Running head: CBFT Hi June – You have some great information in here and I think it is a real benefit to your work on the #11 paper. There is a lot of information somewhat spread around here – I will see what I can do to help you think through the organization a bit more… History of the model Founders Assumptions Concepts of the model (listed, defined/discussed, and cited) Interventions (listed, defined, cited) Weaknesses/Limitations/critique (you have a good start on this, just don’t forget to add in research) Intro to the case (case conceptualization and presenting problem you will use for the treatment plan) Treatment plan (this should mimic the ones in Gehart but include details from the case to generate a case specific plan.) I hope this helps. Please let me know if you have questions as you get moving into the paper. ~Valerie Glass 9/12/16 CBFT 2 Cognitive-Behavioral Family Therapy (CBFT) Amanda June Lewis Treatment Planning September 11, 2016 Dr. Valerie Glass CBFT 3 Cognitive-Behavioral Family Therapy (CBFT) Cognitive-Behavioral Family Therapy is a brief, solution-focused and short-term therapy that focuses on the restructuring of negative patterns which impacts both the mental and physical feelings of a person and the effects on behaviors and actions (Storch, et al., 2010). CBFT highlights a vast number of psychological issues which include anxiety, depression, anger, addictions, physical illness and obesity. According to (Friedberg, 2006), the primary attributes of a CBFT are self-instruction, self-monitoring, behavioral enactment and rational analysis. Role of CBFT  CBFT changes the inner thought process hence leading to the alteration of dysfunctional behavior.  CBFT awakens the client’s consciousness on the feelings, thoughts, and actions that happen before, during and after a particular problem.  Clients learn to think realistically after changing their distorted thinking hence they feel better.  The model encourages people to view their selves and others realistically. Elements of CBFT According to (CWIG, 2013), Cognitive-Behavioral Family Therapy draws together different elements which include the following. Cognitive therapy. This aspect addresses the thoughts and perceptions of an individual mostly the patterns leading to distorted views with a goal to bring changes to the person’s behavior. CBFT 4 Family therapy. This therapy offers a different view of the problems by providing a strategy and examining ways of interactions between the members of the family, identification and alleviation of challenges. Behavioral and learning theory. This element modifies the habitual responses such as fear and anger to situations or stimuli. Developmental Victimology. This aspect gives a description of the variation in the effects of exposure to abusive conditions for children at different stages of development and across the lifespan. Therapist’s Considerations during a CBFT The therapist should be adequately skilled in bringing changes in the life of the patient within a short duration. The therapist should periodically perform an assessment and seek supervision concerning his or her capabilities in the content of brief and in the process of CBFT (Cully & Teten, 2008). According to Cully & Teten, (2008), a short CBFT requires the following therapist’s skills and abilities;  Proper knowledge of the use of treatments  Ability to create a strong working association quickly.  Ability to give a presentation of clearly articulated issues concerning the patient inclusive of examples.  The skill to structure sessions in a bid to address all the problems.  Traits such as being directive, assertive, collaborative and nonjudgmental. CBFT 5 Steps to Building a Personal Model of Resilience The building of a personal model of resilience (PMR) consists of four steps which are a search for strengths, construction of a PMR, application of the PMR to difficult life situations and practicing of the resilience (Padesky & Mooney, 2012). Search for Strength Construction of a PMR Application of the PMR Practicing resilience Search for strengths. Strengths are the beliefs, strategies, and personal assets applied relatively to improve a positive quality. The components that build the foundation for resilience are secure attachment, good health and easy temperament, cognitive competence, interpersonal competence, emotional competence, faith in the significance of life and ability to contribute to others. CBFT follows many pathways approach in building strong positive qualities. Construction of a PMR. The construction a PMR is a collaborative responsibility of the therapist and the client. The construction is based on the strengths identified. It majorly involves turning the strengths into strategies. The therapist should proceed once the client has a full understanding of resilience. The PMR ought to be written in client’s words. Metaphors and imagery help the client to memorize the PMR easily. Application of the PMR. The client