mhs 6430 fall 2016 - university of florida · 8/11/2016 · this syllabus is a living document....
TRANSCRIPT
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MHS6430IntroductiontoFamilyCounseling
FALL2016Instructor: LesleyLucasHull,Ph.D.,LMFT,LMHC,NCC
AdjunctFaculty,SchoolofHumanDevelopment&OrganizationalStudiesinEducation
CollegeofEducation UniversityofFloridaTeachingAssistant:AddieMaieHull,RegisteredTherapyDog,PetPartnersID#105025RelevantCredentialsofInstructor:
FloridaLicensedMarriageandFamilyTherapist FloridaLicensedMentalHealthTherapist FloridaQualifiedSupervisor(LMFT&LMHC) AdjunctFacultyforUFsince2004
FAMFTPastSecretary(2013–2015)andPastStudentRepresentative(manymoonsago.And,no,I’mnottellingyouhowmanymoonsago.)
Addresses: 1215NormanHall,P.O.Box117046,Gainesville,FL32611 4191SanJuanAvenue,Suite1-A,Jacksonville,Florida32210Phone&Email:[email protected]:byappointment.Pleasefeelfreetocontactmeviaemail,textorcallattheabovelistedresources.Giving credit where it is rightfully due: It should be known that the vast majority of this syllabus comes from Dr. Silvia Doan. I am deeply indebted to her for helping (okay – creating) this syllabus. I have profound respect for her as a colleague and a friend and am greatly appreciative of her willingness to help. This syllabus is a living document. The instructor reserves the right to
make adjustments/changes as the semester progresses. I.COURSEPRE-andCO-REQUISITES:MHS6401CounselingTheoriesandApplications(Pre-Requisite);Thiscourse(MHS6430)isaPre-requisiteforMHS7431-AdvancedFamilyCounseling(whichalsorequiresthatMHS7800PracticumIbetakenbeforeAdvancedFamily).II.COURSEDESCRIPTION:Thepurposeofthiscourseistoprovideanintroductiontofamily,systems,andrelationaltherapies.Theintentistoprovideanoverviewoftheoreticalconceptsandinterventionstrategiesassociatedwithsystemicandpost-moderntheoriesoffamilytherapy.ItisfoundationaltoyourdevelopmentasacoupleandfamilytherapistORcounselorwhoworkswithfamilies.Tounderstandandpracticefamilytherapyconceptsrequiresthatyoumakeroomforan“epistemological”shiftfromindividualtorelational
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thinking.Therefore,thefocusofthiscoursewillbeonexamininghowwe“constructreality”andthinkinwaysthatfacilitaterelationalinterventionswithcouples,families,andorganizationalsystems.Todothis,anexaminationofhowfamilytherapyhasbeenshapedbycontributionsfromthedisciplinesofcybernetics,communication,anthropology,andpostmodernphilosophywillbeanimportantpartofthiscourse.Self-reflectionisanessentialingredientinapplyingsystemicideasinourtherapypractice.Thusourrelationalstancewithinatherapeuticsystemandourinfluenceontheclientsystemsweworkwithwillbediscussedandexaminedinthecourse.Aspecialeffortwillbemadetomakethecourserelevantintermsofdifferentdeliverysystems(e.g.schools,stateorcommunity-basedmentalhealthagencies,familyserviceagencies,hospitals,etc.).Asthecourseinstructor,Iwillregularlyinviteyoutodiscussandarticulateyourthinkingandreactionstocoursematerial/experiences.Althoughsomedegreeoflecturingisrequiredonmypart,itisthroughourconversationsandinteractions,aswellasyourpresentationsandwrittenworkthatIcandetermineyourlevelofcomprehension.Itismyresponsibilitytoteachfamilytherapy,butitisyourstoshapeyourlearningsothattogetherwecanengageinamutuallyinfluentialprocess.Withoutyourinvolvementandparticipation,thiswillnotbepossible.Methodsofinstructionwillincludepresentations,classdiscussions,audiovisualexamples,experientiallearningactivities,role-playing,writtenassignments,&oneexamandquiz.III.COURSEOBJECTIVES:
A.Todevelopabasictheoreticalunderstandingofsystemsthinking,familytheory,andaninformedviewofthehistoricaldevelopmentandfoundationsoffamilytherapy.
B.Tocompareandcontrasttraditionalandpostmodernviewsandapproachesinfamilytherapy.C.Todevelopabeginningunderstandingoffamilyprocess,familydevelopment,andlife-cycleperspectivesthatcontributetofamilyfunctioning.D.Togainanappreciationfortheimpactthatsocialcontexthasonfamiliesandindividualsandtheimpactoffamilysystemsonindividualsthatmakesfamilyinterventionpertinentandapplicable.E.Todevelopbeginninglevelskillsininterviewingandassessingfamiliesinordertoplaninterventions.F.Toapplyselectedtheoreticalprinciplesandinterventionstrategiesrelatedtoseveralfamilytherapymodels(includingfoundationalandpostmodernapproaches).G.Toexploreandgainanunderstandingoffamily-of-originandselfofthetherapistissuespertinenttoone’sdevelopmentasacounselorortherapist.
IV.TEXTS
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A.REQUIRED
Becvar,D.S.,&Becvar,R.J.(2012).Familytherapy:Asystemicintegration,8thEdition.Boston:Allyn&Bacon.(PaperbackORRental)
Patterson,Williams,Edwards,Chamow,Grauf-Grounds(2009).EssentialSkillsinFamilyTherapy,2ndEdition.NewYork:TheGuilfordPress(HardbackORRental)
Walsh,F.(2011).NormalFamilyProcesses,4thEdition.NewYork:Guilford
Press.(PaperbackORRental) McGoldrick,M.,Gerson,R.,Petry,S.(2008).Genograms:Assessmentandintervention,3rdEdition.NewYork:Norton.(PaperbackORRental).
OnlineJournalArticlesaccessedthroughUFOnlineJournalLibrary(WEBLUIS)oruploadedtoCanvasCoursepage.
B.Supplementalresources(notrequired):
Becvar,R.J.,&Becvar,D.S.(1999).SystemsTheoryandFamilyTherapy:APrimer(2nded.).Lanham,MD.:UniversityPressofAmerica.ISBN0-7618-1295-4.
