In Extended Family Systems Psychotherapy, how many family members does the therapist typically work with at one time?

In Extended Family Systems Psychotherapy, the therapist typically works with two family members at a time. This approach allows for focused interaction and communication between selected family members, which can reveal dynamics and relationships that might not emerge in larger groups. By engaging only two members, the therapist can facilitate deeper discussions, encourage the clarification of positions, and help address specific relational issues in a manageable setting.

The emphasis on working with two members at a time is particularly useful for creating a safe space where individuals can articulate their feelings and perspectives. This method promotes understanding and empathy between the two participants, enabling them to address their conflicts more effectively before potentially involving other family members in future sessions.

This approach contrasts with working with one member, which may limit the exploration of interpersonal dynamics, or with all family members, which can introduce complexities and dynamics that are challenging to manage in a therapeutic setting. Thus, engaging two individuals is a strategic choice within this therapeutic framework, allowing for effective intervention and fostering family cohesion.