Types Of Internvetion

Question 1

Definition of FST

Answer 1

Family therapy may be defined as any psychotherapeutic endeavour that explicitly focuses on altering the interactions between or among family members and seeks to improve the functioning of the family as a unit or its subsystems

Question 2

Evaluation of FST

Answer 2

Effective as primary treatment for childhood/adolescent conduct disorder, eating disorders and substance misuse (Estrada and Pinsif, 1995)

useful as an additional treatment for childhood depression and management of chronic illness

When therapy does work, the changes appear to be long lasting (Fonagy et al, 2002)

Question 3

Methodological issues of FST

Answer 3

Lack of random allocation
small sample size

problems with outcome measures

Adequate control groups

Question 4

Play therapy - definition

Answer 4

Play therapy is the dynamic process between child and play therapist in which the child explores at his or her own pace and with his or her own agenda those issues, past and current conscious and unconscious, that are affecting the child’s life in present The child’s inner resources are enabled by the therapeutic alliance to bring growth and change.

play therapy is child centred in which play is the primary medium and speech is the second medium

Question 5

Aims of play therapy (Hall, Schaefer and Kaduson, 2002)

Answer 5

help children to become aware of, understand and express their feelings

Improve self control and anger management

Reduce fear, anxiety and depression

Increase self confidence

Enhance problem solving skills

Question 6

play therapy cont.

Answer 6

There is no one type of play therapy or one universal underlying theory that dictates practice

Examples include psycho analytic, cognitiv, behavioural and humanistic play therapy

Much is dependent upon the therapists own learning, experience and expertise (Cattanch, 2003)

therapy can be adult led and structured or child directed

Question 7

Evaluation of play therapy

Answer 7

Traditionally been viewed with scepticism and criticised for lack of empirical support

However, meta analytic studies support the efficacy of play therapy across ages, gender and presenting problems (Bratton et al, 2005)

Importance of humanistic non directive approaches, involvement of family, duration of therapy

Question 8

Family systems therapy

Answer 8

Widely used intervention within CAMHS

Focus upon pathology as a function of family relationships not just individual development

Many different versions - over 22 different theoretical models