Part 1 Family Therapy

Question 1

Who emphasized the importance of the family in diagnosing and treating childhood emotional problems, which led to the Child Guidance Movement in the US?

Answer 1

Alfred Alder

Question 2

Developed Birth Order Theory

Answer 2

Alfred Adler

Question 3

Believed family, community, and social aspects play a role in shaping a child’s personality

Answer 3

Alfred Adler

Question 4

One of the pioneer’s of family therapy; he contributed to the development of the psychodynamic approach to family therapy, stressing the importance of family-caused mental illness in children and the need to take the individual and family dynamics (how they relate to each other) into account.

Answer 4

Nathan ACKEerman

Ackerman ACKE’s for the the children whose FAMILY CAUSED their mental illness

Question 5

Theory used to explain systems exist based on patterns and principles that can explain how systems function, de-emphasizing individual dynamics w/problems viewed as an expression of a dysfunction in family dynamics; who developed it?

Answer 5

General Systems Theory; Ludwig von Bertalanffy

Question 6

Per Ludwig von Bertalanffy, problems are viewed as an _________ of ___________ in family ___________ .

Answer 6

expression; dysfunction; dynamics

Question 7

When von Bertalanffy’s General System’s Theory was integrated into the practice of family therapy this resulted in thinking of the family as a _______ of __________ and family therapy became known as the _____ ______ of psychotherapy

Question 8

Counseling/psychology theories are often grouped into five key approaches known as the _________ ___________ .

Answer 8

five forces (psychoanalytic, cognitive-behavioral, existential-humanistic, multicultural, and social justice behavioral, humanistic-existential, transpersonal/family systems, social justice)

Question 9

Two early approaches to family therapy and who developed them?

Answer 9

Communications Approach (Gregory Bateson)
Contextual Approach (Boszormenyi-Nagi and Paul Framo)

Question 10

Who theorized that when an identified patient improves another family member become symptomatic?

Answer 10

Gregory BATEson (developed Communications Approach to family therapy)
“BATE another family member to exchange illness”

Question 11

What approach to family therapy integrated individual, IP, existential, and systemic aspects?

Answer 11

Contextual (Boszormenyi-Nagi and Paul Framo)

Question 12

Who proposed four dimensions for conducting therapy?

Answer 12

Boszormenyi-Nagi and Paul Framo (Contextual Approach)

Question 13

Boszormenyi-Nagi and Paul Framo (Contextual Approach to therapy) proposed what four dimensions for conducting therapy?

Answer 13

1. Genetics/physical health/hx events (facts)
2. Individual psychology
3. Systemic transaction (interactions) of family rules, power, alignments, and triangles
4. Relational ethics, justice, reciprocity, fairness, and loyalty

Question 14

Who founded the Systemic (System’s approach) Family Therapy approach?

Answer 14

Murray Bowen

Question 15

The System’s Approach to family therapy describes the family as a complex, _____-________ ___________ unit, striving to maintain ____________.

Answer 15

self-regulating emotional; homeostasis

Question 15

Who wrote “Family Therapy in Clinical Practice” and what did the book “recognize” the need for in terms of clinicians?

Answer 15

Murray Bowen; need for clinicians to work through the dysfunction in their own families if they were to be effective therapists

Question 16

Per the System’s Approach to family therapy (Bowen), if there is change to one member of the family unit then there is ______________ change in the functioning of the other members.

Answer 16

reciprocal

Question 17

Family System’s theory (Bowen) proposes that dysfunctional ___________ _________ maintain problems w/in the family and to promote functioning this must be changed.

Answer 17

systemic factors

Question 18

The 8 concepts of Bowen’s Family System’s Theory are referred to as what? Six are related to emotional __________ and 2 r/t processes across _____________ and ___________ .

Answer 18

8 INTERLOCKING concepts (triangles, differentiation of self, nuclear family emotional process, family projection process, multigenerational transmission process, emotional cutoff, sibling position, societal emotional process); processes; generations and society

Question 19

One of the 8 interlocking concepts in Bowen’s Family System’s Theory is Differentiation of Self which says that a person’s sense of self/degree of wholeness is demonstrated by their ability to do what?

