NCE – Narrative Family Therapy

A favorite self-help guru of mine is a narrative therapist. Narrative therapy focuses on how we live our lives through a storied perspective. events in our life are linked together into a plot that is imbued with a meaning and/or purpose. The story reflects the meaning we give our life and the socially relevant manner in which we interpret. How we tell the story and create it is the subject of therapy. what have we edited out? How is our live story constricted by a narrowed perspective. what can be done to re-author it? "Changing the language you use to describe experience can bring about new meanings that lead to meaningful action toward transformation" (Metcalf, 2011, p. 332).
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NCE – Emotionally Focused Family Therapy

Emotionally Focused Therapy (EFT) is an approach based on insights from attachment theory and focuses on how personal inter-relational patterns regulate our emotions and interactions with others (Metcalf, 2011). Understanding the preconceived notions one holds in relation to others can illuminate why repetitive relationship patterns keep occurring. The EFT therapist acts as a consultant whose creates a collaborate alliance with couples in order to create a secure relationships (Metcalf, 2011).

NCE – Symbolic Experimental Family Therapy

According to Metcalf, (2011) Symbolic Experimental Family Therapy “Focuses on here-and-now experiences, playfulness, humor, intuition, craziness, spontaneity, and personal growth. It is a pragmatic, atheoretical method for treating families. Incorporates growth of the therapist and clients as the ultimate motivation, and focuses on circular, recursive patterns in a family that lead to mutual benefit and interpersonal context” (p147). Another unique aspect about this theory is that it normalizes pathology. As I see it, this theory focuses on familial cultures, (i.e. shared meanings, beliefs, thoughts, symbols, and perspectives). Entering in the "family's symbolic world" (Metcalf, 2011, p. 148) is the goal here since change is conceived to result from the therapeutic process.

Sofa-Surfing with my husband…

When will this fuckin’ hell end!?

What is WHODAS???

Nature & Limits of Confidentiality…

"B.1.b. Respect for Privacy Counselors respect the privacy of prospective and current clients. Counselors request private information from clients only when it is beneficial to the counseling process...B.1.c. Respect for Confidentiality Counselors protect the confidential information of prospective and current clients. Counselors disclose information only with appropriate consent or with sound legal or ethical justification. B.1.d. Explanation of Limitations At initiation and throughout the counseling process, counselors inform clients of the limitations of confidentiality and seek to identify situations in which confidentiality must be breached." (ACA, 2014 p. 6-7)

Informed Consent….

 "(a) When obtaining informed consent to therapy as required in Standard 3.10, Informed Consent, psychologists inform clients/patients as early as is feasible in the therapeutic relationship about the nature and anticipated course of therapy, fees, involvement of third parties, and limits of con- dentiality and provide su cient opportunity for the client/ patient to ask questions and receive answers. (See also Stan- dards 4.02, Discussing the Limits of Con dentiality, and 6.04, Fees and Financial Arrangements.)" (Section 10.1)

NCE – Strategic Family Therapy

>h6>Based on the work of Milton Erickson & Jay Haley, this pragmatic model is more focused on problem solving than insight (Metcalf, 2011). According to this theory, problems develop due to an unbalanced hierarchical structure and dysfunctional communication patterns. The therapist’s role is to observe these patterns in the family, and develop a strategy to address them. It is a directive therapy that isn’t as concerned with how one defines the problem as much as it is with the fact that you’re taking some sort of action to resolve things. Metcalf, (2011) states that family therapists should focus on "the purpose of the problem" (p. 272). Action is the key to change, not insight

MCC 670 – Clinical Hypotheses

What is Hypothesis?

"A Hypothesis is a single explanatory idea that helps to structure data about a way that leads to better understanding, decision making and treatment choice." (Ingram 2012 p. 111).