Daniela Tahirova, Milena Nenkova, Natalia Nikolova, Teodora Gerginova
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Transcript of Daniela Tahirova, Milena Nenkova, Natalia Nikolova, Teodora Gerginova
Daniela Tahirova, Milena Nenkova, Natalia Nikolova, Teodora
Gerginova
The Bernhard Achterberg Institute of Psychodrama, Individual and Group
Psychotherapy (IPIGP)Sofia, Bulgaria
Relationship’s Dynamics in Families with Children
with Autistic Spectrum Disorder.Therapeutic ideas, Observations,
Interventions
Exploring the relationship dynamics
Therapist Couple
Child with a problem
Our thoughts and challenges in the beginning…
Ivan
Family 1 Anna2y
older
Intention: to improve their relationship and explore deeper the cycles of conflicts that arise between themTherapy directions: clarification of the roles in the family - the mother, the father, the grandmother, the child. Models of behavior that work, and models that do not work.
Rosi72
Petar69
Vladi
42
Oleg40
Maria
60
Todor62
Marti12
Family 2
Ivelin6
Adopted 2,5 y
Ilia40
Malina45
Dani
62
Natalia
57
Vasil64
Kostadin
62
Eva60
Svetla
39
Intention: to improve their parenting together and the communication between them within the couple and with the child
Therapy directions: to find more adequate view points on punishments, to rediscover support within the couple
Family 3Ivan56
Sofia
Petia
53
Marga40
Galia30
Claudia
54
Serhio56
Serhio34
Marko5
Mia
Emilia2
Antonio4
Intention: to decrease conflicts and communicate more and easily Therapy directions: both partners to learn to name and express their emotions in an adequate way (both positive and negative) between them and in front of the kids; to identify differences and values in both cultures.
Columbia
QuestionsHow does the couple’s therapy affect the
child with symptoms and how the meetings between the child and the therapeutic team affect the therapeutic hypotheses?
Is the inclusion of the extended family in the child care an obstacle or a resource?
Is it a positive or a negative for the couple to stay together in the name of being able to bring up a child with autistic spectrum disorder?
An idea applied to practice
А member of our team to take care of the child and if possible, this to happen in the same place where we do the therapy session (in case that this does not disturb the process).
Observations
The child as an active participant in the therapeutic space
Child’s behavior visibly changes when there is a change in the communication between the parents.
The awareness of the partners that the patterns in their relationship affect on the behavior of the child increases their involvement in the therapeutic process.
Features and SimilaritiesIn the therapy process we did not have any families in
which the child is brought up by a single parent.
Such people came to us, who have kept their family couple, no matter what is the psychological climate in it.
The relationships in partner couples are in crisis, because:
partners have different ways of accepting the diagnosis of the child and they also have different coping strategies;
the way they support (or not support ) each other; the physical and emotional stress that the mother and
the father experience.
Features and Similarities
No space, time and resources left for the needs of the partners.
Partners remain together as a couple, but actually one of the members is absent - physically and emotionally.
In all the families we observed paradoxes in the relationship between the partners.
ConclusionsThe therapy sessions provide space in which
partners can actively communicate.
Working with an emphasize on the couple’s relationship is leading to improvement of the climate in the family system as a whole; it is giving the family new perspectives.
When there are no resources in the larger system or in the child itself, we offer to find deeper resources in the couple.
In families with diffuse borders, the willingness from the extended family to support and participate in child care can be an obstacle as it negatively affects the relationship within the couple and produces more tension.
Our thoughts and reflections after…
To be continued…
Thank you for your time and attention!
Daniela Tahirova, Milena Nenkova, Natalia Nikolova, Teodora Gerginova
The Bernhard Achterberg Institute of Psychodrama, Individual and Group
Psychotherapy (IPIGP)
Istanbul, Turkey25.10.2013