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Group therapy

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 I feel that narrative family therapy can be largely beneficial for families and couples as family narrative therapy takes on the perspective that different people organize and compartmentalize their life events through different stories of events that occurred (Miller & Madigan, 2011). Many people will discuss their reasoning for coming to therapy, or the main problem that has sent the to therapy, from their perspective, by telling stories or narratives of what occurred in their lives (Miller & Madigan, 2011). Their stories thus create a larger picture of differing life events through a series of different time frames, which have thus created their problem or current predicament from their point of view (Miller & Madigan, 2011). Therefore family narrative therapy links together all of these stories, ideas and thus problems allowing the therapist to see the larger perspective of the family as an entire unit, and the involved limitations of their point of views (Miller & Madigan, 2011). 


Due to the fact that this patient is very resistive to therapy, as well as uncooperative in coming to therapy. It may be beneficial for him to attend groups with other men in order to realize that he is not alone in his situation. Another helpful form of therapy that may allow him to become more proactive could be motivational interviewing (Wheeler, 2014). Motivational interviewing therapy may aid in open communication that can allow the patient to speak out as to what reasons he may not be attending therapy (Wheeler, 2014). By asking open ended questions that are not accusatory, this can allow the patient to express concerns, problems while helping the therapist to receive an understanding of what can remotivate the patient to become more proactive (Wheeler, 2014). It is also vital in motivational interviewing that the therapist practice evocation, where the patient feels accepted and that they have help in pulling out all the qualities within them in order to be successful (Wheeler, 2014). These strategies can help the patient to become more proactive and cooperative with therapy, as well as aid the therapist in understanding why the patient has not been participating In doing so, the therapist can aid this family unit in getting back on track.


References:


Miller, A., & Madigan, S. (2011). Madigan on Narrative Family Therapy. Instructor’s Manual for Narrative Family Therapy. https://www.psychotherapy.net/data/uploads/5113d78866002.pdf.


Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-base

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