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Family Therapy > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

John Gottmans four horsemen of the apocalypse

A
  • today’s marriage researcher
  • greatest predictor if divorce is not conflict but is negativity

CDCS

Criticism (attacking character)
Defensiveness (denying responsibility for certain behavior)
Contempt (insulting abusice attitude)
Stonewalling (a withdrawal and not listening)

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2
Q

FunctionAl family therapy

A

James Alexander

Integrates learning theory, systems theory, and cognitive theory
Goal is cognitive and behavioral changes

Clients need to understand function of the behavior and how behavior regulates relationships

Useful with adolescents

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3
Q

Structural family therapy

A

Salvador minuchen

Invisible or covert rules that organize the way family members interact with one another

Consistent transactional patterns

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4
Q

Structural therapy emphasis

A

Wholeness of a family system
Hierarchy and organization of the family system
Changing the organization and covert rules of their transactions will change behavior and symptoms will increase

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5
Q

Enmeshed families

A

Structural

1954 a psychiatrist at a school for poor minority delinquents found that families were disconnected and too permeable

Intervention was key in creating structure

Minuchib developedtheroy to help restructure underorganized poor families

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6
Q

Disengaged families

A 
Minuchin was in  child guidance 
Saw that working class families were too organized

Intervened to create flexibility

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7
Q

Structural therapy view of dysfunctional families

A

Either too rigid or too flexible in their structure

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8
Q

Structural family therapy: transactional patterns

A

Observes how families interact, cope with developmental tasks and they mature, and make adaptions during times of transition

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9
Q

Structurally family therapy goals

A

To achieve a delicate balance between change and stability as family goes through life cycles

Before an individuals symptioms can be reduced, the family structure must change

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10
Q

Family subsystems

A

Structural

Point is to carry our basic family functions, each member is in different groups and there are many different units

Spousal, parental, and sibling

Strength of Spousal system is the key to family stability

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11
Q

Complementarity of roles

A

The degree of harmony in meshing of family roles

Reciprocal roles provide satisfactory functioning

Takes the form of teamwork

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12
Q

Structural family therapy: boundary permeability

A

In a subsystem, the rules define who participates and how

Boundaries vary in permeability degree and determines the nature and frequency between family members

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13
Q

Boundary types (structural)

A

Rigid/inflexible
Blurred/diffused
Clearly defined

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14
Q

Rigid or inflexible boundaries

A

Lead to barriers between subsystems

Worlds of parents and children separate And distinct

Create independence/ isolation with little nurture

No value on cohesiveness

Bad communication

Family doesn’t notice when one person is stressed

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15
Q

Blurred/diffuse boundaries

A

Too blurred and insisting so family is too intrusive

Too little structure

Hover parenting, too accessible parents

Children too involved with parents and can’t think independently

Under stress rant rave rescue

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16
Q

Clearly defined boundaries

A

Help maintain seperateness but still belonging to the system

Autonomy of members isn’t sacrificed, boundary is flexible but supportive

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17
Q

Disengaged families

A

Come from rigid boundaries

Separate and independent functioning with little family loyalty

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18
Q

Enmeshed families

A

From diffuse boundaries

Extreme proximity and intensity in family interactions

Overly concerned and overly involved in each other’s lives

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19
Q

Alignments

A

Structural

The way in which family members join together or oppose one another in carrying out a family activity

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20
Q

Minuchin triangulation

A

Each parent demands the child to ally with them against the other parent, each perceived as an attack, a no win situation

21
Q

Coalitions

A

Alliances between some family members against a third member

Stable coalition is fixed and inflexible union in family everyday fiction.

