Attention Deficit Hyperactive DisorderOppositional Defiant DisorderDysthymic DisorderAdjustment DisorderIntermittent Explosive Disorder
Ineffective parental coalitionPoor executive subsystemThe three family members have formed an unhealthy triangleSoni fused with her father Breland forming an opposing union coalitionBreland asserts he is on the weaker of an inequitable relationship with Kelissa, while actually maintaining greater power and controlSoni disengaged with mother KelissaRigid boundariesPower inappropriately lying with Soni
1. Restructure the Family's System of Transactional Rules:For example, by creating a family map and observing and evaluating (or through an interview process) the family/system in action, the therapist can work to break-up the triangles and coalitions and shift the power, as needed.2. Establish Appropriate Boundaries:Depending on the structure of the family/system, the therapist will strengthen the parental executive system (parents or in organizations, the administration), mark boundaries between the sibling (staff) subsystems, or resolve conflicts and reestablish appropriate boundaries.3. Create an Effective Hierarchical Structure:Reestablish strength in the executive (parental) subsystem. The therapist joins with this subsystem by functioning with it and staying in charge of the family system.
a) planned support for the family structure i.e., offering support for what is going well, and helping to create changes in structures that will work;b) carefully tracking the content and process of family interaction; andc) accommodating to the family members' style and range of affect through mirroring.