MRI Systemic

Question 1

Primary Contributors

Answer 1

Bateson (non clinicall)
Jackson (founder of MRI)
Satir (Director)
Haley (influenced by Erikson)
Weakland, 
Watzlawick...
Fisch came later (organized MRI as Brief Therapy Center)

Question 2

Role of Therapist

Answer 2

therapy is pragmatic, action-oriented, and povide symptom relief, focuses on structure of the relationships, STRUCTURED approach; 
1. active & directive; 
2. client viewed as customers; 
3 process over content; 
4. team approach; 
5. symptom reduction favored 
6. Thp responsible for change

Question 3

Length of Time

Answer 3

limited to 10 sessions spaced 1-week apart, terminates whether problem has resolved or not

Question 4

Assumptions of MRI Systemic

Answer 4

1. families get stuck in problematic INTERRELATIONAL cycles of REPETITIVE bxs

Question 5

paradoxical interventions

Answer 5

used to interupt the current feedback loop that maintain the problem, this will promote rebellion

Question 6

positioning

Answer 6

pushes the family member further into the absurdity of their position, theirby making them realize the absurdity of their position (e.g. my wife is too emotional…so take her to get heavily medicated and then she won’t have emotions at all);

Question 7

prescribing the symptom

Answer 7

helps client to understand how much control they have over the problem, the thp will tell the client to do more of the problem

Question 8

restraining the progress of change

Answer 8

thp warns family to slow down or to change slowly

Question 9

out of session directive

Answer 9

families given directives to complete at home (e.g. argue in the kitchen instead of the bedroom).

Question 10

Goals of Treatmnet in Systemic

Answer 10

1. to provide symptom releif related to the presenting problem rather than analyze/interpret meaning;
2. create second-order change

Question 11

Structure of Initial Phase

Answer 11

1. introduction to tx plan;
2. inquiry and definition of single problem;
3. estimation of the solution (positive feedback) maitaining the problem (the unwanted bxs)
   a. if solution= to deny problem exists (client needs to act)
   b. if solution = solve the problem that does not exist (client needs to stop acting)
   c. if solution = effort to solve problm within framewokr that makes solution impossible (client needs to act differently)

Question 12

Structure of Middle Phase

Answer 12

4. identify the rules that support the dysfunction solution and needs to be changed;
5. selecting and making bxs or strategic changes (thp uses REFRAMES and PARADOXICAL INTERVENTIONS - (positioning, px sxs, or restraining progress)

Question 13

End Phase of Treatment

Answer 13

family will integrate new bxs and lean into second-order change which will lead to termination

Question 14

1first-order change

Answer 14

changing the bxs -doing more of the same

Question 15

second-order change

Answer 15

changing the world view, doing something fundamentally different, restructuring

Question 16

problem as attemped solution

Answer 16

the problem that is believed to be the problem is not the problem, use methods that don’t work as a solution (e.g. constantly punshing bxs)

Question 17

More of the same

Answer 17

using he same methods to change the problems

Question 18

report and command functions

Answer 18

report referes to the surface level communication (analogical), command refers to the quality of the relationship (MOW) or beneath the surface (digital);

Question 19

metacommuication:

Answer 19

communicating about communicating–thp will talk to clients about talking about the problem

Question 20

complementary relationship

Answer 20

where a person yield support to the other, usually opposing bxs (e.g. withdrawer/pursuer)

Question 21

symmetrical relationship

Answer 21

responding in similar ways (e.g. avoiding talking about the problem, or speaking calmly)