FYI–FamilyTherapyModelsResourceforPreparingforFloridaMFTLicensingExam
http://quizlet.com/5979748/mft-national-exam-study-guide-flash-cards/
FYI-RecommendedListofFamilyandSystemicJournals(inalphabeticalorder):AmericanJournalofFamilyTherapyAustralianandNewZealandFamilyTherapyJournalContemporaryFamilyTherapyJournalofCoupleandRelationshipTherapyJournalofFamilyTherapyFamilyProcessFamilySystems&HealthJournalofFamilyPsychologyJournalofFamilyPsychotherapyJournalofFamilyTherapyJournalofFeministFamilyTherapyJournalofMaritalandFamilyTherapy(AAMFT)JournalofSystemicTherapiesTheFamilyJournal:CounselingandTherapyforCouplesandFamilies(IAMFC-ACA)V.COURSEPOLICIES
A. CONFIDENTIALITYDuringclassactivities,studentsmaysharepersonalinformationabout
themselvesandothers.Pleaserespecttheprivacyandconfidentialityofother
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studentsinthisclass,andadheretoprofessionalconfidentialitystandards.Likewise,allmaterialssubmittedtomewithprivateinformationwillbetreatedwiththesameconfidentiality.
B. CELLPHONES/ElectronicDevices
Pleaseturnoffandputawayallcellphoneswhenclassbegins(tobeusedonlyduringbreaksoremergencies).Ifanyotherdeviceisusedduringclass,itwillbestrictlyforthebenefitoftheentireclass,orasauthorizedbytheinstructor.Otherwise,studentswillreceiveanautomatic5-pointreduction(perincidentofinappropriateuse)fromtheirfinalgrade.
C. GRADE-RELATED
1.ClassAttendanceandAbsences:Anintegralpartoflearninginthis
coursewilltakeplacethroughdiscussionsandinteractiveactivities,whichrequireyourparticipation.Therefore,classattendance(andparticipation)isessential.Participationisparticularlycrucialinthisclass.Pleasecallmere:necessaryabsences.Excessive(morethan2)orunexcusedabsenceswillresultinpointreductionofparticipationgrade.Extenuatingcircumstanceswillbeconsideredonanindividualbasis.
2.WrittenAssignments-UseAPAForm(6thEditionofAPAPublication
Manual)inallwrittenassignments(exceptforlogsandanyothersexemptedperassignmentguidelines).Inyourheaderontheright,pleaseincludeyournameandpagenumbers.Besuretoproofreadyourpapersforspellingandgrammaticalerrorsbeforesubmitting.
3.GroupGrades.Theevaluationearnedongroupprojectswillapplytoall
groupmembers.Equitableparticipationin-groupassignmentsisexpected.
4.LateAssignments-Foreachdaythatanassignmentislatetherewillbe5pointstakenofffromtheearnedgrade.
5.Incompletesareonlyacceptableincasesofseriousextenuating
circumstances(e.g.prolongedillness,immediatepersonal/familycrises,etc.)andappropriatedocumentationwillneedtobeprovided.
D.FAIRNESS&ACCOMODATIONPOLICY:Anyindividualneedingspecializedassistanceduetoadisabilityshouldinformtheinstructorwithinthefirstweekofthesemestertoplanforspecificaccommodations.StudentsmustbringintheirletterfromtheDeanofStudents’Officeandeveryeffortwillbemadetoensurethatappropriateaccommodationsarearranged.
D. UFHONESTYPOLICY:AsaresultofcompletingtheregistrationformatUF,
everystudenthassignedthefollowingstatement:“IunderstandthattheUniversityofFloridaexpectsitsstudentstobehonestinalltheiracademicwork.IagreetoadheretothiscommitmenttoacademichonestyandunderstandthatmyfailuretocomplywiththiscommitmentmayresultindisciplinaryactionuptoandincludingexpulsionfromtheUniversity”(seeStudentHandbook).
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VI.ApplicableProfessionalStandardsThiscourseisdesignedtomeetprofessionalaccreditationstandardsundertheCouncilfortheAccreditationofCounselingandRelatedEducationalPrograms(CACREP,2009);SeeAppendixA-StandardsforMarital,Couple,andFamilyCounseling/TherapyPrograms(asenumeratedbyCACREPGuidelines).SeeAPPENDIXA.VII.COURSEEXPECTATIONS,GRADING,&ASSIGNMENTS:(EVALUATIONCRITERIAwillbebasedonyourdemonstratedabilitytomeetthefollowingaspectsofparticipation):A.ClassAttendance&Participation:Thiscourseisbasedonexperiential,interactive,andinstructivelearning.Merelyshowingupdoesnotconstituteparticipation.Attentiveandactiveparticipationisexpectedinclassdiscussionsandactivities.Youareexpectedtocompletetheassignedreadingsforeachclass.Pleasecomepreparedforclassdiscussionandparticipationinthewayofcomments,questions,observations,reactionstothereadings,etc.sothatwemayhaveusefulandstimulatingdiscussionthroughoutthesemester.Itismostproductivetocomepreparedwithsomeperspectiveand/orreactionstoreadings.Thiswillalsofacilitateyourunderstandingandparticipationinclassactivitiesthatwillbebasedonreadingsaswell.B.AdherencetoCoursePolicies(seeSectionVABOVE)C.GradingScale:
A= 934–1000 (4.00)
A- = 900–933 (3.67)B+= 867–899 (3.33)B= 834–866 (3.00)B-= 800–833 (2.67)C+= 767–799 (2.33)C= 734–766 (2.00)C-= 700–733 (1.67)D+= 667–699 (1.33)D= 634–666 (1.00)D-= 600–633 (0.67)E= Below600 (0.00)
Assignments(basedon1000pointscale)
a. Create-A-Family–GroupProject(100points)b. RolePlaywithaCreatedFamily–GroupProject(100points)c. Questionsbaseduponassignedreadings(100points)d. SystemsThinkingJournal–2entries(100points)e. FamilyNarrativeInterview–w/Partner(150points)f. FamilyGenogramPaper(200pts.)g. FamilyTreatmentPlan(150)OR
ComparativeAnalysisPaperof2FTModels(TakeHome)(150)h. Participation(100points)
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D.Descriptionof&EvaluationCriteriaforAssignments:1).Questionsbaseduponassignedreadings.(100)–DueClasses4,6,8,10&12For 5 reading assignments throughout the semester, you will be required to submit to me via email 2 – 5 questions directly related to the assigned readings. The due dates are when the questions are to be to me by 5:00 that day. As a class, we will pick 3 of all of the submitted questions to discuss in class. For the remaining questions not discussed in class, I will provide written answers. 2)SystemsThinkingJournals(100)-DueClass5and12Youwillturnintwojournalsabouttwoseparatepersonalexperiences/situations.Thepurposeofthesejournalsistogiveyoutheopportunitytoapplyprinciplesoffamilysystemstheorytoyourownlife.Ineachjournal,youwillconsideraneventorsituationinyourlife(e.g.,aconflictwithafamilymember,awork-relatedproject,miscommunicationwithafriendorcolleague)fromasystemsperspective(incontrasttoamorelinearorintrapsychic/individualperspective).Eachjournalshouldbeabout2pagesinlength(double-spaced).
