Marital and Family Therapy

Category - Treatment

A family that you had seen for a year returns to you for an appointment after six months without therapy. They are reporting that while the individuals in the family made a change and it seemed to work, that they actually needed something else. They couldn’t see the family getting any closer or having any major changes. What they are seeking is:
  1. Ways to deal with their new living situation
  2. Sibling conflict resolution
  3. Second order change
  4. First order change
Explanation
Answer - C - All of what the family was able to describe was success with first order change. The individuals within the system were able to change in the best possible ways. They are beginning to achieve goals that they set for themselves personally, but the family structure is no longer able to support their growth, since the system did not adapt when the individuals did. As a result, the family is in need of second order change to deal with changing personal patterns, to make them more adaptable within the family.
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