Haley/Madanes, Strategic Flashcards
Strategic Family Therapy
Haley, Madanes
Classical
Made for families
HOW LONG: Brief, between MRI & Symbolic?
WHO: The people directly related to the problem. Both parents.
GOALS: Alter behavior to get relief.
- Therapist aligns with parental unit to establish the hierarchy.
- Works on kids issues first in order to strengthen couple relationship.
- Family life cycles
- Uses paradoxical interventions
Directives
Strategic
Haley, Madanes
Straight forward direction from the therapist to the family to try things in session and at home.
Ordeal Therapy
Strategic
Haley, Madanes
Paradoxical
Tie an activity to the undesirable behavior that makes it harder to engage in the behavior.
-Chelsea Avery: When I want a cracker I have to eat 3 carrots too.
Alignment with Parental Generation
Strategic
Haley, Madanes
Therapist aligns intentionally with parents in order to strengthen parental hierarchy.
Unbalancing
Strategic,
Haley, Madanes
Therapist aligns with each person throughout different sessions to unbalance the status quo
Presenting problem/symptom as metaphor
Strategic
Haley, Madanes
The symptom is part of a larger issues
child wetting the bed was a metaphor for dad’s smoking issue.
Strategic Family Therapy: Assessment/Diagnosis
Haley, Madanes
First session is super specific!
1) Social Stage: Joining
2) Problem Stage: Perspectives of all, start with dad, no interrupting.
3) Interaction Stage: Observe w/o interpretation. Notice sequences, hierarchies, triangles, alliances
4) Goal Setting: What solutions have failed? Here & now, create successes through small changes, shift the hierarchy currently present
Reframing
Strategic & Structural
Haley, Madanes
Minuchin
Describe the problem in a different way so that people can interact with it differently.
Metaphoric Task
Strategic
Haley, Madanes
Directive
Family talks about metaphor that is easier than the presenting problem in order to bypass and maybe solve some issues unintentionally
Pretend to have the symptom
Strategic
Haley, Madanes
Paradoxical
Tell family member to do something and the others to react
“Act like you are out of control, parents care for them”
Incongruous Hierarchies
Strategic
Haley, Madanes
-When children create symptoms in order to change their parents
Strategic-Humanistic
Madanes - Humanism
For kids in particular, included make believe and play
More about love, happiness than control.
Thought it was about violence/love
1) dominate & control - behavior problems
2) desire to be loved - anxiety, depression
3) love & protect - abuse, neglect
4) repent & forgive - sexual +/ physical abuse