1.Usethefollowingquestionsasaguideforwritingyourjournal:
a.Brieflydescribetheevent/situation.b.Howwouldthissituationbeunderstoodfromalinear/intrapsychicperspectivewhenthe“problem”isallbecauseoftheotherperson,orsomethingtheycausedordid?(mostlyviewedfromindividual’sperspective,basedoneither/orthinking,linearcausality,andgenerallyblame-oriented).
c.Howwouldthesituationbeunderstoodfromasystemsperspectiveusingsystemsprinciplesdiscussedinclass?(mostlyviewedfrombroader,morecontextualizedperspectivethatacknowledgesourowninfluenceinsituations,withanappreciationoftheviewthatchangeinonecaninfluencechangeintheother).Makesuretoaddressrecursionintermsofmutualinfluencebetweenthoseinvolvedinthesystemandsituationsyoudescribe.
d.Howdoesviewingthesituationfromasystemsperspectivechange yourunderstandingoftheevent/situation?EVALUATIONCRITERIA:Evaluationofyoursystemicjournalswillbebasedonadherencetoguidelines,abilitytodistinguishandunderstandthedifferencesbetweenlinearthinkingandsystemicthinking,appropriatenessofexamples,andapplicationofprinciplesassociatedwitheachofthe2perspectives.3)Create-A-Family(100)andRolePlay(100)GroupAssignment–DueClass7Youwillbe“creatingfamilies”thatwewill“workwith”laterinthesemester.Youwillbepartofagroupwhereineachmemberwilltakeroleswithinthefamilyyouconstruct
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together.Thesefamilieswillbeusedinrole-playsandclassactivitiesforgreaterexperientialunderstandingofclassmaterial.Thenumberofgroupsandfamilymemberswithineachgroupwilldependonthenumberofstudentsinclass.Youmightwanttoconsiderfamilysituationsthatarerelatedtoyourpracticesettingortrack(i.e.onesthatyoumayencounterinclinicalpractice).RolePlayWithadifferentCreatedFamily,youwilldoaroleplaysessionfromaparticularsystemicperspective.Thosewillbeconductedonthedateswhereweareslatedtodiscussthegiventheory.ThosedatesareOctober27;November3and10;December1and8.IreserveNovember17asanadditionalpossibledate.TheCreatedFamilywillprovidewithabriefsynopsisofwhatishappening.Theywillprovidethefollowing:
1) Presentingissue2) Whichnumbersessionyouareconducting3) Ifit’snotthefirstsession,whatinterventionshavebeendonetodatewithwhat
successornon-success.Caveat–Familiesinvolvingrelationalorsexualviolenceand/orchildabuse/neglectpresentspecialsituationswhereintheappropriatenessofcouple/familytherapyrequiresfurtherassessmentinthecaseofintervention.Thesameprinciplemaybetrueforfamiliesdealingwithseveresubstanceabuseissues.Inmostcasesthesesituationsrequireathoroughassessmentoftheviolenceorsubstanceabusebeforerelational(couple/family)workisdeemedappropriate.Oftentimes,familytherapycanonlytakeplacewhenspecificconditionsareagreedtoandmetbyclients.Therefore,keepinmindthatanyexamplesoffamiliesincludingtheseparticularissueswillrequirefurtherdiscussionwiththeinstructor. EVALUATIONCRITERIA:Create-A-FamilywillbeevaluatedbasedoncompletionofguidelinesprovidedonAppendixB.Thiswillincludethecompletionofafamilyeco-map(Becvar&Becvar,pp.119-121)andclassintroductiontotheCreatedFamily(duringClass7)
TheRolePlaywillbeevaluatedbaseduponattentivenesstotheparticulartheorybeingused;useofthattheory’sinterventionsand/orstrategies;languageusedbytheparticulartheory;accuratenessindemonstratingthetheoryandnotsimplyutilizingRogerianmethods.4)FamilyNarrativeInterview-150points(DueClass9)Thisisanopportunitytolearnaboutfamiliesbyinterviewingone.Youwillnotbedoingfamilytherapy.Youwillsimplybeassumingtheroleofaninterestedinterviewerofanon-clinicalfamily(i.e.familythatisnotintherapy)asyoulearnabouttheculture--ofanon-help-seekingfamily.Selectafamilythatyouarenotpersonallyconnectedto(e.g.chooseafamilythatafriendorclassmateknows,currentneighborsorafamilyinyourhometownyouarenottoofamiliarwith).YouwillbeaskedtoPairUpwithsomeoneelseinclassforthisassignment.Youwillturninonepaperforboth(makesurethisisanequitableprocessandendeavor).Whenwritingyourpaper,pleasenotecontrastingperspectives/experiencesbetweenyouandyourpartneraspartofyourreport.Selectionoffamiliesmayvaryintermsoffamilyformsandstructures(i.e.two-parent,single-parent,teenparent,multigenerationalhomes,blended/remarriedfamilies,
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gay/lesbian/transgenderedparents,adoptiveorfosterfamily,ethnically/raciallydiverseormixedfamilies,etc.)reflectiveoftoday’sdiversityandcompositionoffamilies.Youwillgainmorefromthisexperiencebyhavingallimmediatefamilymemberspresent(aminimumof2familymembersthatyoucanspeakwithduringyourinterviewisexpected).SEEPIERCY,ETALarticle(thatwillbepostedorsenttoyouasaPDFFile)forsuggestedinterviewquestions.Afteryouinterviewthefamilyyouwillwrite4-5page(double-spaced)paperthatdescribes:
(1)Howyouendedupselectingthefamily, (2)Thecompositionoffamilyyouinterviewed(keepidentitiesconfidential), (3)Somehighlightsoftheinterview, (4)Samplequestionsyouaskedalongwithfamily’sresponses,
(5)Basedonthefamily’sreminiscingandhowtheyco-constructedtheirsharedpastthroughstorytelling,describethisfamily’snarrativeorstory(i.e.Ifyouweretotelltheirstory,whatwouldthatsoundlike?).
