How to Coach Yourself and Others Coaching Families | Page 288

E. Normal family development
1. Group
a. Instrumental and expressive leaders
b. Three phases of group development: inclusion, control, affection
c. Cohesiveness
d. Need compatibility
2. Communications
a. Feedback loops
b. Normal families become unbalanced during transitions in family life cycle
F. Development of behavior disorders
1. Group - symptoms as products of disturbed and disturbing group processes - if needs
continue to go unmet, symptoms may be perpetuated into a role and group organizes around a
"sick" member
2. Communications - "identified patient" as a role with counter roles and complimentary roles
that maintain the system - - - caused by pathological communication such as paradoxical
injunctions/ double binds
G. Goals of therapy
1. Group - individuation of group members, personal growth, and improved relationships
2. Communications - change/prevent maladaptive interactions viii.
H. Conditions for behavior change
1. Group - help family members talk to each other, concentrating more on process than content,
then explore those feelings
2. Communications - making covert messages behind symptoms overt. Therapist may
manipulate the family be prescribing the symptom or therapeutic double binds, introducing
positive feedback loops
I. Techniques of group family therapy
1. Therapist as process leader
2. Stages - child - centered, parent - centered, family - centered
3. Types of therapy - multiple group therapy, multiple impact therapy, network therapy
4. Resistance - anything that interfered with balanced self - expression
J. Techniques of communications family therapy
1. Structured family interview (5 tasks)
2. Teaching rules of clear communication - (using "I", stating facts, talking to - not about)
3. Used family’s moment to circumvent resistance
4. Therapist as referee and reframer, making implicit rules explicit and using therapeutic
paradox

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