Exam 1 Flashcards
Murray Bowen
Family Systems Theory Theorist/Practitioners.
Psychologist. Research on families of children with schizophrenia.
Importance of the ability to differentiate oneself from his or her family
Family Systems Theory Key Concepts
Individual personalities and patterns of interactions among family members have their origins in previous generations
Family systems theory key concept
Relationships are conflictual and depend upon a third-party to mediate, the idea of triangles
Family systems theory key concept
Anxiety is a normal emotion that can lead to differentiation of the self, emotional reactivity, and emotional fusion
Family systems theory key concept
Bowen believed that children’s birth order affected their personality
Family systems theory key concept
Parental projection is a main source of family anxiety
Family systems theory Description of the models hypothesis regarding client distress/symptoms/clinical formulation
Emotional cutoff is the result of a family member’s emotional fusion to another member; said member is usually unaware of the fusion
Family systems theory Description of the models hypothesis regarding client distress/symptoms/clinical formulation
Change occurs through detriangulation and when new relationships are built between family members
Family systems theory -Discussion of how change occurs -specific goals/interventions/focus of therapy/application of clinical formulation
*Structural Family theory is also acceptable because it is under the umbrella of FST and uses this concept, as well.
Family therapist is given broad intervention strategies, not specific guidelines
Family systems theory Discussion of how change occurs -specific goals/interventions/focus of therapy/application of clinical formulation
*Structural Family Theory is also acceptable
Social worker acts as a coach watching the family’s interactions from the sidelines as well as a model of rational interaction
Family systems theory Discussion of how change occurs -specific goals/interventions/focus of therapy/application of clinical formulation
Therapist helps lower family anxiety, facilitates family members ability to self reflect and share concerns, identifies triangles and helps deregulate them
Family systems theory Discussion of how change occurs -specific goals/interventions/focus of therapy/application of clinical formulation
*Structural family theory also identifies triangles
Use of genogram to give the family insight into their functioning as a unit
Family systems theory Discussion of how change occurs -specific goals/interventions/focus of therapy/application of clinical formulation
Social worker engages the family in person-situation reflection that focuses on the present, as well as developmental reflection that focuses on the history of the family and its patterns
Family systems theory Discussion of how change occurs -specific goals/interventions/focus of therapy/application of clinical formulation
The idea that birth order is the sole indicator of personality development has been debunked
Family Systems theory: discussion of the supporting evidence or lack thereof
This theory is very difficult to operationalize and Bowen did not believe the empirical studies were a good measure of the therapy’s effectiveness
Family Systems theory: discussion of the supporting evidence or lack thereof
Research on this theory has included single case studies, and small samples that focus on the process rather than the outcome; such studies demonstrated this theory’s effectiveness with families in adoption, cancer, substance abuse, and immigration
Family Systems theory: discussion of the supporting evidence or lack thereof
This theory has a male bias and does not acknowledge the difference between male and female roles in the family. This theory favors the idea of separation over connection, which can lead to women being seen as enmeshed
Family Systems theory: Reflection, where applicable, of ethical issues to the theory might raise or address
According to this theory, enmeshment and triangulation are often negative. However, some clients may not agree and in fact cherish the closeness they share with their family. This theory’s therapists may push their own beliefs about family dynamics onto their clients, which is unethical
Family Systems theory: Reflection, where applicable, of ethical issues to the theory might raise or address
This theory encourages the social worker to examine the effect that outside factors have on the family ( person in environment )
Family Systems theory: Critical analysis of the theory’s attention or lack there of to social work values and person in environment issues particularly related to oppression and cultural diversity
This theory’s interventions may not be suitable with families who are experiencing problems directly related to such issues as poverty, unemployment, discrimination and inequality of opportunity
Family Systems theory: Critical analysis of the theory’s attention or lack there of to social work values and person in environment issues particularly related to oppression and cultural diversity
This theory is criticized for not being culturally sensitive.
