Monday, March 16, 2015

COMPARISON BETWEEN INDIVIDUAL THERAPY AND MARITAL AND FAMILY THERAPY

Information gathered and presented by:
Tumchobeni and Beni
Students of M.Sc.Psychology,
Jain University,
Bangalore
In individual therapy, the person who seeks treatment will be an individual. However in family therapy, there will be two or more individuals who seek therapy. The goal of individual therapy is for the therapist to provide some emotional healing for the client. The goal of couple therapy is for the therapist to help the two partners provide emotional healing for each other.
In individual therapy, the therapist may focus on understanding one person’s view and experiences. This is to help them to know what they want and to communicate that assertively and clearly. In family therapy, the therapists will likely focus on what both people want, how they can communicate that and do something about it. In a family therapy, it may involve some negotiating and compromises. It also mostly focuses on communication skills. As with individual clients, you try to help them come to an understanding of what’s going on for them, how this came to be a problem, and why it has continued. For couples, you do the same, but you help them both see what’s been happening in their relationship, how it came to be and how each of them has been a factor in it, and why it has continued.
In individual therapy the therapists traditionally meet their clients once a week for 50 minutes or so. This helps the therapist in providing some stability for the client, and creates a place where the client regularly pauses in life to reflect, evaluate their progress toward their goals, and make decisions. It may be seen as a weekly review to assess the personal life goals as well as the progress toward them. Family therapy is often much more flexible, the therapist may see the client for more than an hour and may meet clients once a month or after few months. This helps as a way to reduce relapse into problems.
When it comes to the effectiveness of the therapy, there are many studies that show the effectiveness of the many therapies available in individual therapy. Sometimes studies may show one kind of therapy is better than another for a specific problem. More often they show most therapies can help with most all problems. As for family therapy, according to a study done by Liddle et al. (2002) report that the transition from “distressed” to “non-distressed” after treatment occurs for 35% (Jacobson et al., 1984) to 41% (Shaddish et al., 1993) of couples. In other words, they get better, but generally only a third or so are in the “normal and happy with their relationship” range. The issue for studies of the effectiveness of therapy is that when married couples in treatment are compared to married couples on a wait-list, the couples on the wait-list decline into the “very distressed” range while they wait for therapy. Thus, the treatment really has only to halt the decline in order to yield significant results, and a statistically significant result may not mean much (Gollan and Jacobson’s chapter in Liddle et al. 2002). However, Johnson & Greenberg (1994), however, using the Emotion Focused Therapy they developed, found much better results. Cloutier et al. (2002) found 62% of couples were improved (less distressed) when they finished six to ten sessions of Emotion Focused Therapy. However, 77% were improved two years later, meaning they were in the “normal and happy with their relationship” range) at the end of six to ten sessions of Emotion Focused Therapy, while 64% were recovered with two years of follow up. Thus, with specific couples therapy treatments shown to work, about three-fourths get better, and two-thirds are “healed” after only six to ten sessions of work.
ADVANTAGES OF FAMILY AND MARITAL THERAPY
The main advantage of Family and Marital therapy is that it involves the entire family during the therapy sessions.  It tries to make each other understand and help one another handle his or her problems. It gives each member an opportunity to share information and be part of the solution. This helps in leading to a greater sense of commitment among the members of the family. In the therapy couple/ partners participation allows the therapist to get more information which can greatly improve the effectiveness of treatment, also help the therapist observe and plan approach to look into the various problems. Family and Marital therapy is also beneficial in terms of dealing with parent child conflicts. It is difficult for parenthood sometimes especially when there is no common ground between the child and the parent, in such situation the therapist becomes a neutral person and offers common ground and help foster peace.
Family and Marital therapy helps individuals and their household handle many issues other than of psychologically based alone. It can be used to understand how each household functions, to identify strengths and weaknesses that exist in each household system and help set goals and develop approaches to tackle challenges. It is beneficial in the improvement of communication skills and strengthening the entire community. Family therapy plays a big role in helping those with struggling with substance abuse, eating disorders and depression, severe mental illness, couple problems and parenting concerns. All in all the advantages is that it teaches family members about how families function in general and, in particular, their own functions. It helps the family focus less on the member who has been identified as ill but focus more on the family as a whole and helps in identifying conflicts and anxieties and develop strategies to resolve them. This therapy works in strengthening all family members so they can work on their problems together and teach ways to handle conflicts.
INCORPARATING INDIVIDAUL THERAPY TO FAMILY AND MARITAL THERAPY
Just like in Individual therapy which focuses on one person, at times in Marital and Family therapy it may require incorporating this individual technique in dealing one members of the family to facilitate change, confront barriers that interfere among the members of the family and increase positive attitude to look into the problem and solve it.  Individuals are equally important in a family so it is necessary to look into their area of concern and conflict and involve them for effective result in the therapy.
Individual therapy allows people to speak without worry of being judged by a partner. This technique can be used in the Family and Marital therapy as well so as  to allow the individual express freely and also in this way help the therapist get information and allow him/her arrange the approach to tackle the challenge/ problems. In Individual therapy, therapist assigns the individuals certain works or exercise to complete by the therapist in the process of counselling as part of therapeutic process. Likewise, in Family and Marital therapy, each member can be assigned tasks, for example, maintaining separate dairies or notes for couples, use of reinforcement for enhancing positive behaviour for children etcSimilar to Individual therapy, in Family and Marital therapy psychological assessment can be used as well; for example screening test, Self Report Questionnaires and Family Heath Questionnaires.
 References:
Niolon R (November 21, 2010) what’s the difference between couples and individual therapy. Retrieved from http://www.psychpage.com/family/library/couple_therapy_genera.html
Family Therapy (2014). Retrieved on 8.02.14 from http://www.webmd.com/balance/family-therapy-6301

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