Table 3.
Summaries of the different schools of therapies
School of therapy | Key elements | Remarks |
---|---|---|
Psychodynamic therapy | Based on psychoanalysis; emphasis on conscious and unconscious processes; the past issues are still dynamic in the current setting; early life experiences are significant; intrapersonal and interpersonal processes are entangled | Change is steady; requires long-term investment (20-40 sessions); psychological mindedness of client required |
Behavioral methods | Maladaptive behaviors, not underlying causes, should be the targets of change; not required to treat the entire family; the therapist is the expert, teacher, collaborator, and coach | Parent-skills training and behavioral treatment of sexual dysfunctions are examples; treatment is short term |
Structural family therapy | Symptoms are understood in terms of family interaction patterns, family organization must change before symptom reduction; emphasis on the whole family and its subunits; therapist joins, maps out, and helps transform family | Especially useful with juvenile delinquents, alcohol use and anorexia, low SES families, and cross-cultural populations |
Strategic technique | Not helpful to tell families what they are doing wrong; behavior change must precede other changes; directives from therapist are instructions given to family, necessary to make changes within the first three sessions | Short-term treatment; techniques are very innovative; useful in eating disorders and substance use |
SES – Socioeconomic status