Structural Flashcards
Major Concepts of Structural:
- Alliances
- Boundaries (individuals, subsystems, and whole family)
- Coalitions (ex. cross-generational)
- Disengagement
- Detouring
- Enmeshment
- Parentified child
- Restructuring
- Structural map
- Triangles
Theory of Dysfunction in Structural:
- Inflexible family structures not adequately adjusting to/accommodating developmental or situational changes.
- Rigid or diffuse boundaries between subsystems.
Theory of Change in Structural:
- Reorganization of family structure through interactional patterns.
- Establish strong parental subsystem.
- Create clear but flexible boundaries between subsystems.
- Enable more functional adaptive patterns toward change.
- Help families find resources and strengths.
Stages of Therapy in Structural:
- Entire family present for initial and subsequent interviews.
- Join with family in a position of leadership.
- Map underlying structure.
- Intervene to transform the structure.
Therapy tends to be brief.
Stance of Therapist in Structural:
- Active, involved
- Position of leader
- Nonjudgmental - therapist’s purpose is to create more options, not to criticize what is wrong
Methods/Techniques of Structural:
- Joining and accommodating
- Mapping the structure
- Shaping Competence - change interactions by highlighting what clients do right
- Boundary making
- Unbalancing
- Challenging intensity
- In-session enactments
- Reframe
- Behavioral tasks
- Therapeutic paradox
Diagnosis/Assessment in Structural:
- Consider family structures (covert set of rules that govern transactions in the family).
- Observe system’s flexibility, capacity for elaboration and restructuring.
- Family system’s resonance, sensitivity to individual members’ actions.
- Range of enmeshment or disengagement.
- Family’s life context; sources of support and stress in family’s ecology.
- Family’s developmental stage and performance of the tasks appropriate for that stage.
- Data from observation during interaction stage.
Theorists of Structural:
- Minuchin
- Montalvo
- Fishman
- Aponte
Goal of Structural:
Correct dysfunctional hierarchies by putting parents in charge of their children and to differentiate between subsystems within families so the family can solve its own problems.
What are boundaries?
Structural
Hypothetical separation that serves to protect autonomy of family and its subsystems by managing proximity and hierarchy.
Rigid (disengagement) to diffuse (enmeshment).
Describe healthy and dysfunctional disengagement:
Structural, rigid
Healthy - independent, children learn to be self-sufficient and resourceful
Dysfunctional - isolated, may not relate well to others, lack warmth and nurturance; avoid acknowledging problems
Describe healthy and dysfunctional enmeshment:
Structural, diffuse
Healthy - receive affection and nurturance
Unhealthy - lack autonomy and may not learn to rely on themselves; deny or suppress problems
Define Accommodation:
Structural technique
Adjustments a therapist makes to achieve a therapeutic alliance. Critical for later intervention.
- Joining - Establishing rapport and temporarily becoming part of the family
- Mimesis - Matching the mood or behaviors of the family members
Define Enactment:
Structural assessment and intervention
Directing clients to interact so therapist can observe dysfunctional transactional patterns in session rather than relying on vague reports.
Therapist maps the system.
Focus on process, not content.
Define Unbalancing:
Structural intervention
Supporting one family member and interfering with homeostasis.