Family Therapy Within the Context of Violence
Statistics show that much of family violence goes unreported. Family
violence can occur in many forms, including physical, verbal, and emotional
acts. And all of them should be assessed. It is essential for marriage and
family therapists and all counseling professionals to understand the
context of family violence, including how to recognize and assess it, and
how to support families through effective treatment interventions.
Angela and Andy have been married for five years. Angela is 30 years old,
and Andy is 33. Angela is a lawyer, and Andy is an accountant. They live in
a small Southern city and are expecting their first child in five months.
They live about 3 miles from Angela's parents and 5 miles from Andy's
parents. Angela is an only child and has always been close to her parents.
Angela's mother was a stay-at-home mom, and her father was a lawyer in one
of the big firms in the area. Angela currently works in the same firm as
her father. Andy is the youngest of three children and was close to his
mother. His mother was a stay-at-home mom, and his father owned the local
car dealership. The family struggled financially through the years,
depending on how well the dealership was performing.
Angela and Andy met in graduate school and married when they both completed
their graduate degrees. Both would agree that they had an exciting
courtship. They recall romantic dates planned by Andy and exciting travel
adventures. They decided to begin a family after marrying and starting
their careers.
Recently, Andy lost his job and has been drinking more than he used to.
Angela has been working more hours to make up for the loss of income, and
she does not want to be home, because Andy has not been nice to be around.
One night, she came home and found Andy very angry. As she walked in the
door, he yelled, "Where have you been?!" When Angela explained that she was
at work, like she has been all the other nights, Andy continued to yell at
Angela, questioning why she was later than usual. Andy's anger scared
Angela, and she wanted to resolve the conflict as quickly as possible. She
apologized multiple times for being late. Andy stormed out of the house and
did not come back until later that night. When he came back, Angela was in
the bedroom reading. Andy was apologetic, saying, "I don't know why I got
so angry. It just has been hard being unemployed for two months, and we
have a baby on the way." Angela told Andy that she understood and agreed it
has been hard but said she is working hard to make up for the missing
income. Andy promised to work on his temper, and Angela said that she will
call if she will be late.
A month later, Andy still is unemployed and became angry again when Angela
forgot to call and came home late. When Angela walked in the front door,
Andy began to yell, and Angela yelled right back at him. Andy then pushed
Angela, knocking her backward into the table and onto the floor. Angela was
stunned and hurt. Her hip was bruised, and she thought that her finger
might have been broken. Angela got up off the floor and quietly told Andy
that she needed a doctor to check on her and the baby. Andy was alarmed and
drove her to the hospital, apologizing the whole way. Andy repeatedly told
Angela that he loves her and suggested that they tell the doctor she fell
down. Angela was embarrassed about the situation, so she agreed.
The next day at work, Angela called your office to make an appointment for
her and Andy, telling you about the incident.
Based on what you have read in the assigned readings for this unit, discuss
how you would work with the client family experiencing this case of family
violence. Address each of the following:
- How would you approach this family?
- How would you join and engage all members of the family system?
- What model of the therapy would you use when working with this family?
- Based on your model, what type of interventions would you develop?
- What are your legal and ethical responsibilities as a marriage and
family therapist or a counseling professional?
- What would be some cultural factors for this family system that the
therapist/counselor might consider?
- Reflect on how you think you would feel and what assumptions you might
be making when you walk into the first session with this family.
GeneralEssayUndergraduate
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