chapter 5 - Strategic Family Therapy Problem Solving

Question 1

what did strategic theroy grow from

Answer 1

communications theoryby BATESON working with schizophrenia

Question 2

what are the 3 models of strategic theroy

Answer 2

MRI’s brief
therapy, Haley and Madanes’s strategic therapy, and
the Milan systemic model.

Question 3

what are the 2 axioms of communciation

Answer 3

all behavior is communication and we cannot stop ever communicating.

all communication has report and commands

Question 4

define report of communication

Answer 4

content

Question 5

what is the command of communication

Answer 5

the process

Question 6

how are commands presented in communication for families

Answer 6

as rules that create regularity (not regulation)

Question 7

what is family homeostasis of JACKSON

Answer 7

families attempt to remain the same by using rules to build regularity but not open to change or adaptation.

Question 8

what ist he center of the strategic theory

Answer 8

the positive feedback loop (something that makes the problem worse so that change can be made)

Question 9

define first order change

Answer 9

only a single behavior changes in a system

Question 10

define second order change

Answer 10

when many rules change in a system

Question 11

define ordeals by HALEY as borroed from ERICKSON

Answer 11

make problem evident so chang eoccurs

Question 12

what are the 2 parts of the general systems theory

Answer 12

negative and positive feedback loops

Question 13

define negative feedback

Answer 13

ways to resist change or disruption

Question 14

define positive feedback

Answer 14

things that promote change

Question 15

how does communication theories state disorders appear

Answer 15

families are stuck in dysfunctional patterns of communication that keep things homeostatic (resistant to change)

Question 16

what are the 3 ways issues appear in the strategic model

Answer 16

cybernetic (maladaptive methods create positive feedback escalation - seeking change)
structural (incongruent hiearchy)
functional (issues develop due to seeking to control one another)

Question 17

what did HALEY believe was the goal of therapy

Answer 17

structural reorganization in its boundaries and hiearchy

Question 18

how does the MRI school make for change

Answer 18

get rid of “solutions” that are not working to make for second order change (full system change of rules)

Question 19

how does HALEY see triangles

Answer 19

cross generational coalitions (parent making an alliance with the child to leave out the other parent)

Question 20

what are the 6 steps to therapy in the MRI approach

Answer 20

1. Introduction to the treatment setup
2. Inquiry and definition of the problem
3. Estimation of the behavior maintaining the problem
4. Setting goals for treatment
5. Selecting and making behavioral interventions
6. Termination

Question 21

what 3 solutions don’t work for the MRI approach

Answer 21

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)

Question 22

define paradoxical intentions

Answer 22

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

Question 23

what is the MRI approach to power

Answer 23

the one down stance (the therapist is one step down from the client)

Question 24

define the restraining technique

Answer 24

slowing down the client (part of the one step down approach)

Question 25

what are the 4 stages of the initial interview for Haley

Answer 25

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

Question 26

what is the defining technique of HALEY

Answer 26

directives

Question 27

how did HALEY view the problem as a part of the solution

Answer 27

the problem was a solution at one point, until it wasn’t. the meaning of the problem behavior showed where the issues were.

Question 28

how did HALEY relate a symptom to the problem for a family

Answer 28

the symptom was a metaphor of the problem.

Question 29

what are the 5 parts of the MILAN model

Answer 29

presession (hypothesis), session (alter the hypothesis if necessary), intersession (develop an intervention),
intervention, and postsession discussion