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Carl's SFE cards > Family Systems Therapy > Flashcards

Family Systems Therapy Flashcards

1
Q

Bowenian 8 concepts

A
  • Differentiation of self
  • Nuclear Family Emotional System
  • Triangles
  • Family Projection Process (projecting unresolved tension or anxiety on one member)
  • Multigenerational Transmission process
  • Emotional Cutoff
  • Sibling Position
  • Societal Emotional Process
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2
Q

Strategic THERAPY

A

Jackson, Bateson, Haley:

  • novel set of strategies generate change within systems.
  • ID solvable problems
  • set mutual goals
  • design interventions
  • examine outcome.
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3
Q

Strategic THEORY

A
  • Cybernetic feeback loops = circular causality.
  • Sender, receiver, intent/impact. -Report and command.
  • 1st vs. 2nd order change.
  • Focus on better solutions to problems.
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4
Q

1st order change (strategic)

A

system can absorb change without really changing whole system

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5
Q

2nd order change

A

The entire system has to change in order to accomodate a drastic input. System cannot accomodate input without making a long term change.

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6
Q

Strategic assessment

A

Focus on function of behavior, why it gets perpetuated based on history of it

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7
Q

Strategic techniques

A

Start with most motivated person, gain clear understanding of problem, ask about attempted solutions, observe and interrupt sequences of poor solution-making.

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8
Q

Bowen’s counterbalancing

A

Competing life forces of togetherness (fusion) and Individuality (cutoff)

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9
Q

Differentiation of self

A

Ability to be one’s own person while still connected to system

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10
Q

MRI Thinktank

A

Mental Research Institute (communications research with report/command, cybernetics, etc)

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11
Q

Haley and Madanes Approach

A

Problematic family hierarchies show function of symptoms in system. Goal is to downplay insight, focus on functional solutions, especially better generational boundaries. Paradoxical techniques too.

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12
Q

Milan Model

A

Cybernetics create hierarchy in family where symptoms are functions of system. Goal is to interrupt destructive “games” and provide reframing or insight based on functions. Reframe without blame, circular questioning

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13
Q

MRI model

A

circular causality of problems (cybernetics), misguided solutions cause problems. Goal is to simply solve the problem by interrupting feedback loop, change behavioral response.

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14
Q

Paradoxical injunctions

A

prescribing the symptoms.

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15
Q

FACES IV key concepts

A
  • cohesion
  • Flexibility
  • Communication
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16
Q

Cohesion (from FACES)

A

level of emotional bonding between family members

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17
Q

Flexibility (from FACES)

A

amount of change in leadership roles and relationship rules (i.e. egalitarian/democratic/dictator/chaos

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18
Q

Communication (from FACES)

A

facilitates function, meta-communications

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19
Q

R-DAS

A

Revised Diadic Adjustment Scale

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20
Q

Creator of Structural Therapy

A

Minuchin

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21
Q

How is family structure organized?

A

Hierarchically ordered subsystems based on generation, gender, and function, whose interactions are regulated by boundaries. Family structure also bound by rules/behavior pattern.

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22
Q

Executive subsystem (in structural theory)

A

The parents

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23
Q

Mechanism of change in structural family therapy

A

re-aligning family structure and boundaries

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24
Q

How problems develop (structural)

A

increase of rigidity of structures that no longer work. Problems maintained by dysfunctional family organization.

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25
Q

Disengaged families

A

too rigid of boundaries, failure to support where needed. Goal with these families is to make boundaries more permeable

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26
Q

Enmeshed families

A

diffuse boundaries, dependency on one another, stunts develop. Goal is to differentiate individual subsystems and strengthen boundaries

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27
Q

Enactments

A

When therapist simulates a family in session to demonstrate how they handle problems. Therapist can guide family to create new behavior sequences in an enactment.

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28
Q

Who are the creators of experiential family therapy?

A

Virginia Satir, Carl Whitaker

29
Q

For Experiential therapy, it is what kind of encounter?

A

Emotional - here and now experience emphasized with individuals and their emotions. Self-awareness is essential.

30
Q

Problem development (experiential)

A
  • emotional suppression (stuff it),
  • denial of impulses,
  • intolerance of emotional encounters (dismissal).
  • Inauthenticity
  • Being ultra-reasonable
  • Dysfunctional communication
31
Q

Goals of experiential therapy

A

Family growth through emotional access and expression to increase congruence

32
Q

Experiential therapeutic techniques

A

Understand functions of defenses.

  • family sculpting
  • roleplaying
  • family art therapy
  • experience adventure
33
Q

Role of therapist in experiential therapy

A

Like that of person-centered, but with activity.

