Family Therapies

Question 1

Extended Family Systems Therapy

Answer 1

Bowen

*Typically worked with 2 members or most differentiated member of the family.

Differentiation
Emotional Triangle
Family Projection
Multigenerational transmission

Genogram
Defusion of emotion
Alter triangulation

Question 2

Structural Family Therapy

Answer 2

Minuchin

Boundaries
Enmeshment
Disengagement
Clear boundaries

Stable coalition
Triangulation
Detouring

Joining (mimesis, tracking, maintenance)
Evaluate
Reframing

Question 3

Strategic Family Therapy

Answer 3

Haley

Power & Control (Hierarchy)

Alter family interactions
Change behavior

1.brief social stage (observe - welcoming / creating comfort)

2. problem stage (understand all members)
3. interactional stage (discuss views)

4.goal setting stage (solve problems)

direct-directives (behaviors change interactions)
paradoxical directives
-prescribing - engage in maladaptive behavior
-restraining - don’t change too quickly
-ordeal - positive punishment

Question 4

Systemic Family Therapy

Answer 4

Milan

Maintain homeostasis
Family Games (pattern of communication)
Dirty game (power struggle)

Alter rules and communication

Therapeutic team

Hypothesizing
Neutrality
Circular Questioning
Positive Connotation
Family ritual

Question 5

Conjoint Family Therapy

Answer 5

Satir

Seek balance
Unrealistic expectations, rules or roles.
Dysfunctional communication

placating
blaming
computing
distracting

Family sculpting
Family reconstruction (role play)

Question 6

Narrative Family Therapy

Answer 6

Oppressive stories

replace oppressed story with alternative one.

Externalizing (view problem separate from self)
Opening space (identify unique outcomes)

Therapeutic letters
Therapeutic certificate
Definitional Ceremonies

Question 7

Emotional Focus Therapy

Answer 7

Brief
Attachment theory
originally for couples

-emotions are essential to attachment
-attachment to partner is essential
-issues are due to dominant emotions

expand & restructure
emotional experiences

assessment & cycle de-escalation
changing interactional positions
creating new bonding events

Question 8

Functional Family Therapy

Answer 8

-conduct disorder or SUD (adolescents)

-replace problematic behavior with alternative ones

Stages
1. engagement& motivation
(alliance, reduce hopelessness, increase positive experiences) -joining & reframing

2. behavioral change
   (longterm behavioral goals, coping skills, problem solving, parent training)
3. generalization
   (connecting to community, applying skills, avoid relapse).

Question 9

Multisystemic Therapy

Answer 9

Ecological theory
Teens at risk for homelessness / offenders
SUD, child maltreatment

Do-Loop (analytic process)
Promote generalization
Increase responsibility

*session in the home and in the community
*Address drivers for problematic behaviors
*Multidisciplinary team (tx team)