FFT, BSFT, MST, MDFT

Question 1

FFT: Ideas of health

Answer 1

No specific ideals of “functional”. Individualized to each family. Good enough approach.

Question 2

FFT: Theory

Answer 2

Strengths based, behavioral, cognitive behavioral

Question 3

Focus of Treatment: FFT

Answer 3

adolescent substance abuse

Question 4

Brief Strategic Family Therapy: Major theorist

Answer 4

Jose Szapocznik at University of Florida

Question 5

Four components of DBT

Answer 5

Individual counseling, DBT skills group, phone consults, therapist case consults

Question 6

BSFT overview

Answer 6

Family is the primary force that shapes that way that children think, feel, behave
Short-term, problem-focused, directive
Addresses conduct disorders, AOD use, maladaptive relational patterns
**Affective change precedes interactional and behavioral change

Question 7

Theoretical influences

Answer 7

Structural and strategic: targets family interaction patterns that are directly relevant to the youth’s symptoms

Question 8

Assessment

Answer 8

Identify:
Maladaptive patterns that increase risk
Family organization: parental AOD use, conflict, DV
lack of appropriate behavior control, lack of supervision
Community resources
Development stage
conflict resolution skills

Question 9

Goals of BSFT

Answer 9

Reduce or eliminate child drug use

Change family interactions that are supporting problem behaviors

Question 10

BSFT interventions

Answer 10

Joining, enactments, interactional diagnosis
Restructuring: directing, blocking communication, changing family alliances, developing conflict resolution skills, fostering positive parenting

Question 11

Case conceptualization considerations BSFT

Answer 11

Assess structure and organization: hierarchies, coalitions
Emotional resonance to determine boundary type: enmeshed or disengaged
Developmental stage
Life context: social factors
Identified patienthood: amount of blaming
Style of conflict resolution: denial, avoidance, diffusion

Question 12

Major theorist for MST

Answer 12

Scott Henggeler

Question 13

Overview of MST

Answer 13

Community-based treatment for antisocial/delinquent youth
Focuses on empowering caregivers
Client is the entire ecology of the youth

Question 14

Which family model is based on the social ecological theory of Bronfenbrenner?

Answer 14

Multi-Systemic FT

Question 15

Problems at the family level in MST

Answer 15

Poor parental supervision
Inconsistent discipline
Poor affective relationships with family members
Parental AOD use

Question 16

Problems at the peer level MST

Answer 16

Assoc. with delinquent peers, antisocial peers

Question 17

MST Case conceptualization

Answer 17

Risk and protective factors in family, individual, peer, school, and community domains

Question 18

What does “finding the fit” mean in MST?

Answer 18

Therapist assesses how the clients problems fit systemically within the broader context

Question 19

Major theorist for MDFT

Answer 19

Howard Liddle

Structural strategic influences

Question 20

Four domains of MDFT

Answer 20

Individual, family, parents, community

Question 21

Stance of the therapist

Answer 21

Responsible for creating the conditions that motivate youth and family.
Therapeutic alliance