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EPPP - Irene 2014 > Family therapy > Flashcards

Family therapy Flashcards

1
Q

Types of family therapy

A 
general systems
cybernetics
double-bind communication
communication/interaction family therapy
extended family systems therapy
structural family therapy
strategic family therapy
object relations family therapy
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2
Q

General systems theory

A

system is maintained by mutual iterations of its components

actions of interacting components are best understood by studying in context

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3
Q

open system

A

continuously receives input from and discharges output to the environment and is more adaptable to change

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4
Q

homeostasis

A

tendency for family to act in ways to maintain the family equilibrium or status quo; if one problem improves, likely to appear elsewhere in family

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5
Q

Cybernetics

A

negative/positive feedback loops

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6
Q

negative feedback loop

A

reduces deviation and helps system maintain status quo

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7
Q

positive feedback loop

A

amplifies deviation or change and disrupts the system; can promote appropriate change in dysfunctional family system

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8
Q

Grandfather of family therapy

A

nathan ackerman

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9
Q

traditional view of individual therapy

A

Lockean, Western, scientific cause and effect

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10
Q

Systems view of therapy

A

Kantian; reciprocal view of causality

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11
Q

double-bind communication

A

conflicting injunctions; one expressed verbally and one nonverbally

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12
Q

Communication/interaction family therapy assumptions

A

people are always communicating
communication has report (info) and command (relationship) function
interactions are symmetrical or complementary

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13
Q

symmetrical communication

A

equality between communicators but may escalate to competitive

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14
Q

complementary communication

A

inequality, maximizes difference between communicators - dominant/submissive

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15
Q

communication/interaction family therapy view of maladaptive behavior

A

circular model of causality, symptoms are both cause and effect; dysfunction includes blaming, criticizing, mind reading, and overgeneralizing

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16
Q

Communication/interaction family therapy goals and techniques

A

alter interactional patterns using direct and paradoxical strategies such as prescribing the symptom and reframing

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17
Q

Extended family systems therapy premise

A

extends system theory beyond nuclear to extended family

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18
Q

Differentiation of self

A

refers to ability to separate intellectual and emotional functioning; lower differentiation become fused with emotions that dominate family

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19
Q

undifferentiated family ego mass

A

family whose members are highly fused; choose mates of similar differentiation

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20
Q

emotional triangle

A

in two-person system with instability, third is recruited to stabilize or reduce stress; lower level of differentiation in family, greater probability of emotional triangle

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21
Q

family projection process

A

parental conflicts and emotional immaturity are transmitted to kids who have a lower level of differentiation; often involves oldest child or one born during time of stress; this child is perceived as special;

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22
Q

extended family systems view of maladaptive bx

A

multigenerational transmission process progressively lower levels of differentiation

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23
Q

extended family system goal

A

increase differentiation

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24
Q

extended family therapy techniques

A

therapeutic triangle with couple, remaining objective and neutral, reduce fusion; work with more differentiated individual, other will come along

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25
Q

Genogram

A

depicts relationships between family members, dates of significant life events

26
Q

Extended family therapy strategies

A

talk to therapist rather than each other in calm, factual manner; send clients home to family of origin

27
Q

Structural family therapy - boundaries

A

overly rigid = disengaged from each other

too diffuse = permeable, family members are enmeshed

28
Q

rigid triads

A

chronic boundary problems:

  1. detouring - parents focus on a child by overprotecting or blaming the child “scapegoating” for family problems
  2. stable coalition: parent and child form cross-generational coalition and gang up against other parent
  3. triangulation: aka unstable coalition; each parent demands that the child side with him/her against other parent
29
Q

structural therapy view of maladaptive bx

A

result of an inflexible family structure

30
Q

psychosomatic families

A

when illness threatens life of child, often a high degree of enmeshment limits individual autonomy with low tolerance for conflict and overprotectiveness

31
Q

structural family therapy goals

A

restructure family; actions precede understanding, emphasize chaining bx vs foster insight

32
Q

Joining

A

join family in a position of leadership

33
Q

tracking

A

identifying and using family values, life themes, and sig life events in conversation

34
Q

mimesis

A

adopting family’s affective and communication style

35
Q

evaluating family structure

A

evaluate structure, transactional patterns, power hierarchies, and boundaries; may construct family structural map

36
Q

restructuring family

A

deliberately unbalance (stress) the family’s homeostasis

37
Q

enactment

A

role-play relationship patterns so they can be identified and altered

38
Q

reframing

A

relabeling behaviors so they can be viewed in a more positive way

39
Q

Strategic family therapy influences

A

Jay Haley - communication/interaction and structural school of family therapy
Milton Erickson - hypnotic technique to increase ability to manipulate client and control course of therapy; paradoxical directives - use client’s resistance to change behavior

40
Q

Strategic family therapy view of maladaptive bx

A

role of communication and how it is used to exert control; symptom is an interpersonal phenomenon

41
Q

Strategic family therapy goals

A

alter family transactions and organization, particularly hierarchies and generational boundaries

42
Q

Strategic family therapy 4 stages

A

social stage, problem stage, interaction stage, goal-setting

43
Q

Strategic family - approach of therapist

A

active, take-charge; issue directives

44
Q

Paradoxical intervention

A

by resisting the directive, family member ends up abandoning dysfunctional behavior

45
Q

ordeals

A

unpleasant tasks the client must perform whenever a symptom occurs

46
Q

restraining

A

encouraging family not to change

47
Q

positioning

A

exaggerating the severity of symptom

48
Q

prescribing the symptom

A

deliberately engage in symptom

49
Q

Milan systemic family therapy view of maladaptive bx

A

circular patterns of action and reaction; patterns so fixed that members are no longer to act creatively or make choices about their lives

50
Q

milan therapy goal

A

help family members see their choices and assist in exercising choice

51
Q

milan therapy techniques

A

therapeutic team: 1-2 members meet and others observe; observers may call therapist out for strategy conference

52
Q

neutrality

A

therapist remains an ally of the entire family

53
Q

milan use of paradox

A 
use counter paradox (therapist double-bind)
positie connotation (reframing) -- used not to elicit resistance but to provide info so family can derive solutions
54
Q

circular questions

A

used to help recognize differences and similarities in perceptions eg. who was more upset, mom or dad

55
Q

behavioral family therapy principles

A

operant conditioning, social exchange and social learning theory

56
Q

behavioral family therapy maladaptive bx

A

learned and maintained by antecedents and consequences

57
Q

bx family therapy techniques

A

focus on observable bus; ongoing assessment; emphasis on increasing/decreasing bxs through contingent reinforcement; improving communication and problem-solving

58
Q

functional family therapy

A

uses cbt strategies

59
Q

object relations family therapy view of maladaptive bx

A

result of intrapsychic and interpersonal factors

60
Q

projective identification

A

family member projects old introjects onto another family member and reacts as if

61
Q

object relations family therapy techniques

A

interpret transferences, resistances to foster insight

62
Q

multiple transferences

A

between family members, to therapist, family as whole

EPPP - Irene 2014 (10 decks)

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