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Theories of Marriage and Family > Strategic Family Therapy: Part I > Flashcards

Strategic Family Therapy: Part I Flashcards

1
Q

Strategic Therapy grew out of the Communications Theory developed in the Gregory Bateson’s schizophrenia project which evolved into three distinct models. What are they?

A
  1. Mental Health Institute (MRI) - Brief Therapy
  2. Jay Haley & Cloe Madane’s - Strategic Therapy
  3. Milan Systemic/Strategic Therapy
    Class 7 notes P. 1
    Nichol’s P. 99
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2
Q

Who established the Mental Health Institute?

A

Don Jackson

Class 7 notes P. 2

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3
Q

Who inspired Strategic Therapy and where?

A

Gregory Bateson and Milton Erickson at the Mental Research Institute.
Class 7 notes P. 1
Nichol’s P. 99

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4
Q

What do systemic and strategic therapies have in common with regard to the treatment approach of MRI?

A

They are manualized treatments for working with defiant, conduct-disordered substance abusing youth and their families.
Class 7 notes P. 1

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5
Q

Gregory Bateson received a Rockefeller Foundation grant to study paradox in communication. What 4 people did he recruit to help him?

A

Jay Haley, John Weakland, Don Jackson and William Fry
Class 7 notes P. 2
Nichol’s P. 99-100

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6
Q

Watzlawick, Beavin and Jackson developed a calculus of human communication which stated a series of axioms. What is the first axiom?

A

People are always communicating.

Nichol’s P. 101

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7
Q

What is Watzlawick, Beavin and Jackson’s second axiom in the calculus of human communication?

A

All messages have a report and command function.

Nichol’s P. 102

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8
Q

Explain the report and command function related to the second function of the calculus of human communication.

A 
The report (or content) or a message conveys information, while the command is a statement about the definition of the relationship.
Nichol's P. 102
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9
Q

Jackson used the term “family rules” as what?

A

As a description of regularity, not regulation.

Nichol’s P. 102

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10
Q

According to Strategic Family Therapy, the regulatory mechanisms that helps the system maintain hemostasis is referred to as what?

A

Feedback
Class 7 notes P. 13
Nichol’s P. 102

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11
Q

What is the purpose of Negative Feedback?

A

It preserves and protects the status quo (returns the system back to homeostasis). It resists disruption to maintain a steady state.
Class 7 notes P. 13 & 14
Nichol’s P. 102-

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12
Q

What is the vehicle called that allows a family resists change and maintains homeostasis?

A

A negative feedback loop.
It returns the system back to homeostasis.
Class 7 notes P. 13
Nichol’s P. 102

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13
Q

What is Positive Feedback?

A

The feedback loop that is caused when the response to a family member’s problematic behavior exacerbates the problem. It deviates from homeostasis - accommodates change.
Class 7 notes P. 14
Nichol’s P. 102-

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14
Q

What is a feedback loop?

A

Patterns of communications linked together in additive chains of stimulus and response.
Nichol’s P. 102

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15
Q

Describe a “first order change”.

A

When only a specific behavior within a system changes. It is superficial and does not change the inherent structure of the client system.
Nichol’s P. 102
Class 7 notes P. 8

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16
Q

What is a “second order change”?

A

When the rules of the system change. They prompt the way people interact and in a person’s perspective and assumptions.
Nichol’s P. 102
Class 7 notes P. 8

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17
Q

What purpose does reframing serve?

A

It is used to help clients re-conseptualize certain behavior and frame it in positive terms.
Nichol’s P. 102
Class 7 notes P. 15

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18
Q

What is the MRI approach to problems?

A
  1. identify the feedback loops that maintain problems
  2. determine the rules that support those interactions
  3. find a way to change the rules in order to interrupt the problem-maintaining behavior
    Nichol’s P. 102
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19
Q

What are the goals of MRI assessment?

A
  1. identify a resolvable complaint
  2. identify attempted solutions that maintain teh complaint
  3. understand the clients’ unique language for describing the problem
    Nichol’s P. 10
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20
Q

What is the MRI Six Stage Treatment Approach?

A
  1. Introduce client system to the treatment process
  2. Seek to develop a definition of the problem
  3. Seek to understand teh behavior)s) maintaining the problem
  4. Establish treatment goals
  5. Select and make behavior interventions
  6. Termination
    Nichol’s P. 106
    Class 7 notes P. 5
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21
Q

Describe Marital Quid Pro Quo

A

A marriage whereby each partner gives something in order to receive something in return.
Class 7 notes P. 12
Nichol’s P 112

22
Q

What are some of the valuable aspects of Strategic Therapy?

