Theoretical Approach Matrix in Healthcare Coursework

Approach Key People Main Tenets Assessment Strategies Interventions
Bowenian The key persons are people, {couples}, and households. It affords a depth-oriented and longer-term method and helps a remedy of at the least 4 years. The technique makes use of a genogram entailing each a therapy and evaluation instrument to supply an built-in intervention to realize the first purpose of selling the shopper’s degree of self-differentiation. It is concentrated on elevating differentiation and assuaging anxiousness in the direction of bettering symptomology inside the system (Thompson et al., 2019). Togetherness and individuality are the 2 counterbalancing forces that drive all human relationships. The contrasting wants for independence and companionship affect patterns of distancing and closeness from individuals. Bowen thought-about an intensive household historical past the place he interviewed each member. Depending on the household, he constructed or allowed them to develop their genograms to facilitate gathering of knowledge. Genograms entail a household tree masking three generations with the associate’s data and names of the members (Thompson et al., 2019). It provided particulars of a dysfunction that would repeat itself on account of hereditary components and have an effect on the present technology. Early-stage interventions are objectivity, genogram, decreasing emotional reactivity, and discussing generational patterns. Middle stage interventions embody particular person remedy, teaching, marital psychotherapy, therapeutic triangles, and taking “I position” stands. Reaffirming is a late-stage intervention that permits individuals to know that differentiation is a lifelong course of. It encourages shoppers to proceed participating as they achieve a greater understanding of the scenario. Education is one other late-stage intervention facilitating the success of remedy. It promotes transition and allow shoppers to understand the scenario and study to maneuver forward.
Structural The key persons are members of the family. The structural method makes use of varied ideas to reinforce the understanding and group of the household together with the enmeshment, boundaries, energy, coalition, alignment, construction, disengagement, and subsystems. It focuses on strengthening and adjusting the household system to position mother and father in a greater place to manage their youngsters and allow them to set applicable boundaries. The evaluation course of entails an evaluation of the household boundaries, subsystems, construction, total household functioning, and developmental stage specializing in the event of options to structural issues. A pre-test Family Assessment Measure (FAM III) makes use of varied strategies resembling enactment, reframing, boundary-making, and becoming a member of (Tadros & Finney, 2019). Boundary making entails sustaining outlined boundaries across the subsystems to advertise wholesome household functioning. On the opposite hand, the becoming a member of idea presents the necessity to set up an empathetic relationship to reinforce the present functioning of the household. The structural method presents aggressive interventions that problem households to keep away from undesirable habits and clarifies points that must be modified. Therapists assume an lively stance in numerous intensities of the remedy to assist the household in each approach potential.
Strategic The key persons are youngsters and adolescents. The 5 elements of this remedy are task-setting, transient social, goal-setting, interracial, and drawback phases (Hogue et al., 2019). It advanced from varied psychotherapy practices to assist the solutions-finding and problem-solving. Therapists act as coaches and referees since they’re involved about how the issue might be solved. Assessment methods are targeted on addressing particular issues affecting a given household primarily based on its construction and interactions. Therapists view the prevailing points in a sequence of interactions with the quick social surroundings. Interventions are supposed to deal with and stop behaviors amongst youngsters and adolescents. Promoting household interplay performs a job within the discount of threat components and enchancment of protecting measures resembling towards drug abuse. It targets people who’re at a better threat of growing or displaying drawback behaviors.


Hogue, A., Bobek, M., Dauber, S., Henderson, C. E., McLeod, B. D., & Southam-Gerow, M. A. (2019). Core parts of household remedy for adolescent habits issues: Empirical distillation of three manualized remedies. Journal of Clinical Child & Adolescent Psychology, 48(1), 29-41. Web.

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Tadros, E., & Finney, N. (2019). Exploring the utilization of structural and medical household remedy with an incarcerated mom residing with HIV. International Journal of Offender Therapy and Comparative Criminology, 63(4), 624-640. Web.

Thompson, H. M., Wojciak, A. S., & Cooley, M. E. (2019). Family-based method to the kid welfare system: An integration of Bowen household concept ideas. Journal of Family Social Work, 22(3), 231-252. Web.

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