Strategic Family Therapy: Part II Flashcards
In regard to Strategic Family Therapy what did Jay Haley content concerning interpersonal relationships?
Every interpersonal relationship either overtly or covertly struggles with power and control issues.
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How did Haley view symptoms?
Symptoms are strategies for controlling a relationship when all other strategies have failed.
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The jockeying back and forth for control only becomes pathological when?
People resort to subtle, indirect methods of controlling others.
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When does control become dysfunctional?
When people resort to subtle, indirect methods of controlling others.
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When does maneuvers to control become pathological?
If one or both partners denies trying to control the other’s behavior and/or exhibits symptomatic behavior while doing so.
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According to Haley, what is the goal of the therapist?
To maneuver the client system into developing other ways of defining relationships so that symptomatic methods will be abandoned.
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As opposed to offering insight and interpretation Haley sought to?
Change aspects of the family system that are maintaining homeostasis.
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What will family members do to maintain homeostasis?
Manipulate, deceive, exclude or subdue a therapist.
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Family problems are often the result of what?
Inadequate parental hierarchies?
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Cloe Madanes (Haley’s wife), rather than emphasizing power and control placed emphasizes on what?
Th family’s ability to love and nurture, therefore focusing on a families successful attempts to show love.
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What techniques did Madanes develop that are less confrontational than other Strategic techniques?
Pretend Techniques.
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What are the five approaches (stages) that Haley takes in the initial session?
- The social Stage
- The problem stage
- The interaction stage
- The goal setting
- Offering directives stage
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How do directives enhance the strategic therapeutic process?
They get people to behave differently
They involve the therapist in teh family’s actions outside of therapy
They provide teh therapist with important information based on the family’s reactions.
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Describe a paradoxical Directive and why are they effective?
Advising a domineering wife to take control of everything from A-Z in the family. They make the ordeal more unpleasant than the presenting probem.
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What types of symptoms is an ordeal gear towards addressing?
Those that clients feel helpless in controlling such as overeating, smoking, nail-biting and drinking.
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Describe Milan Systemic Approach to therapy.
- team approach
- spaced out therapy sessions (maybe 2 months apart
- pre-meeting to develop hypothesis
- conductor interviews family, team observed behind a one-way mirror.
- break during session to consult with team
to make recommendations/directives - conductor returns to family presents directives and instructs family to return in a month
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How did the Milan Group view therapy?
As a learning process
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What is the purpose of Circular Questions?
They focus on family interactions ad behavioral changes
They seek to highlight systemic interaction patterns.
In fuse new information into the system from multiple perspectives
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What is a positive connection?
an intervention in which the symptomatic behavior is reframed and given a positive connotation.
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What is the purpose in assigning a ritual to a family?
They are highly structured interventions (time, place, duration. frequency, who is to say what) given by the team that prescribed to provide clarity and consistency in family relationships.
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Describe a Counter-paradox.
A therapeutic treatment that is designs so that no matter what you do, you do something that moves you in a new/right direction.
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What does an Invariant Prescription do?
It seeks to break up dysfunctional family patterns and assists in aligning the parent unit as a couple and allows them to separate from dysfunctional, interfering, cross-generational alliances.
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Strategic Family Therapy is (long term/short term focused and focuses on what?
Short term/problems.
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What did the Interaction stage (3 Stage) of the initial session allow Haley to do?
Observe dysfunctional communication patterns, coalitions, and power hierarchies.
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According to Haley directives are likely only to work when?
If the family is highly motivated to change.
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How did the Milan Group use hypothesizing?
To develop hypothesis abut family interaction and patterns and games and modifies them as teh family presents new information.
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How did the Milan Group view Neutrality?
They maintained a strict position on non-partially, avoided blaming and honored all perspectives.
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Positive Connotation is another word for what and how is this intervention used?
Reframing. Symptomatic behavior is reframed and given a positive connotation.
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Studies claimed that Strategic Therapy was effective with what populations and presenting problems?
It reduced hospitalization Delinquency Heroin addicts Anorexia nervosa Class 8 notes P.15
