Final exam - Strategic Family Therapy / Existential Family Therapy Flashcards
Homeostasis:
-family stability is achieved by ? that regulates the ? of the family and its members.
feedback
behavior
Homeostasis:
Whenever a ? is threatened—that is, disturbed—it endeavors to maintain ?
family system
stability (homeostasis)
Homeostasis:
apparently puzzling behavior might become understandable if it were seen as a ?.
homeostatic mechanism
What is Equilfinality?
the ability to reach a final goal in a variety of ways; there is never only one way to achieve.
Indications for Family Therapy
1, When individual treatment has been?
ineffective
Indications for Family Therapy
2. When ? in one family member is likely to cause ? in another family member.
improvement
distress
Indications for Family Therapy
3.
When one member is ?
scapegoated
Indications for Family Therapy
4. When presenting problem involves ?
family crisis (e.g. death/divorce)
Contraindications for Family Therapy
1. ? are unwilling or unavailable to participate.
Key family members
Contraindications for Family Therapy
2. One family member is so ? that his/her behavior makes family treatment ?.
disturbed
impossible
Contraindications for Family Therapy
3. When presenting problem is related to issues ??.
outside the home
Families have a unity that is greater than the sum of the parts, therefore cannot be analyzed by isolated segments
Nonsummativity / Wholeness
Overinvolved with one another, boundaries become diffuse between subsystems
Enmeshed Families
There is little interaction among family members and supervision, causing members to feel a sense of isolation and lack of connection
Disengaged Families
This crisis happens when one fails to overcome problems or master conflicts at a particular stage of the family life cycle
Developmental crisis
This crisis is Those that suddenly shake up and transform a family system so profoundly that it never returns to its former way of functioning
Situational Crisis
Example of situational crisis
divorce, death of family : therapist help family with transition
Example of developmental crisis
Retirement
Empty nest
Conjoint Family Therapy
Both members of the couple/entire family are seen at the same time by the same therapist
Concurrent Family Therapy
All members are seen by the same therapist individually. (e.g. dv cases)
Collaborative Family Therapy
Each family member is seen by a different therapist. Therapists meet periodically to discuss the family as a whole.
Network Family Therapy
A therapist work with the entire network of significant people of family including friends and pastors.
Events are related through a series of interacting loops or repeating cycles. A causes B, B affects A, etc.
Circular Causality
Goals of Strategic Family Therapy
1. To produce family change (behavior) you must alter ? Look at how they ? as a family and improve it.
- the entire family system
communicate
Goals of Strategic Family Therapy
2. Stabilize the family at a different, more ? level
functional
Goals of Strategic Family Therapy
3. Plan a strategy for solving ?
the presenting problem
Goals of Strategic Family Therapy
4. Prevent repetition of ? and introduce?
dysfunctional sequences
alternatives
Interventions (treatment) of Strategic Family Therapy
1. Use of directives with ? for tasks to be accomplished in and out of session.
precise instructions
Interventions (treatment) of Strategic Family Therapy
2. Utilize client’s ? to force symptom
own momentum
abandonment
Interventions (treatment) of Strategic Family Therapy
3. Relabel dysfunction as?
understandable
A technique used in strategic therapy whereby a therapist directs family members to continue their symptomatic behavior. If they conform, they admit control and expose secondary gain, if they rebel, they give up their symptom.
Paradoxical Directive
A technique: Cloe Madanes’ playful paradoxical intervention in which family members are asked to pretend to engage in symptomatic behavior. The paradox is, if they are pretending to have a symptom, the symptom cannot be real.
Pretend Techniques
First Order vs. Second Order Change
1. First order change is ? and does not produce an overall alteration in the system
superficial (e.g. panic attack. Helping the person with CBT to cope with panic attack. )
First Order vs. Second Order Change
2. Second order change does produce a basic change in ?
the structure (e.g. Change how the family interacts so that the person can learn to use alternative way not using panic attack to communicate. )
Goals – Experiential Family Therapy (Virginia Satir)
- personal ?
- Identify ? individuals play in family
- Develop healthy ?
- Stress family
- Build individuals
- Help family ?
- growth
- role
- communication patterns
- intimacy
- self-esteem
- negotiate decisions
What theory?:
- Concerned about feeling or emotion in the family system. -Areas of focus were feelings of acceptance or rejection, alleviating family pain, and bolstering family members’ self-esteem.
- A family’s faulty communication is evidence of its dysfunctional relationships
Virginia Satir theory
Technique used to understand history of family’s development. Information gained is discussed openly in order to build trust. Therapist models congruent behavior. (e.g. ages on the board)
Family Life Chronology (Satir)
Satir - types of family games
1. one member of the family always agrees, one disagrees and the third is the distractor
Rescue game (e.g. When parents have conflicts, child doesn’t want to take a side. She/he does something cute to distract.)
Satir - types of family games
2. two people always agree and the third disagrees If people in coalition, two people agree to support each other no matter what the issues are. The third one disagrees; there is always a lack of agreement.
Coalition game
Satir - types of family games
3. everyone agrees with everyone else at the expense of personal needs
Lethal game –Often in anorexic family. For the sake of the family, people agree to each other, system takes priority over individuals so agreement is superficial. Not allowed to express own true feelings.
Dysfunctional Roles (Satir) 1. fear disapproval, dependent
Placaters –Often this is a kid. They agree out of fear of disapproval.
Dysfunctional Roles (Satir) 2. attack others in order to cover up feeling empty and unloved
Blamers - They have negative feelings but don’t share it instead attack someone else.
Dysfunctional Roles (Satir) 3. only feel safe at a distance, rely on intellect to cover vulnerability
Computers –Never share feelings, intellectualizing the problem.
Dysfunctional Roles (Satir) 3. gain approval by acting cute and harmless
Irrelevant People (distractors) –Often kids, by acting cute and harmless get approval.
Communication style: This comments on and qualifies the content (e.g. tone of voice)
The way people relate on this level is the primary indicator of the nature of their relationship
Metacommunication
A technique involving an arrangement of a family in space, with the physical placement of each figure determined by an individual family member acting as director
Family Sculpture
