CFT is not distinguished by specific techniques but rather by its emphasis on understanding the family dynamics, the need to establish family goals and to concentrate on approaching “target” behavior by means of an integrated therapeutic interplay.Defining ideal family process is critical for professional purpose,direction, and efficiency. The ideal model for CFT is derived from empirical observation and clinical experience and it purports to reflect the common structures of well-functioning families.
The marriage is at the hub of the family dynamism. The positive involvement of the spouses helps maintain proper emotional balance with children and promotes growth in the couple. In the “progressive marital trend,” the mates assist each other through supportive teamwork and intramarital parenting to learn and improve ego functioning within terms of their complementary parental and coping roles. This enhances family organization,adjustment to reality, and security. A counterpart “regressive marital trend” emanates out of the mutual elicitation and outplay of impulses and desires that occur when a couple maintains investment and psychological contact with one another. The provocation of repressed material (“repetition compulsion”), notably love and hate, within an affirmative interpersonal context of disclosure and understanding allows for the integration of the underlying contents into the ego. Gradually, successively deeper psychological expression, self-contact, and intimacy ensue. Continuing over a lifetime, the progressive and regressive marital trends incur ego growth or “progressive abreactive regression” (PAR).
The practitioner may begin CFT with the entire family or any part, devolving or escalating contact with members. The frequency, length, attendance, and overall pattern of meetings aretherapeutically determined and variable. Initial procedures are affected by membership attitudes toward professional intervention, family power relations, nature of surface psychopathology, and requirements of starting and developing the treatment program. The family’s subsystems (all combinations of members)and extensive behavior are influenced through the couple.
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