Creating Mutually Effective Affirmative Strategies Thomas
Carver LMFT
This family systemic therapy model is used during an
assessment phase while the therapist determines if the child can be treated in
family therapy rather than being referred to an outpatient or inpatient
program.
The Therapist must ascertain the parents degree of
adolescent world sophistication.
Adults who fail to recognize this are considered ignorant by
their children and therefore unilaterally dismissed.
The Therapist helps the parent to ‘get’ the world of an
adolescent and therefore gain credibility.
Vignette
*Child: “Mom, can I
go to a concert with my friends ”
*Mom: “I trust you,
but I am worried. What band is it?”
*Child: “uuuuuhm,
BDS”
*Mom: “What is
BDS?”
*Child: “Bloody Death
Sex”
*Mom: “Whaaaat!”
Mom had said in therapy that her true intention is to have
her daughter make choices as she gets older and that she wants her to become an
independent thinking teen.
When Mom baulks at the idea of BDS her daughter can
highlight Mom’s hypocrisy.
AND The Game begins again… unless the Therapist shows
them a new paradigm.
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The Therapist works individually with the parents to
identify family-of-origin trauma from their own experiences as children being
parented by their parents.
Mom does not want to be an Authoritarian parent,
rather an Authoritative parent.
Authoritarian parent:
Setting boundaries without sensitivity to their child’s feelings.
Authoritative parent:
Setting boundaries with sensitivity to their child’s feelings.
Mom’s parents dictated her life goals, limited
self-expression, determined her friends, and usually preferred actions that
were most convenient to the parent(s), BUT claimed to trust her.
This caused her to feel helpless when she submitted to it.
Mom actually rebelled herself by choosing friends that were
known to have poor behavior as a reaction to her parent’s rigidity. YET her initial/instinctive response
to her own daughter is to deny her without explanation just like her own
parents.
The Therapist shows Mom the difference between the teenage
Mom and her teenage daughter and the difference between how Mom had to deal
with her parents and the way that her daughter has to deal with her.
Mom’s willingness to be introspective enabled her to decide
to act collaboratively with her daughter.
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As an over-correction to her own trauma Mom has co-created
The Game with her daughter.
The Game: “Make Me An Offer So I Can Spit On It”:
Mom tries to appease child over and over to no avail by
offering solution after solution that would all be rejected. The daughter learns that she can exhaust Mom
by frustrating her therefore enforcing that negativity begets power and
control.
Negativity as a way to be in control is a strategy will
carry on to a child’s adult relationships.
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The Therapist does not always remain neutral because it can
inadvertently validate the family’s dysfunctional patterns by reinforcing each
other entrenched roles.
Vignette
*Mom: “I believe that
you and your friends do not intend to do anything inappropriate”
*Therapist: “It
sounds like you want to be able to say YES, but that you are being a worried
mother”
*Mom: “YES”
*Therapist; “Mom, you
want to say ‘yes,’ and daughter, you want to hear ‘yes.’ How do you two make it so Mom can say yes?”
Child: “Just say
YES!”
*Therapist: Mom just
can’t say YES. She needs motivation to
say YES, because you are asking her to let the girl she loves the most, who she
wants to trust so badly, and believes she is responsible.. go to a Bloody Death
Sex show!” “Make your Mom an offer she
can’t refuse. Mom, do you want an
offer?”
*Mom: Yes, help me
out here! I am willing to say YES”
*Child: “Why do I
need to make her an offer just because she worries!”
*Therapist: “Well,
you don’t have to. You don’t have to go
to the concert. But Mom is willing to
let you go if you can come up with something… or you will not come up with something
and not go. Right, Mom?”
Indecision creates anxiety and keeps families in
relationship purgatory.
By the Therapist setting a default consequence it eliminates
the indecision purgatory. The default
consequence is not going to the concert if the daughter chooses to not
participate.
Paradigm Shift From First Order Change To Second Order Change
First order changes are small or minor
improvements/adjustments that do not alter the family system.
Second order change alters the fundamental structure from
everything resetting itself when the child gets their desired decision to the
child getting their desired decision by making it workable to the parent.
Vingette
*Child: “Why can’t
you just chill!”
*Therapist: “Your Mom
is being a mom. That’s what moms
do. They worry; they can’t help it. It is not possible for her to stop being a
mom. Mom, is it possible for you not to
be a mom?”
The Therapist is enforcing the responsible boundaries. Usually in therapy the child can get to a
point where they admit that their parent cannot just stop being a parent and
that they even need them to be parents (sometimes!).
*Child: “Just don’t
worry’
*Mom: “I am trying to
let you be a teenager by being willing to let go, but don’t tell me to not be a
mother. Don’t tell me I can’t be a
mother especially when I’m trying to let you be the teenager that you are.”
*Therapist: “By being
allowed to be who you need to be as a teenager also means that you allow your
mother to be who she is. If you want to
assert power and control you must give up some power and control (to your
mother).” “By the way, Mom, there is
nothing that your daughter can say that will totally alleviate your worry. All you can ask for is for her to come up
with something that will alleviate your worry enough so that you don’t
worry too much. Daughter, make Mom an
offer she can’t refuse.”
Children will often go into despair if they think that they
have to come up with an idea that will totally alleviate their parent’s fear,
because they all know it is impossible.
*Child: “Why should I
have to!”
*Mom: “You don’t have
to. If you don’t, the answer is NO. If you can, you can go.”
Children will offer ideas like: they won’t nag you anymore, they won’t hang
out with the wrong people, they won’t do drugs, etc. They offer a deal of things they know they
should not be doing anyway, therefore not valid. This is because the have practice in staying
in the negative. The affirmative is
practiced in therapy.
The Therapist reminds the parent(s) that they do not have to
justify themselves anymore at this point.
The child will continue to be oppositional. The parent keeps saying, ‘make me an
offer.” The Therapist continues to help
the child to understand what is a reasonable offer.
They may need breaks and or to continue the discussion
later. Deescalate and allow each person
to regulate their nervous systems down.
*Child: “How about I
call you at (prearranged) times throughout the show to let you know I am safe.”
*Mom: “I think that
is a very good idea.”
The mom was allowed to be a worrying mother and the child
was allowed to be an independent teenager.
True power and control obtained not through negativity, but
through creative, mutually respectful affirmative strategies.
This developmental strategy teaches a child that power and
control is gained with responsibility to each other’s needs.
Parents who continually restrict and restrain their children
take away developmental experiences of experimenting appropriately with power
and control. This can lead to rebellion
and defiance.
When a child is given choices they are more willing to
accept boundaries.