family dynamics and coaching

8/3/2019 Family Dynamics and Coaching

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Family Dynamics

Assessment and Coaching



Family History and Dynamics

Assessment interviews

Initial observation of parent and child

Ongoing observations of interaction asyou work with the family



Individual Profile of Caregivers Developmental lags

Family Dynamics

Coping Patterns



Coping Pattern Tendency to withdraw

Tendency to over-control

Tendency both to over-stimulate and towithdraw

Tendency to overprotect

Tendency to avoid



Attunement

Assess whether the caregiver’s patterns

are in attunement with that particularchild.



Strengths and Weaknesses

To stay in a constructive workingrelationship with the famioly requiresunderstanding the strengths andweaknesses of each one: We all have

natural strengths and each of us has an Achille’s heel



Parent Reporting and

discussion Assignment of regular floortime

sessions by parent alone in thehome

Discussion of these sessions

Solving problems and celebratingsuccesses!

How to build DIR into their daily life



Direct Coaching Getting parents on board with playing

Familiarity with DIR terms:

“getting the gleam in the eye”

“now we’ve got him engaged

(cooking) “Uh, oh, we just lost him now…”



Team Concept It is a delicate dance to coach the

parent and support them at the same

time - the only way to be reallysuccessful is by having a goodrelationship with that parent.



Constructive coachingChoose our words carefully

Sometimes keep your mouth shut

“Join” them in reminding them we are a

team

Thoughtful and exploring feedback, notcriticism

Being positive and full of hope



Exploring interactions, not

individual psychotherapy Not being the parent’s individual

therapist

Helping the parent become a goodobserver : of their child, of themselves,and of their interactions.

What “gets” the child cooking, what“gets” the parent cooking



FLOORTIME! PLAY Ask parents what THEY like to do

Talk about play:

“Exercise our play muscles” ( Charla

Cunningham)

Information and articles

Reflection : “I wonder why….”



Reflective Coaching:

Examples Rules

Aggression

Talking about feelings (!)

Being playful



Family examples B’s family: Cultural differences

J’s family: Individual differences in

parents -- family conflict issues



Conclusion We want to facilitate the parent being

the best player with the child

Use myself as an example of “messingup” to encourage them not to be afraid

to take chances

Use of video as a great tool



Conclusion IIThe success of the intervention will rest

on the quality of the relationships

between professional providers andfamily members, even when thisrelationship itself is not the focus of theintervention

Barbara Kalmanson, Ph.D.

family dynamics and coaching

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