Ch. 16 Lec Flashcards
group/family therapy is …
- looking at …
faster paced;
interpersonal interactions
(group/family therapy)
looking at interpersonal interactions
- group therapy is …. of clients’ world
- a lot of people suffering from disorders think …
- group therapy helps people realize that they’re ….
microcosm;
they’re the only ones;
not the only one
(group/family therapy)
one major advantage with interpersonal interaction is …
- many people in group therapy have flawed … skills
dealing with other people;
interpersonal relationship
(group/family therapy)
one major advantage with interpersonal interaction is dealing with other people:
- people in group therapy can learn how to properly and effectively … in group which will translate to real life as well
- group therapy also creates climate of … knowing that you’re all experience the same thing
communicate with others;
comfort
(group/family therapy)
…: group therapy guru
- leader of … approaches to group therapy
Irvin yalom;
interpersonal
(group/family therapy)
therapeutic factors in group therapy:
- one universality is that others are … which is why many like group therapy
- …: … among group members
going through the same thing;
group cohesiveness; interconnectedness
(group/family therapy)
therapeutic factors in group therapy - group cohesiveness:
- all …, going through the same … and all have the same …
connected;
problem;
goal
(group/family therapy)
therapeutic factors in group therapy - group cohesiveness:
all connected, going through same problem, and all have the same goal:
- trust in … and …
- …
- sense of …/sense of …
group members;
therapist;
acceptance;
belongingness; community
(group/family therapy)
therapeutic factors in group therapy - interpersonal learning:
- same …/… that contributed to client’s problems will appear with the group
- group members form relationships with one another - goal is to … that relationship
styles/patterns;
improve
(group/family therapy)
therapeutic factors in group therapy - interpersonal learning:
group members form relationships with one another. goal is to improve that relationship
- …/… will shift in real life as well –> learning …
interpersonal relationships/communication style;
healthy communication styles
(group/family therapy)
therapeutic factors in group therapy - interpersonal learning:
- group becomes … through which you can learn how to deal differently with people
- focus on the … and …
small social microcosm;
here; now
(group/family therapy)
therapeutic factors in group therapy - interpersonal learning:
focus on the here and now
- not focusing on …/….
- discouraging discussion of … –> what is going on …, what is the …
past/future;
lives outside of therapy;
right now;
present moment issue
(group/family therapy)
therapeutic factors in group therapy - interpersonal learning:
group therapy encourages … between members, but that should only ….
relationships;
happen in group
(group/family therapy)
therapeutic factors in group therapy - interpersonal learning:
group therapy encourages relationships between members, but that relationship can only happen in group. cannot have relationship with group members outside of group
- but therapists don’t actually have any power to …
- clients … in group therapy
stop that;
speak directly to one another
(group/family therapy)
practical issues in group therapy:
- want between … and … clients in group therapy
- there are … groups and … groups
5; 10;
open enrollment; closed enrollment
(group/family therapy)
practical issues in group therapy:
- open enrollment groups: individuals can …
- closed enrollment groups: members have to …
leave/join at any time;
start and finish together
(group/family therapy) practical issues in group therapy: closed enrollment groups: - members have to start and finish together - ..., no .... and ...
time commitment;
coming; going
(group/family therapy)
practical issues in group therapy:
closed enrollment groups:
- … for closed groups are problematic – would be …
frequent absences;
kicked out
(group/family therapy)
practical issues in group therapy:
- typically, with group therapy …,, unless they’re unable to …
anyone can join;
interact with others
(group/family therapy) practical issues in group therapy: people unable to interact: - ...: responding to ... - ...: ...
psychosis;
internal stimuli;
acute crisis;
suicidal
(group/family therapy)
practical issues in group therapy:
people unable to interact:
acute crisis - suicidal:
- will … group bc suicidal individual will receive focus of … and …
- this is only applicable for groups that aren’t a …
imbalance;
attention; care;
suicide prevention group
(group/family therapy) preparing clients: explain ... - most people will have had ... - explaining .... and how therapy works ...
group process;
individual therapy;
group dynamics;
overall
(group/family therapy)
preparing clients:
- provide … and … about the outcome –> therapy won’t work if you’re not …
realistic;
encouraging data;
motivated for it to work
(group/family therapy)
preparing clients:
- encourage helpful ways of … –> will always be those … students and in group there will typically be person that’s trying to ….; therapist must …
participating;
quiet;
dominate group;
control the group
(group/family therapy)
preparing clients - developmental stages of therapy groups:
- initially, people will be …/…
- … within the group (e.g. narcissist trying to speak the most/dominate group)
cautious/shy;
jockeying
(group/family therapy)
preparing clients - developmental stages of therapy groups:
- will see who’s trying to be …/… in first few sessions
- then, … arrives
dominant/quiet;
group cohesiveness
(group/family therapy)
preparing clients - developmental stages of therapy groups:
will see who’s trying to be dominant/quiet in first few sessions. then, group cohesiveness arrives
- group …. and can … –> this is when everyone realizes that ….
comes together;
move forward;
therapist is in charge
(group/family therapy)
preparing clients - cotherapists:
- allows for …
- two therapists modeling …/… for the group - esp good if there are group members that don’t …
bigger groups;
proper communication styles/patterns;
get along
(group/family therapy)
preparing clients - cotherapists:
- if they have different psychotherapy techniques (e.g. one is psychoanalytic, the other is humanistic), can … each other and …
- having a …, as well
complement;
enhance the group;
second set of eyes
(group/family therapy)
preparing clients - cotherapists:
- two therapists can … - but important to model … as well
disagree on things;
healthy communication through disagreements
(group/family therapy)
preparing clients - cotherapists:
- can be problematic if therapists are …, don’t …, or don’t …
competitive;
know each other well;
trust each other
(group/family therapy)
preparing clients:
- … between clients is problematic, whether it’s … or …
socializing;
romantic;
platonic
(group/family therapy) preparing clients: socializing between clients is problematic, romantic or platonic: - impacts ... - .... will be prioritized over ...
