Thursday, April 4, 2024

Family counselling

Counselling: Meaning-cum-Definition 

            Counselling is an interactive learning process in which the counsellor helps the counsellees to understand the cause(s) of difficulties and reach decisions. The approach in counselling is holistic, addressing social, cultural, economic and emotional issues. Counselling may be concerned with addressing and resolving specific problems, making decisions, coping with crises, improving relationships and developing personal awareness. It also involves working with feelings, thoughts, perceptions and conflicts. The overall aim is to provide counsellees with opportunities to work in positive ways so as to live with the essence of well-being.

Qualities of counsellor:

1. Sensitive to human problems

2. Empathy

3. Respect for individual variations

4. Being non-judgmental

5. Maintain confidentiality

6. Being approachable

7. Being firm yet friendly

8. Pleasant disposition

9. Understanding values and relationships

Family Counselling: An Introduction

Family counselling is a program of providing information and professional guidance to members of a family concerning specific health matters, such as the care of a severely retarded child or the risk of transmitting a known genetic defect. A family is a group of people related to heredity, such as parents, children, and siblings. The term is sometimes broadened to include related by marriage or those living in the same household, who are emotionally attached, interact regularly, and share concerns for the growth and development of the group and its individual members.

Family Counselling: Definition

Family counselling is a process in which

- one or more persons to deal with personal and interpersonal issues in relation to marriage; or

- one or more persons (including children) who are affected, or likely to be affected, by separation or divorce to deal with either or both of the following:

            - Personal and interpersonal issues;

            - Issues relating to the care of children

Goals of Family Counselling

The goal of the counselling process is to improve family functioning, and so to help the identified client.

The goals for family counselling:

• Improved communication,

• Improved autonomy for each member,

• Improved agreement about roles,

• Reduced conflict, and

• Reduced distress in the index client

Family Counselling (FC): Salient Features

1.         It provides a safe environment and temporary structure for people during difficult times.

2.         In FC all aspects are considered: mind, body, relationships, spirituality, and culture.

3.         It is initiated to address specific problems, such as an adolescent with a psychological disorder or adjustment to a death in the family.

4.         Family therapy is based on family systems theory, in which the family is viewed as a living organism rather than just the sum of its individual members.

5.         It seeks to alter interactions between family members and role performance within families.

Concepts in Family Counselling (FC)

1.         The identified client - It is one of the family members with the symptom that has brought the family into treatment.

2.      Homeostasis (Balance) - It means that the family system seeks to maintain its customary organisation and functioning over time, and it tends to resist change.

3.         The extended family field - It includes the immediate family and the network of grandparents and other relatives of the family. This concept is used to explain the intergenerational transmission of attitudes, problems, behaviours, and other issues.

4.         Differentiation - It refers to the ability of each family member to maintain his or her own sense of self while remaining emotionally connected to the family

5.      Triangular relationships - Family systems theory maintains that emotional relationships in families are usually triangular. Whenever two members in the family system have problems with each other, they will “triangle in” a third member to stabilise their relationship. The triangles in a family system usually interlock to maintain family homeostasis.

Types of Family Counseling  

1.         Conjoint family counselling - In this type the entire family is seen at the same time by one counsellor.

2.         Concurrent family counselling -  In this type, one counsellor sees all family members but in individual sessions.

3.         Collaborative family counselling - In collaborative family counselling, each family member sees a different counsellor. The counsellors then get together to discuss their respective clients and the family as a whole.

Process of Family Counseling  

1.         Assessment in family counselling - The entire process of assessment and history taking begins with taking a brief account of the current concerns or, so to say, the presenting problem.

            (i)        Structure and History of the Family

                        - Structure and configuration of the family

                        - Transitional events in the family cycle

                        - Nature of the relationship/s

                        - Boundaries

                        - Family atmosphere

            (ii)       Roles, Functioning and Pathological Trends in a Family

                        -  Role performance

                        - Decision-making and power struggle

                        - Pattern of communication and exchange of information

                        - Emotional reactivity

                        - Cohesiveness

                        - Family operations

                        - Liabilities and pattern of individual growth of family members

            (iii)      Value System, Socialisation and Recreation Pattern within the Family

                        The family counsellor must also explore the following with adequate clarity:

                        - Nature and pattern of value and moral system of a family

                        - Pattern and level of religious and spiritual orientation within a family

                        - Pattern and level of socialisation accepted and encouraged in a family

                        - Pattern of seeking entertainment and recreation within a family

Conclusion

            In FC the counsellor must focus on altering the communication pattern and exchange of information in the family, the emotional expression and reactivity of various family members, the general atmosphere and cohesiveness within the family, the pattern of boundaries within the family and the family operations in terms of the tasks or roles being taken up by each family member. The counsellor should also focus on and encourage healthy socialisation and recreation.

 

 

 

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