This study focused on a family therapy case with an IP(11th grade) who had been treated with medications for 5
years ever since IP was diagnosed with ADHD in 3rd grade. The IP was facing school expulsion due to violent
behaviors and truancy. The parents were becoming overwhelmed by dysfunctional relationships within the family,
improper power hierarchies, cross-generational coalition, and disputes between husband and wife, resulting in victimization
of children as scapegoats and destruction of subsystem by unclear boundaries. To restructure the family system, the
therapy was conducted to recover family relationships and proper parental authority and composed of 8 sessions (
90-minutes per session) from September to November of 2015. Therapy was conducted based on the four step model of
structural family therapy. Following sessions, IP's truancy and the coalition between mother and daughter were solved,
and the family system changed. The relationship between parents and children as well as between spouses recovered
when participants were able to recognize that presented problems were in fact parental problems. This case study
suggests that the application of structural family therapy model is an effective and useful way to help struggling families
by guiding them through change in the family structure and restructuring hierarchy of authority in the family.