Challenges to Therapist Self-Care with In-Home Work

Module Sections:

McCubbin & Patterson ABC-X Model

In fact, according to McCubbin and Patterson (1985), the ABC-X formulation has withstood careful assessment and has remained virtually unchanged from its initial inception in 1958. However, McCubbin and Patterson (1985) noted that, depending upon a person's coping abilities, there is the potential for the pile up of stressors and additional crises beyond the initial event.

Figure 4. (McCubbin & Patterson, 1985)Figure 4. (McCubbin & Patterson, 1985)

Further examination of the Double ABC-X Model reveals that the variables related to the stresses or crises affecting family systems are applicable to clinicians' personal and professional lives. The module variables are, more specifically, relevant for describing the factors influencing clinician self-care and stressors resulting from home-based family therapy. While therapy conducted within the office is somewhat controlled and in an environment well known by the therapist, seeing clients in their homes adds another level of complexity that has a stress-producing effect on the home-based family therapist. Possible stressors from the home environment can include: chaos within the home environment (i.e., lack of rules or boundaries, TV on, phone ringing, being the guest); friends and neighbors stopping by unannounced; lack of cleanliness; threats from various types animals; or client absent when therapist arrives.

Audio Companion: Challenges to Therapist Self-Care