34
Q

Leading figures of CBT family therapy

A
  • Skinner (conditioning)
  • Wolpe (systematic desensitization)
  • Liberman (role rehearsal and modeling)
  • Stuart (contingency contracting)
35
Q

Problem development for CBT

A

Problem not in person, but in behavior. Develops from conditioning, social learning, and modeling.

36
Q

Behavioral exchange theory

A

behavior in relationships maintained by ratio of cost:benefit. Good relationships have high ratio of benefits to costs. Increase the frequency of a desired behavior. Quid pro quo.

37
Q

Social exchange theory

A

maximize reward, minimize cost/risk. Marital problems arise out of a lack of reciprocity.

38
Q

Goal of CBT family therapy

A

extinguish undesired behavior and reinforce positive alternatives; identify automatic thoughts/behaviors.

39
Q

Conditions for change (CBT)

A

Behavior changes when reinforcement/contingencies change.

40
Q

Behavioral parent training model

A

Have parent use operant conditioning with children (shaping, token economies, contingency contracting/management, time out, etc)

41
Q

Premack principle

A

using high probability behavior to reinforce low probability behavior.

42
Q

Leading figures of psychoanalyitic family therapy

A

Freud, Nathan Ackerman, Scharff

43
Q

Object Relations

A

Self is a self-defined construct outside of other systems, but it influences its context while it is influenced by its context. selfhood and identity are relationally based.

44
Q

Development of behavior disorders (psychoanalytic)

A

Poor adult adjustment. Failure to accept children as separate objects, who will then fail to develop a cohesive, differentiated identity from family. This creates intense attachment.

45
Q

Normal family development

A

Growth dependent on healthy ego relations between well-differentiated family members. Parents provide empathy, become idealized model. Good-enough mothering enables children to achieve a sense of identity.

46
Q

Identification

A

appropriation of traits from a parent

47
Q

Introjection

A

taking in aspects of other people, which become part of self-image

48
Q

Projective identification

A

an unconscious defense mechanism where unwanted aspects of self are attributed to another (similar to Bowenian)

49
Q

Transference

A

distorted emotional reactions to present relationships based on unresolved, early family relations

50
Q

Goal of therapy (psychoanalytic)

A

intrapsychich restructuring (i.e. freeing family members from unconscious constraints so they can interact with each other as healthy individuals)

51
Q

Conditions of change (psychoanalytic)

A

climate of trusting relationship.

52
Q

Feminist theory

A

political examining assumptions about what it means to live as women and men and exploration of flexibility, empowerment, power dynamics.

53
Q

Carol Gilligan’s theory of sense of self and moraligy

A

it is based on relatedness and care for others - concepts of connectedness and interdependence.

54
Q

Sandra Bem’s gender schema theory

A

looking at life female/male behavior in terms of “gender appropriateness”

55
Q

Solution-focused leaders

A

Steve de Shazer, Insoo Kim Berg

56
Q

Solution-focused theoretical formulation

A

Out of MRI group; people constrained by narrow views of their problems into perpetuation rigid patterns of false solutions (like strategic)

57
Q

Normal family development (solution-focused)

A

Clients are experts on own lives; they are resilient and resourceful

58
Q

Development of behavior disorder (solution-focused)

A

failing to look at function of problem, or how it came to be.

59
Q

Solution-focused techniques

A
  • miracle question
  • exception question
  • coping question
  • scaling question
  • compliments
60
Q

Names in Narrative therapy

A

Michael Wite, David Epston

61
Q

Narrative theoretical formulations

A

there is power in a person’s story, and emphasizing parts of it can be functional or dysfunctional

62
Q

Mode of change (narrative)

A

Strenghts-based, restructuring of narrative

63
Q

Techniques

A

externalize problems, deconstruct narratives, focus on strengths (reframing), preference questions, experience of experience (audience to own story), unique outcomes (sparkling events, times resisted problem, etc)

64
Q

Names in Emotion Focused Therapy

A

Greenberg and Sue Johnson

65
Q

Domains of flourishing

A

emotional regulation (cognitive), emotional presence (mindfulness) emotional relationship (psychoanalysis)

66
Q

Goal of EFT

A
  • access attachment-based emotions
  • listen for interpersonal themes and patterns
  • utilize therapeutic relationship as an attachment experience
67
Q

Sound relationship house (Gottman)

A
  • love maps
  • share fondness and admiration
  • turn towards
68
Q

Gridlock conflicts (Gottman)

A

stuck focusing on conflict when focus needs to be on repair

Carl's SFE cards (4 decks)

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