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LMFT CA Intervention Summaries > LMFT CA > Flashcards

LMFT CA Flashcards

1
Q

Satir Communications Therapy

A

Therapist: active facilitator
Resource detective
Genuine and warm
Honest and direct

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2
Q

Satir Communications Therapy

A

Treatment goal:
To increase congruent communications
Improve self esteem and self confidence
Personal geowth

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3
Q

Satir Communications Theory

A

Incongruity communications:
Discrepancies between verbal/non verbal cues

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4
Q

Satir Communications Theory

A

Placater:
Apologizing, never disagreeing, trying to please

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5
Q

Satir Communications Theory

A

Blamer:
Attacking others
Fault finder
Dictator/boss

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6
Q

Satir Communications Theory

A

Computer:
Super reasonable, intellectual, distant, always correct

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7
Q

Satir Communications Theory

A

Distracter:
Seeking approval by acting out, irrelevant

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8
Q

Satir Communications Theory

A

Leveler:
Congruent in beliefs about self and others

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9
Q

Satir Communications Theory

A

Modeling communications:
Therapist uses “I” messages
Expresses thoughts and feelings
Avoids stating what others are thinking
Honest

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10
Q

Satir Communications Theory

A

Family life chronology:
Gather fam history as far back as possible, ideology, value, rules, disruptions, moves, events

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11
Q

Satir Communications Theory

A

Family life chronology:
What family has been through and how it impacts the family
How past unresolved events are carried out presently

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12
Q

Satir Communications Theory

A

Family sculpting:
Put people into spatial metaphor- a physical representation of family member characterizations

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13
Q

Satir Communications Theory

A

Take Responsibility:
Encourage to Responsibility for how they felt,what they experienced, what meaning they made, the feelings they had ABOUT their feelings

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14
Q

Satir Communications Theory

A

Metaphors and storytelling used to help clients understand their roles

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15
Q

Satir Communications Theory

A

Transforming rules: assisting clients to create more functional, less rigid guidelines

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16
Q

Satir Communications Theory
Phases of treatment

A

Beginning: est rapport, a sense of equality/hope

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17
Q

Satir Communications Theory
Phases of treatment

A

Beginning: Assess communications patterns, stances, concerns,
Identify treatment focus and goals

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18
Q

Satir Communications Theory
Phases of treatment

A

Middle: increase familial congruent communication

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19
Q

Satir Communications Theory
Phases of treatment

A

Middle:
Support and strengthen each individual’s sense of uniqueness and self esteem

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20
Q

Satir Communications Theory
Phases of treatment

A

End:
Help family practice/implement/and integrate changes and awareness of larger familial patterns

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21
Q

Structural Family Therapy

A

Therapist role:
Active and involved
Help family understand how fam structure/relationships/hierarchies can be changed

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22
Q

Structural Family Therapy

A

Therapist role: Help family understand the impact of rituals and rules, how to integrate new family patterns of interaction

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23
Q

Structural Family Therapy
Treatment Goals

A

Restructure family system to allow for symptom relief/constructive problem solving

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24
Q

Structural Family Therapy
Treatment Goals

A

Change dysfunctional transactional patterns and create new ways of relating

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25
Q

Structural Family Therapy
Treatment Goals

A

Help create flexible boundaries

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26
Q

Structural Family Therapy
Primary Concepts

A

Alliances: subgroups based on gender,generation,developmental tasks

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27
Q

Structural Family Therapy
Primary Concepts

A

Coalitions: alignments where 2 or more fam members join to form alliance against other family members

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28
Q

Structural Family Therapy
Primary Concepts

A

Power Hierarchy: Leadership/Direction supplied by adults. If parents insecure or bullied,power dynamic upside down, leading to chaos

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29
Q

Structural Family Therapy
Primary Concepts

A

Subsystems: families self organize by generation, relationship, necessity

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30
Q

Structural Family Therapy
Primary Concepts

A

Family Map: Therapeutic tool used only by therapist to depict: subsystems, alliances, coalitions and boundaries.
Used to conceptualize, but never used with clients in therapy

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31
Q

Structural Family Therapy
Primary Concepts

A

Disengaged boundaries: Family members isolated from each other. Can lead to AOD (?) use and is a result of rigid boundaries

