Psychoeducation and Integrative Models

Question 1

Psychoeducation Models

Answer 1

• Michael Goldstein
• Ian Faloon and Carol Anderson

Question 2

Gottman Method Couples Therapy

Answer 2

Help partners:
- Increase respect, affection, and closeness
- Break through and resolve conflict when they feel stuck
- Generate greater understanding between partners
- Keep conflict discussions calm

Question 3

Gottman’s 4 Horsemen of the Apocalypse

Answer 3

• Criticism: Verbally attacking personality or character
• Contempt: Attacking sense of self with an intention to insult or
  psychologically abuse
• Defensiveness: Seeing yourself as the victim in efforts to ward off a
  perceived attack and reverse the blame
• Stonewalling: Withdrawing as a way to avoid conflict in efforts to
  convey disapproval, distance, and separation.

Question 4

Metaframeworks Model

Answer 4

Douglas Breuinlin, Richard Schwartz, Betty Mac Kune-Karrer
- Gender and culture
- The assumption is that all family members have capacity to interact
positively unless they are constrained
- Goal is to release constraints, rather than focus on deficits
- Interventions are to attend to all interactions, in session moments to
multigenerational
- Considers multiple contexts
- 6 core domains:
1. Organization
2. Sequences
3. Development
4. Culture
5. Gender
6. Internal Processes

Question 5

Integrative Problem-Centered Therapy
(IPCT)

Answer 5

William Pinsof at the Family Institute at Northwestern University
- NOT its own model, but a process by which interventions from
different models are used
- Pinsof believed that the simplest intervention ought to be used first
and followed later by increasingly complex ones
* Simplest include structural, strategic, CBT, solution-focused, and
pharmacological ones
* Less simple include intergenerational issues
* IPCT may use a team approach or may encourage family members
to have individual therapists

Question 6

Narrative Solutions Approach

Answer 6

Joseph Eron and Thomas Lund
- Influenced by MRI, family gets stuck after repeatedly trying to use a
solution that does not work
- Preferred views: People have preference for how they want to view
themselves and others
* Problems arise when people aren’t living in their preferred views
- Interventions
* MRI Reframing
* Narrative therapy
* Solution-focused therapy
* Mystery questions: “How did a person who is so hard-working wind
up feeling depressed and hopeless?”
> Problem is a mystery to be solved, rather than a personal
characteristic

Question 7

Integrative Couple Therapy

Answer 7

Neil Jacobsen and Andrew Christiensen
- Behavioral + strategic + experiential + ego analytic techniques to the
standard behavioral couple’s work
- “a successful relationship also involves a certain amount of
acceptance of differences and disappointments”
* Differences are inevitable, blame is optional
- Goal: Break the cycle of mutual blame
- Treatment formulation:
* Theme: Defines conflict
* Polarization process: Dysfunctional pattern of interaction
* Impasse that prevents couple from breaking the cycle once it’s
triggered