Major Therapy Models Flashcards
Structural Family Therapy - Leaders
Salvador Minuchin
Charles Fishman
Structural Family Therapy - Assumptions
Problems arise within family structure (not necessarily caused by structure)
Changing structure changes experience
Move gradually
Children’s problems often related to boundary between parents and boundary between parents and children
Structural Family Therapy - Goals
Structural Change
Individuation of family members
Infer boundaries from patterns of interaction
Change patterns to realign boundaries to make them more closed or open
Structural Family Therapy - Role of the Therapist
Perturb the system because structure is too rigid or too diffuse
Facilitate restructuring of the system
Directive, expert - choreographer
See change in therapy session; homework solidifies change
Structural Family Therapy - Assessment
Assess nature of boundaries, roles of family members
Enactment to watch family interaction/patterns
Structural Family Therapy - Interventions
Structural mapping Unbalance Challenge unproductive assumptions Raise intensity so system must change Disorganize and reorganize Shape competence through Enactment
Structural Family Therapy - Self of the Therapist
Therapist joins with system to facilitate unbalancing of the system
Strategic Therapy (MRI) - Leaders
John Weakland
Don Jackson
Paul Watzlawick
Richard Fisch
Strategic Therapy (MRI) - Goals
Help family define clear, reachable goals
Break the pattern; perturb the system
First and second order change
Strategic Therapy (MRI) - Role of the Therapist
Expert positions
Responsible for creating conditions for change
Work with resistance of clients to change
Work with the process, not the content
Directive
Strategic Therapy (MRI) - Interventions
Paradox Directives Interrupt unhelpful sequences of interaction "Go slow" messages Prescribe the symptoms
Milan Family Therapy - Leaders
Boscolo
Palazzoli
Prata
Cecchin
Milan Family Therapy - Goals
Disrupt family games
Milan Family Therapy - Role of Therapist
Therapist as expert
Neutral to each family member
Curious
Milan Family Therapy - Interventions
Ritualized prescriptions Rituals Circular Questions Counter Paradox Odd/even Day Positive Connotation "Date" Reflecting Team Letters Prescribe the System
SFBT - Leaders
Steve de Shazer
Insoo Kim Berg
Yvonne Dolan
Eve Lipchik
SFBT - Goals
Help client to think or do things differently in order to increase their satisfaction with their lives
Reach clients’ goals
Shift client’s language from problem talk to solution talk
Modest goals (clear and specific)
Help translate goal into something more specific (clarify)
Change language from problem to solution talk
SFBT - Role of Therapist
Cheerleader/Coach
Offer hope
Nondirective, client-centered
SFBT - Interventions
Clear, achievable goals Exceptions Compliments Formula First Session Task Miracle Question Scaling Questions
Narrative Therapy - Leaders
Michael White
David Epston
Jill Freedman
Gene Combs