A
  • a clear therapeutic goal
    -anticipation how a family might react to intervention
    -understanding and tracking sequences of interaction
    -creative use of directives
    Nichol’s P 116
23
Q

Explain the concept of “more of the same”.

A

In dealing with stress a client system might “do more of the same” which leads to “more of the same. A potential solution - do something different.
Class notes P. 7-8

24
Q

How does the Strategic approach to therapy view the cause of change?

A

It does not assume that an understanding of oneself leads to change. It can be a negative intervention and since many clients change without insight and some do not like interpretation.
Haley P. 1-2

25
Q

What makes Strategic Therapy different from traditional therapy?

A

The therapist designs a therapy ( a different intervention) for each individual case.
Haley P.2

26
Q

What does Strategic Theory regarding the cause of change?

A

Action causes change, conversation does not unless there are directives in the conversation.
Haley P. 1 & 6

27
Q

What are the 2 types of Directives in Strategic Therapy?

A

Straightforward and indirect

Haley P. 8

28
Q

What does a straightforward directive include?

A

Giving advice, coaching, setting up ordeals, and exact penance.
Haley P. 8

29
Q

Describe straightforward directive of an ordeal?

A

The therapist directs someone to do something that is harder than the symptom, whereupon they give up the symptom.
Haley P. 8

30
Q

Describe straightforward directive of penance.

A

Giving someone a penance that is helpful to others.

Haley P. 8-9

31
Q

What are some examples of an indirect directive?

A

Restraining people from changing, advising them to remain the same, imposing a paradox, metaphoric communication, absurd tasks, and doing nothing to cause frustration.
Haley P. 9

32
Q

From an MRI perspective, psychopathology is rooted in what?

A

Psychopathology is rooted in dysfunctional relationship issues that manifest themselves in faulty communications.
Class notes P. 3

33
Q

How long is Strategic Family Therapy intended to last and what does it focus on?

A

Strategic Family Therapy is intended to be short team and is focused on resolving the identified problem that the client system presents with.
Class notes P. 3

34
Q

What period of time in the clients life was the MRI group focused on?

A

The present - the here and now.

Class notes P. 4

35
Q

What is the focus the MRI group in terms of conceptualizing a problem?

A

What is happening and not “why” something is happening.

Class notes P. 4

36
Q

How did the MRI group recast human problems?

A

As behavioral, interactional and situational

Class notes P. 4

37
Q

Did the MRI group deny that intra-psychic mechanisms influence on individual functioning?

A

No - instead they gave greater credence to the social context and the interchange between people.
Class notes P. 4

38
Q

What must a client to once the therapist understand what the problem is as well as the attempted solutions?

A

Be convinced to follow teh therapist’s strategy and directives (requires trust).
Class notes P. 5

39
Q

How does the MRI group characterize problems?

A

Persistent failed attempts to change a distressing situation, difficulty or challenge.
Class notes P. 6

40
Q

In terms of the MRI groups Interactional View, how are problems maintained and how did they attempt to resolve the problem?

A

Problems are maintained by ongoing behaviors and client interactions. They sought to evaluate teh interactive steps that contribute to the problem.
Class notes P. 7

41
Q

How did the MRI group view an attempted solution to the problem.

A

A “solution” may itself be the problem.

Class notes P. 7

42
Q

What is a potential solution to a problem?

A

Do something different?

Class notes P. 8

43
Q

What does Metacommunication include?

A

Non-verbal cues that accompany the content. (I love you with a scowl)
Class notes P. 9

44
Q

Describe the Redundancy Principle

A

Instead of using the full range of possible behaviors, family member settle on certain rules or redundant patterns.
Class notes P. 10

45
Q

Describe “Punctuation”

A

Each person punctuates the interaction in a way that it reads like they believe it should.
Class notes P. 11

46
Q

Symmetrical Relationships are based on what?

A

Evenly distributed abilities and roles in teh system - Equality.
Class notes P. 11

47
Q

How are Complimentary Relations described?

A

On person assumes a position and the other assumes the opposite position - results in a hierarchy - Inequality.
Class notes P. 11

48
Q

Jackson adapted the Marital Quid pro Quo concept. Describe it?

A

Each partner gives something in order to receive something in return.
Class notes P. 12

49
Q

What is relabeling?

A

An attempt to alter the meaning of a situation by altering its conceptual and/or emotional context in a way that the entire situation is perceived differently.
Class notes P. 16

50
Q

What might a MRI therapist do to offset the “dangers of improvement” and to discouragement?

A

“Go Slow”

Class notes P. 16

Theories of Marriage and Family (20 decks)

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