(6)Whatthisexperiencewaslikeforyou(ideas,thoughts,reactions,etc.),and (7)Anythingelsethatwasrelevant(e.g.howthismightcontributetoyour
professionaldevelopment,whatthisexperiencewaslikeforthefamily,etc.).EVALUATIONCRITERIA:TheFamilyNarrativeInterviewwillbeevaluatedbasedonthecompletionoftheassignmentwithyourpartner(asspecifiedinguidelines).Bepreparedtosharesomeinformationaboutyourexperiencesonduedate.6)FamilyGenogramPaper(200points);6-8pages,plusgenogramonseparatesheet)DUECLASS11
A.Genogram:Provideathree-generationgenogramofyourfamilyoforigin(paper-clippedtostapledcopyofwrite-up)basedonMcGoldricketal.(2008)guidelines.ALSO,incorporateaspectsoftheCulturalGenogram(Hardy&Lasloffy,1995)bycolor-codingspecificethnic/culturalfactorsnotedinyourfamily.Culturalaspectscanalsobeprovidedonaseparategenogram,ifyouprefer. B.Onseparatepaper,provideabriefdescriptionofsignificantrelationshipsandpatternsamongfamilymembersnotedonyourGenogram.ALSO,describesomeoftheconnectionsyouhavemadeofpatternsnotedinyourFamilyofOrigin(asdepictedonyourGenogram)andyourcurrentsignificantrelationshipsandbehaviorswithothers?Forexample,aretherepatternsyouobserveinyourcurrentrelationshipsthatareconnectedtothebackground/contextpresentedinyourgenogram.
C.Givensomeoftherelationalpatterns,events,stressors,anddescriptorsnotedinyourgenogram,pleasedescribeanypotential“blinders”or“blindspots”thatmaygetinthewayofyourpracticewithclients.Inotherwords,aretherecertainissues(healthyorunhealthy,resolvedorunresolved,functionalordysfunctional)thatwouldimpactyourworkwithclientsinwaysthatyouneedtobeawareof?
D.Nofamilyisperfectorproblem-free–allfamiliesstrugglewithissues,concerns
andtransitionsthroughtime.Givenwhatyouhavepresentedinyourgenogramandhowyouhavedescribedyourfamily,discussoneareaofconcernthatcouldbe(orcouldhavebeen)addressedintherapy?HowwouldaBowenianNaturalFamilySystemstherapistgo
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aboutaddressingthisissueintherapy?Makeuseoftheoreticalprinciplesandinterventionsconsistentwithtransgenerationalthinkingandpractice.
E.Nowthatyouhaveabroaderunderstandingofyourfamilybywayofyour
genogram,yourplacewithinit,doyouseeyourselfdoinganythingdifferentlyinrelationtoanyoneormoremembersinyourfamily?Wouldyouliketointeractdifferentlyorchangeyourbehaviorinanyway?Whatimpactmightthischangeinyourbehaviorhaveonyourfamilysystem?NOTE:Itisimportanttoundertakethisassignmentwithadegreeofopennesstolearningaboutthesubjectmatterandaboutyouasapersonincontext.Thispaperwillbegradedonyourdegreeofopennesstolearningaboutyourselfinrelationtoyourfamily,theaccuracyofcourseconceptsusedinyourgenogramandpaper,writingstyle,andsystemicorientation.Theinstructorwillbetheonlyonetoreadyourpaperanditscontentswillbeheldinstrictconfidence.EVALUATIONCRITERIA:TheFamilyGenogramPaperwillbegradedonthoroughnessofinformation(i.e.collectionofdataforgenogram),discernmentofrelational/family/transgenerationalpatternsandinfluentialevents,coverageofmainpointsofpaper(seeA-E),writing/grammar,andconsistencybetweenyourgenogramandpaper(i.e.keepingtextconsistentwithgenograminformationandvice-versa).7)FamilyTherapyModels–Create-A-QUIZ(100points)---DUEClass13 A.Youwillcreatetestquestionsfora100pointquizcoveringthe5Theories/FamilyTherapyModelsfromClass10-12(Bowen,Structural,Strategic/Communication/MilanSystemic,Behavioral,&Experiential).Questionformatcaninclude:multiplechoice,fill-intheblanks,matching,andbriefessayquestions(nomorethan2)foratotalof100points.EVALUATIONCRITERIA:Youwillbegradedforcreativity/originality,adherencetoguidelines,coverageofalltheories,accuracy,&finalcompositionofquiz(i.e.grammar,writing,spelling).8)FamilyAssessment&TreatmentPlanOR---ComparativeFamilyTherapyModelPaper–(150points)DUEClass14;ChoiceofOPTIONS:
A. OPTION1-YouwillcompleteaFamilyAssessment/TreatmentPlan(separateguidelinessheetwillbegivenout)ofyour“Create-a-Family.”TheTreatmentPlanSectionofthepaperwillrequireyoutoselectTWOoftheFamilyTherapyModelscoveredbetweenClasses10-14(e.g.Bowenian,Structural,Strategic,Experiential,Post-ModernApproaches).Youwillthenwriteup2differenttreatmentplansections,oneforeachofyourchosenmodels.
B.OPTION2-ComparativeAnalysisofTwoTheory-basedModelsofFamilyTherapyUsingaCaseStudyYouwillselect2familytherapytheoriesofinteresttoyouasyour“lenses”fromwhichtoanalyzeacaseexample.Youwillthenwriteupacomparativeanalysisofhowpractitionersfromeachof2models/approachesyouselectedwouldviewandinterveneinthecase.Youranalysis
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shouldbebasedonthetheoreticalprinciples&assumptions,conceptsorconstructs,goals&objectives,andinterventionsconsistentwitheachofthe2theories.Yourcasestudy(of6-8pages)mustfirstincludeadescriptionofyourclientsystemfollowedby:(1)yourdescriptionoftheproblem/situation/strugglethattheidentifiedclientsystem(i.e.family)willhypotheticallypresentintherapy;(2)yourconceptualizationandassessmentofthecase(includinggoals)usingtheoretically-basedlanguageandtermsconsistentwiththe2modelsyou’vechosen,(3)theinterventionsthatmightbeutilizedintherapytoaddressyourclient-family’sissues,and(4)anoverallsummaryofhoweachofthesetheoreticalapproachescompareintermsofdifferences&similarities.