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32
Q

Structural Family Therapy
Primary Concepts

A

Enmeshed boundaries: Fam members overly dependent, involved, reactive to other family members. Can lead to incest

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33
Q

Structural Family Therapy
Interventions

A

Joining:
1st step, therapist blends in with family using their style, affect, language (code switching)

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34
Q

Structural Family Therapy
Interventions

A

Tracking: therapist observes how family reacts, relates, to each other, boundaries, coalitions, roles, rules, etc. during spontaneous behavioral sequence

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35
Q

Structural Family Therapy
Interventions

A

Mimesis: Therapist tracks family style of communication and mimics it

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36
Q

Structural Family Therapy
Interventions

A

Unbalancing: therapist supports underdog, changing the hierarchical dynamic/position

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37
Q

Structural Family Therapy
Interventions

A

Reframe: Changing problematic perspective from family’s original perception

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38
Q

Structural Family Therapy
Interventions

A

Enactment: Therapist initiated actualization of family transactional patterns so therapist can observe how family: regulates, and origin of behavior problem within sequence of fam actions

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39
Q

Structural Family Therapy
Interventions

A

Boundary Making: special case of enactment, mandated/imposed by therapist, open to some fam members, closed to other

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40
Q

Structural Family Therapy
Phases of Therapy:
Beginning

A

Join w fam, to both accomodate/challenge rules of family system, assessment/mapping of Hierarchy, alignments, boundaries, reframing prob w/in whole system

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41
Q

Structural Family Therapy
Interventions
Middle

A

Highlight/change interactions,utilize enactments of issues to challenge participants and unbalance system

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42
Q

Structural Family Therapy
Interventions
End

A

End:
Review progress, reinforce structural change, provide tools for future issues

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43
Q

Strategic Theory
Theory of Change

A

Theory of Change:
Change occurs through action oriented directives and paradoxical interventions

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44
Q

Strategic Theory
Role of Therapist

A

Role of Therapist:
Delivers directives that facilitate change, specifically around communications patterns

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45
Q

Strategic Theory
Role of Therapist

A

Role of Therapist:
Focuses on solving problems, eliminating symptoms

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46
Q

Strategic Theory
Role of Therapist

A

Role of Therapist:
Designs a specific approach for each person’s presenting problems

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47
Q

Strategic Theory
Treatment goals

A

Treatment Goals:
Solve the presenting problems

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48
Q

Strategic Theory
Treatment Goals

A

Treatment Goals:
Change dysfunctional patterns of interactions

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49
Q

Strategic Theory
Interventions

A

Interventions:
Paradoxical Directives: Contradictory maneuvers which seem to go against treatment goals, but are designed to actually achieve them. Undermines resistance and confrontation with therapeutic instructions by leaving client in charge

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50
Q

Strategic Theory
Interventions

Positioning:

A

Positioning:
Therapist takes more extreme, exaggerated view of problem, forcing clients to rebel and reframe to a competency point of view

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51
Q

Strategic Theory
Interventions

Homework:

A

Homework:
Outside therapy assignments essential to positive therapeutic outcome. Purpose is for family to change identified maladaptive behavior

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52
Q

Strategic Theory
Interventions

Prescribing the Symptom:

A

Prescribing the Symptom:
Client encouraged to engage/practice the “Symptom”

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53
Q

Strategic Theory
Interventions

Ordeals:

A

Ordeals:
Substitution behavior when client encounters negative behavior, i.e., Can’t sleep? Then clean basement…

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54
Q

Strategic Theory
Phases of treatment

Beginning

A

Beginning:
Define prob, determine level of client’s comprehension of prob, assess familial patterns re: relating/communicating continued problem, state goals/behaviors needed to change problem

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55
Q

Strategic Theory
Phases of treatment

Middle

A

Middle:
Review attempted solutions, assign ordeals, prescribe problem,re-label behavior, instruct client new way to respond to problem

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56
Q

Strategic Theory
Phases of treatment

End

A

End:

Plan how to maintain positive new behavior, for future challenges, emphasize positive changes achieved

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57
Q

General Systems Theory

Theory of Change:

A

Theory of change:

Change occurs by systemically viewing problem in context of family, NOT individual

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58
Q

General Systems Theory

Theory of Change:

A

Theory of Change:

Family system becomes focal point of therapeutic interventions

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59
Q

General Systems Theory

Role of Therapist

A

Role of Therapist:
Therapists helps family to explore:
Belief systems/family view
Rule/roles present in family
Family Hierarchy
Expectations
Defense mechanisms/purposes of them

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60
Q

General Systems Theory

Main Concepts

A

Main Concepts:
Homeostasis: Systems resist change, maintained through negative feedback loops

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61
Q

General Systems Theory

Main Concepts

A

Main Concepts:
Feedback loops: can be positive (amplifying/moving toward change) or negative (attenuating/corrects against change)

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62
Q

General Systems Theory

Calibration

A

Calibration: Normal family operating system

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63
Q

General Systems Theory

Main Concepts

A

Wholeness: whole systemic synergy, result of all individuals interacting on the system as a whole

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64
Q

General Systems Theory

Main Concepts

A

Equfinality: Same results can be achieved with different systems/actions
I.e., one kid experiences divorce, another experiences parental death: Same outcome= depression

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65
Q

General Systems Theory

Main Concepts

A

Equipotentiality:
Two people experience identical experience but have very separate outcomes later in life

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66
Q

General Systems Theory

Main Concepts

First Order Change

A

First Order Change:
Short lived, superficial Change occurring at the family level with no lasting/ permanent effects

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67
Q

General Systems Theory

Main Concepts

Second order Change

A

Second Order Change:
Changes occurring at a deeper level, fundamentally altering systems rules, reorganizing into permanent healthier functioning

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68
Q

General Systems Theory

Main Concepts

Nonsummativity

A

Nonsummativity:
Family system treated as a whole, not just each individual family member

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69
Q

General Systems Theory

Main Concepts

Boundaries (open system):

A

Boundaries (open system): System which allows for continuous flow of information from outside the system

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70
Q

General Systems Theory

Main Concepts

Boundaries (closed system):

A

Boundaries (closed system):
System which maintains impenetrable Boundaries, which cannot be crossed or breached

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71
Q

General Systems Theory

Treatment Goals

A

Treatment Goals:
System moving towards equilibrium
Assist family to reduce dysfunctional behavior/patterns, how to recognize implement healthy positive behavior/patterns

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72
Q

General Systems Theory

Treatment Goals

A

Treatment Goals:
Help family challenge/rework beliefs/patterns

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73
Q

General Systems Theory

Treatment Goals

A

Treatment Goals:
Assist individuals to see their roles in family dynamic

74
Q

General Systems Theory

Treatment Goals

A

Treatment Goals:
Increase individuals to see/understand the other’s different experiences and perceptions in the family

75
Q

General Systems Theory

Treatment Goals

A

Treatment Goals:
Assist in correcting problematic or unhealthy feedback loops

76
Q

General Systems Theory

Interventions

A

Interventions:
Observe family system feedback loops

77
Q

General Systems Theory

Interventions

A

Interventions:
Explore Family’s:
Belief systems/values
Rules and roles
Family Hierarchy
Circular causality between family members

78
Q

General Systems Theory

Interventions

A

Interventions:
Refreame presenting issues as system issues instead of pathologizing individual’s symptoms

79
Q

General Systems Theory

Interventions

A

Interventions:
Explore each family member’s role in dysfunctional interactions

80
Q

General Systems Theory

Interventions

A

Interventions:
Challenge communication which occurs within family system

81
Q

Bowen Family Therapy

Therapist’s Role:

A

Therapist’s role:
Coach/educator
Supervisor
Investigator
Neutral

82
Q

Bowen Family Therapy

Treatment Goals:

A

Treatment Goals:
Reduce anxiety

83
Q

Bowen Family Therapy

Treatment Goals:

A

Treatment Goals:

Self differentiation within family context

84
Q

Bowen Family Therapy

Treatment Goals:

A

Treatment Goals:

Decrease emotional fusion

85
Q

Bowen Family Therapy

Treatment Goals:

A

Treatment Goals:

Improve Communication Skills

86
Q

Bowen Family Therapy

Treatment Goals:

A

Treatment Goals:

Decrease recurrence of dysfunctional patterns

87
Q

Bowen Family Therapy

Treatment Goals:

A

Treatment Goals:

Reduce Emotional Reactivity

88
Q

Bowen Family Therapy

Treatment Goals:

A

Treatment Goals:

Facilitate de-triangulation

89
Q

Bowen Family Therapy

Key Concepts:

A

Key Concepts:
Triangles:
Three person relationship
Smallest building block of system

90
Q

Bowen Family Therapy

Key Concepts:

A

Key Concepts:

Differentiation of self: difference between individuals and groups and the degree of pressure/integration towards each other (i to g, g to i)

91
Q

Bowen Family Therapy

Key Concepts:

A

Key Concepts:

Nuclear family emotional system:
Emotional oncept of four basic relationship patterns w/in nuclear family that governs where problems will develop

92
Q

Bowen Family Therapy

Key Concepts:

A

Key Concepts:

Nuclear Family:

Forces driving peoples attitudes/beliefs Re: relationships play a role in patterns but primary driving forces are part of emotional system

93
Q

Bowen Family Therapy

Key Concepts:

Family Projection Process:

A

Family Projection Process:

Primary mode of how parents transfer their emotional problems to a child.

94
Q

Bowen Family Therapy

Key Concepts:

Multigenerational Transmission Process

A

Multigenerational Transmission Process:

Notion that small differences in communication over generations leads to marked differentiation among individuals in multigenerational fam

95
Q

Bowen Family Therapy

Key Concepts:

Emotional Cutoff:

A

Emotional Cutoff:

People managing unresolved Emotional issues with family members by reducing or cutting off all contact with them

96
Q

Bowen Family Therapy

Key Concepts:

Genogram

A

Tool which acts as both an assessment and treatment tool

97
Q

Bowen Family Therapy

Interventions:

Reduce emotional reactivity

A

Reduce emotional reactivity:
Have family members talk to therapist

98
Q

Bowen Family Therapy

Interventions:

Reframing:

A

Reframing:

Presenting problem as multigenerational problem caused by factors beyond the individual

99
Q

Bowen Family Therapy

Interventions:

Genogram

A

Genogram:

Creates intergenerational family emotional map

100
Q

Bowen Family Therapy

Interventions:

Detriangulation:

A

Detriangulation:

Therapist becomes part of healthy triangle, teaching couple how to manage their own anxiety, distance and closeness in a healthy manner

101
Q

Bowen Family Therapy

Interventions:

Increasing Differentiation

A

Increasing Differentiation:

The formation of supportive relationships w/ family members to explore origins and effects of their family beliefs and behaviors

102
Q

Bowen Family Therapy

Interventions:

Teaching “I” statements

A

Teaching “I” statements:

Increases differentiation

103
Q

Bowen Family Therapy

Interventions:

Opening Cutoff Relationships

A

Opening Cutoff Relationships:

Encouraging and supporting clients to re-engage with estranged family members

104
Q

Bowen Family Therapy

Interventions:

Interacts with Family

A

Interacts with Family:

Interrupts arguments: open conflict prohibited because it raises anxiety

105
Q

Bowen Family Therapy

Interventions:

Models

A

Models:

Demonstrates new ways to interact and communicate

106
Q

Bowen Family Therapy

Interventions:

Bibliotherapy

A

Bibliotherapy: Assigning reading material

107
Q

Bowen Family Therapy

Phases of Treatment:

Beginning:

A

Beginning:
Create emotional connections multigenerational Family diagram

108
Q

Bowen Family Therapy

Phases of Treatment:

Beginning:

A

Beginning:

Assess individuals’ levels of differentiation and triangulation

109
Q

Bowen Family Therapy

Phases of Treatment:

Beginning:

A

Beginning:

Identify dysfunctional intergenerational patterns which are being passed on

110
Q

Bowen Family Therapy

Phases of Treatment:

Early/Middle:

A

Early/Middle:

Teach and model differentiation through communication skill building, detriangulation, and encourage reunification w/ cutoff family members

111
Q

Bowen Family Therapy

Phases of Treatment:

Early/Middle:

A

Early/Middle:

Teach family how to take responsibility for their feelings and thoughts

112
Q

Bowen Family Therapy

Phases of Treatment:

End:

A

End:

Review new skills and knowledge gained in therapy

113
Q

Attachment Based Theory

Theory of Change

A

Theory of Change
Occurs in safe relationship environment by exploration of past/present attachments/relationships/trauma

114
Q

Attachment Based Theory

Therapist Role

A

Therapist Role:

Provide secure base to enable exploration of past/present emotional experiences

115
Q

Attachment Based Theory

Treatment Goals

A

Treatment Goals:

Make client aware of their problematic emotional/behavioral patterns formed in childhood to maintain attachments

116
Q

Attachment Based Theory

Treatment Goals

A

Treatment Goals:

Repair capacity to regulate effects

117
Q

Attachment Based Theory

Treatment Goals

A

Treatment Goals:

Resolve any emotional or social disruptions in patient’s life

118
Q

Attachment Based Theory

Treatment Goals

A

Treatment Goals:

Improve Quality of Attachments w/others

119
Q

Attachment Based Theory

Attachment Behavior System

A

Attachment Behavior System:

How infant/primary caregivers signal/interact needs

120
Q

Attachment Based Theory

Attachment Behavior System

A

Attachment Behavior System:

Adult romantic bonds partially based on childhoods bonds w/caregiver

121
Q

Attachment Based Theory

Secure Attachment

A

Secure Attachment:

Client has strong sense of self and has resolved any past attachment issues

122
Q

Attachment Based Theory

Preoccupied/Anxious Attachment

A

Preoccupied/Anxious Attachment:

Client still angry/hurt at parents

123
Q

Attachment Based Theory

Preoccupied/Anxious Attachment

A

Preoccupied/Anxious Attachment:

Overly dependent on attachment figure, both past and present

124
Q

Attachment Based Theory

Preoccupied/Anxious Attachment

A

Preoccupied/Anxious Attachment:

Client dreads abandonment, cannot see own role/responsibility in relationship

125
Q

Attachment Based Theory

Dismissive/Avoidant Attachment

A

Dismissive/Avoidant Attachment:

Dismisses importance/value of love in relationships, also emotions

126
Q

Attachment Based Theory

Dismissive/Avoidant Attachment

A

Dismissive/Avoidant Attachment:

Idealized parents although memories do not corroborate

127
Q

Attachment Based Theory

Dismissive/Avoidant Attachment

A

Dismissive/Avoidant Attachment:

They dislike self-reflection, or have very shallow views of it

128
Q

Attachment Based Theory

Dismissive/Avoidant Attachment

A

Dismissive/Avoidant Attachment:

Very independent, dismiss self emotionality,

129
Q

Attachment Based Theory

Dismissive/Avoidant Attachment

A

Dismissive/Avoidant Attachment:

Great difficulty tolerating heightened emotionality of/from others

130
Q

Attachment Based Theory

Fearful/Avoidant Attachment

A

Fearful/Avoidant Attachment:

History of trauma/loss

131
Q

Attachment Based Theory

Fearful/Avoidant Attachment

A

Fearful/Avoidant Attachment:

Dismiss importance of love/connection but based on fear or their own “unworthiness”

132
Q

Attachment Based Theory

Phases of Treatment
Beginning

A

Beginning:

Attunement
Identifying client’s attachment style

133
Q

Attachment Based Theory

Phases of Treatment

Middle

A

Middle:

Exploration of disruptions in past present relationships, even w/ therapist

134
Q

Attachment Based Theory

Phases of Treatment

Middle

A

Middle:

Support/teach client how to regulate/express emotions in difficult situations

Teach self reflection

135
Q

Attachment Based Theory

Phases of Treatment

End

A

End:

Repair Stage: teaches clients how to change emotionally distressive behavior by re-interpreting it for/with client

136
Q

Object Relations Theory of Change

A

It occurs via reparative experiences during treatment

137
Q

Object Relations

Theory of Change

A

Change occurs from New insight and modification of entrenched object relations pathology

138
Q

Object Relations

Treatment Goal

A

Providing reparative experiences

139
Q

Object Relations

Treatment Goal

A

Building new internal structures

140
Q

Object Relations

Treatment Goal

A

Gaining new insight how past relations impact current functioning

141
Q

Object Relations

Treatment Goal

A

Improving relationships with others

142
Q

Object Relations

Concepts

A

Object refers to persons in external world

143
Q

Object Relations

Concepts

A

Individuals seek objects from birth

144
Q

Object Relations

Concepts

A

Internalization:
Early infant interactions w caregiver determine manner of internalizing

145
Q

Object Relations

Concepts

A

Internalization:
Characteristics of relational patterns, repertoire of defenses and internal capacities

