Week 3: Experiential and Narrative Family Therapy
The Smiths, a family of five, present with their 14-year-old male son, Joshua, who is identified as “the patient.” Almost immediately, the psychiatric mental health nurse practitioner notices the subtle struggle between the parents to be heard first, often talking over one another. Joshua finally blurts out, “You see, you two are crazy, and you think it’s me.” Joshua’s father immediately becomes angry, and Joshua’s mom is quick to rush to Joshua’s side. She begins to argue with her husband about his treatment of their son.
The Smiths and other clients like them may be candidates for both experiential therapy and narrative family therapy, and it is important to note that these are distinctly different therapeutic approaches. Experiential therapy examines experiences of the “here and now,” whereas narrative family therapy focuses on retelling one’s story to understand why one behaves in certain ways. When assessing client families and selecting one of these therapies, you must not only select the one that is best for the clients, but also the approach that most aligns to your own skill set.
This week, you compare experiential family therapy and narrative family therapy.
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
Standard 5B “Health Teaching and Health Promotion” (pages 55-56)
Cohn, A. S. (2014). Romeo and Julius: A narrative therapy intervention for sexual-minority couples. Journal of Family Psychotherapy, 25(1), 73-77. doi:10.1080/08975353.2014.881696
Escudero, V., Friedlander, M. L., Boogmans, E., & Loots, G. (2012). Alliance rupture and repair in conjoint family therapy: An exploratory study. Psychotherapy, 49(1), 26-37. doi:10.1037/a0026747
Freedman, J. (2014). Witnessing and positioning: Structuring narrative therapy with families and couples. Australian & New Zealand Journal of Family Therapy, 35(1), 20-30. doi:10.1002/anzf.1043
Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Boston, MA: Pearson.
Chapter 7, “Experiential Family Therapy” (pp. 105-118
Chapter 12, “Narrative Therapy” (pp. 189-201)
Phipps, W. D., & Vorster, C. (2011). Narrative therapy: A return to the intrapsychic perspective. Journal of Family Psychotherapy, 22(2), 128-147. doi:10.1080/08975353.2011.578036
Saltzman, W. R., Pynoos, R. S., Lester, P., Layne, C. M., & Beardslee, W. R. (2013). Enhancing family resilience through family narrative co-construction. Clinical Child and Family Psychology Review, 16(3), 294-310. doi:10.1007/s10567-013-0142-2
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.
“Genograms” pp. 137-142
Governors State University (Producer). (2009). Emotionally focused couples therapy [Video file]. Chicago, IL: Author.
The approximate length of this media piece is 115 minutes.
Laureate Education (Producer). (2013b). Hernandez family genogram [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 3 minutes.
Credit: Provided courtesy of the Laureate International Network of Universities.
Psychotherapy.net. (Producer). (n.d.). Narrative family therapy [Video file].
The approximate length of this media piece is 111 minutes.
Psychotherapy.net (Producer). (2007). Existential psychotherapy [Video file]. San Francisco, CA: Author.
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 61 minutes.
Assignment: Experiential Versus Narrative Family Therapies
Although experiential therapy and narrative therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, you compare Experiential and Narrative Family Therapy.
Compare experiential family therapy to narrative family therapy
Justify recommendations for family therapy
Review this week’s Learning Resources and reflect on the insights they provide on experiential and family therapies.
In a 2- to 3-page paper, address the following:
Summarize the key points of both experiential family therapy and narrative family therapy.
Compare experiential family therapy to narrative family therapy, noting the strengths and weakness of each.
Provide a description of a family that you think experiential family therapy would be appropriate, explain why, and justify your response using the Learning Resources.
Note: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided by the Walden Writing Center provides examples of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.
Part 2: Family Genogram
Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).
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