--EVALUATIONCRITERIA(100points):1.Construction&descriptionofcaseexample– 20points2.Demonstratedconceptualknowledgeandapplicationoftheories 30points3.Comparisonofmodels(demonstratingsynthesis&proficiencyinuseoftheoreticalconcepts&interventions)- 30points4.Organization/structure;flowofideas;grammar/syntax- 20points
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VIII.COURSEOUTLINE&CALENDAR Class1–Aug25Topics: Introductions&CourseOverview_____________________________________________________________________Class2-Sept1Topics: Familytherapy:AnIntroduction IndividualPsychology&FamilyTherapy Historical&ContemporaryPerspectivesinFT Readings: Becvar&Becvar,Ch.1&2_____________________________________________________________________ Class3–Sept8Topics: SystemsTheory/CyberneticsReadings: Becvar&Becvar,Ch.3&5
NEXTWEEK’SREADING:LetDr.HullknowwhichONEoftheFAMILY
TYPES/FORMScoveredinWalsh’sNormalFamilyProcessesText(thatyouwilldiscussinclassintwoweeks–Class#5).
n CHAPTERSTOCHOOSEFROMARE:o ContemporaryTwoParentFamilies-Ch.4o DivorcedFamilies-Ch.5o SingleParentHouseholds–Ch.6o Remarriage&StepFamilies–Ch.7o Gay&LesbianFamilies–Ch.8o KinshipCare–Ch.9o AdoptiveFamilies–Ch.10o AfricanAmericanFamilies–Ch.12o ImmigrantFamilies–Ch.13o GenderNormsinFamilies–Ch.14
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o SpiritualityinFamilies–Ch.15Bringasamplefromthemedia(visual,audio,art,socialmedia)toillustrateyourselectedFamilyForm._____________________________________________________________________Class4–Sept15Topics: GuestSpeaker:Dr.BlissWargovich
AttachmentTheoryandWorkingWithFamiliesorWhateverSheWantstoDiscuss
Readings: BecvarCh.15;
Walsh(2011,2ndEd)–Ch.1-2,11,16,18DUE:FIRSTBATCHOFQUESTIONS
_____________________________________________________________________Class5–Sept22Topics: Interviewingandassessingfamilies–PartI SystemsTheory/Cybernetics–Revisited;
TheFamilyinToday’sChangingDiverseWorld NormalFamilyProcesses FamilyLifeCycle–Normative&Non-NormativeTransitions
Create-A-FamilyConception Readings: Pattersonetal(Text)–Ch.1-3
Assignment-Related:SomeclasstimewillbedevotedtobegindevelopingideasforCreate-A-Familyinassignedgroups.WrittendescriptionofFamilycreatedbyeachgroupwillbeduein2weeks.
DUE:1STJOURNALENTRYANDSECONDBATCHOFQUESTIONS
_____________________________________________________________________Class6–Sept29Topic: Interviewingandassessingfamilies–PartII(Strength-basedPerspectives)Readings: Walsh–Ch.17
Echevarria-Doan,S.(2001).Resource-BasedCollaborativeConsultation:
Accessingclientresourcesthroughinterviewsanddialogue.JournalofMaritalandFamilyTherapy,27(2),201-212.(UFOnlineJournal)
Walsh,F.(2003).Familyresilience:Aframeworkforclinicalpractice.Family
Process,42,1-18.(UFOnlineJournal)
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_____________________________________________________________________Class7–Oct6Topic: IntroductionofCreate-A-Families(presentedbyeachgroup)
TreatmentPlans&BeginningInterventions Readings: Pattersonetal–Ch.4-5DUE:CREATE-A-FAMILYSUMMARIES–IntroductionofeachFamily(withwrittensummaryoffamilydescriptionforclass-listingallgroupmembers,familynames,andinfoaboutfamilyperguidelines).ALSODUE:3RDBATCHOFQUESTIONS______________________________________________________________________ Class8–Oct13Topic: UsingResearch-basedAssessmentInstruments
(Olson’sCircumplexModel-FACESIV&Beaver’sFamilySystemsModel) PROCESSREFLECTION1
Readings: Becvar&Becvar,Ch.14;
Walsh–Ch.19(Olson)&Ch.20(Beavers)
NOTE:BelowisthewebsitefortheCircumplexModel(FACES)ScalesalongwithanemailaddresswhereyoucaninquireaboutinstrumentsderivedfromtheCircumplexModel:http://www.prepare-enrich.com/about_us.cfm?id=147http://www.facesiv.com/Email:[email protected] DUE:FAMILYNARRATIVEINTERVIEW ______________________________________________________________________Class9–Oct20Topic: Constructingandinterpretinggenograms Readings: McGoldrick,Gerson,&Petry(2008)Text—Chapters1-7CulturalGenograms-LINKTOONLINEJOURNAL
Hardy,KennethV.;Laszloffy,TraceyA.Theculturalgenogram:Keytotrainingculturallycompetentfamilytherapists.JournalofMaritalandFamilyTherapy,Vol21(3),Jul1995,227-237.doi:10.1111/j.1752-0606.1995.tb00158.x
DUE: 4TH BATCH OF QUESTIONS
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______________________________________________________________________FAMILYTHERAPYMODELS-WEEKS10-14Class10–Oct27Topics: PracticeofFamilyTherapy AAMFTCodeofEthics(B&B–pp.308-316) Bowen’sNaturalFamilySystemsTheoryReadings: Becvar&Becvar,PartIIIntro(pp.125-128),Ch.7,&Ch.15 McGoldrick,Gerson,&Petry-Ch.9Topics: StructuralFamilyTherapy Readings: Becvar&BecvarCh.9 DUE: FAMILYGENOGRAMPAPER ______________________________________________________________________Class11–Nov3 Topics: Strategic,Communication(MRI),&MilanApproaches
Behavioral/CognitiveApproachesReadings: Becvar&Becvar,Ch.10-12 DUE: JOURNAL ENTRY #2 AND 5TH BATCH OF QUESTIONS _________________________________________________ Class12–Nov10Topics: ExperientialFamilyTherapy(Whitaker+Satir)
SculptinginFamilyTherapyReadings: Becvar&Becvarpp.200-204(Satir);Ch.8(Whitaker)FAMILYSCULPTINGREFERENCES:
Costa,Luann,Familysculptinginthetrainingofmarriageandfamilycounselors.CounselorEducationandSupervision,Vol31(2),Dec,1991.pp.121-131.