should consider how the constructed PMR can be applied in areas of difficulty. The client is given the chance to scan his or her PMR ideas to CBFT 6 determine how it can be useful in addressing common challenges. Practicing resilience entails the use of the identified resilience in client’s real life issues. A Critique of CBFT CBFT has taken center stage in discussions regarding therapy. Many people have defended it as a valuable therapeutic approach that is significant in enhancing a positive change. However, some people have exaggerated this significance and rendered CBFT as the ultimate solution to human emotional problems without keenly analyzing the type of moral evaluation related to these behaviors and thoughts. Imagine this analogy, a case of a family man who is guilty of rape and kidnap. The man is contemplating suicide because of deep inside he knows that he is universally hated and is facing a life sentence. He also knows that he does not have the courage to face his wife and children. Imagine the absurdity of using cognitive therapy to help such a man come out of the negative thoughts and embrace a positive thinking. It is quite clear that CBFT is quite pragmatic and amoral. The model harbors some serious limitations. The model is pragmatic because of its idealist philosophy as a way of understanding situations; that we are what we think we are. This model is just not useful for individuals with much learning difficulties and complex mental health needs. The effectiveness or clinical relevance of this model has some continuing uncertainty. CBFT would guarantee satisfactory results in an institution based clinical trial. However, its effectiveness in real-world clinical practice is uncertain. Case Study Donald and Melanie are couples aged 45 and 42 who have lived together in marriage for the 18 years. The couple has two children a girl aged 16 and a boy aged 12. Both Donald and CBFT 7 Melanie were born and grew up in different states. Both partners have university degrees and work on a full-time basis outside the home. The couple sought counsel because their marriage is in turmoil due to their busy work schedule. They no longer perform household chores, rarely see their children and the intimacy between them is no more. The children, however, seems okay though they are getting concerned about how the kids socialize. The couple feels more like business partners than lovers. Donald accuses Melanie of neglecting her marital duties and has abandoned the children. This constant disagreement got a friend concerned and recommended they seek therapy. Assessment Before the first session, the couples will be involved in a pre-counselling. The first session will involve a review of background information and interrogate each partner separately. The couple will then be brought back together in the third session for feedback and further assessment. Findings The couple enjoyed a happy relationship and marriage for a long time because there was less stress compared to the current situation. When their life got busier due to more responsibilities, pressures began to emanate, and the affection faded away. Their difficulty focused on specific happiness, sexual adjustment, and family obligations. Their commitment to one another was a potential avenue for progress into better levels of the relationship. Interventions  The therapy would majorly entail weekly sessions of 75 minutes for six weeks. Treatment would focus on; CBFT 8  Discussion of communication concepts and effective problem-solving techniques  Perception of the partners to family issues inclusive of how they related earlier and general family responsibilities.  Determining the ability of each partner to accept differences in one another and remain committed.  Home sessions which would entail the couple concern on the kids  A progress assessment will then follow. CBFT 9 References Cully, J. A., & Teten, A. L. (2008). A therapist's Guide to Brief Cognitive Behavioral Therapy. Retrieved from Mental Illness Research Education and Clinical Center (MIRECC) Website: http://www.mirecc.va.gov/visn16/docs/therapists_guide_to_brief_cbtmanual.pdf CWIG. (2013, January). Alternatives for Families: A cognitive Behavioral Therapy. Retrieved from Child Welfare Information Gateway Website Website: https://www.childwelfare.gov/pubPDFs/cognitive.pdf Friedberg, R. (2006). A Cognitive - Behavioral Approach to Family Therapy. Journal of Contemporary Psychotherapy, 159-165. Padesky, C. A., & Mooney, K. A. (2012). Strengths- Based Cognitive Behavioral Therapy: A Four-Step Model to Build Resilience. Journal of Clinical Psychology and Psychotherapy, Volume 19, 283-290. Storch, E. A., Lewin, A. B., Morales, M. J., Murphy, T. K., Bjorgvinsson, T., & Riemann, B. (2010). Factors associated with poor response in cognitive behavioral therapy for pediatric obsessive compulsive disorder. Bulletin of the Menninger Clinic 74.2, 167. 
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