Example: Muslim couples value connection to their families, and usually seek family members’ help to solve marital problems, which according to this theory, would be not only enmeshment but also triangulation
Family Systems theory: Critical analysis of the theory’s attention or lack there of to social work values and person in environment issues particularly related to oppression and cultural diversity
Erik Erickson
Ego Psychologist
Eda Goldstein
Ego Psychologist
Garlan Hamilton
Ego Psychology Social Worker, person in environment and it’s impacts
Florence Hollis
Ego Psychology Social Worker, person in environment, case management
What theory? What term? Objective evaluation of an emotion or thought against real life
Reality Testing
Ego Psychology key concept.
What theory? What term? Integration of internal and external stimuli
Ego Function.
Ego Psychology key concept.
Mastery & Competence: definitions and which theory?
Ego Psychology key concept.
Mastery: ability to influence their environment
Competence: persons subjective feeling about ability
Concepts of which theory? What type of concept? Pleasure and aggression, mastery and competence.
Ego Psychology key concepts: Innate Human Drives
What theory? Define these terms: Pleasure and aggression
Ego Psychology key concept.
Aggression – comes to play when one is being threatened, fight or flight, stress and how we cope with it
Pleasure -seek things out that feel good
What theory? Definition of what term? Ability to choose behaviors that are likely to promote movement toward goals; not moral or value necessarily
Judgement
Ego Psychology key concept 
What theory? What term? Oriented to time, place, and person and healthy manner
External environment
Ego psychology key concepts: Sense of world and self
What theory? What term? Healthy sense of self and who you are; good boundaries, reasonable and coherent psychological sense of who you are
Sense of identity
Ego psychology key concepts: Sense of world and self
What theory? What concept? Ability to manage relationships appropriately toward our goals and ability to see others as unique rather than replications of significant people from our past
Object relations (interpersonal)
Ego psychology key concepts: Sense of world and self
What theory? What concept? What term? Clinician projects personal feelings, thoughts, and behaviors onto the client due to them triggering the clinician in a certain way
Countertransference
Object relations (interpersonal)
Ego psychology key concepts: Sense of world and self
What theory? What concept? What term? Client projects personal feelings and experiences onto clinician because you serve a certain role in their life
Transference
Object relations (interpersonal)
Ego psychology key concepts: Sense of world and self
What theory? What concept? What term? Awareness of thoughts, feelings, and behaviors
Superego: Conscious
Ego psychology key concepts: Sense of world and self
What theory? What term? No awareness of thoughts, feelings, and behaviors. 
Superego: Unconscious
Example: Unconscious Bias
Ego psychology key concepts: Sense of world and self
These stages must be completed at certain ages, one must be completed before the next one can commence
Erickson’s psychosocial stages of development
This describes which theory’s model hypothesis regarding the client?
Being stuck in a stage and inability to move past it and onto age-appropriate stages, could be contributed to by the ego functions
Ego psychology: description of the models hypothesis regarding client distress/symptoms/clinical formulation
Which theory believes this hypothesis about clients?
Conflicts within the person or between the person and the external world
Ego psychology: description of the models hypothesis regarding client distress/symptoms/clinical formulation
Which theory’s Description of models hypothesis regarding clients:
Life events
Hereditary
Health factors
Maladaptive defenses or interpersonal patterns
Ego psychology: description of the models hypothesis regarding client distress/symptoms/clinical formulation
Self awareness and understanding is a goal > Assess ego functions and bring any to attention that are not healthy, address ego defense mechanisms
Ego psychology: discussion of how change occurs; specific goals/interventions/focus of therapy/application of clinical formulation
Can assist in this process by discussing where they are in the psychosocial stages, where they want to be, and where they should be
Ego psychology: discussion of how change occurs; specific goals/interventions/focus of therapy/application of clinical formulation
This is an intervention of which theory? Uncover unconscious thoughts and feelings and bring them to consciousness
Ego psychology: discussion of how change occurs; specific goals/interventions/focus of therapy/application of clinical formulation
Which theory has these specific goals/ interventions?
