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LMFT CA Intervention Summaries > Theories > Flashcards

Theories Flashcards

1
Q

First order change

A

System does not change, even if behavior does….

I.e. husband and wife who are fighting, stop talking to each other so no more fighting, but original problem or cause of conflict remains

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2
Q

Black box

A

No idea what internal process or cause of external behavior is, but can see still observe outcome

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3
Q

White box

A

Able to see process/cause of external behaviors

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4
Q

Double bind

A

A situation where one cannot effectively comment on it since one is receiving a conflicting message simultaneously and it would be dangerous or impossible to disengage the message

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5
Q

Double bind is treated via

A

Paradox

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6
Q

Functional Analysis

A

CB(F)T
Systemic Practice of defining the role of the symptom in the system

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7
Q

Operant conditioning

A

When you reward positive behavior towards ultimate goal
(Shaping behavior),
Ideally, you reward positive behavior immediately

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8
Q

REBT

A

A,B,C,D. etc
Confronting irrational beliefs in session

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9
Q

DBT

A

Evidence based treatment for Borderline

Finding balance or synthesis between 2 polar opposites

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10
Q

DBT

A
  1. Transition client’s away from black and white thinking
  2. Integrative theory
  3. DBT group for one year also
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11
Q

Solution focused therapy

A

Always looking for everything to be stated in positive terms

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12
Q

Solution focus therapy

A

Assess strengths

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13
Q

Solution focused therapy

A

Looking for exceptions

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14
Q

Solution focused therapy

A

Times when problem was expected to happen but it didn’t

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15
Q

Solution focused therapy

A

Assess solution,in positive behavioral terms, i.e. miracle question/Magic wand

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16
Q

Solution focused

A

Scaling questions

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17
Q

Solution focused therapy

A

Do one thing differently
Small changes in small steps

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18
Q

Solution focused therapy

A

Formula first session task:
What you DON’T want to change

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19
Q

Narrative therapy

A

Looking to enact preferred identities

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20
Q

Narrative therapy

A

Separate person from problem (narrative)
Who are you when you’re not in this problem?

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21
Q

Narrative therapy

A

Once you separate client from problem, start having them enact PREFERRED narrative

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22
Q

Narrative therapy

A

Relative influence question:

When you are mapping the influence of the person, vs the problem, or vice versa

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23
Q

Interrupt pattern and allow client to “self organize”

A

Strategic Therapy

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24
Q

Minimum amount of disruption to effect change, get them out of ruts with smallest change possible

A

Strategic Therapy

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25
Q

Morphogenesis

A

How a (family) system can react and change from new information WITHOUT losing stability

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26
Q

Morphostasis

A

A system’s (family) ability to react to new information change and to still remain stable

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27
Q

Cybernetic Process

A

Constant tension between morphogenesis and morphostasis to maintain homeostasis

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28
Q

First order change

A

Roles shift, but no actual change

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29
Q

Second order change

A

When a system changes its homeostasis due to “positive” feedback

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30
Q

Communication: Report and Command
Report (content)
Command (relationship)

A

Report: Literal content of the communication

Command:Relationship Metacommunication, how to interpret communication

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31
Q

Holon

A

An entity or organism unto itself (like a family)

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32
Q

Symbolic Experiential Theory

A

Carl Whitaker

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33
Q

Therapy of the Absurd

A

Carl Whitaker
Symbolic Experiential Theory

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34
Q

2 Battles

A

Battle for structure
Battle for initiative

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35
Q

This battle should only be won by therapist

A

Battle for structure
Symbolic Experiential Theory

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36
Q

This battle should only be won by client

A

Battle for initiative
Symbolic Experiential Theory

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37
Q

Absurdity for specific purpose:

To perturb the system in a compassionate/caring way

Symbolic Experiential Theory

A

Therapist always conveys caring, no matter how brutal the truth

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38
Q

Use of Co-Therapists: good cop/ bad cop

A

Symbolic Experiential Theory

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39
Q

Therapist focuses on Emotional Systems
(Not just behavior and interactions)

A

Symbolic Experiential Theory
Carl Whitaker

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40
Q

Satir Family Therapy
5 Communication stances when threatened

A
  1. Congruent (the Positive One)
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41
Q

