Strategic Flashcards
Development of problems in MRI
cybernetics -difficulties are turned intp chronic problems by misguided solutions (MRI) this is the only development of problem in MRI and part of the problem in other strategic models.
Development of Problem Haley Madanes and Milan (3 areas)
Structural: Problems are a result of flaws in a family’s hierarchy or boundaries
Functional: Problems result when people try to protect one another indirectly, such that their problems come to serve a function for the system
cybernetics -difficulties are turned intp chronic problems by misguided solutions
Milton Erickson contributions Resistance
resistance to change can be used to create change
Milton Erickson contributions paradox
paradox - forbid resistant families to change in ways that are counter to their goals- promote rebellion
Haley MAdanes Strategic Theorists
Jay Haley cofounder of brieg strategic at MRI
CLoe Madanes founded family therapy institute focused on the tension between love and power in interactions
Main concept Haley MAdanes strategic
Focus on resolving the presenting problem (behavioral change), not on insight
A family must ACT DIFFERENTLY before they can THINK AND FEEL differently
Look at Hierarchy and power
Process Haley-Madanes Strategic
Ready, Aim, Fire:
▪ Assess interaction sequences; target small sequence change; motivate family
o Interrupt interaction sequences with task for small sequence change
o Evaluate response
o Interrupt again
Relational Problem in Haley Madanes
The problem is a relational (interactional) one, part of the interactional sequence of behaviors that
have emerged thru repeated exchanges with no one person to blame
existential problem Haley Madanes
All problems stem from an existential dilemma between love and violence
Behaviors in Haley Madanes
voluntary- chosen
symptoms and power Haley Madanes
symptoms can generate power
Role of symptoms/underlying problem
Metaphorical vs Literal – symptom as metaphor for other problem sequence of behavior
symptom and hierarchy ) Haley Madanes
Hierarchy vs Equality – symptom as demand for more/less hierarchy
Symptom and hostility Haley Madanes
Hostility vs Love – interactions interpreted as motivated by hostility or love
Goals of therapy Haley Madanes
General: promote a change that alters people’s subjective experiences (mood/thought/behavior)
* Ultimate: Find ways to love without dominating, intruding upon, or harming the other(s); symptomfree interaction patterns
Haley Madanes Goals intervention directive
General: promote a change that alters people’s subjective experiences (mood/thought/behavior)
* Ultimate: Find ways to love without dominating, intruding upon, or harming the other(s); symptomfree interaction patterns
directive Haley Madanes
a task or a reframe before leaving the session, to be followed up on the following
session; (“do something different”) and indirect directives (paradoxical or
metaphorical tasks).
Pretend technique (Haley Madanes)
fake it ‘til you make it
Haley Madanes theory memory aid
Mess with the fish: schools of fish cannot be shepherded but can be interrupted and allowed toregroup in a new way in response to the interruption. We do not give linear or directive psychoed to
the fish.
Milan Systemic Theorists
Mara Selvini Palazzoli, Luigi Boscolo, Gianfranco Cecchin, Guiliana Prata
Homeostasis
circular patterns of action and reaction within the family system that maintains the problem
Hypothesizing Milan
Must be systemic- invites the family to join the therapist in exploring the family system. All hypotheses are considered equally valid as long as it brings new information about how the family
system operates
circularity Milan
Attributes of member-to-member interactions AND form of interactions between therapist and
family system- each affecting the other
circular questioning Milan
Questions based on therapist hypothesis and require responses that are relational
descriptions of family interactions