Make the unconscious conscious and strengthen ego functions:
-dream analysis
-Hypnosis
-Free association
-Transference and the exploration of it
Ego psychology: discussion of how change occurs; specific goals/interventions/focus of therapy/application of clinical formulation
Childhood experiences are reconstructed, discussed, interpreted and analyzed > Corrective emotional experience
Ego psychology: discussion of how change occurs; specific goals/interventions/focus of therapy/application of clinical formulation
Which theory uses this intervention? Adjust defense mechanisms and resolve inner conflict > Conflict neutralization
Ego psychology: discussion of how change occurs; specific goals/interventions/focus of therapy/application of clinical formulation
This is a goal of which theory? Improve fit between individual capabilities and environmental conditions
Ego psychology: discussion of how change occurs; specific goals/interventions/focus of therapy/application of clinical formulation
This theory uses these techniques: social worker and client relationship along with transference and countertransference
Ego Psychology: Specific Techniques Used
Exploration/ventilation/and description: social worker elicits clients thoughts and feelings about an area of concern and helps client express and explore them
Ego Psychology: Specific Techniques Used
This intervention is used by which theory? Sustainment: active and sympathetic listening, attitude of Goodwill, confidence in the client, communicates interest non-verbally, and reassures client About goal achievement
Ego Psychology: Specific Techniques Used
Person – situation reflection: guiding client to assess and reflect the current situation or the past
Ego Psychology: Specific Techniques Used
Which theory uses this technique?
Advice in guidance: occasional need to give advice or suggestions to a client about their way of thinking, reviewing feelings, or behaving
Ego Psychology: Specific Techniques Used
This intervention is used in which theory? Partializing/structuring: helping the client breakdown presenting problems into discrete units that can be addressed sequentially
Ego Psychology: Specific Techniques Used
Which theory uses this intervention ?
Education: provide information to clients about environmental resources and issues related to the clients biological, psychological, and social functioning, as well as the client’s impacts on others
Ego Psychology: Specific Techniques Used
This intervention is used in which theory?
Developmental reflection: engage client in reflection about the clients past and previous relationships with the goal of helping the client gain insight
Ego Psychology: Specific Techniques Used
This theory’s concepts are too vague (individual not family)
Ego Psychology: Discussion of the supporting evidence or lack thereof for this theory
Intervention strategies are abstract
Ego Psychology: Discussion of the supporting evidence or lack thereof for this theory
More deficits – oriented rather than strengths – based
Ego Psychology: Discussion of the supporting evidence or lack thereof for this theory
The developmental theories commonly used in this Theory do not adequately respect human diversity
Ego Psychology: Discussion of the supporting evidence or lack thereof for this theory
Interventions are open – ended and could conflict with time – limited practice settings
Ego Psychology: Discussion of the supporting evidence or lack thereof for this theory
Outcomes are difficult to evaluate
Ego Psychology: Discussion of the supporting evidence or lack thereof for this theory
What theory lacks evidence in this area? May not adequately facilitate pursuit of social change activities
Ego Psychology: Discussion of the supporting evidence or lack thereof for this theory
This theory is more individually based than family or systems oriented
Ego Psychology: Discussion of the supporting evidence or lack thereof for this theory
This theory may not be the most inclusive for people who have developmental or cognitive delays
Ego Psychology: Reflection of ethical issues that the theory might raise or address
Within the educator or advice/guidance interventions, the clinician may abuse the power they have in the relationship – no longer equal now hierarchical
Ego Psychology: Reflection of ethical issues that the theory might raise or address
Empowers clients and aims to provide more healthy coping mechanisms to combat negative/traumatic experiences, which could aid in not internalizing oppression for example
Ego Psychology: Critical analysis of the theory’s attention, or lack thereof, to social work values and person – in – environment issues, particularly related to oppression and cultural diversity
Does not account for cultural differences in development
Ego Psychology: Critical analysis of the theory’s attention, or lack thereof, to social work values and person – in – environment issues, particularly related to oppression and cultural diversity
May discriminate toward those who are disabled
Ego Psychology: Critical analysis of the theory’s attention, or lack thereof, to social work values and person – in – environment issues, particularly related to oppression and cultural diversity
Salvador Minuchin
Psychiatry, and founder of structural family theory.
Structural family theorists/practitioners
Harry Aponte
Social Worker
Structural family theorists/practitioners
Virginia Satir 
Social Worker
Structural family theorists/practitioners
Family structure – the unspoken rules that govern the way families interact 
Structural family theory: description of key concepts