Assessment & Treatment (Green book) Flashcards
What theory had a tx model that reflects its psychoanalytic roots by focusing on the INDIVIDUAL but also includes the transgenerational philosophy by considering the relationship to the family of origin
- primary goal was differentiation of the individual family members
- area of concern was the family unit
- doesnt require all family members to be present; does require understanding
Bowen theory
Who recommends that the therapist should: decrease the level of emotional reactivity and anxiety in the sessions and increasing an understanding of the specific part each individual plays in maintaining problems?
Bowen
Type of therapist that uses :
Person to person relationships, coaching, and using I position
Bowen therapist
What type of theory uses, trust building, family resources, , and attends to four interacting dimension of individual and relational psychology?
-therapist may use genograms and verbal reports
Contextual
type of therapist that uses multidirectional partiality, an advocate for everyone in the room, not impartial or neutral, makes demands on the family members, active guide, holding accountability for each family member
contextual therapist
What theory uses assessment that consist of determining feedback loops that govern the faulty behavior patterns?
- tx usually limited to 10 session
- first and second order change
MRI Brief
what type of theory uses assessment that insight, working through, transference, interpretation, and affect expressed
-look at the multiogenerational history, search for structure underlying the problem, look at the system as PARTS
Object relations
type of theory that looks at the multigenerational systemic patterns, uncovering and understanding the nature of their current behaviors and struggles as they relate to family of origin
-bringing the family of origin into session;goal is insight and working through
James Framo
Type of therapy that uses a six step procedure
- intro to tx set up
- definition of the problem
- estimation of behaviors maintaining the problem
- setting the goals for tx
- exploring previous attempts
- selecting and making behavioral interventions
MRI Brief
True or false: Transitions in the family life cycle are the most vulnerable to the development of problems?
True
True or false: Chronic symptoms are not a defect in the system but a problem that has been repetitively mishandled?
True
True or false: Change is effected most readily if the goals are relatively large and unclear stated
False
small and clear
True or false: brief therapy is not symptom oriented
False. It is symptom oriented
Type of therapy that terminates usually by end of 10 sessions
MRI BRIEF
What theory is also interested in present behaviors and sequences of interactions?
they use strategic models to alter interations but ALSO change the structure of the family
Haley and Madanes model
Type of model that uses a four stage process
- Social stage
- problem stage
- interactional stage
- Goal setting stage
Hayley Madanes treatment
term: are directives that are aimed at making the symptom harder to keep than give up
- requires the clients to do something they do not want to do that would benefit them in some way
ordeals
type of treatment that Madanes uses that helps to structure the parental system if the child is at the “top”
-parent is directed to request that his/her child intentionally perform the problem behavior
-
Dramatizations
type of directive used by Madanes that directs parents to ask the child to pretend to have the symptom and the parents to pretend to help the child
pretending
type of model that treatment used a male-female dyad and observed by other team members
- had 5 parts
- presession, session, intersession, intervention, and post session discussion
- used positive connotations and rituals, hypothesizing, circularity and neutrality
Milan Model
True or false: Second order cybernetic conceives of the therapist and family as one unit
True
What type of model where accommodation, joining, enactment, mapping the system, intensity, shaping competence, unbalancing, and boundary making are a part of assessment and treatment?
Structural
type of models that have unstructured assessments
- focus is on the suppressed emotions and impulses that block the growth of fulfillment of individual family members
- focus is on the here and now
- assessment is automatic
Experiential model
What type of therapist uses existential encounters?
-willing to both receive the family members reactions to him/her and to full disclose his/her reactions to them
Experiential
Type of model that finds that assessment starts at the “first phone call..”
- important to have the whole family is session
- “causes of the problem are circular, and the changes are circular as well..”
- assessment is the whole system as well-looking at the whole- the therapists own reactions is important
- therapist is the expert/coach; lots of personality and creativity used
Symbolic experiential -Whitaker
This model is not timed for termination or is there a specific number of sessions
Symbolic
type of model that is focused on changing the rules under which the system operates and changing the system as a result
-communication analysis, model analysis, and label or role function analysis
Satir
This type of model uses assessment and treatment to help clients shift from talking about problems to talking about solutions
- identify resources
- build successful past solutions to problems
- use miracle questions, exception questions, scaling
Solution focused model
the goal of this model is to:
diminish problem behaviors and increase positive behaviors
-interventions include, operant conditioning principles
-tx is time limited and symptom focused; problem concrete and measurable
-continued assessment
Behavioral models
term: identify the antecedents and consequences of the target behavior- design specifically to the client/s
functional analysis of behavior
type of therapist that believes that reinforcement contingencies are responsible for maintaining behaviors and require ongoing maintenance
behavioral therapist
What are the types of parent skills interventions used in behavioral models?
Time outs Behavioral contracting shaping home token economies contingency contracting punishment
What types of couples interventions are used in behavioral models?
caring days
love days
term: type of reinforcer that is intiated after a behavior
positive reinforcer
negative reinforcer
