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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
Unbalancing (structural)
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
Structural therapists
Active and decisive Directive like stage directors Dramatic and theatrical Actively engage and challenge systems
27
Strategic family therapy
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
Behavioral family therapy underlying assumptions
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
Behavioral parent training
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
Love and logic
Model good manners
31
Positive reciprocity
Quid pro quo
32
Contingency contracting
A specific contract for An exchange of behaviors
33
Extinction
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
What makes CBT different from other theories?
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
MRI
Original mental research institute interactional family therapy Current mri brief family therapy Strategic family therapy Milan systemic model
36
MRI axioms of communication
All behavior is communication, verbal and non verbal
37
Two levels of communication in MRI
Surface/content level: what you say Metacommunication level:qualifies the first level (facial expression and tone)
38
Command messages
These Messages constitue regulating patterns for stabilizing and defining family rules
39
Symmetrical relationships
Equality interactive patterns Both one up positions Can be competitive and vicious
40
Complementary relationships
Inequality interactive patterns One up and one down positions Assertive and submissive Each has power
41
Double bind
Paradoxical injunction, messages that must be disobeyed to be obeyed. Ignore these instructions
42
Therapeutic double bind
Force into a no lose situation Good for defiant clients
43
Circular questioning
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
Cognitive restructuring
An intervention technique where the therapist attempts to modify the clients thoughts perceptions and attributions about an event
45
Three levels of CBT
A) automatic thoughts B) underlying assumptions C) basic beliefs or schemes
46
Emotionally focused couples therapy
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
Family sculpting
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
Symbolic experiential family therapy
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
Human validation process model
Virginia Satir | The therapist and family join forces to simulate an inherent Heath producing process

Family Therapy (1 decks)

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