Counselling can be very helpful. Even a few sessions may make a huge difference. When families or couples have been fighting or not connecting to each other for a long time, the resources required and the pacing of the intervention to bring about change often differs significantly from what is expected by those involved.
An "unusual and complex" case is one that has defied solution for a long time, often more than ten years, maybe including interventions by numerous mental health professionals. The interrelationships in these challenges are complex and the system has adjusted over time. Often an unacceptable occurrence leading to violence, has motivated somebody in the family system to look for help.
These cases are unusual not because they are rare, but because they require unusual patience and stamina by all involved to evolve from the existing situation. My approach is based on my experience and expertise in clinical counselling as well as my consultation experience with organizations. It is important at the beginning of the process that all those involved in the process understand the nature and commitment required.
The process I follow has three phases. I adjust the timing and pacing respecting the change potential of the individuals involved and the complexity of the family system. Consultations include individual sessions, with a subset of the family, and with the whole family.
PHASE I: DEVELOPING A PERSPECTIVE
PHASE II: COMPARING PERSPECTIVEs
PHASE III: INTERVENTION DESIGN AND IMPLEMENTATION
Sometimes I bring in another therapist into the sessions and/or consult with a registered psychologist to bring in another perspective. I have found that bringing in another facilitator can benefit the process and can save time.
Gottman's approach to couples counselling and his array of insights based on his research, as well as his questionnaires, often provide a useful framework and handy tools to support the process.