History of MFT Flashcards

1
Q

When did marriage counseling develop? Who did it?

A

In the 1920’s. Clergy, lawyers, doctors/gynecologists, social workers, and college professors often served as “family life specialists.” Often the guidance was more practical than psychological.

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2
Q

What was the American Institute of Family Relations?

A

A notable early marriage counseling org, formed in the 1930’s

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3
Q

What was the Marriage Council of Philadelphia?

A

A notable early marriage counseling org, formed in the 1930’s.

Later it joined with the National Council on Family Relations to form the National Association for Marriage & Family Therapy in 1942.

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4
Q

What was the National Council on Family Relations?

A

A notable early marriage counseling org, formed in the 1930’s.

Later it joined with the Marriage Council of Philadelphia to form the National Association for Marriage & Family Therapy in 1942.

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5
Q

Who were Abraham and Hannah Stone?

A

Two doctors in NYC who opened a marriage consultation center in 1929, and offered marriage counseling.

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6
Q

Who was Clifford Beers?

A

He exposed inhumane treatment in mental hospitals, and spurred a movement to change mental health services. This work led to short-term facilities and child guidance clinics that emphasized the parent-child relationship as key to interventions.

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7
Q

What is the relevance of the inferiority complex?

A

Based on theories of Alfred Adler, the inferiority complex helps determine childhood psychological disturbances. Overcoming feelings of inferiority and inadequacy helps children overcome behavioral problems.

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8
Q

Freud’s key theories

A

Human behavior is motivated by unconscious, sexual and aggressive instincts. Expressions of these instincts are shaped by early childhood relationships between children and their parents.

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9
Q

What is the importance of family in psychoanalysis?

A

Family dynamics are only relevant in terms of exploring the extent to which family members, primarily the parents, had an impact on the development of the patients inner life.

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10
Q

Who was Alfred Adler?

A

Adler (1870-1937) broke away from Freud‘s psychoanalysis theories and established an independent school of personality and psychotherapy. Adler understood human motivation as being biologically and instinctually driven. Individuals were social beings, motivated by the drive to overcome feelings of inferiority, and achieve self-esteem, adequacy and power within social and relational worlds. Adlerians view the family as the primary social matrix that influences the formation of personality. There is a focus on understanding the self within the social context.

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11
Q

Who was Herbert “Harry” Stack Sullivan?

A

Sullivan (1892-1949) developed interpersonal analysis. Influenced by Adler. Sullivan believed that the human drive for interpersonal SECURITY motivates behavior. Security is key to the development of the self and is reinforced by relationships a person has with their caregivers especially their mother, and that caregiver’s responsiveness, or maternal anger or disapproval can create insecurity and anxiety, and possibly lay the groundwork for future emotional disturbances like schizophrenia.

Fromm-Reichmann and Henry Stack Sullivan helped shift thinking about individual psychology to considering human development in the context of family and interactions within relationships, rather than just what happens within a child’s mind.

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12
Q

Who was Frieda Fromm-Reichmann?

A

Fromm-Reichmann was a student/colleague of Sullivan. In 1935 she began theorizing that schizophrenia was the result of a cold, domineering, and rejecting yet overprotective mother. A male child can feel confused, inadequate and schizophrenic when they have a mother like this, especially if their father is passive, detached, and ineffectual.

Fromm-Reichmann and Henry Stack Sullivan helped shift thinking about individual psychology to considering human development in the context of family and interactions within relationships, rather than just what happens within a child’s mind.

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13
Q

What is Structural/Functional Theory?

A

A dominant sociological theory in the 1950’s: societies and social units are held together by cooperation and orderliness. The social units work best when they function smoothly as an organism with all parts, working toward the natural or smooth working of the system cooperation is maintained through adoption of agreed-upon, social norms and roles.

Assigning different roles creates efficiency. When disturbances happen, it causes structural strain that must be restored or else it can lead to social disorganization. When conflict emerges it requires adaptation to maintain equilibrium.

The function of family is to socialize children to fit into overall society. Family function and equilibrium is important, as is socializing children with social values and norms.

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14
Q

Who is Talcott Parsons?

A

The leading thinker of Structural/Functional Theory, ~1951.

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15
Q

What is Symbolic Interactionism?

A

This theory believes humans are meaning-generating creatures embedded in social interactions. These interactions are shaped by the meaning people assign to those interactions, as meaning is not inherent in the interactions themselves. Language is used to name and generate symbols that have meaning and value. Meaning is more important than fact. Meaning is generated by social interactions with others (more than inward reflection). Those meanings are then modified by both inner reflection and outward interaction.

The self is not only created through reflection, but also by taking on the role of the other, and imagining how one’s sense of self is perceived from another person’s perspective (this is “the looking glass self”, or the “me”). Thus, the Self has both inner and outer dimensions. The socializing influences, expectations and responses of a community (the “generalized other”) are important to the formation of self.

