What is a key consideration when developing treatment goals in therapy?

Identifying the unit of treatment is a fundamental consideration when developing treatment goals in therapy because it helps clarify who or what will be the focus of the therapeutic work. In family and marriage therapy, the unit of treatment could be an individual, a couple, or the entire family system. Recognizing the appropriate unit ensures that the goals are relevant and tailored to the dynamics and needs of those involved. For example, if treating a couple, goals might center around improving communication or conflict resolution skills, while in a family context, the goals might address family roles or patterns of interaction.

In contrast, emphasizing only physical well-being neglects the emotional and relational dimensions that are crucial in therapy. Focusing solely on client history might lead to an incomplete understanding of the problem, as it could overlook current dynamics and solutions. Setting goals without client input risks misaligning the treatment with the client's values, priorities, and motivations, which can diminish engagement and hinder progress. Therefore, identifying the unit of treatment allows for a comprehensive and client-centered approach to goal-setting.