chapter 5 - Strategic Family Therapy Problem Solving Flashcards
what did strategic theroy grow from
communications theoryby BATESON working with schizophrenia
what are the 3 models of strategic theroy
MRI’s brief
therapy, Haley and Madanes’s strategic therapy, and
the Milan systemic model.
what are the 2 axioms of communciation
all behavior is communication and we cannot stop ever communicating.
all communication has report and commands
define report of communication
content
what is the command of communication
the process
how are commands presented in communication for families
as rules that create regularity (not regulation)
what is family homeostasis of JACKSON
families attempt to remain the same by using rules to build regularity but not open to change or adaptation.
what ist he center of the strategic theory
the positive feedback loop (something that makes the problem worse so that change can be made)
define first order change
only a single behavior changes in a system
define second order change
when many rules change in a system
define ordeals by HALEY as borroed from ERICKSON
make problem evident so chang eoccurs
what are the 2 parts of the general systems theory
negative and positive feedback loops
define negative feedback
ways to resist change or disruption
define positive feedback
things that promote change
how does communication theories state disorders appear
families are stuck in dysfunctional patterns of communication that keep things homeostatic (resistant to change)
what are the 3 ways issues appear in the strategic model
cybernetic (maladaptive methods create positive feedback escalation - seeking change)
structural (incongruent hiearchy)
functional (issues develop due to seeking to control one another)
what did HALEY believe was the goal of therapy
structural reorganization in its boundaries and hiearchy
how does the MRI school make for change
get rid of “solutions” that are not working to make for second order change (full system change of rules)
how does HALEY see triangles
cross generational coalitions (parent making an alliance with the child to leave out the other parent)
what are the 6 steps to therapy in the MRI approach
- Introduction to the treatment setup
- Inquiry and definition of the problem
- Estimation of the behavior maintaining the problem
- Setting goals for treatment
- Selecting and making behavioral interventions
- Termination
what 3 solutions don’t work for the MRI approach
solutiosn that deny the issue exists
solution tries to solve something that isn’t a problem (deflection or projection)
solution tries to solve issue in a way that is impossible (i.e. solution is ineffective)
define paradoxical intentions
e.g. symptom prescriptions. having someoen purposefully and intentional carry out the unwanted thought/desire/behavior in such a way that derives it of the self-destructive impulse
what is the MRI approach to power
the one down stance (the therapist is one step down from the client)
define the restraining technique
slowing down the client (part of the one step down approach)
what are the 4 stages of the initial interview for Haley
a social
stage (informal, calming, relaxing, cocktail hour), a problem stage (addressing what the issue might be), an interaction stage (family discussed each person’s POV) , and
finally a goal-setting stage
what is the defining technique of HALEY
directives
how did HALEY view the problem as a part of the solution
the problem was a solution at one point, until it wasn’t. the meaning of the problem behavior showed where the issues were.
how did HALEY relate a symptom to the problem for a family
the symptom was a metaphor of the problem.
what are the 5 parts of the MILAN model
presession (hypothesis), session (alter the hypothesis if necessary), intersession (develop an intervention),
intervention, and postsession discussion
