Strategic Flashcards

1
Q

Development of problems in MRI

A

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.

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2
Q

Development of Problem Haley Madanes and Milan (3 areas)

A

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

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3
Q

Milton Erickson contributions Resistance

A

resistance to change can be used to create change

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4
Q

Milton Erickson contributions paradox

A

paradox - forbid resistant families to change in ways that are counter to their goals- promote rebellion

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5
Q

Haley MAdanes Strategic Theorists

A

Jay Haley cofounder of brieg strategic at MRI
CLoe Madanes founded family therapy institute focused on the tension between love and power in interactions

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6
Q

Main concept Haley MAdanes strategic

A

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

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7
Q

Process Haley-Madanes Strategic

A

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

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8
Q

Relational Problem in Haley Madanes

A

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

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9
Q

existential problem Haley Madanes

A

All problems stem from an existential dilemma between love and violence

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10
Q

Behaviors in Haley Madanes

A

voluntary- chosen

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11
Q

symptoms and power Haley Madanes

A

symptoms can generate power

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12
Q

Role of symptoms/underlying problem

A

Metaphorical vs Literal – symptom as metaphor for other problem sequence of behavior

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13
Q

symptom and hierarchy ) Haley Madanes

A

Hierarchy vs Equality – symptom as demand for more/less hierarchy

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14
Q

Symptom and hostility Haley Madanes

A

Hostility vs Love – interactions interpreted as motivated by hostility or love

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15
Q

Goals of therapy Haley Madanes

A

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

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16
Q

Haley Madanes Goals intervention directive

A

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

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17
Q

directive Haley Madanes

A

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).

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18
Q

Pretend technique (Haley Madanes)

A

fake it ‘til you make it

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19
Q

Haley Madanes theory memory aid

A

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.

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20
Q

Milan Systemic Theorists

A

Mara Selvini Palazzoli, Luigi Boscolo, Gianfranco Cecchin, Guiliana Prata

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21
Q

Homeostasis

A

circular patterns of action and reaction within the family system that maintains the problem

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22
Q

Hypothesizing Milan

A

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

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23
Q

circularity Milan

A

Attributes of member-to-member interactions AND form of interactions between therapist and
family system- each affecting the other

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24
Q

circular questioning Milan

A

Questions based on therapist hypothesis and require responses that are relational
descriptions of family interactions

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25
Q

stance of therapist Milan

A

Neutrality (curiosity) and Irreverence: Therapist conveys an attitude of curious exploration when asking
questions or responding to family members answers.

26
Q

Problem in Milan

A

Problems are maintained through interactional sequences that become a state of homeostasis within the
family system.

27
Q

Responsibility of members of family Milan

A

Each family member is responsible for their part in the interactional sequence and all members of the family
system should be included in sessions

28
Q

Goal of Milan

A

To help the family system change their circular interactional patterns to decrease/eliminate problem through increased understanding of their role in the interactional pattern.

29
Q

length of milan therapy

A

10 sessions

30
Q

Positive connotation Milan

A
  • assigning a positive motive or value to each family member’s behavior by using
    paradoxical strategies (child should continue to sacrifice himself by remaining depressed as a way to reassure his family that he will not become abusive like his grandfather)
31
Q

Rituals Milan intervention

A

Interventions that enhance a positive connotation or require the family to either exaggerate or violate
family rules (everyone thank the symptomatic child for their sacrifice of remaining depressed)

32
Q

MRI strategic theorists

A

: Richard Fisch and Don Jackson + John Weakland, Paul Watzlawick

33
Q

MRI problem

A

cybernetics informed- attempted but misguided solutions maintain problem.

34
Q

MRI double bind

A

: no matter what you do, you do something different: something that moves you in a new
direction

35
Q

metacommunication

A

: communication about the communication
○ What’s the command (nonverbal element that defines relationship)?
same as process (?)

36
Q

MRI observational team

A

behind a mirror, the distance helps one to avoid getting sucked into family
dynamics/interactional pattern

37
Q

MRI and structure

A

not concerned with family structure - no “normal”

38
Q

Goals MRI

A

measurable, time limited, break interactional cycle, 1st order and 2nd order change

39
Q

Main MRI interventions

A

Exploring previous attempts to solve problem lReframing Restraining Paradoxical intervention

40
Q

Attempt to solve problem MRI Terrible Simplification

A

Action Is Necessary but None Is Taken
○ Denial of real problem → act

41
Q

Attempt to solve problem MRI
The Utopian Syndrome

A

Action Is Taken When It Is Not Necessary
Attempts to solve a nonexistent problem → stop acting

42
Q

Attempt to solve problem MRI
Paradox

A

(Action Is Taken at the Wrong Level)
○ Using the wrong action for the problem → different action

43
Q

reframe

A

using language to give new meaning to situation

44
Q

What are Paradoxical Interventions

A

(what seem opposite to goals of treatment)
● Symptom prescription- do more of the problem!
○ compliance based - do as suggested
○ defiance based - defy the directive

45
Q

Restraining techniques

A

type of paradoxical intervention. warns of dangers of change or telling to change slowly. Aligning with ambivalence of
family to perturb system.

46
Q

Positioning intervention

A

therapist exaggerating family’s explanation to the point family disagrees.

47
Q

What is a vicious cycle (strategic/MRI)

A

self-reinforcing—or circular—dynamics and, as such, are commonly called “vicious cycles” or even “vicious circles.”

48
Q

Main tenet of MRI brief therapy =therapeutic….

A

Double bind

49
Q

Which strategic theory addresses The belief that happiness, work, love, and play are important. Problems occur due to a desire to control and dominate. And incongruent hierarchies.

A

Haley Madanes

50
Q

What is circular questioning

A

The technique of asking questions that focus on family connections. These questions highlight differences in perceptions about events and relationships among family members.

51
Q

The goal of Milan family

A

To interrupt family games

52
Q

After resolving the presenting problem, Haley-Madanes would most likely:

A

Ask if there were any other problems to follow up on

53
Q

Which strategic theory saw love and happiness as appropriate goals

A

Haley Madanes

54
Q

goal of this theory is to create alternative epistemology to behaviors.

A

Milan

55
Q

What is a reflecting team

A

used when treating families through Milan Family Therapy. Observers

56
Q

What is the purpose of circular questioning

A

brings out differences between family members

57
Q

How do you break interactional pattern in MRI

A

Perturb the system

58
Q

MRI role of therapist

A

Expert, creates conditions for change, directive,

59
Q

What is report and command MRI

A

The report or content of a message conveys information, while command is a statement about the defined relationship

60
Q

WHo is Mara Selvini Palazzoli

A

One of the founders of Milan systemic family therapy