Multisystemic Treatment Plan for Conduct Disorder in Adolescents
Multisytemic Treatment Plan for Oppositional Defiance Disorder requires one to be informed with all details, which might affect on successive solution Conduct Disorders. Family therapy takes important part in treating disorders in adolescent. Therefore, Family therapy is a relationship form of therapy and it has always been practiced in a systems framework (Franklin & Jordan, 2001). Comparing different models of family therapy it is seen that different approaches might bring the same results. However, it is compulsory to take into consideration individual characteristics that might affect on success in choice of therapy. Choosing the most suitable type of family therapy for your own case, pay attention to multisystemic therapy, which is dealing with ecological approaches, structural family therapy, intensive family preservation and depended substance abusers. However, family therapy needs good preparation and well planned action. It is impossible to start therapy without mutual and direct actions of each member of the family. That is the reason, it is important to determine main goals and origin of family therapy and discover proper ways to deal with it.
Goals of Family Therapy
Family therapy is a vapid term to denote variety of methods to solve some difficulties of a parson with the help of his\ her family. The family therapy is an interaction of all members of the definite family. This work discovers the value of approach the family therapy has on adolescent.
Across the life circle the family therapy has different questions to solve. It depends on the current life circle of the definite individual. For example, adolescent is a risky period, which abounds with variety of opportunities to develop a great deal of different problems (Coleman & Hendry, 1999; Rice & Dolgin, 2004). A central concern for many parents in this period is knowing the degree of risk, under which their child is. Adolescents often do not have support of their parents in modern and actual questions for them. Parents loose control under their children trying to protect them from harmful impact. In result of systematical misunderstanding parents are afraid of a possible abuse of their children. The threat is great and harmful. Nowadays, the street is able spoil even the most perfect and obedient child. However, there are a lot of preventive measures that might help parents avoid serious problems in the future. In the case, they did not their best to avoid problems or their actions were are not successful, it is high time for family therapy.
Factors That Make Teenagers Resilient in the Face of Adversity
These factors are divided into few domains. The most popular of them are: family and community factors; psychological traits; self – evaluative believes and coping skills. All of these events play great part in development of individual. For instance, family factors include absence of early looses or separation (divorce, death of parents etc), secure attachment, father involvement, authoritative parenting. Community factors deal with positive educational experience, high socioeconomic status and good social support network, involvement in organized religious activity and other important social events. High level ability and easy temperament characterize psychological traits. Psychologists relate high self – esteem, internal locus of control and task – relates self – efficacy to self – evaluative believes. As for copying skills, it is common to denote on sense of humor, planning and empathy skills, and skills in searching social support.
Origin of Family Therapy
Family therapy is relatively new approach, which began as the movement in early 1950s. It is a highly flexible psychotherapeutic approach used in curing child- and adult – focused problems. It is evident that each child grows up in the narrow circle, accepted by society as the family. Family is the little unit of society that takes a grate part in personal development. The family, it’s believes, social status, origin, religion and bias form personal point of view and correct individual behavior (Carr, 74). The main duty of members in family therapy is to facilitate a resolution of current problems and to develop a healthy family focusing on the relationships between members of the family and a problem person. This give a light on the fact that families either help to prevent conduct disorder in adolescents or prompt to deal with already existing problems.
Multisystemic Approaches to Family Therapy
Multysystemic therapy is used for treating serious disorders. It includes combination of few approaches that are the most suitable for some particular case. No matter what family therapy is involved in both clinic and home treatment. As the matter of fact, multisystemic approach to family therapy includes structural, strategic and solution – focused family therapies. All these types are significant and lead a problem adolescent to complete recovering. So, it’s compulsory to be familiar with them.
Strategic Family Therapy
Jay Haley is a founder of strategic family therapy. The main point of this approach is that the family is ambivalent about changes in person’s conduct. It depends on the event that the family becomes the reason of behavioral changes and its problems might prompt evolution of protection function for some member of the family. Therefore, it is important for therapists to manage carefully specific directives to point out this resistance or ambivalence helping the family to hit presenting question to solve off. They also provide the family with an opportunity to manage with the complex interpersonal, which the symptom was created to solve. For example, father Ben is unemployed and depressed. His adolescent son Tim is characterized by complete conduct disorder. Tim’s misbehavior may distract the father from his depression. Managing Tim’s conduct disorder gives father a focus of concentration do not allowing him to sink in his depression. In this situation both of parents should spend more time together planning how best manage their son. In addition, father’s need for support and son’s need for security and structure are satisfied. Either healthy or problematic families need family therapy. There is one great peculiarity that makes them different. Healthy families able solve its problems without psychotherapy, because such families prefer love and peace to hate and violence, while problematic families cannot face misunderstanding (Carr, 87).