http://search.ebscohost.com.lp.hscl.ufl.edu/login.aspx?direct=true&AuthType=ip,uid&db=psyh&AN=1992-17619-001&site=ehost-live
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Papp,P.etal(2013).BreakingtheMold:SculptingImpassesinCouples'Therapy.FamilyProcess,Vol52(1),Mar,2013.pp.33-45.
http://search.ebscohost.com.lp.hscl.ufl.edu/login.aspx?direct=true&AuthType=ip,uid&db=psyh&AN=2013-08956-004&site=ehost-liveFYI:FamilySculpting-SupplementalReference(notprovided)-Duhl,B.(1983).Fromtheinsideoutandothermetaphors:Creativeandintegrativeapproachestotraininginsystemsthinking.NewYork:Bruner/Mazel(pp.213-266).CLASS13–NOV17Topics: TBADUE:FamilyTherapyModels–Create-A-QUIZQUESTIONScoveringFTModels(fromClass10-12)_________________________________________________________________NOVEMBER24–THANKSGIVINGHOLIDAY_________________________________________________________________Class14-Dec1Topics: PostmodernisminFamilyTherapy
PostmodernApproachesinFamilyTherapy(e.g.Narrative,Solution-focused,Solution-oriented,ReflectiveTeams,etc.).
Readings: Becvar&Becvar,Ch.4,13,16,&18 Minuchin,S.(1998).Whereisthefamilyinnarrativefamilytherapy,
JournalofMaritalandFamilyTherapy,24(4)397-403(Oct.'98).(UFLibraryOnlineJournals)
_________________________________________________________________Class15–Dec8(LastClass)
Topics: PostmodernApproaches–Part2
Wrap-upPROCESSREFLECTION2
LiveSupervisionSimulation(CulminatingClassExperience)DUE:FAMILYTREATMENTPLANORFAMILYTHERAPYMODELSCOMPARATIVEPAPER_________________________________________________________________
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ALERT:Thiscoursemayincludeclientinformationandothersensitivematerialintheformofdialogues,discussions,interviews,livedemonstrations,readings,slides,supervision,andvideos.Enrollmentindicatesawillingnesstoactivelyparticipateandtohonortheprivacyofthosewhosharetheirstoriessowecanlearn.Shouldtherebeparticularconcerns,pleasetalkwiththeinstructor.
ADDENDUMA–CACREPSTANDARDS(2009)COVEREDINCOURSE
ProgramAreaSpecialty:Marriage&FamilyCounseling
Course:MHS6430-IntroductiontoFamilyCounseling(Spring2011)
StandardAddressed(√)
AssignmentsAssessingStudentKnowledge/Skills
EvaluationCriteriaprovidedinSyllabus(√)
Standardmetif:
FOUNDATIONSStandardA:Knowledge
1.Knowsthehistory,philosophy,andtrendsinmarriage,couple,andfamilycounseling.
√ • Quiz• FamilyTherapy
Models(RolePlay)Interviews
• Participation
Studentfulfillsan80%orgreateroneachassignmentlisted
2.Understandstheethicalandlegalconsiderationsspecificallyrelatedtothepracticeofmarriage,couple,
√ • RolePlays• Class
Readings• Discussion
Studentfulfillsan80%orgreateroneachassignmen
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andfamilycounseling.
tlisted
3.Knowstherolesandfunctionsofmarriage,couple,andfamilycounselorsinavarietyofpracticesettingsandinrelationtootherhelpingprofessionals.
4.Knowstheprofessionalorganizations,preparationstandards,andcredentialsrelevanttothepracticeofmarriage,couple,andfamilycounseling.
√ • ClassReadings
• Discussion
Studentfulfillsan80%orgreateroneachassignmentlisted
5.Understandsavarietyofmodelsandtheoriesofmarriage,couple,andfamilycounseling.
√ • FamilyTherapyQuiz
• FamilyTherapyComparativeAnalysis
• ClassLectures&Discussion
• RolePlays• Genogram
Paper
Studentfulfillsan80%orgreateroneachassignmentlisted
6.Understandsfamilydevelopmentandthelifecycle,sociologyofthefamily,familyphenomenology,contemporaryfamilies,familywellness,familiesandculture,agingandfamilyissues,
√ • AssignedReadings
• Create-A-FamilyAssignment
• ClassDiscussion
• RolePlays
Studentfulfillsan80%orgreateroneachassignmentlisted
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familyviolence,andrelatedfamilyconcerns.StandardB:SkillsandPractices
1.Demonstratestheabilitytoapplyandadheretoethicalandlegalstandardsinmarriage,couple,andfamilycounseling.
2.Demonstratestheabilitytoselectmodelsortechniquesappropriatetocouples’orfamilies’presentingproblems.
COUNSELING,PREVENTION,ANDINTERVENTIONStandardC:Knowledge
1.Understandsissuesofmarriage,couple,andfamilylife-cycledynamics;healthyfamilyfunctioning;familystructures;andfamilyoforiginandintergenerationalinfluencesinamulticulturalsociety.
√ • Create-A-FamilyAssignment
• RolePlays
Studentfulfillsan80%orgreateroneachassignmentlisted
2.Recognizesspecificproblems(e.g.,addictivebehaviors,domesticviolence,suiciderisk,immigration)andinterventionsthatcanenhancefamilyfunctioning.
3.Understands
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humansexuality(e.g.,gender,sexualfunctioning,sexualorientation)anditsimpactonfamilyandcouplefunctioning.4.Understandsprofessionalissuesrelevanttothepracticeofmarriage,couple,andfamilycounseling,includingrecognition,reimbursement,andrighttopractice.
StandardD.SkillsandPractices
1.Usespreventive,developmental,andwellnessapproachesinworkingwithindividuals,couples,families,andothersystemssuchaspremaritalcounseling,parentingskillstraining,andrelationshipenhancement.
2.Usessystemstheorytoconceptualizeissuesinmarriage,couple,andfamilycounseling.
√
3.Usessystemstheoriestoimplementtreatment,planning,andinterventionstrategies.
4.Demonstratestheabilitytouse
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proceduresforassessingandmanagingsuiciderisk.5.Adherestoconfidentialityresponsibilities,thelegalresponsibilitiesandliabilitiesofclinicalpracticeandresearch,familylaw,recordkeeping,reimbursement,andthebusinessaspectsofpractice.
6.Demonstratestheabilitytorecognizehisorherownlimitationsasamarriage,couple,andfamilycounselorandtoseeksupervisionorreferclientswhenappropriate.
