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Teaching Family Dynamics with Children and Adolescents in Higher Acuity Settings through “Family Sculpting”: An Experiential Intervention for Therapy and Training

  • Isabelle GuillemetEmail author
  • Brad Jackson
Feature: Educational Case Report

Training in both general and more prominently in child and adolescent psychiatry ascribes high importance to family exposure, assessment, and therapy skills, yet such training is often limited in most programs. The majority of trainees report that they rarely see more than one outpatient family with family therapy supervision during their training [1]. Another survey identifies structural family therapy and family psychoeducation as the primary family treatment orientations in their programs [2].

Here, we describe the use of “family sculpting,” a well-known family intervention technique [3, 4, 5, 6], to broaden exposure to family assessment and intervention, using a non-verbal method that most trainees (and families) experience as emotionally powerful, fun, energizing, and informative. We have used this approach primarily in the setting of inpatient child and adolescent psychiatry services. Residents and first-year child fellows are exposed to the technique on their inpatient rotation...

Notes

Compliance with Ethical Standards

Disclosures

On behalf of all authors, the corresponding author states that there is no conflict of interest.

References

  1. 1.
    Berman EM, Heru A, Grunebaum H, Rolland J, Sargent J, Wamboldt M, et al. Group for the advancement of psychiatry committee on the family. Family oriented patient care through the residency training cycle. Acad Psychiatry. 2008;32(2):111–8.  https://doi.org/10.1176/appi.ap.32.2.111.CrossRefPubMedGoogle Scholar
  2. 2.
    Rait DS. Family therapy training in child and adolescent psychiatry fellowship programs. Acad Psychiatry. 2012;36(6):448–51.CrossRefGoogle Scholar
  3. 3.
    Onnis L, Di Gennaro A, et al. Sculpting present and future: a systemic intervention model applied to psychosomatic families. Fam Process. 1994;33(3):341–55.CrossRefGoogle Scholar
  4. 4.
    Duhl F, Duhl B, Kantor D. Learning, space and action in family therapy: a primer of sculpture. In: Block D, editor. Techniques of family therapy. New York: Grune & Stratton; 1973. p. 119–39.Google Scholar
  5. 5.
    Satir V. Peoplemaking. Palo Alto: Science and Behavior Books; 1972.Google Scholar
  6. 6.
    Andolfi M. Redefinition in family therapy. Am J Fam Ther. 1979;7:5–15.CrossRefGoogle Scholar
  7. 7.
    Freedman J, Combs G. Narrative therapy: the social construction of preferred realities. New York: W.W. Norton & Company; 1996.Google Scholar
  8. 8.
    Heru AM, Drury LM. Working with families of psychiatric inpatients: a guide for clinicians. Baltimore: Johns Hopkins University Press; 2007.Google Scholar
  9. 9.
    Kovach JG, Dubin WR, Combs CJ. Psychotherapy training: residents’ perceptions and experiences. Acad Psychiatry. 2015;39(5):567–74.  https://doi.org/10.1007/s40596-014-0187-7.CrossRefPubMedGoogle Scholar
  10. 10.
    Carr A. The effectiveness of family therapy and systemic interventions for child-focused problems. J Fam Ther. 2009;31:3–45.CrossRefGoogle Scholar
  11. 11.
    Kaslow NJ, Broth MR. Family based interventions for child and adolescent disorders. J Marital Fam Ther. 2012;38(1):82–100.CrossRefGoogle Scholar
  12. 12.
    Boszormenyi-Nagy I, Spark G. Invisible loyalties. New York: Brunner/Mazel; 1984.Google Scholar

Copyright information

© Academic Psychiatry 2019

Authors and Affiliations

  1. 1.University of Colorado School of MedicineAuroraUSA
  2. 2.Children’s Hospital ColoradoAuroraUSA

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