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PHILOSOPHY
"The family may be imagined as a web, a flower, a tomb, a
prison, a castle. 'Family' space and time is akin to mythic
space and time, in that it tends to be ordered round a centre
and runs on repeating cycles. Who, what, where, is the
centre of the family?"
-R.D. Laing
The past quarter of a century has seen a revolution in the way of thinking
about people, both in health and in illness. This concept views the family
as an integrated psychological network. Changing the way people in the family
relate to each other leads to changes in the individuals. We now know that
with some mental/emotional illnesses, alcohol and drug abuse problems, depression,
eating disorders, disruptive behavior disorders, academic problems, psychosomatic
disorders, marital and family conflicts, and other interpersonal issues
there are special advantages to including the family system in treatment.
This includes those members who at first glance may seem to be uninvolved
in the described or presenting problem. We don't assign blame, but each
member of the family system must be responsible for a healthy and effective
solution! Being a parent is not easy, especially in a culture where peer
pressure on the developing adolescent is intense and sometimes destructive.
For example, some young people isolate themselves or use chemicals to such
an extent as to impair their perceptions of themselves, their families,
and their friends as they try to "soothe" themselves. Parents and
family members are often confused, angry, embarrassed or frustrated and
feel helpless in their attempts to find solutions to these kinds of situations.
Feelings of guilt and anger often surface and the family finds itself
"stuck". This problem, a FAMILY CRISIS, must be handled with sensitivity,
knowledge, and professional intervention--on the family level.
We are advocates for the safety and development of the family unit and
therefore our approach is best suited for those families committed to
working as a family system. Parents are asked to maintain an open mind
to our family system approach and to demonstrate a willingness to try
something different rather than reapply techniques and perspectives that
may not work and are not successful.
Combinations of treatment services of the Institute facilitate the re-emergence
of the parent(s) as "family executives" and provide the adolescent a creative
alternative in the new problem-solving family unit. Therefore, two tracts
of intervention are provided: (a) intensive 24-hour care and an aftercare
therapeutic environment including partial care and intensive outpatient
care for the adolescent, and (b) continuous parental involvement throughout
the entire treatment process.
Our treatment program addresses family themes and issues, which are
often enmeshed with the problems of the developing adolescent. The "family
system" focus of intervention is often the critical element in helping
the adolescent reach and maintain a happy productive role in our society.
As defined by the Institute, the family may consist of a parent or a
parental unit, siblings, extended family members, a stepfamily unit, a
legal guardian or significant other(s) serving the function of the family
system for the adolescent. Therefore, we must reserve the right, in all
cases, to refuse admission to a young person whose immediate family system
will not enter therapy, or to discharge a person whose custodial family
system will not participate in treatment.
In those cases where a parent refuses to cooperate by: not completing
and submitting an Intake Questionnaire document, or not attending a pre-interview
Parents Survival and Education Group, or does not complete a feedback
form or indicates no interest in learning the material presented, or fails
to attend the Initial Family System Interview, or demonstrates blaming,
defensiveness, hostility, denial, resistance, etc., they may be excluded
from the treatment provided on behalf of the adolescent. This will require
the active and responsive participation by the other parent/guardian.
All such matters and decisions regarding the level of participation will
be determined on a case by case basis by the administrative team.
While this may seem harsh, we believe it is sometimes detrimental to work
with an individual in this setting when families will not be involved.
Treatment requires a commitment from the family system members to participate
in the adolescent's family therapy sessions throughout the course of care.
Individuals who have positive attitudes about their ability to control
their health and who develop more effective coping and problem solving
skills, tend to reach a higher level of success than those who do not
have good attitudes or problem solving skills. Our approach is to study
how a spectrum of physical, social, cultural and emotional variables interact
to influence the speed and degree of individual progress within a larger
unit - the family system.
Our experiences show that individuals either feel in control of their
destiny or they do not. That includes those who think that they cannot
influence their own progress. They believe in the power of fate or they
entrust their health solely to "powerful others", such as doctors, hospitals,
and therapists.
Other individuals, however, feel the opposite and believe that they
play an active role in their own progress and recovery. This group generally
tends to be more open and responsive in the treatment process, recovers
more quickly, and tend to be more satisfied.
We, as a interdisciplinary clinical team, realize that the human mind
and body are incredibly complex in both health and illness, and that no
clinician can possibly have flawless diagnostic or healing capabilities.
Though it may come as a surprise to some, we at the Institute may be one
of the least important persons in maintaining your health and stability.
It is only when your health and stability or that of your child begins
to fail that we as clinicians come into the picture.
A healthy diet, a clean body, reasonable exercise and respect for others
are the foundations to good health. This is so simple that every school
child knows it. Yet, there are many who neglect or ignore these basic
factors. In many ways, we can not do much about these factors without
the cooperation and a willing attitude of all those family members involved.
When you or a loved one get "stuck" or sick, we become somewhat important.
We would like to emphasize that we are good at what we do, but are not
"wonder-therapists". We mention this because some people look for someone
who can "fix" their child or who can magically restore the family without
work by the parent(s). If that is what you are looking for, you have come
to the wrong treatment program. You should definitely find someone else!
We work hard and fast, but without any magic cures. We will work with
you and take care of your adolescent as best we can. We hope for your
part that you will work with us, as treatment is not easy for anyone.
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