Satir Family Therapy
5 Communication stances when threatened

A
  1. Placator- most common for therapy
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42
Q

Satir Family Therapy
5 Communication stances when threatened

A
  1. Blamer: Must learn empathy
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43
Q

Satir Family Therapy
5 Communication stances when threatened

A
  1. Super Reasonable: Spock
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44
Q

Satir Family Therapy
5 Communication stances when threatened

A
  1. Irrelevant: Distracts/class clown
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45
Q

Satir’s Family Therapy Stances all acknowledge:

A

3 realities:

Self
Other
Context

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46
Q

Satir’s 6 Stage Model of Change
(First 3)

A
  1. Status Quo
  2. Foreign elements
  3. Chaos
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47
Q

Satir’s 6 Stage Model of Change
(Last 3)

A
  1. Integration of new Responsibilities
  2. Practice
  3. New Status quo
48
Q

Family Life Chronology

A

Satir Family Therapy

49
Q

Surviving Triad

A

Child and two parents
Satir Family Therapy

50
Q

Iceberg

A

Tip of iceberg represents problem/symptoms

Bottom is emotions driving it

Satir Family Therapy

51
Q

Sculpting

A

Position each person to metaphorically represent their roles

one member of the family at a time is asked to physically arrange the family members in relationship to one another.

Satir Family Therapy

52
Q

Represents both Systemic and Individual therapy

A

Satir Family Therapy

53
Q

Model is intended to be a brief solution to a specific problem

A

Strategic Therapy, and why it’s called Strategic
Jay Haley and MRI

54
Q

How to fix problems as quick as possible

A

Strategic Therapy

55
Q

Therapist viewed as an authority/teacher

A

Strategic Therapy

56
Q

Circular Causality

A

Series of causes and effects leading back to original cause of problems and either alters or confirms it, leading to new sequence/feedback loop

Strategic Therapy,

57
Q

First Order Change

A

Change occurs but only impacts symptom relief, not family roles

58
Q

Second Order Change

A

Creates Lasting Change, NOT just symptom relief

59
Q

Problem: Symptom is an attempt to address/solve problem

A

Strategic Therapy

Goal is to relieve symptom of family

60
Q

Goal: Relieve Symptom of Family

A

Strategic Therapy

61
Q

Strategic Family Therapy Goals

A

To address negative behaviors of poor hierarchy and boundaries in family

62
Q

Therapist Role:

Strategic Family Therapy

A

Works in collaboration with Family

63
Q

Directive:

A

Task assigned by therapist to address family problem

Strategic Family Therapy Goals

64
Q
  1. Social stage
A

Therapist observes

Strategic Family Therapy Goals

65
Q
  1. Problem Stage
A

Problem defined

Strategic Family Therapy Goals

66
Q
  1. Interaction stage
A

Combines first and second steps

Strategic Family Therapy Goals

67
Q
  1. Goal setting
A

Sign contact to address fix goals

Strategic Family Therapy Goals

68
Q

Paradoxical Intervention

A

Counter intuitive or opposite prescribed

Strategic Family Therapy Goals

69
Q

Paradoxical Intervention

A

Goal: Symptom Relief
i.e. “Argue at 7pm”

Strategic Family Therapy Goals

70
Q

Ordeals:

A

Pair unpleasant tasks w/ symptoms

I.e. “When you get anxious, scrub bathroom”

Strategic Family Therapy Goals

71
Q

Restraining:

Strategic Family Therapy Goals

A

“Do not change!” (Almost sarcastically)

Strategic Family Therapy Goals

72
Q

Positioning:

Strategic Family Therapy Goals

A

Exaggerating severity of symptom

Strategic Family Therapy Goals

73
Q

Strategic Directives:

A

Get people out of rut with smallest changes possible

74
Q

Systemic Therapist

A

Interrupts negative interactions, often with ridiculousness,
i.e. “Wear hats whenever you argue”

75
Q

Systemic Therapy

A

Interrupts system and allows it to reorganize in manner without priblems

76
Q

5 stages of Strategic Family Therapy

A
  1. Social Stage
77
Q

5 stages of Strategic Family Therapy

A
  1. Problem Stage
78
Q

5 stages of Strategic Family Therapy

A
  1. Interaction Stage
79
Q

5 stages of Strategic Family Therapy

A
  1. Goal setting stage
80
Q

5 stages of Strategic Family Therapy

A
  1. Task setting stage
81
Q

Strategic Family Therapy

A

Initial appointment:

Invite all members of household, even if it’s only individual therapy

82
Q

Strategic Positioning by Therapist

A

Role of therapist shifts

83
Q

Strategic Positioning by therapist

A

What response most likely to cause change?

