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From: Ellen-Marie Silverman
Date: 09 Oct 2007
Time: 15:36:39 -0500
Remote Name: 205.188.117.66
[["It seems that sometimes the entire family might benefit from counseling and information regarding changes that are occuring. And since change affects the whole family, when working with a young child, do you include the parent every step of the way? What about if you would have an adult client, do you work with their spouse or children?"]] >>> Well, Deann, "Pretty much so" and "Sometimes." Not to be flip, that is how I work --- it all depends on the particular situation, as I'm sure you know therapy needs to be tailor-made, so to speak, to be truly effective. >>> I work with patients I consider to have a good prognosis for a desirable outcome after I NEGOTIATE a contract which structures an egalitarian relationship with the responsible parties, when the identified client is a child, and with the identified client himself or herself when he or she is legally able to enter into such an agreement. The contracts, subject to change through further NEGOTIATIONS, specify the methods and procedures to be used, among other tangibles related to treatment. All-in-all, my concern is to be as helpful to clients and to their support systems as is responsible and desired. >>> I doubt that this response offers you any break-through information, but maybe it helps consolidate your thinking, or affirms it. If, instead, it challenges you, and you want to ask another question or two, please feel free to do so. >>> Sincerely, Ellen-Marie Silverman