Structural Family Therapy
Salvador Minuchin in 1950s in New York developed this approach to multisystemic family therapy. It is based on Harry Stack Sullivan’s tradition of social or interpersonal psychiatry (Carr, 90). Nowadays, this approach is the most widely practiced in the world. It is the most influential approach to the family therapy. The main idea of the definite approach is that organizational structures of problematic family may compromise their capacity to meet the changes of lifecycle or unprovided intrafamilial or extrafamilial consequences. The therapists dealing with structural approach of family therapy are dealing with structure and demands of the family. They come to understand a structure and demand the family has difficulty with and facilitate enactment of their problem-solving attempts. According to Minuchin, families with anorexic children have lack of parental coalitions and diffuse intergenerational boundaries (Carr, 91). It is possible to unbalance this family system by asking the parents to feed their daughters in the early stages of therapy and later once weight would stabilize if the daughters take control of their own weight. Once out of the danger zone, the girls’ weight will be monitored without parents with the aim to draw boundaries. In this way parents are engaged in decision making and problem solving as for routine aspects of family life.
Solution – Focused Therapy
Steve de Shazer and Insoo Kim Berg were developing Solution –Focused Therapy. This approach is aimed to identify exceptional infrequent interactions, which predict the problem behavior but it does not occur (Carr, 132). Moreover, it increases the frequency of such expectation behavioral patterns. As the example we have a family, which is disturbed by difficulties in children’s sleeping. This family would be asked to note the exceptional cases when children sleep well to recreate this situation later. This approach to the family therapy is technically the simplest one.
A Treatment Plan for Conduct Disorder in Adolescents
Admittedly, conduct disorders belong to a group of behavioral and emotional problems in teenagers. Adolescents with such disorder have great difficulty following rules and behaving in socially acceptable way. Society considers these teens as “bad” and unruled, rather than mentally ill. Many factors might prompt developing conduct disorders in children and adolescents. Among them are: traumatic life experience, child abuse or neglect, school failure, genetic vulnerability, brain damage etc.
Aggression to people and animals, destruction of property, deceitfulness, lying and stealing or serious violations of rules are typical for teens with conduct disorders.
There is the Taylor family. Father, Jim Taylor is sales manager in huge company. Mother, Olivia Taylor is householder. Their 15 years old son has a name Jacob Taylor. There is one more member of the family, Sophie. She is 4.
Jacob is a hard teen for last 3 years. In his young age, he is often -‘guest’ in state police department. He failed the school and run away from home few times. In addition, Jacob has unpredictable aggression towards classmates and parents. Olivia often finds another’s property among his stuff. This makes Olivia think that Jacob able to steal. Parents are agitated of Jacob and bother about his future. The only solution they’ve found was applying to therapist.
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As the result, parents were taught ways to bound with Jacob. They were advised to spend more time speaking with boy. Therapist asked mother pay more attention to Jacob’s personal problems. She is expected to discuss some important teen’s questions with him.
Father got another responsibility. He was asked to turn out from strict parent into older and respectable friend of Jacob. He must spend more time with his older son (playing games, visiting movie, making shopping etc) Jacob must feel that he is growing up man. In the future he should be responsible for his family as if his father does now. That is why personal example is very important on family therapy.
The problem of this family relates Sophie’s born. An age difference between children is seen. When Sophie was born parents started pay more attention to her. Therefore, Jacob felt lack of love and attention. In spite of parent’s responsible attitude for brining up their children, Jacob became hard teen.
It is compulsory to note that Olivia has often depression related her career. As soon as Jacob was born she devoted her life to well – bringing her children. Jacob’s misbehavior makes her feel empty and non –effective, so she got depressive moods. The way out of this situation is following. Parents should concentrate on Jacob and his actions. They should learn how to find compromises with their child and plan their family leisure together. They also have to examine how to solve family problems by support and understanding not by punishing. Concentration on proper goals will help either Olivia to avoid depression or Jacob to find a proper way in life.
Jacob’s aggression and rebel attitude to surrounding might be coursed by shortage of parents care. The best way to solve current problems is to be together. Do not punish and ignore boy because of his misunderstanding. The family should face this problem together. Parents have express their bothering and make teen understand that he is a part of the family, which able help and support him anytime. Jacob should remember that his behavior is shameful and harmful either for him and his parents or for little Sophie. Timely organized and devoted actions of parents might direct family’s life in common rhythm.
It would be significant for parents to note Jacob’s behavior and try to explain why he acts in that way or another. Such monitoring might explain when his mood is good and he does not harm. As soon as parents find factors that make Jacob be good boy, they might find the source of misbehavior.
Adolescents with such problems have to get serious comprehensive evaluation. Nevertheless, it is compulsory to remember that treatment of these disorders is challenging and complex. It can be provided in different settings depending on the severity of behavior.
In conclusion, it is important to notice that before person reaches adolescence, she\ he obviously knows, which behavior is good and which one is unacceptable. All teenagers misbehave for a variety of reasons, from time to time. In majority of cases, they feel they achieve their autonomy in such a way. The most common reason for teenagers misbehave is because of their experiencing internal distress: anger, disappointment, anxiety or hopeless. Family therapy is appropriate and helpful in majority of cases. There are many approaches of modern therapy that focuses on the role of family in predisposing people to developing problem maintenance. However, the role of family in solving problems is dominating.
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