√ • ClassRolePlays&Discussion
Studentfulfillsan80%orgreateroneachassignmentlisted
DIVERSITYANDADVOCACYStandardE:Knowledge
1.Understandshowlivinginamulticulturalsocietyaffectscouplesandfamilies.
√ • Create-A-FamilyAssignment
• Readings&Discussion
• ClassRolePlays
Studentfulfillsan80%orgreateroneachassignmentlisted
2.Recognizessocietaltrendsandtreatmentissuesrelatedtoworkingwithmulticulturalanddiversefamilysystems(e.g.,familiesintransition,dual-careercouples,blendedfamilies,
√
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same-sexcouples).3.Understandscurrentliteraturethatoutlinestheories,approaches,strategies,andtechniquesshowntobeeffectiveinworkingwithdiversefamilysystems.
√ • Create-A-FamilyAssignment
• Readings&Discussion
• ClassRolePlays
Studentfulfillsan80%orgreateroneachassignmentlisted
4.Understandstheeffectsofracism,discrimination,sexism,power,privilege,andoppressiononone’sownlifeandthatoftheclient(s).
√ • Create-A-FamilyAssignment
• Readings&Discussion
• ClassRolePlays
Studentfulfillsan80%orgreateroneachassignmentlisted
5.Understandstheeffectoflocal,state,andnationalpolicies,programs,andservicesondiversefamilysystems.
StandardF:SkillsandPractices
1.Demonstratestheabilitytoprovideeffectiveservicestoclientsinamulticulturalsociety.
2.Maintainsinformationregardingcommunityresourcestomakeappropriatereferrals.
3.Advocatesforpolicies,programs,andservicesthatareequitableand
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responsivetotheuniqueneedsofcouplesandfamilies.4.Demonstratestheabilitytomodifycounselingsystems,theories,techniques,andinterventionstomakethemculturallyappropriatefordiversecouplesandfamilies.
ASSESSMENTStandardG.Knowledge
1.Knowsprinciplesandmodelsofassessmentandcaseconceptualizationfromasystemsperspective,includingdiagnosticinterviews,mentaldiagnosticstatusexaminations,symptominventories,andpsychoeducationalandpersonalityassessments.
√ • Quiz1• Family
TreatmentPlan
• FamilyTherapyModelsAnalysis
• ClassRolePlays
Studentfulfillsan80%orgreateroneachassignmentlisted
2.Understandsmarriage,couple,andfamilyassessmenttoolsandtechniquesappropriatetoclients’needsinamulticulturalsociety.
• FamilyTreatmentPlan
• FamilyTherapyModelsAnalysis
• ClassRolePlays
Studentfulfillsan80%orgreateroneachassignmentlisted
3.Understandstheimpactofaddiction,trauma,psychopharmacology,physicaland
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mentalhealth,wellness,andillnessonmarriage,couple,andfamilyfunctioning.StandardH.SkillsandPractices
1.Appliesskillsininterviewing,assessment,andcasemanagementforworkingwithindividuals,couples,andfamiliesfromasystem’sperspective.
√ • SystemsTheoryJournals
• FamilyTreatmentPlan
• FamilyTherapyModelsAnalysis
• ClassRolePlays
Studentfulfillsan80%orgreateroneachassignmentlisted
2.Usessystemsassessmentmodelsandprocedurestoevaluatefamilyfunctioning.
√ • FamilyTreatmentPlan
• FamilyTherapyModelsAnalysis
• ClassRolePlays
Studentfulfillsan80%orgreateroneachassignmentlisted
3.Determineswhichmembersofafamilysystemshouldbeinvolvedintreatment.
RESEARCHANDEVALUATIONStandardI.Knowledge
1.Understandshowtocriticallyevaluateresearchrelevanttothepracticeofmarriage,couple,andfamilycounseling.
2.Knowsmodelsofprogramevaluation
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relevantforthepracticeofmarriage,couple,andfamilycounseling.3.Knowsevidence-basedtreatmentsandbasicstrategiesforevaluatingcounselingoutcomesinmarriage,couple,andfamilycounseling.
StandardJ.SkillsandPractices
1.Appliesrelevantresearchfindingstoinformthepracticeofmarriage,couple,andfamilycounseling.
2.Developsmeasurableoutcomesformarriage,couple,andfamilycounselingprograms,interventions,andtreatments.
3.Analyzesandusesdatatoincreasetheeffectivenessofmarriage,couple,andfamilycounselinginterventionsandprograms.
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ADDENDUMB–CREATE-A-FAMILYGUIDELINESBasedonthefollowingguidelinesputtogetheraprofileofafamilyyoumightbeworkingwithinyourcurrentorprospectivesettings.Youcancreatethisfamilybasedonpersonalandprofessionalexperiences.Beasauthenticaspossiblebecausewewillbeutilizingthisfamilyasacaseexampletoworkwithinclassthroughoutthesemester.Theideahereistoconceptualizethetypesoffamilysituationsyouwillbeencounteringinyourpracticesettings.Youmayalsowanttoconsiderfamilysituationsyouarefamiliarwith(personallyorprofessionally)orfamilyissuesofinteresttoyouasagroup.YourgroupisresponsibleformakingsurethateachstudentinclassreceivesacopyoftheCreate-A-Familypaperthatyouturnintotheinstructor.Youmaysendtheseelectronicallybeforeclassonduedateorbringhardcopiesonduedate.Courseinstructorwouldliketohaveboth(electronic&hardcopy).Pleasemakesureyouincludeallgroupmembers’namesinyourwrite-up.Yourpaperneedstoinclude:
A)DescriptionoftheFamily1.Familymembers(names,ages,gender,grades/occupation)2.Ethnicity/Race3.Socio-EconomicStatus4.Educationallevelofparents/guardians;children’sschoolstatus5.Family’scurrentlifecyclestage6.PertinentVerticalorHorizontalStressorsinFamily(Walsh,p.379in3E;p.139in2E)7.Religion/SpiritualOrientation
8.SexualOrientation9.PertinentHistoryrelatedtomedicalproblems,addiction,orviolence/abuse
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10.Anyprevioustherapyorschoolrelatedassistance?Ifso,explain.11.Otherpertinentinformation
B)Describethefamily’ssituation(i.e.reasonforseekingtherapyorbeingreferredforservices).Beclearaboutthepatternsthatoccurthatusuallyleadtoproblematicordifficultmomentsinthisfamily.
