Explain how family therapists play the role of parent surrogates and elicit transference
reactions from family members.
-Carolyn and David were very anxious, and they set up a conflict. Did not comply with
instructions, did not bring whole family, Don was left out.
-Gus and Carl are acting like parents, wise and compassionate parents/therapists offer
strength and warmth. Both characteristics are crucial. Stereotypically strength is associated
with Dads and warmth with moms. Therapists need to embody both characteristics.
-So predictable is this challenge – the battle for structure.
-Struggle has to do with how well parents can deal with anxiety of being in therapy to begin
with. Part of their fearfulness for engaging in the treatment, they’re reluctant to become
-How therapists can assist family in managing fear, trust, will family. Nurturing relationship
early stage we the therapists = surrogate parents, we have to continue to work and nurture
Transference Reactions: Unconscious process, individuals who emit these behaviours may
come aware that they’re projecting their own personal histories. Normal.
-every form of treatment deals with unconscious phenomenon
Counter Transference: Therapists projects onto patients their own experiences onto the
 Explain how family therapists use structure, goals, and sequence to effect family change.
-align yourself with the scapegoat, take the kid off the hot seat
-if the child doesn’t believe that no one is on their team, they will be more reluctant to leave
FIRST goal intervene with the scapegoating, gently, warmly but strongly
-form therapeutic alliance, or gestalt with the family…second goal: JOINING with the family,
find a way to join with them and let them know
-practice patience, introducing interventions at right time, not too fast or too slow
-when the family has experienced anger constructively in the family treatment sessions
 How do they use pacing and timing to encourage family growth? P. 61
-what you’re saying and when you’re saying it, interrelated phenomenon, crucial for you to
be monitoring when any session is unfolding.
-patients should be taking more initiative as sessions unfold …stronger bond exists
between family members and therapist