Gladding Ch. 7

Question 1

4 Common Curative Elements in Psychotherapy and Percentage of improvement they account for (Lambert)

Answer 1

1. extratherapeutic (40%)
2. therapeutic relationship (30%)
3. expectancy, hope, placebo (15%)
4. Model & technique (15%)

Question 2

2 primary components of family therapy

Answer 2

content and process

Question 3

content

Answer 3

details and facts. a good rule to follow in dealing w/ facts is to ask “how” questions alongside what, where, and when questions

Question 4

process

Answer 4

how information is dealt with in an interaction

Question 5

Battle For Structure

Answer 5

struggle to establish parameters under which therapy is conducted. a key component is for the therapist to delineate the donditions under which treatment will occur. It is the therapist’s reponsibility to establish structure

Question 6

SOLER

Answer 6

S - face client/family squarely
O- adopt open posture
L- lean forward in direction of family
E- eye contact
R - relaxation

Question 7

Battle for Initiative

Answer 7

must be won by family.

Question 8

Pre-session tasks

Answer 8

therapy begins moment of first interaction. make hypotheses about family dynamics when evaluating intake info. form preliminary diagnosos of what is happening w/in the family.

Ask:
“what happened”
“why did it happen”
“what can be done about it and how”

Question 9

joining

Answer 9

establishing trust

Question 10

frame

Answer 10

bateson. a perception or opinion that organizes one’s interactions so that “at any given time certain events are more likely to occur and certain interpretations of what is going on are more likely to be made”

Question 11

family dance

Answer 11

families have personalities. they come into therapy and display these personalities in both a verbal and nonverbal manner.

Question 12

triangulation

Answer 12

scapegoating a third member to relieve tension between 2 members

Question 13

enmeshment

Answer 13

(overinvolvement physically and/or psychologically)

Question 14

distancing

Answer 14

(isolated separateness, physically and/or psychologically)

Question 15

reframing

Answer 15

art of attributing different meaning to behavior so the behavior will be seen differently by the family

Question 16

middle phase of treatment

Answer 16

family pushed to make changes and breakthroughs. involve peripheral family. circular questioning. seek to connect family members. emphasize change. establish contracts and quid pro quo relations

Question 17

termination

Answer 17

4 steps

1. orientation
2. summarization
3. discussion of long-term goals
4. follow-up and relapse prevention

Question 18

3-session termination process

Answer 18

setting date
next-to-last session
farewell session

Question 19

Process of Family Therapy

Answer 19

1. Initial Sessions
2. Middle Phase
3. Reorientation and CHange
4. Termination

Question 20

Common Factors Model

Answer 20

○ Extratherapeutic Factors (40%) - anything in
the client environment that leads to positive
change
○ Therapeutic Relationship (30%) - rapport and
the therapist’s willingness to display empathy,
warmth, concern, and adopt the language of
the family
○ Expectancy, Hope, and Placebo (15%) -
when the client expects therapy to be helpful, it
typically is.
○ Model and Technique (15%) - when the
therapist is comfortable and utilizes their
approach effectively

Question 21

content

Answer 21

Content: the “what” of the family (details and

facts)

Question 22

process

Answer 22

Process: the “how” of the family (how is

communication and energy exchanged)

Question 23

flights into health

Answer 23

Early / Easy Resolutions: be careful of a family’s
“flights into health” - i.e. the euphoria and/or relief
that comes with talking (which is not behavior
change)

Question 24

battle for structure

Answer 24

Battle for Structure: The therapist is in

charge of the session.

Question 25

SOLER positioning

Answer 25

stance, openness,
leaning in, eye contact, and relaxed
posture.

Question 26

Battle for Initiative

Answer 26

Battle for Initiative: the family must be
motivated to make changes. If no
progress is seen or made, the family will
likely either drop out or simply “go
through the motions.”
ii. Invite clients to imagine futures where
they get what they want, and link those
outcomes to small, concrete steps.

Question 27

attending to non-verbals

Answer 27

Attending to Nonverbals: where do the
families eyes, bodies, and hands go? What is
being said, and what is being shown?

Question 28

general process

Answer 28

clarify communication among family members, overcome resistance, rectify dysfunctional behaviors

Question 29

Lambert - 4 curative elements in psychotherapy and the percention of improvement they account for

Answer 29

1. extratherapeutic 40%
2. therapeutic 30%
3. expectancy, hope, placebo 15%
4. model and technique 15%

Question 30

redirection

Answer 30

a method by which the therapist asks the couple or family to attend to the process of their relationship instead of its content

Question 31

process of therapy

Answer 31

first stage - beginning sessions. clarify concerns and difficulties.

second stage - working sessions. help make changes that will work and make relationships better.

final stage - termination. complete process of change and end sessions

Question 32

pre-session task

Answer 32

preliminary diagnosis of what is happening w/in the family

Question 33

pre-session questions

Answer 33

what happened?

why did it happen?

what can be done about it and how?

Question 34

4 steps of termination

Answer 34

1. orientation
2. summarization
3. discussion of long-term goals
4. follow-up and relapse prevention

Question 35

initial sessiosn

Answer 35

observe power, coalition, roles, rules, patterns of communication.

ask about a typical day in life of family

Question 36

middle sessions

Answer 36

help fams become aware of behaviors, reorient