C)Howhasthefamilyattemptedtosolvetheirproblematicsituation?–Both
withinthefamilyand/orwithoutsidehelp?Ifoutsidehelpwassought,describetheservicesand/orprofessionalassistancetheyreceived(includinglengthoftime,andtypeofassistance/interventionthatwasprovided).
D)Strength-basedquestions
1.Someofthemostpleasantmemoriesyouhavesharedtogetherasafamily.2.Hardship(s)thatyourfamilyovercameandhowyourfamilywasabletodothis.3.Timesyouhavefeltclosesttoeachother.4.Someofthemosthumoroustimesyouhaveshared.5.Whenyouthinkaboutyourfamily’sfuture,whatwouldyouliketoseehappeninginthenext5,10,15years?6.Anyotheraspectsofindividual&familylifethatstrengthensyourfamily?
E)ECO-MAP(SeeBecvar&Becvarpp.119-121)
1.ProvideanORGANIZATIONALECOMAPofthemembersofthisfamily(in
thecenter)inrelationtoalltherelevantpartiestheyareconnectedto(outsideofcenter)becauseoftheproblemstheyarefacing(e.g.educational,spiritual/religious,communityagencies/services,extendedfamily,friends,neighbors,job/career-related,financial,etc.).
2.Identifythekindofflowofinteractionorcommunicationbetweenthefamilymembersinthecenterandeachoftheothergroupsthatsurroundsthemusingthedescriptivesymbolslistedbelow–anexamplebyHartman&Laird(1983)willbesharedwiththeclass.Thesesymbolscharacterizesignificantinclusive/supportiveorconflict-ladenconnectionsbetweeneachofthesesubsystems/groupsofindividuals.
Key: _________ Strong/HealthyRelationship
…………….. DistantRelationship ~~~~~~~~~~ Conflictual/StressfulRelationship
Flowofinteractionbetweeneachofthesegroups(onewayormutual)
Youshouldhaveonelinedepictingthetypeofrelationshipandoneor2othersshowingtheflowofinteractionbetweenthoseinthecenterand
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theexternalsystems.Inthemarginsoronseparatesheet,provideabriefexplanationforeachofthetypesofrelationshipsdepictedinyourEco-Map(i.e.whatmakesarelationshipstrong,distant,orconflictual,etc.,andwhatconstitutestheindicatedflowofinteraction).
3.HowdoestheinformationdepictedintheEco-Maps,influencethefamilysituationandtheirresponse(i.e.theirwayofdealingwiththeproblem)?
1.ECO-MAPINSTRUCTIONSTheecomapisavisualrepresentationofthefamilyinrelationtothecommunity.Itshowstherelationshipsbetweenfamilymembersandexternalsystemssuchastheschool,healthsystem,work,andspiritualcommunity.Informationsuchastimespentingettingtohealthcare,buyingfoodandothergoodsforthefamily,accesstotransportationandsafetyoffamilymembersislearnedthroughanecomap.Theecomapaddstoinformationlearnedfromthegenogramandfamilycircles.Familyresourcesinpersonsandsystemsmaybecomeapparent.Theecomapisapaperandpencilsimulationdevelopedasafamilyassessment,planning,andinterventiontool. A.Directions
1 Drawthefamilysystemorhousehold(asdefinedbythefamilymember[s])inalargecircleatthemap'scenter.
2 Usethegenogramsymbolstodepictfamilymembers.Indicaterelationshipsasinthetraditionalfamilytreeorgeneticchart.Inserttheperson'sageinthecenterofthegenogramsymbol(male-femalecouple–maleonleft,femaleonright;siblings–olderonlefttoyoungeronright).
3 Fillinordrawcirclesfortheothersystemsofthefamilyenvironment.Incontrast
totheFamilyCircles,thecirclescanbeanysizeanddonotreflectsignificancebytheirsize.Someofthemostcommonsystemsforfamiliesareextendedfamily,recreation,healthcare,andschool.Somecirclesareleftundesignatedsothatthemapcanbeindividualizedforeachfamily.
4 Addtheconnectionsbetweenthefamilyandthedifferentsystemsoftheirenvironment.Indicatethenatureoftheconnectionsbythetypeoflinedrawn.Asolidorthicklinerepresentsanimportantorstrongconnectionandadottedlineatenuousconnection;jaggedmarksacrossthelinerepresentastressfulorconflictedrelationship.
5 Indicatethedirectionoftheflowofresources,energy,orinterestbydrawingarrows
alongtheconnectinglines.
6 Connectionscanbedrawntothefamilyasawholeiftheyareintendedtoportraythetotalfamilysystem'srelationshipwithsomesystemintheenvironment.Otherconnectionscanbedrawnbetweenaparticularindividualinthefamilyandanoutsidesystemwherethatpersonistheonlyoneinvolvedordifferentfamilymembersareinvolvedwithanoutsidesystemindifferentways.Thisenablesthemaptohighlightthecontrastinthewayvariousfamilymembersareconnectedtotheothersystems.
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Eco-mapcharacteristicsTheecomapshowstheecologicalsystemwiththeboundarieswhichencompassthepersonorfamilyintheirlifespace,and1)includesthemajorsystemsthatareapartofthefamily'slife;2)showsthenatureofthefamily'srelationshipwiththevarioussystems;3)portraysanoverviewofthefamilyintheirsituationby,picturingtheimportantnurturantorconflictualconnectionsbetweenthefamilyandtheirworld;4)demonstratestheflowofresourcesorthelackanddeprivations;and5)highlightsthenatureoftheinterfacesandindicatesconflictformediationandresourcestobeidentifiedandmobilized.References Hartman,A.,&Laird,J.(1983).Family-centeredsocialworkpractice.NY:FreePress. Hartman,A.(1978)Diagrammaticassessmentoffamilyrelationships.SocialCasework,59,465-476. Hanson,S.M.H.(2001)Familyassessmentandintervention-EcomapFamilyHealthCareNursing2ndEdition.pp181-184. McPhatter,A.R.(1991)Assessmentrevisited:Acomprehensiveapproachtounderstandingfamilydynamics.FamiliesinSociety:TheJournalofContemporaryHumanServices,January.11-20. Wright,L.M.&Leahey,M.(2000).NursesandFamilies:AguidetoFamilyAssessmentandIntervention.3rddEdition.Philadelphia:F.A.Davis.http://www.uic.edu/nursing/genetics/Lecture/Family/ecomap.htmWISHINGYOUHAPPYHOLIDAYSANDANAMAZINGNEWYEAR!
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SED,August,2015