Anna Fitzgerald´s Structural Family Therapy Model

Superior Essays
Identifying Information
Anna Fitzgerald contacted me about seeking counseling services. She shared with me that she is interested in individual and family counseling. Her family is identified as a Caucasian family. They reside in California. The Fitzgerald family consists of two parents, three teenagers, and an aunt. The family members are: Brian (father), Sara (Mother), Kate (Oldest Daughter), Jesse (Middle child/ Kate and Anna’s Brother), Anna (Youngest Sister), and Kelly (Sara’s Sister/ Kate, Jesse, and Anna’s Aunt). The family dynamic is focused around Kate who has Leukemia. Communication occurs only when discussing matters pertaining to Kate. Anna would like for her family to get back to enjoying one another’s company or just
…show more content…
SFT model integrates the human mutuality of the therapeutic relationship and extientialism (Aponte, 1992). Structural family therapy continues to evolve in response to challenges from within, making counselors mindful of the need for constant feedback from each member of the family system. (Vetere, 2001). This form of therapy was suggested to be more effective than any other therapy in protecting the integrity of the family (Szapocznik, Rio, Murray, Cohen & Al, E., 1989).
Also, a trauma focused therapy will be beneficial especially for the children. Medical Traumatic stress. According The National Child Traumatic Stress Network (NTCSN) Pediatric medical traumatic stress refers to a set of psychological and physiological responses of children and their families to pain, injury, serious illness, medical procedures, and invasive or frightening treatment experiences (NTCSN, 2016). The medical trauma experienced by Kate effected the family system. However, Anna endured as many procedures as her sister. To which, she didn’t actively volunteer for. Anna was forced against her will, often being held down. Using SFT in conjunction with trauma focused CBT or SFBT will yield for best results; cultivating change in one member of the family, change will trickle down to all
…show more content…
She finally confessed that Kate had asked her not to donate her kidney because she was tired of suffering and wanted to die. On the witness stand, Sara admitted that she had not ever asked Anna did she want to donate to her sister. She went on to say that “all she talked to Anna about was helping her sister”. When asked has any procedure had side effects that impacted Anna, Sara said “yes the last procedure she had, there were complications that resulted in her Anna was not given or told about her right of choice to refuse procedures. As I watched the movie and learned more about what happened to and with Anna, all I continued to wonder about was importance of informed consent. Informed consent is a very important document that educates patients about all they need to know about what will take place and it gives medical professional working with them permission before performing the medical procedures. Anna was born in order to be a healthy source of cells and organs to help her sister Kate. Her parents thought that having her would solve all of the problems related to Kate needing healthy donor bone marrow, cells, and organs. Their parents did not stop to think about or realize how all of this could one day impact Anna. Filing the lawsuit was the turning point event that pushed her parents to think about how she has been impacted and how she

Related Documents

  • Decent Essays

    The strategic model evaluates the participants through MRI activities versus structural family therapy. This practice is not concern about the individual underground emotional state of mind or influences families on how to resolve issue within the family. this theory also aim at the problem at hand not the root of the problem; therefore, I not to like to choose this approach on solution because it does not address the root problem that needs to be taking care of. This practice is not lengthy because soon as the problem is resolve the intervention session is complete.…

    • 95 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    In “The Immortal Life of Henrietta Lacks” by Rebecca Skloot, the readers learn about how things were back then, and about the many cases debating about the property of a person’s body. In my personal research, I found an article that further elaborates on the issues and rules of informed consent, and what applies and doesn’t apply.…

    • 269 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    5.07 Case 18

    • 530 Words
    • 3 Pages

    In the book we see that Anna is tired of being used to help Kate and she takes her parents to court to be medically emancipated from her parents so she would not have to donate a kidney to her sister who is close to passing anyway. I don’t believe that a child should be made to help save another child’s life because that could wind up hurting the child in the end even if it saves the first…

    • 530 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Specifically, Henrietta was denied the right to a voice in the decision of being a donor. The next ethical issue to be discussed is the coercion of Day, Henrietta’s husband, by doctors at Johns Hopkins. After Henrietta’s death, “ the way Day remembers it , someone frim Hopkins called to tell him Henrietta died, and to ask permission for an autopsy, and Day said no” (p.89). Later that day, Day went to Hopkins and the doctors again asked permission to do an autopsy pursing this further, they told Day “they wanted to run tests that might help his children someday” (p.90).…

    • 764 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Additionally, McAdams et al. (2016) found structural family therapy was supported in continuing to be “a viable theoretical platform for family therapy practice in the twenty-first century” (McAdams et. al, 2016, p. 260). This therapy practice is both empowering and evidence based.…

