Couples and Family Therapy Flashcards

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1
Q

Couples and Family Therapy

A

Focus on disturbed relationships that give rise to problems, not individuals in the relationship.
– emphasize communication patterns

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2
Q

Couples and Family Therapy : Diagnosis

A

The client isn’t the individual, its the relationship/system of relationships… so how do you label the problem?

– will still use the DSM 5 to label individual problems but have started to include relational problems in the DSM under ‘Other Conditions that could be a focus of clinical therapy’

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3
Q

Couples Therapy

A

Couples normally seek it for problems with affection or communication.

  • -> may start with self report on communication skills before treatment begins.
  • Most times see both members of couple at same time –> COJOINT THERAPY
  • other times - SEPARATION COUNSELING - see each partner separately for all/some sessions.
  • Most tend to emphasize problem solving –> teach couple how to comm and negotiate more effectively with each other:
  • -> how to build better communication?
    1) teach to accept mutual responsibility for working through problems
    2) current problems > old grudges
    3) express preferences > demands
    4) negotiate compromises to problems that couple can’t solve

*need to avoid: TRIANGULATION - being put in the middle of the couple’s disagreements (don’t take sides, don’t allow couple to take charge of session, don’t get hooked into the past)

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4
Q

Family Therapy

A

Change maladaptive patterns in family interactions.
– arose because recognized problems of individual clients occur in social contexts and have social consequences.

  • Begin with focus on fan member who is having noticeable problems – the ID’d client
  • -> then therapist reframe problems in terms of disturbed family processes or communication
  • encourage all members to see their role in the problem
  • MULTISYSTEMIC THERAPY: conceptualizes fame from systemic, ecological perspective and uses behavior methods to treat.
  • BEHAVIORAL PARENT TRAINING/ PARENT MGMT TRAINING: behavior methods used to treat oppositional defiant disorder and aggression. (externalizing behavior problems in kids)
  • –> first identify just 2-3 behaviors to try to start modifying, not all at once..
  • –> can be effective with just one parent

-PARENT CHILD INTERACTION THERAPY: based on attachment theory; - directly coaches parents how to interact with child. Effective for ODD, depression, and anxiety in kids.

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5
Q

Couples and Family Therapy: Social Contexts

A

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