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Philadelphia Child and Family Therapy Training Center

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What if the rule of thirds applied to your work with families…this could make a lot of sense since systemic family therapist are always working their growth and development…

July 30, 2024 by Jennifer Benjamin Leave a Comment

By embracing the rule of thirds, systemic family therapists can cultivate a realistic and resilient approach to their practice, fostering long-term success and personal satisfaction.

1. Feeling Good About Your Performance (33%)

  • Client Breakthroughs: There will be moments when you witness significant breakthroughs and progress in your clients. These successes reinforce your confidence in your skills and the effectiveness of your therapeutic interventions.
  • Positive Feedback: Receiving appreciation and positive feedback from clients and colleagues can validate your efforts and approaches.
  • Personal Fulfillment: Seeing families heal, improve their communication, and strengthen their relationships can bring a deep sense of personal and professional fulfillment.

2. Feeling Okay About Your Performance (33%)

  • Steady Progress: Many sessions will involve steady, incremental progress rather than dramatic changes. These sessions are crucial for building trust and laying the groundwork for future breakthroughs.
  • Routine Challenges: Encountering routine challenges and working through them is a normal part of the therapeutic process. These moments help you refine your skills and approaches.
  • Professional Growth: Learning from these experiences and seeking supervision or peer support can enhance your competencies and resilience.

3. Feeling Like It Didn’t Go as Planned (33%)

  • Setbacks: Therapy can be unpredictable, and there will be sessions where things don’t go as planned. Clients may resist interventions, or new issues may emerge that complicate the process.
  • Self-Doubt: It’s natural to question your effectiveness or feel disheartened when progress stalls or conflicts arise within the family system.
  • Learning Opportunities: These challenging sessions are valuable learning opportunities. Reflecting on what went wrong, seeking supervision, and adapting your approach can lead to professional growth and better outcomes in the future.

Embracing the Rule of Thirds

  • Balanced Perspective: Understanding and accepting the rule of thirds helps maintain a balanced perspective on your work. It prevents you from becoming overly discouraged by setbacks or overly complacent during smooth periods.
  • Resilience Building: Recognizing that feeling good, okay, and challenged is a normal part of the therapeutic process builds resilience. It helps you stay motivated and committed to your clients and your professional development.
  • Continuous Improvement: Each experience, whether positive, neutral, or negative, contributes to your growth as a therapist. Use these experiences to continually improve your skills and approaches.

Practical Tips

  • Reflect Regularly: Take time to reflect on your sessions, noting what went well, what was just okay, and what didn’t go as planned. This reflection can guide your ongoing development.
  • Seek Support: Engage in supervision and peer support to gain insights and strategies for dealing with challenging sessions.
  • Deliberately Practice: Role play how you can do things differently next time you are faced with the interactional pattern. Or, role play delivering the reframe, staying in the enactment or using the reframe to join!
  • Record and Review: Record your work with your families and watch the tape with people you know are committed to your growth and development (always manage HIPAA).
  • Practice Self-Care: Maintain your well-being through self-care practices to ensure you can effectively support your clients.

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    Creating Competence From Chaos: A Comprehensive Guide To Home-Based Services (1998) by Marion Lindblad-Goldberg, Martha Dore and Lenora Stern, W.W. Norton, New York.

    Creating Competence from Chaos

    Buy On Amazon

    Children with emotional and behavioral disorders are often adrift in our society, lacking adequate mental health care or caught between several child-serving systems, such as child welfare, juvenile justice, and the schools.

    In Pennsylvania, a commitment has been made, on a statewide basis, to serve these children and strengthen their vulnerable families through a home-based approach grounded in ecosystemic thinking and practice. This book tells the story of Pennsylvania’s evolving treatment program, providing a model for other professionals who believe that a family’s needs are best met through individually tailored, family-centered, community-based, culturally competent, and outcome-oriented services.

    This is a complete, comprehensive guide, covering everything from planning and development of home-based services through supervision and training of home-based practitioners and evaluation of treatment outcomes. Particular attention is given to the clinical challenges faced by home-based therapists working with families where children are depressed and perhaps suicidal, oppositional and defiant, out-of-control and aggressive, or hyperactive/impulsive. These families commonly have multiple problems, complex histories, and a negative view of outside “helpers.”

    Delivered in the family’s home and involving parents as partners, the services described here work to improve child and family functioning through family therapy, creation of collaborative links between appropriate community and family resources, and provision of family support funds for concrete services such as transportation, respite care, and emergencies. Home-based treatment serves both children at risk for out-of-home placement due to a diagnosis of severe mental illness or behavioral disorders and children being discharged from inpatient hospitals and psychiatric residential placements.

    The authors, active at every level of program conceptualization and implementation, share their wealth of experience with readers. Their advice and case studies move from the big picture to the small details of where to sit in a family’s home, what to say, and how to think about a problematic situation. Several appendices of forms used for assessment, evaluation, and training add to the book’s practical value. Theoretically sound and fully practical, this guide to home-based services will encourage all professionals serving children to involve their families and communities-and to meet them where they live.


    Quotations from Professional Reviews

    “This book provides the blueprint for this groundbreaking care system, with practical guidelines for starting a home-based system on the right foot; maximizing collaboration…with agencies; and, most important, delivering hands-on help to at-risk children and vulnerable families. Therapy chapters run the gamut of skills needed for providing home-based care…Case examples…illustrate systemic intervention used in a variety of family situations.”
    Behavioral Science

    “This book lives up to its…promise of being a ‘comprehensive guide to home-based services.’ Clearly written with many case examples, it fills a hole in the family therapy literature.”
    Eric McCollum, The Family Therapy Networker

    “This wonderful volume takes a huge step towards specifying competence in a field that has tremendous potential. I highly recommend this pragmatic and insightful text to practitioners and administrators alike.”
    Scott W. Henggeler, Ph.D.

    “This book about home-based services is written from the perspective of three disciplines-policy making, clinical services, and research. Reading this book is like opening one of those fertile Russian nesting dolls… Even when we get to the smallest details about the training of home-based staff and the supervision and organization of treatment, we understand how they are interconnected and fit within the big picture.”
    Salvador Minuchin, MD.

    “This richly illustrated book is an excellent resource. It should be a reference for all professionals who work with children and an essential text for those who provide home-based care.”
    Lee Combrinck-Graham, MD.