    • 1602 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    This short case study has a significant range of legal and ethical principles which contribute to the outcome of the outcome if Marion will continue or abandon treatment. The team who is treating Marion must refer to the Advance Care Directive and ensure they follow this carefully to ensure Marion’s best wishes. This is because an Advance Care Directive is a legal form for adults over the age of 18, in scenarios in which a person has impaired decision-making capacity, the Advance Care Directive will have instructions, vales and wishes for future health care (Advance Care Directives 2014). Marion’s parents state that she has an Advance Care Directive however, the treating team are unable to take their word and must obtain a copy to ensure the information is correct.…

    • 1110 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Such decisions regarding patients with severe and deteriorating illness should be processed with respect to the patient’s condition becoming worse with time. Having an ethics board or a medical community to alleviate the pressure of a single doctor making a decision for a patient who is not able to act autonomously would allow for a treatment plan to be determined earlier. In Mary’s case, the court ruling prevented the doctor’s from acting to save her…

    • 815 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The Client’s grades have been dropping and she is having problems sleeping at night. She states that her parents have been arguing since their Christmas dinner in 2015. Due to the arguing, it has been hard for the client to study and get rest at night. Client would like to get more rest at night and bring up her grades. After completion of the client’s assessment which consist of the presenting problems, strengths, abilities, needs, and preferences; client and social worker discussed and agreed that the client should find a quiet spot to study so can bring up her grades and get more rest at night.…

    • 743 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Informed consent is essential in nursing practice as it allows patients and health care providers to communicate effectively. It is not just signing a document instead it is used to inform the patient of, risk, alternative, benefit, and understanding of a procedure or treatment. Informed consent gives the patient the right to received treatment and the right to refused treatment or any other intermediations. However, there are three elements that the Joint Commission necessitates that health care providers must consider before offering the patient an informed consent including the information, voluntary consent, and competence (Westrick, 2014).…

    • 463 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    During the first stage of Strategic family therapy, the therapist makes sure to greet and interacts with all family members. In therapy this could be done using an open ended question. “Tell me a little about yourselves and what brings you all in today?” After saying that statement I would ask Kay to go first since she is the mother and not involved as much in Renee’s life as Brenda is involved. During the second stage the therapist’s main focus is to clarify the presenting problem.…

    • 1309 Words
    • 5 Pages
    Superior Essays
  • Superior Essays

    Biopsychosocial Information “Nick” is a fifteen-year old African American male that has been a resident at The Bridge since July, 2016. Prior to being referred for treatment by truancy court, Nick had been smoking approximately ten blunts a day and spending money on a daily basis for marijuana. There has been a history of family conflict and recently, Nick’s paternal grandmother passed away from cancer. He was residing with his mother and father along with his two younger siblings. Nick’s mother and father have been together for approximately twenty years.…

    • 2050 Words
    • 9 Pages
    Superior Essays
  • Improved Essays

    Structural Family Therapy

    • 477 Words
    • 2 Pages

    Conducting a family assessment allows a family to identify their strengths and areas of improvement. Generally speaking, it is normal for an individual to feel some kind of resentment if he or she is the sole individual caring her a parent The familial dispute surrounds who is going to be responsible for the caring of my father. Romika is also the sole individual paying for issues around the house as she lives in the home with our father. In clinical practice, the help of a social worker could have potentially eased the stress of my family. My sisters and I dealt with the diagnosis and organizing travel to accompany my father between us only, we did not have support from outside resources.…

    • 477 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    When working with this family, one of the first interventions that would occur would be educating the family system on the diagnoses. It is important for the client and the family to fully understanding the symptoms and differences of the diagnose with suggested treatment options for long term appropriate care. In addition to appropriate education, it would be important to recognize the client’s triggers in conjunction with family therapy. Family therapy will “reinforce more prosocial behaviors and to diminish undesired behaviors at the same time.” (book pg. 1246)…

    • 110 Words
    • 1 Pages
    Improved Essays
  • Superior Essays

    The steps health care providers need to take in order to ensure patients understand the consent is go over treatment option, outcomes/complication, and likely of success and complications. Health care professionals must comprehend issues and trends; more lives could be saved. Based on individual right to self-determination and autonomy I don’t think that patient consent form adequately informs patient to their medical rights. Self-Determinations and Autonomy give the patients moral and legal right to what will be done to them. Health care professionals must respect individual’s wishes and this must be followed by legislation, ethics standards and overall society value.…

    • 1282 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    The ethical dilemma I chose is the case of Cassandra C., a 17-year-old teenager who refused chemotherapy treatment to treat Hodgkin’s lymphoma. The problem that this case produces is a conflict between two ethical principles; respect for autonomy and beneficence. Respect for autonomy is respecting the individual’s rights to say no to a treatment if wanted to do so and beneficence is an ethical principle in which it directs doctors and physicians to strive to maximize the benefits and minimize the harms. When Cassandra declined further treatment, the doctors were confused on how to do their job and how to do it well. Cassandra is still legally a minor, which means that a parent has the right to decide on her behalf.…

    • 1109 Words
    • 5 Pages
    Improved Essays

Related Topics