Midterm

Question 1

Assumptions of Structural Family Therapy

Know at least 3

Answer 1

• Problems reside within a family structure (although not necessarily caused by the structure)
• Changing the structure changes that experience that client has
• Don’t go from problem to solution, we just move gradually
• The therapist’s behavior becomes part of the system .
• Children’s problems are often related to the boundary between parents and the boundary between parents and children

Question 2

Two limitations to this model

Answer 2

• Requires the entire family present
• Could be outside reasons that are contributing or causing the problem
  ex. extended family, neighborhood and other social institutions and leading to an incomplete picture of the presenting difficulties

Question 3

Mention Areas of Diversity and how would you address these issues?

Answer 3

• SES
• Immigration Status
• Race (Be culturally Competent)
• Education (Speak simple)
• Married/Single (experience)
• Don’t have children (experience)
• Be aware of your own privilege don’t project your ideas on client, just listen and be sure to take these factors into account because they could b contributing to the problem*

Question 4

List Four Interventions for Structural Family Therapy

Answer 4

• Joining
• Enactments
• Reframes
• Restructuring
• Raising Intensity
• Boundary Making (establish boundary between parent and children or couples)

Question 5

How can you describe this family, their dynamics, and their presenting problem using the concepts of the model?

Answer 5

• Family Structure
• Subsystem
• Boundaries

Question 6

Refers to the way a family is organized by interpersonal boundaries
Families have some kind of hierarchical structure with adults and children having different amounts of authority

Answer 6

Family Structure

Question 7

based on generation, gender, function, i.e kids, parents

Answer 7

Subsystem

Question 8

offer closeness, but at the expense of independence; too much closeness enables initiative

Answer 8

Enmeshed Subsystem

Question 9

invisible barriers that regulate contact with others

Answer 9

Boundaries

Question 10

Restrictive and permit little contact with outside subsystem, resulting in disengagement
limit affection and support

Answer 10

Rigid Boundaries

Question 11

boundaries are rigid and the family fails to mobilize support when it’s needed

Answer 11

Disengaged Families

Question 12

Couple does not have their own friends or independence

see each other as a pair rather than two separate people

Answer 12

Diffuse Boundary

Question 13

spend little time together to caught up with work or life outside relationship

Answer 13

Rigid Boundary for Couples

Question 14

boundaries are diffuse and family members become dependent on one another

Answer 14

Enmeshed Families

Question 15

Four Steps of Assessment

Answer 15

• get interactional information about presenting problem
• Help family members see how their interactions may be perpetuating the presenting problem
• Brief exploration of the past
• Examine how family can interact in a more productive way

Question 16

two people against the same thing

Answer 16

Coalition

Question 17

Someone doesn’t have a voice side with them

Change the relationship within the system

Answer 17

Unbalancing

Question 18

She says you’re too strict, can you answer her

Answer 18

Enactment

Question 19

describes a technique used in therapy to help create a different way of looking at a situation, person, or relationship by changing its meaning

Answer 19

Reframing