Clinical Comp - Theory Flashcards
- Shazer
- Insoo Berg
Solution Focused - Founders
-modeling communication
-family sculpting
-self-mandala
-parts party
-transforming rules
Satir - Interventions
-making contact
-chaos
-integration of new skills (aka the new status quo)
Satir - Process
- Jay Hayley and Cloe Madanes
Strategic - Founders
- Individuation
- Resolution of negative projection
- Detachment from bad object
Object Relations - Intervention
Minuchin
Structural - Founder
-brief (3-5 sessions)
-action based
SFT Process of Tx
-therapist joins family/defines presenting complaint
-highlight problem
-explore alternative ways of relating
-therapist reduces role from joiner to observer
Structural Family Therapy - Process
- Infancy
- Birth to 18 months old
- Connection to caregiver, developing a sense of dependence on caretaker, and creating a sense of safety
Erikson - Trust vs Mistrust
-deconstructive questions
-landscape of action questions
-visualizations
-therapeutic writing
-metaphors
-externalizing the problem
Narrative Therapy Interventions
- School Age
- 6 to 11 years old
- improve abilities and develop self-confidence in skills and abilities.
Erikson - Industry vs Inferiority
- Emerging Adulthood
- 19 to 29 years old
- Experiments with building relationships with the goal of long-lasting relationships with others outside of the family unit.
- Success results in happy relationships and a sense of commitment, safety, and care within a relationship.
Erikson - Intimacy vs Isolation
- Joining
- Tracking and Diagnosing
- Restructuring
Strategic Family Therapy - Interventions
-reality constructed by social interactions/processes
-creating clt’s stories
-identifying narratives in clt’s life
Narrative Therapy
-assessment
-target behaviors/thoughts for change
-phsychoeducation
-replace/practice
CBT Process of Tx
- Late Adulthood
- 64+ years old
- Involves reflecting on life and either moving into feeling satisfied and happy with life or feeling a deep sense of regret.
- Success enables a person to look back on their life with a sense of closure and completeness, and also accept death without fear
Erikson - Integrity vs Despair
focus on:
-strengths and solutions
-exceptions
-change talk
-solutions
-strengths/resources
-simplicity
Solution Focused Therapy (SFT)
- Short term tx that is used for families with children/adolescents who present with behavioral issues, brief, directive.
- Identify and change patterns of structural interactions that create the family environment
Strategic Family Therapy - Purpose
- Play age
- 3 to 5 Years old
- learning to assert themselves socially
- Success results in increased social competence and the ability to initiate social connection
Erikson - Initiative vs Guilt
-increase ability to resist maladaptive behavior and reduce symptoms
-identify impact of dominant/alternative discourses
-externalize problem
-identify factors that maintain the family problems
-separate the client from the problem
-learn about what the family values
Narrative Therapy - Goals
-genogram
-process questions
-detriangulation
-“going home again”
-displacement stories
-coaching
Bowen - Interventions
Jill and David Scharff
James Framo
Object Relations - Founders
-alter dysfunctional structure of family
-facilitate growth on personal level
-restructure/organize subsystems
Structural Family Therapy - Goals
-discover/label rational and maladaptive thoughts
-teach internal verbal coaching strategies
-incorporate new/preferred behaviors
-support client
CBT Goals
Michael White
Narrative - Founder
focus on:
-dysfunctional emotions
-maladaptive behaviors
-cognitive process
(automatic thoughts, core beliefs, schemas)
Cognitive Behavioral Therapy (CBT)
-focus on family structure (joining/unbalancing)
-zero in on the system/complaint
-highlight communication patterns
Structural Family Therapy - Interventions
- Early childhood
- Two to Three years old
- Gaining control and choice in regard to the body and some choices
- Success results in increased sense of confidence and competence
Erikson - Autonony vs Shame and Doubt
-mutual journey between therapist and client
-client defines goals
-goals must be observable and expressed in concrete terms
-unwanted behaviors are replaced
- identify resources for supporting goal achievement
SFT Goals
-approach problems practically vs. analytically
-focus on identifying stagnant pattern of behavior within family/group
-family structure
-coallitions
-subsystems
-boundaries
Structural Family Therapy
- Adolescence
- 12 to 18 years old
- Experiment with and develop personal identities and roles that fit them
- Identify who they are and what they want to do
- Success results in ability to be true to self, know who they are in society, and share who they are with others more easily
Erikson - Identity vs Confusion
-genogram
-assessment
-differentiation
Bowen - Process
-lower anxiety
-increase differentiation
-help with “problem” to resist unhealthy triangulation and emotional fusion
Bowen - Goals
-cognitive restructuring
-relaxation/breathing
-ABC theory
-automatic thought recording
-questioning
CBT Interventions
-problem is recast as affliction
-unique outcomes generated and explored
-client lives the story outside the therapy room
-therapeutic tasks
Narrative Therapy - Process
- Battles for structure and initiative
- intimacy and separateness
- family reconstruction
- growth through shared experience
- human validation model
Experiential Family Therapy - Purpose
-practical approach to problems
-family projection process
-differentiation of self
-triangles
-togetherness/individuality
-sibling position
-emotional cutoff
Bowen
- Improve communication
- Help form, strengthen, and enforce healthy boundaries
- Improve positive parenting
- Reinforce conflict resolutions skills
- Build/increase family cohesion
Strategic Family Therapy - Goals
- Based on attachment expectations formed in unresolved family of origin issues
- Process transference to others and thx
- resolve negative experiences and detach from “bad” object
- Non-directive tx with thx offering observation and insight
Object Relations - Purpose
-high self-esteem
-personal growth
-congruent communication
Satir - Goals
-communications/humanistic family therapy
-individual growth/development
-communication
-self-esteem
Satir Model
8 Stages of development that identifies psychological and developmental goals for each stage of life
Erickson’s Developmental Stages
- Middle Adulthood
- 30 to 64 years old
- Experience a need to create or nurture things that will outlast them, often having mentees or creating positive changes that will benefit other people.
- Develop a sense of being a part of the bigger picture
- Success leads to feelings of usefulness and accomplishment
Erikson - Generativity vs Stagnation
-miracle question
-questions
-normalizing the problem
-scaling questions
-coping questions
-write, read, burn
SFT Interventions
