarily of a didactic nature, since in practice these models overlap and are to a considerable degree complementary. In this article a systemic, dynamic, structural, strategic, transgenerational, experiential therapy is mentioned. Each therapy model interprets family system dysfunctions in a unique manner. Each of the therapy models interpret dysfunctions of a family system, however, the appropriateness of different therapies in the context of acute and chronification of family problems is discussed. Also, the paper emphasizes the importance of creating goals in family and marital therapy (placing the symptoms in the context of family dynamics, homeostasis and reflection of former to new relations, motivation to change the relations and not only to deal with the symptom) regardless of the therapy model used. We explain0 the importance of having the family create the goals and give the possible solutions in the therapy as well as the importance of strengthening marital subsystem and natural allies, encouragement of a more natural functioning of family subsystems (married couple, parents, children subsystems), diminishing pathological forms of communication, supporting ”I” expressions, developing capacities of empathy, understanding, acknowledgment and tolerance of differences, defining the roles and rules, encouragement of the consistency, work on personal boundaries, individuation and autonomy without a fear of family breaking apart as well as keeping the consciousness of family togetherness. Also indications and genogram use are show

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