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16
Q

What were the main MFT theories of the 1950’s?

A
  • General Systems Theory
  • Cybernetics
  • Communications Theory
  • Ecological Theory
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17
Q

What made the theories of the 1950’s different from what came before?

A

These theories broke free from the ideas of psychoanalysis and began to understand mental disorders as a function of dysfunctional relational and communication patterns within families. They looked at the individual in their specific context (or “system”) rather than focusing on intrapsychic conflicts and fantasies.

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18
Q

Who is Ludwig von Bertalanffy?

A

The “father of general systems theory,” which describes the structural aspects of systems (1969). A biologist.

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19
Q

Who is Norbert Weiner?

A

He coined the term “cybernetics” in 1948, to describe how systems function.

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20
Q

Who was Don D. Jackson?

A

Don D. Jackson, MD was a psychiatrist who created Interactional Theory, combining systems theory, cybernetics, and communications theory. He founded the Mental Research Institute (MRI) along with Jon Haley, Gregory Bateson, and John Weakland.

Jackson emphasizes thinking at a social level even when working with individuals, or ecologically. That is, therapists need to take the involved systems in account.

Jackson emphasized the importance of the double bind

21
Q

What is homeostasis?

A

Homeostasis is the tendency of a system to resist change and maintain a steady state. It is maintained by negative feedback loops, which are negative forces preventing change.

Homeostasis is a key idea of cybernetics

22
Q

What is multifinality, in systems theory?

A

Multifinality describes how different end states can come from the same initial conditions. That is, things affect different people and systems differently. For example, the way twins develop different personalities and preferences even though they have the same DNA and are raised in the same family. Or the way a traumatic experience can lead to depression in one person, or personal growth in another. There are multiple potential final outcomes.

23
Q

What is equifinality, in systems theory?

A

Equifinality describes how a system can reach a certain end state from a variety of different means, conditions, etc.(In other words: there’s more than one way to skin a cat.)

For example, different modalities can work to help a client heal; trauma can happen from different life events. There are different ways to achieve equal final outcomes.

24
Q

What is a positive feedback loop?

A

A positive feedback loop, also called an amplifying feedback loop, creates change by interrupting the stability of the system through introducing new information or behavior. It modifies structure to lead to a new homeostasis. Think of it as a force that is ineffective at stopping upsets in a system, and a positive force that amplifies change.

For example, if there is a behavior a parent wants to diminish, like a child’s temper tantrums, and whatever the parent tries ends up making the child’s tantrum worse, the parent’s behavior is creating a positive feedback loop that amplifies change from the baseline (the tantrums). In this way, it nudges the system towards a new homeostasis.

25
Q

How does a negative feedback loop affect homeostasis?

A

A negative feedback loop provides balance by controlling the system’s behavior within previously defined limits of acceptability, getting things back to how they used to be, through things like rules, consequences, punishments, etc. Think of it as a regulating force that effectivelystops upsets to the system. For example, when a child’s behavior oversteps a rule, the parent reacts by attempting to bring the behavior back to the “baseline” of what is acceptable; when the child stops acting out, the parent’s response ceases. In this way, a negative feedback loop helps to ensure homeostasis, and serves as a negative force against change.

26
Q

What is a negative feedback loop?

A

Also called an attenuating feedback loop, a negative feedback loop describes an attempt to keep a system in a steady state (aka homeostasis).

27
Q

What is negative entropy, in systems theory?

A

Negative entropy is a systemic state that emerges when a system is balanced between openness and closedness. Information is allowed to enter the system, and change can occur when appropriate. The system screens out information that is not appropriate for the system .

28
Q

What is entropy, in systems theory?

A

Entropy describes a system’s tendency to break down without the input of attention/effort/energy. Over time, entropy threatens the survival of the system.

29
Q

What are boundaries, in systems theory?

A

Boundaries are lines of demarcation in a family or relationship that define the system as an entity. Boundaries…
- Separate subsystems from each other
- Separate the system from the environment
- Define the degree of emotional connection, dependence, support, and influence between different subsystems in the family, and between these subsystems and other social systems.

30
Q

What makes a system closed, in systems theory?

A

In a closed system, changes are not allowed. As a result, it is less likely to adapt, boundaries are more firm, and it goes into disorder if necessary to prevent change.

31
Q

What makes a system open, in systems theory?

A

An open system is flexible, adaptive, and open to input, in order to survive.

32
Q

What is a suprasystem, in systems theory?

A

A suprasystem is the overarching society in which systems operate

33
Q

What is a subsystem, in systems theory?

A

A subsystem is a grouping of family members who come together to perform various tasks:
- A couple
- Parents
- Parents + children
- Siblings

34
Q

What is a system, in systems theory?