146
Q

Object Relations

Concepts

A

Self and Object-Representations:
Infant viewed image of self & others determine lifelong view of self and others

147
Q

Object Relations

Concepts

A

Ego:
Structure which deals with world, defense mechanisms

148
Q

Object Relations

Concepts

A

Ego:
Internalizes external objects

149
Q

Object Relations

Concepts

A

Ego:
Synthesizes self and object relations

150
Q

Object Relations

Concepts:

Splitting

A

Splitting:
When two diametrically opposed states exist and are not integrated i.e.,
Love/Hate

151
Q

Object Relations

Projection

A

Projection:
Projecting unresolved negative feelings onto somebody without acknowledgement/dealing with feeling

152
Q

Object Relations

Projection Identification

A

Projection Identification:
When the recipient of Projection starts to change and act according to what’s being projected onto them

153
Q

Object Relations

Concepts

Introjection

A

Introjection:
The replication of behaviors, attributes, or other fragments of the surrounding world,especially people, within oneself

154
Q

Solution Focused Therapy

A

Change occurs by accessing client’s strengths and resources
NOT
By focusing on cause/origin

155
Q

Solution Focused Therapy

A

Therapist role:
Consultant, coach

156
Q

Solution Focused Therapy

Goals

A

To implement small and large change to achieve desired future

157
Q

Solution Focused Therapy

Goals

A

Client builds on current strengths and resources

158
Q

Solution Focused Therapy

Exception Questioning

A

Exception Questioning

When did problem not exist and what was client doing differently

159
Q

Solution Focused Therapy

Exception Questioning

A

Exception Questioning:

Use what worked in past to give client positive perspective

160
Q

Solution Focused Therapy

Miracle Questioning

A

Miracle Questioning:

Visualize future and their life w/out problem,

What would be different so you know prob solved?

161
Q

Solution Focused Therapy

Scaling Question

A

Scaling Question:

Rate current problem from worst to best, discuss how to change problems number on scale

162
Q

Solution Focused Therapy

Presupposing change

A

Presupposing Change:

Ask client what’s improved since last visit

163
Q

Solution Focused Therapy

Coping questions

A

Coping Questions
Supportive but challenging questions

164
Q

Solution Focused Therapy

Affirmations/Compliments

A

Affirmations/Compliments:
It acknowledges progress, resiliency, strengths and resources

165
Q

Psychdynamic Theory

A

Therapist non-directive

166
Q

Psychdynamic Theory

A

Therapist establishes a holding environment and an opportunity to form a secure attachment relationship

167
Q

Psychdynamic Theory

Past influences present

A

Early wounding in relationships are unconsciously repeated in current relationships

168
Q

Psychdynamic Theory

Underlying Conflicts

A

Infantile Caregiver attachment patterns are all repeated in adulthood, potentially causing inability to create stable adult attachments

169
Q

Psychdynamic Theory

Defense mechanisms

A

Unconsciously used to strengthen and protect ego from negative thoughts or feelings associated with past experiences

170
Q

Psychdynamic Theory

Tranferance

A

Client transferring unresolved emotional responses from past individuals onto therapist

171
Q

Psychdynamic Theory

Cointer Transference

A

Therapist transfers unconscious emotional responses from their own past onto client

172
Q

Psychdynamic Theory

Interpretation

A

Therapist tells client hypothesis regarding past events impact on client currently

173
Q

Psychdynamic Theory

Main Concepts

A

Role of the past and unconscious is very important

174
Q

Psychdynamic Theory

Main Concepts

A

Clients asked to identify thoughts and feelings regarding past events

175
Q

Psychdynamic Theory

Main Concepts

A

Uncover and interpret unconscious impulses/defenses

176
Q

Psychdynamic Theory

Main Concepts

A

Assess clients self awareness of how past influences present behavior

177
Q

Psychdynamic Theory

Main Concepts

A

Enhance clients ego and self esteem

178
Q

Psychdynamic Theory

Main Concepts

A

Decrease use of unhealthy defense mechanisms

179
Q

Psychdynamic Theory

Main Concepts

A

Allow client to access, address, and resolve painful feelings in a safe environment

180
Q

Psychodynamic Theory

Main Concepts

A

Examine early relations/attachments/interactions to discern impact of family of origin projected onto present relationships

LMFT CA Intervention Summaries (3 decks)

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