Structural Family Therapy

Structural Family Therapy was developed in the 1960s by Salvador Minuchen and his colleagues, who realized that individual therapy was limited in effectiveness when family systems were involved. Often unconsciously, family interactions can generate pain and perpetuate mental health issues. Even when one family member, in particular, is made the scapegoat (often a “problem child”), it is frequently helpful to address the structure of family interactions. Structural family therapy can be particularly useful when there is a disability in the family or trauma in the family’s history.

The SFT therapist begins by observing family interactions and mapping the structure of different roles, interactions, and dynamics at play. Problem areas are identified and various strategies employed to make the whole family aware of the issues and possible solutions. The therapist may play devil’s advocate, often seek clarification, constantly create safety for everyone, and make sure all voices are heard. Family members are encouraged to find more effective communication patterns to work through difficulties and establish healthy boundaries. The aim is to replace shouting, blaming, accusing, and other unproductive interaction patterns with more healthy strategies. This leads to higher levels of wellness and peace in which everyone’s uniqueness, attachment needs, and requirements for growth are respected in an environment where disagreement is tolerated and seen as part of healthy family development.