Detouring coalition, a pair hold s third family member responsible for their difficulties or conflicts

22
Q

Family mapping (structural)

A

Making a map that shows family interactions

23
Q

Structural therapeutic tactics

A

Present focused

Action oriented

Actively challenge family transactional patterns

Joining/accommodation
Structural assessment
Stir the pot
Restructuring patterns

24
Q

Structural joining and accommodating

A

Deliberately join the family to gain a position of leverage to challenge or confront family dysfunctional interactive patterns

Accommodating, understand family myths and themes to sense their pain

Mimesis, imitating their manner,style, and range

Confirming systems, say something positive to each member to build self esteem

25
Q

Unbalancing (structural)

A

Stir the pot m

Attempt to change hierarchal relationship

Physical movement (changing chairs)

Enactment, stages effort to recreate conflict

Punctuating, selective description and verbalizing appropriate behavior

26
Q

Structural therapists

A

Active and decisive

Directive like stage directors

Dramatic and theatrical

Actively engage and challenge systems

27
Q

Strategic family therapy

A

Mid 70-80s

Planned strategies to solve presenting problems

Thinking strategies could outwit resistance and provoke families into change

Took structural and added more opportunities to be more hands on as a therapist

Doesn’t want to know how or why, isn’t important to the family either

Verbal and non verbal messages

28
Q

Behavioral family therapy underlying assumptions

A

All behavior is learned, people learn out to act according to how they were previously reinforced

Consequences maintain or eliminate behavior

Bad behaviors NOT CAUSESd should be the target of change (maladaptive behaviors can’t be unlearned but adapted behaviors can be learned)

Don’t need to know how behavior was learned

Assessment is part of treatment

Here and now problems

Not everyone in the family has to be treated for their to be change

29
Q

Behavioral parent training

A

Parent skills trainingt

To change child’s behavior therapist is a social learning educator who changes parents response to child’s behavior

Once response changes, behavior changes

30
Q

Love and logic

A

Model good manners

31
Q

Positive reciprocity

A

Quid pro quo

32
Q

Contingency contracting

A

A specific contract for An exchange of behaviors

33
Q

Extinction

A

Previous reinforcers of an action are withdrawn so the behavior normalizes, the replacement behavior has to be positively reinforced to take the place of the extinguished behavior

34
Q

What makes CBT different from other theories?

A

Less systemic

Learning theory, approaches for linear changes in individuals and subunits

Doesn’t focus on affect, like feelings

Can be rigid

Doesn’t consider historical family context

35
Q

MRI

A

Original mental research institute interactional family therapy

Current mri brief family therapy

Strategic family therapy

Milan systemic model

36
Q

MRI axioms of communication

A

All behavior is communication, verbal and non verbal

37
Q

Two levels of communication in MRI

A

Surface/content level: what you say

Metacommunication level:qualifies the first level (facial expression and tone)

38
Q

Command messages

A

These Messages constitue regulating patterns for stabilizing and defining family rules

39
Q

Symmetrical relationships

A

Equality interactive patterns

Both one up positions

Can be competitive and vicious

40
Q

Complementary relationships

A

Inequality interactive patterns

One up and one down positions
Assertive and submissive

Each has power

41
Q

Double bind

A

Paradoxical injunction, messages that must be disobeyed to be obeyed. Ignore these instructions

42
Q

Therapeutic double bind

A

Force into a no lose situation

Good for defiant clients

43
Q

Circular questioning

A

Focuses on connections rather than individual symptomology by framing every question so that it addresses differences in perception by different family members about events or relationships

Probs how different members perceive problems

44
Q

Cognitive restructuring

A

An intervention technique where the therapist attempts to modify the clients thoughts perceptions and attributions about an event

45
Q

Three levels of CBT

A

A) automatic thoughts

B) underlying assumptions

C) basic beliefs or schemes

46
Q

Emotionally focused couples therapy

A

Focus on processes between people not inherent in each.

Gain access to what is emotionally significant for each

Change negative emotional patterns and bond positively

47
Q

Family sculpting

A

Non verbal communication method whereby a family member can physically place other members in spatial relationship with one another symbolicly showing their perception of their differences in power and Intimacy

48
Q

Symbolic experiential family therapy

A

Carl Whitaker

Multigenerational approach that uses therapy to address both individual and family relational patterns

Personal growth and family connection
Several generations

It’s pragmatic, emphasized emotional experience, spontaneous, contherapeutic

49
Q

Human validation process model

A

Virginia Satir

The therapist and family join forces to simulate an inherent Heath producing process

Family Therapy (1 decks)

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