Brief Family History
John lives with his wife Tina, 13 year old son Matt, nine year old son Joe, and Tina’s elderly, disabled mother and father. The Smith family identifies as White/European American and that they enjoy holidays consistent with Euro-American culture. John and Tina have been married for 13 years and got married after their son Matt was born. John disclosed the family is currently living in Tina’s parent’s one bedroom home. The four of them share the living room while his wife’s parents stay in the bedroom. This living situation is due to financial constraints and has been occurring for the last three years. Both John and Tina work full time. John shared that he was in state foster care from the time he …show more content…
Assess John and Tina’s current and desired boundaries. Teach family positive boundaries and assertive communication skills to help both Tina and John distinguish between functional and dysfunctional communication styles. Engage family support and explore possible patterns that may inadvertently maintain current symptoms. Identify triggers that disrupt homeostasis. Support family creating new patterns and homeostasis so the system no longer needs initial symptoms to maintain balance (Gehart, 2010). This can be done by mapping the family system and identifying the structure and organization of the subsystems (Bitter, 2014). Increase awareness of other’s feelings and learn to be respectful when communicating (Gehart, …show more content…
During this time a continual assessment of evolving family roles will be identified. Counseling will also provide a way to identify family power struggles, parental conflicts, validation and intimacy by using a genogram, and a wheel of influence (Gehart, 2010). The wheel of influence will help John and Tina realize historically where they draw their current relational resources (Bittner, 2014). The genogram will be used to explore family of origin impact on communication and self-worth (Bittner, 2014). Individual goals will be set to help John and Tina to promote self-actualization to help reduce defensiveness and increase self-worth. Family coaching with current communication styles to help promote current and desired relational boundaries with one another. Positively reinforce change through Satir’s family sculpting technique (Bittner, 2014). This technique will help creating boundaries and will help with seeing where changes need to