Foundation of Addiction Medicine 2019

STRATEGIC APPROACH

• Brief and direct than the others, in which the
therapist assigns homework to the family.

• This homework is intended to change the way
family members interact by assessing and
adjusting the way the family communicates and
makes decisions. The therapist takes the position
of power in this type of therapy, which allows
other family members who may not usually hold
as much power to communicate more effectively

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STRATEGIC APPROACH

• Milton Erickson
• Jay Haley

Core concepts:
• Power & control
• Family life cycle
• Symptoms maintaining sequences
• Function of problems

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Goals:
• Resolve parenting problem
• Disruption of problem maintaining

sequences
Techniques of Strategic Approach:
• Persuasion
• Paradoxical injections

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Studies related to efficacy of FT
interventions

• Dakoef et al (2015) at the end of therapy found positive
changes in delinquency, externalizing symptoms and
substance use in adolescents.

• Sprenkle in 2012, did overview of 12 research articles
provided strong positive evidence for using CT and FT
modalities for issues like adolescent with substance use
and adult alcoholism

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Colored Candy Go Around

● Green – words to describe your

family;

● Purple – ways your family has fun;

● Orange – things you would like to

improve about your family;

● Red – things you worry about;

● Yellow – favorite memories with your

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Emotions Ball

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Summary

Benefits of Family Therapy
● A better understanding of healthy boundaries and

family patterns and dynamics;
● Enhanced communication;
● Improved problem solving;
● Deeper empathy;
● Reduced conflict and better anger management

skills

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Family therapy can improve family relationships
through

● Bringing the family together after a crisis;
● Creating honesty between family members;
● Instilling trust in family members;
● Developing a supportive family environment;
● Reducing sources of tension and stress within the family;
● Helping family members forgive each other;
● Conflict resolution for family members;
● Bringing back family members who have been isolated

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Reference

• Dakof, G. A.; Henderson, C. E.; Rowe, C. L. ;
Boustani, M; Greenbaum, P. E.; Wang, W; Hawes, S;
Linaress, C; Liddle, H. A. (2015) A Randomized
Clinical Trial of Family Therapy in Juvenile Drug
Court. Journal of Family Psychology. 29(2):232-241

• Sprenkle, D. (2002). Effectiveness research in marital
and family therapy. Alexandria, VA: American
Association for Marital and Family Therapy.

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