A

A system is a unit bound by a set of interrelated and nested elements, that exhibits coherent behaviors. Anindividual
…Is nested within relationships,
…Which are nested within communities,
…Which are nested within institutions,
…Which are nested within society.

Systems are interdependent. By understanding the different constituent parts, we can understand the whole.

35
Q

What is cybernetics?

A

Cybernetics is how a system functions. Systems have the quality of self organizing, self directing and self governance behaviors through the process of establishing feedback mechanisms. In this way, they can maintain a sense of equilibrium or homeostasis. This process allows for a system, through its own information processing, to re-insert into its structure the results of its past performance, or output, in order to alter or correct its functioning.

In psychology, cybernetics is the idea that families are able to maintain stable relationships by using information about their performance as feedback. Communication relays information, which is used to regulate the system.

Term coined by Norbert Weiner in 1948. The idea of cybernetics provided the framework for understanding the complexities of family dynamics.

36
Q

Who was Gregory Bateson?

A

The “father of cybernetics”:
- Systems self-correct through feedback loops
- Communication is the means through which systems maintain themselves

37
Q

What is isomorphism, in systems theory?

A

The idea or rule that systems are similar to other systems; systems function in similar ways

38
Q

What was MRI?

A

Mental Research Institute - Palo Alto, CA - early 1950’s

Researchers included:
- Gregory Bateson - anthropologist
- Don Jackson
- Paul Watzlawick
- Jay Haley - grad student in communication
- John Weakland - cultural anthropologist

Researched schizophrenics and studied communication patterns within their families.

39
Q

What is a role, in systems theory?

A

A socially expected behavior pattern usually determined by an individual’s status in a particular society/system.

40
Q

What is a relationship, in systems theory?

A

The mutual emotional exchange; dynamic interaction; and affective, cognitive, and behavioral connection that exist between two or more persons or systems.

41
Q

What is morphogenesis, in systems theory?

A

A system’s tendency towards growth, creativity, change, and innovation. Morphogenesis amplifies positive feedback loops and brings values of behaviors into new ranges.

42
Q

What is content vs. process?

A

Content is what is talked about; process is how the conversation occurs. Process includes body language, tone, word choice, and other elements of communication.

43
Q

What is first order change, vs second order change?

A

First order change = “change without difference.” It is superficial changes within a system that do not change the structure. It includes external changes that enables individuals to take different actions. It is fast, incremental and short lived. (Changes to the “what.”)

Second order change = “enduring change.” It includes changes to philosophies, beliefs, or values and represents a fundamental transformation from one state to another. It includes internal changes to the system that enable members to behave, think, or feel differently. It is long lasting and requires a commitment to change. (Changes to the “how” and “why”.)

44
Q

Who developed “systems thinking”?

A

Dr. Murray Bowen.

Systems thinking defines a process of interdependent functioning, from one system to a larger system that encompasses it. The family is a complex unit of systems and subsystems, operating under the same order. Systems have automatic, predictable behavior between family members.

Systems thinking focuses on verifiable information: the how, what, when, and where of things people do, rather than why they do it.

45
Q

What systems are interrelated within a person, in Bowen’s systems thinking?

A
  • The Emotional system encompasses all evolutionary and instinctual functioning. Emotions are constantly activated by reactions to internal/external sensory inputs. This system incorporates all guidance systems that direct life: instinct, reproduction, subjective emotional and feeling states, and interaction with relationship systems.
  • The Intellectual system directs our ability to think, reason, and reflect
  • The Feeling system bridges between the emotional and intellectual systems, and attaches meaning to emotional reactions

Reality becomes the interaction of what goes on inside humans, and between humans (Relationship systems).

46
Q

How does Bowen’s systems thinking differ from General Systems Theory?

A

Bowen’s systems thinking is built on facts gained through direct observation of the family, while general systems theory attempts to apply mathematical set/subset models to behavioral, social, and physical sciences. Bowen saw these as very different.

47
Q

What is the relevance of the inferiority complex?

A

Based on theories of Alfred Adler, the inferiority complex helps determine childhood psychological disturbances. Overcoming feelings of inferiority and inadequacy helps children overcome behavioral problems.

48
Q

What did Bateson say were characteristics of Double Bind Communication?

A
  • The people are in an intense relationship where survival or security is at stake
  • The subject is hearing conflicting messages, where obeying one injunction makes it impossible to do the other.
  • There may be yet another injunction keeping the subject from being able to escape the bind.
  • It happens repeatedly over time as a recurring theme
  • The subject is made to feel bad for suggesting a discrepancy, leading to extreme anxiety
  • The subject can’t make a metacommunication to point out the bind/conflict, or to clarify priority of which order to obey
49
Q

What is a Recursive Feedback Loop?

A

The behavior of A is impacted by B, and A’s behavior subsequently affects the behavior of B. This perpetuates the cycle.