The family constellation is basically the structure of the family e.g. only child, first child, second child, third child etc. The counsellor will then have to look at how the parents respond to the children; do they have the same relationship with each child? do they respond differently to the children? Does one child have more of a parenting role with the other siblings? And so on. For example, if the youngest child is the cleverest child, they may overtake the oldest child academically, which can reduce the self-esteem of the first child, which could lead to rebellious or negative behaviour.  In a family of three children, the oldest and youngest children may receive more attention, causing the middle child to feel left out and again rebel or behave negatively. Alternatively, some children who feel left out may behave in an ultra-good way to try to attract the attention of the parents.  

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