84
Q

Strategic Positioning by Therapist

A

Most commonly used:
Social courtesy and one down position

85
Q

Strategic Therapy
5 ways to think of problems

A
  1. Involuntary vs voluntary
86
Q

5 basic ways to think of problem

A
  1. Helplessness vs Power

Strategic Family Therapy

87
Q

5 basic ways to think of problem

A
  1. Helplessness vs Power

Strategic Family Therapy

88
Q

5 basic ways to think of problem

A
  1. Metaphorical vs Literal

Strategic Family Therapy

89
Q

5 basic ways to think of problems

A
  1. Hierarchy vs Equality

Strategic Family Therapy

90
Q

5 basic ways to think of problems

A
  1. Hostility vs love

Strategic Family Therapy

91
Q

Emphasize increasing family’s ability to love

A

Strategic Family Therapy

92
Q

Strategic Goals

A

How to get family to redefine Homeostasis to cause it to reset

93
Q

Strategic Family Therapy

Interventions

A

Straight forward directives: Therapist has more power/authority

94
Q

Strategic Family Therapy

Interventions

A

Indirect directives: less power with clients

95
Q

Strategic Family Therapy

Interventions

A

Paradoxical Symptom:
Therapist reframes meaning and context of symptom so client can no longer use it

96
Q

Strategic Family Therapy

A

Allows client to reorganize according to cultural beliefs, no actual notion of “normal”

97
Q

Strategic Family Therapy

Indirect directives

A
  1. Metaphorical taskes
98
Q

Strategic Family Therapy

Indirect directives

A
  1. Pretend techniques: “Fake it till ya make it!”
99
Q

Paradoxical Symptom

A

Reframe symptom in context of client meaning so client can no longer use it

100
Q

Metaphorical Task

A

Indirect Directive

Strategic Therapy

101
Q

Pretend Techniques (fake it till you make it)

A

Indirect directives

Strategic Therapy

102
Q

Ordeal Therapy:

A

When client feels helpless, assign an “illogical” task, and also before “A” first do “B”

Strategic Therapy

103
Q

Allows clients to Reorganize according to culture

A

Strategic Family Therapy

104
Q

Existential Therapy

A

Daseinanalysis
Feels more like psychodynamic, how is client engaging and interacting with environment

105
Q

Existential Therapy

A

Logotherapy

Developed by Victor Frankl

106
Q

Existential

A

Life has no meaning, we must find it (except for Frankl)

107
Q

Existential

A

Freedom and Responsibility
Major focus

108
Q

Existential

A

Even with consequences we are free to choose

109
Q

Existential

A

Therapist:
Where is it client does NOT feel free?

110
Q

Existential

A

Death anxiety:
Instinctual and plays major role in terms of death, anxiety, denial, etc

111
Q

Existential

A

How is fear of death related to presenting problem?

112
Q

Existential

A

Work on client’s accepting their death, death of others, which leads to more responsibilities and better choices

113
Q

Existential

Purpose of neurosis/symptom:

A

Purpose of neurosis/symptom:

To preserve our sense of self in outside world, symptom gives clue where person is not taking responsibility for self/behavior

114
Q

Existential

Goals:

A

Long term goal:
To live a long and authentic life

115
Q

Existential

Interventions

A

Subtle, identifying issues, reflecting, addressing and resolving

116
Q

Existential

A

Acknowledging existential isolation
We come in, journey, and die alone in life. We must learn to live with it…define and affirm self to achieve true sense of freedom

LMFT CA Intervention Summaries (3 decks)

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