group dynamics;
loyalty between partners;
loyalty to group
(group/family therapy)
ethical issues:
- confidentiality remains the same as … –> group members also cannot …
individual therapy;
break confidentiality
(group/family therapy)
ethical issues:
confidentiality remains the same as individual therapy - group members also cannot break confidentiality:
- this is another reason why … among group members can be problematic
- difficult to …
- if confidentiality is broken, that will affect … within the group
relationships;
enforce;
climate of trust
(group/family therapy)
ethical issues - outcome:
- group therapy not studied as … as individual therapy, but overall, it’s been found to be …
extensively;
beneficial
(group/family therapy)
ethical issues - outcome:
group therapy not studied as extensively as individual therapy, but overall, it’s been found to be beneficial
- about … to individual therapy bc it’s still being …
- success depends on … of the group and individuals in that group
equal;
led by a professional;
motivation
(family therapy)
- in family unit, typically someone gets … - one person is …
- with family therapy, the … is the problem
scapegoated;
blamed for everything;
system
(family therapy)
- with family therapy the system is the problem - some dysfunction going on with … itself
- the idea that family dysfunction existed and can be treated was viewed as … when it first came out
- psychological symptoms in family are a byproduct of …
family unit;
revolutionary;
dysfunctional families
(family therapy)
psychological symptoms in family are a byproduct of dysfunctional families
- problems in the family are the result of the …, not just …
- problem belongs to the …
family;
one individual in the family;
entire system
(family therapy)
- …: events in a family happen … –> if one person has a problem it will …
circular causality;
reciprocally;
impact the entire system
(family therapy)
- one of the main focuses is … - modeling … for family
- focus on … of symptoms
communication;
healthy communication patterns;
functionalism
(family therapy)
focus on functionalism of symptoms:
- if someone/more than one person is acting out, what … is it serving in the family –> need to learn about …, …, etc
purpose;
family dynamics;
unspoken rules
(family therapy)
focus on functionalism of symptoms:
if someone/more than one person is acting out, what purpose is it serving in the family
- looking at role symptoms play in … –> … in families
family homeostasis;
emotional set point
(family therapy)
focus on functionalism of symptoms:
if someone/more than one person is acting out, what purpose is it serving in the family. looking at role symptoms play in family homeostasis
- homeostasis in a dysfunctional family is their … –> if one person actually gets better, someone else will …, if one person in family changes, the …
normal dysfunction;
increase their dysfunction;
whole dynamic changes
(family therapy - assessing families)
…: can help determine the relationships between family members, going back …
- create a …
- can physically see … between family members
genogram;
3 generations;
family tree;
conflict
(family therapy - assessing families)
- can do … with focus on the …
- looking at family’s …
normal psych eval;
family unit;
life cycle
(family therapy - assessing families)
looking at family’s life cycle
- more … theory
- 6 stages to conceptualize … throughout the years
developmental;
evolution of family
(family therapy - assessing families) looking at family's life cycle - 6 stages to conceptualize evolution of family throughout the years: - ... - ... - ... - ... - ... - ....
leaving home; marriage; young children; adolescents; children move on; families later in life
(family therapy - assessing families)
looking at family’s life cycle
- will detect a lot of … and can look at …, looking at what … and what …
dysfunction;
history of dysfunction;
changed;
went wrong
(family therapy - family structure)
- … dealt with structure of family
- …: how families operate, what they can/can’t say and do, how they keep … going
salvator minuchin;
unwritten rules;
dysfunctionality
(family therapy - family structure)
- when you have a flawed system, problems in … and … arise
- … in families
- … are relevant as well
relationships; individuals;
subsystems;
boundaries
(family therapy - family structure)
- differentiation of … –> appropriate degree of … Need to be … Families that don’t allow this to happen create (I think) problems for their family members
self;
self-determination;
your own person
(family therapy - family structure)
- …: if two people are in conflict, they bring in a third. Problematic, esp when this person is a … –> therapeutic goal is to encourage …
triangulation;
child;
detriangulation
(family therapy - family structure)
- … involved in structural family therapy –> …, as well
metaphors;
interactive
(family therapy - family structure)
- … focused family therapy
solution
(family therapy - family structure)
solution focused family therapy
- don’t constantly talk about …, discuss … for family instead
- more … viewpoint –> think of … rather than …
problems; solutions; optimistic; positive outcomes; consequences
(family therapy - ethical issues in family therapy)
- …
- …
- …
cultural competence;
confidentiality;
diagnostic accuracy
(family therapy - ethical issues in family therapy)
cultural competence –> appreciate …/…/…
culture; ethnicity; religion
(family therapy - ethical issues in family therapy)
confidentiality:
- same thing
- needs to be … from the beginning
- have to see … every time for family/couples therapy
made clear;
entire family unit
(family therapy - ethical issues in family therapy) diagnostic accuracy: - not ... for an entire family - dsm diagnoses are for ... - no ...
diagnostic codes;
individuals;
diagnoses for families
(family therapy - ethical issues in family therapy)
outcome issues:
- not as much research as on … but existing research is very …. –> therapy is … overall
- therapy only works if your clients …
individual;
positive;
beneficial;
want it to work
