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MFT National Exam > PPBC, Milan Systemic > Flashcards

PPBC, Milan Systemic Flashcards

1
Q

Milan Systemic

A

Palazzoli, Prata, Boscolo, Cecchin

Seen by male-female dyad and observed by other therapy team members.

Sessions always a month apart.

WHO? Whoever is related to the problem. Usually fewer.

HOW LONG? Long-term, brief therapy. 10 sessions over months.

GOALS: Integrate new beliefs, info. Helps with functioning.

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2
Q

EARLY Milan

A

Influenced heavily by MRI Group, Strategic.
Used paradoxical interventions.
Therapist dyad - one male, one female - observed live.

5 delineated parts in sessions
sessions 1 month apart, 1 year

POSITIVE CONNOTATION

RITUAL

Benefits merely from considering the issue vs doing it.

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3
Q

Epistemology

A

Milan Systemic
PPBC

How families make sense of the world, incl. relationships

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4
Q

Epistemological Error

A

Milan Systemic
PPBC

Beliefs that don’t fit/are incongruent with reality.

I’m not responsible for my behavior.

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5
Q

Games

A

Milan Systemic
PPBC

Unspoken behaviors that are destructive in families. Used to control others.

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6
Q

Analogical Message

A

Milan Systemic
PPBC

Metaphor/symbolic message - the process

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7
Q

Digital Message

A

Milan Systemic
PPBC

Objective content of message.

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8
Q

Metacommunication

A

MRi & Milan

COMMAND communication - what isn’t being said, what is being communicated about the communication.

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9
Q

Punctuation

A

MILAN - diff than structural

The way I attribute my behavior to someone else’s behavior. I nag because you don’t help

STRUCTURAL - diff than milan
therapist intentionally emphasizes someone’s body language/statement so they become conscious/can reflect

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10
Q

Time

A

Milan Systemic
PPBC

The way I view a problem - it influences how I felt about it then and how I feel about it now. If right now I feel my mom is cold, I only recall cold memories.

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11
Q

Milan Systemic: Assessment & Diagnosis

A

Assessment is ongoing.
Hypotheses based on treatment team.
Initial: phone call - expectations, presenting problem.

Team then makes hypotheses during pre-session meeting. These are adjusted as treatment continues.

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12
Q

Positive Connotation

A

Milan
PPBC

EARLY MILAN INTERVENTION - Hallmark
circularity: positiver attribute assigned to each behavior, whether desirable or undesirable.

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13
Q

Rituals

A

Milan
PPBC

EARLY MILAN INTERVENTION

Prescribed behaviors to happen at specific times of day for specific periods of time to build consistency/clarity.

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14
Q

Paradoxical Prescription

A

Milan
PPBC

EARLY MILAN INTERVENTION

Prescribing the symptom or ask family to not change.

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15
Q

Neutrality & Irreverence

A

Milan
PPBC

EARLY MILAN

Therapist’s stance - open to multiple hypotheses about behavior.

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16
Q

Counterparadox

A

Milan
PPBC

EARLY MILAN

To unravel a family’s double-bind message - your dysfunction is needed, so don’t change.

17
Q

A Learning Process

A

Milan
PPBC

EARLY MILAN

All interventions are just for learning. Testing hypotheses, trial and error.

18
Q

Hypothesizing

A

Milan
PPBC

EARLY MILAN

Ongoing conceptualization of what’s happening in a family. - guides questions, interventions

19
Q

Team Approach

A

Milan
PPBC

EARLY MILAN

Team consults and discusses progress. Meets pre-session to come up with plan and hypotheses. Use of one-way mirror.

20
Q

Milan Systemic Therapy Structure

A

Every session: 5 parts

1) Pre-Session: w/o family, make hypotheses
2) Session: meet w/family, check hypotheses
3) Intersession: Meet w/team, form intervention
4) Intervention: Deliver intervention - positive connotation, ritual. Always given as against change - use of paradox!
5) Post-Session Discussion: team debriefs, prelim plans, hypoth for next session.

21
Q

LATER MILAN

A

Palazzoli, Prata and Boscolo, Cecchin

PP: interrupting destructive family games - used invariant prescription

BC: No use of paradoxical intervention. Intro new info. Work toward new epistemology, new ways of B. Used hypothesizing, circularity, neutrality.

22
Q

The Dirty Game

A

LATE MILAN
Palazzoli, Prata

Parents struggle for control, then triangulate symptomatic child - then child works to defeat parents.``

23
Q

The Invariant Prescription

A

LATE MILAN INTERVENTION

PP

3rd session
Mom/Dad tell fam you have secret. Take trip away form family. Don’t tell family more than they have a secret.

24
Q

Circular Questioning

A

LATE MILAN INTERVENTION
Boscolo, Cecchin

Therapist - ask one fam member to comment on interactions of 2 others. Creates circularity. Helps build hypotheses.

MFT National Exam (19 decks)

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