Ch. 16 Lec Flashcards by Gail I

group/family therapy is …

- looking at …

faster paced;

interpersonal interactions

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(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

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(group/family therapy)
one major advantage with interpersonal interaction is …
- many people in group therapy have flawed … skills

dealing with other people;

interpersonal relationship

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(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

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(group/family therapy)
…: group therapy guru
- leader of … approaches to group therapy

Irvin yalom;

interpersonal

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(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

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(group/family therapy)
therapeutic factors in group therapy - group cohesiveness:
- all …, going through the same … and all have the same …

connected;
problem;
goal

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(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

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(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

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(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

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(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

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(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

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(group/family therapy)
therapeutic factors in group therapy - interpersonal learning:

group therapy encourages … between members, but that should only ….

relationships;

happen in group

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(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

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(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

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(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

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(group/family therapy)
practical issues in group therapy: 
closed enrollment groups: 
- members have to start and finish together
- ..., no .... and ...

time commitment;

coming; going

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(group/family therapy)
practical issues in group therapy:
closed enrollment groups:
- … for closed groups are problematic – would be …

frequent absences;

kicked out

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(group/family therapy)
practical issues in group therapy:
- typically, with group therapy …,, unless they’re unable to …

anyone can join;

interact with others

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(group/family therapy)
practical issues in group therapy: 
people unable to interact: 
- ...: responding to ... 
- ...: ...

psychosis;
internal stimuli;
acute crisis;
suicidal

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(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

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(group/family therapy)
preparing clients: 
explain ... 
- most people will have had ... 
- explaining .... and how therapy works ...

group process;
individual therapy;
group dynamics;
overall

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(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

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(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

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(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