Child Psychology and Psychiatry


GOALS OF FAMILY THERAPY ASSESSMENT



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066 Child Psychology and Psychiatry

GOALS OF FAMILY THERAPY ASSESSMENT
Family therapy assessment is guided by a funda-
mental assumption that the observation of family
structure and processes as they unfold in the clin-
ical interview will reveal something of the nature
of the presenting problem, its genesis and main-
tenance over time. Gaining an understanding of
these relationships can enable family therapists
and the family to form intervention plans aimed
at addressing the relevant family relationships,
processes or narratives.
The question for the family therapist is how to
structure the assessment in such a way that impor-
tant areas of family functioning are revealed. Var-
ious assessment frameworks have been proposed
[3–6]. There are differences of focus and emphasis
between the various models and a variety of terms
are used to capture different aspects of family func-
tioning. Some major themes that emerge include:

Gaining an understanding of the presenting
problem:
Families most frequently present to
clinical services with a ‘problem’, or ‘difficulty’,
which is regarded as ‘belonging’ to one family
member. The family therapist will seek to gain
an understanding of the complexities of the

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