Answer 19

separate one’s intellectual and emotional functioning from the family

Question 20

A Differentiated person has a firm _____ of _____ with clear _______ and _________ and is ____________ from the family while remaining in contact w/them. Further, they are _________, goal-________, secure, capable of _________ ________, and less __________ to praise OR criticism.

Answer 20

sense of self; values and beliefs; individualized; flexible; orientated; handling stress; reactive

Question 21

An Undifferentiated person has little or no sense of _______ and is susceptible to _________ __________; they are also dependent on others for approval, is e__________ r___________, i_____________, and vulnerable to __________.

Answer 21

self; family influence; emotional reactive; impulsive; stress

Question 22

Undifferentiated ego mass belongs to what theory and what does it mean?

Answer 22

Family System’s Theory (Bowen); members have low levels of differentiation “stuck together”

Question 23

According to Bowen’s Family System’s Theory what is it called when two undifferentiated family members form a dysfunction interaction pattern and function as a single emotional system?

Answer 23

fusion

Question 23

According to Bowen’s Family System’s Theory, one of his 8 interlocking concepts is triangles. What are triangles? Families with high levels of ____ are more likely to develop these.

Answer 23

(smallest stable relationship system- two unstable due to little room for tolerance) 3-person systems that manage tension by shifting it around; families with high levels of fusion are more likely to develop triangles

Question 24

What concept (process) of Bowen’s 8 interlocking factors is the transfer of dysfunctional family patterns from one generation to the next?

Answer 24

Multigenerational transmission process

Question 25

Bowen’s concept in which there are four basic relationship patterns that govern where problems w/in a family develop is called? - when tension increases activity in one of these relationships, coping is poor … source of family tension

Answer 25

Nuclear Family Emotional Process
(four basic relationship patterns: marital conflict, dysfunction in one spouse, impairment of one or more children, emotional distance)

Question 26

If undifferentiated people marry, attempts to reduce anxiety will occur in one of what four ways?

Answer 26

1. marital conflict - overt, chronic, w/dysfunctional patterns - focus what is wrong with each other
2. dysfunction in a spouse (emotional) - the one that yields
3. Impairment in a child (psychological) - spouses focus their anxieties on one or more children which undercuts differentiation and induces anxiety in the child
4. Emotional distance - risk becoming too isolated

Question 27

Bowen’s concept Family Projection Process?

Answer 27

parental undifferentiation is transmitted to child and the child serves as an extension of parents

Question 28

Bowen’s Emotional Cutoff Concept?

Answer 28

reducing or cutting off emotional contact to manage anxiety/conflict - helps but creates isolation and undue emotional significant to subsequent relationships- must reattach to become healthy adult

Question 29

The most important goal of Bowen’s Family System’s Theory?

Answer 29

help increase family members self-differentiation

Question 30

According to Bowen, if differentiation occurs w/in the family system the family will function better and results in rewarding __________ ______ w/in the family across generations. Undifferentiation results in emotional ________, _________, and multigenerational _______ process.

Answer 30

emotional contact; fusion, cut-offs, transmission

Question 31

Bowen’s Family System’s Theory begins with _____________, first asking each family member their ___________ of the problem, second assessing the degree of e__________ functioning and i_____ of emotional processes, third utilizing a __________ to identify patterns, and generate hypothesis, and fourth assess the level of _____________ of each family member while identifying __________ and multigenerational _____________ ___________.

Answer 31

ASSESSMENT; perception; emotional, intensity; genogram; differentiation, triangles, transmission processes

Question 32

When using Bowen’s Family System’s Theory intervention/techniques the therapist can choose to meet with ___________ or _________; the focus is to increase levels of ____________ and decrease _____________ turmoil.

Answer 32

individuals or family; differentiation, emotional

Question 33

What are the 5 interventions used when utilizing Bowen’s System’s Theory?

Answer 33

Self-statements - promote
Transform - dysfunction generational patterns
De-triangulate
Repair- cut offs
Disrupt - nuclear family emotional processes