Theories Flashcards
What are the 5 schools of Therapeutic Modalities?
CBT
Humanistic
Existential
Family Systems
Psychodynamic
What are the 4 CBT sub-modalities?
Cognitive Behavioral
Rational-Emotive Behavioral
Reality Therapy
DBT
What are the 4 HUMANISTIC / EXISTENTIAL sub-modalities?
Client-centered
Existential
Gestalt
Experiential
What are the 2 POST-MODERN sub-modalities?
Solution-focused
Narrative therapy
What are the 6 PSYCHODYNAMIC sub-modalities?
General psychodynamic
Psychodynamic
Depth psychology
Attachment-based
Self-psychology
Object-relations
What are the 4 FAMILY SYSTEM sub-modalities?
General Family System Theory
Structural
Strategic
Bowen
[POST-MODERN (6 bullets): Solution-Focused Family]
- Focus on solutions to problems; not problems themselves
- Maladaptive bx resulted from being stuck due to reliance on ineffective methods to solve problems
- sx due ct’s inability to focus on positive experience
- Family members have strengths and resources to solve
- Goal to help fx to access strengths and resources
- Fx members as experts; thx as consultant and collaborator
Psychodynamic Family Therapy; 4 Bullets
- fx dysfunction resulted from unresolved intrapsychic conflicts
- goal to modify personalities so fx members get along with each other
- focus on current situation for modification rather than past
- view individuals through psychoanalytic principles but use less traditional psychoanalytic techniques
Treatment Goals and Objectives
- Anticipated changes created based on problem list derived from assessment; desired outcome of therapy
- Goals: broad, comprehensive, long-term
- Objectives: Specific, measurable, short-term; to achieve goals
Emotionally Focused Therapy (EFT); 5 Bullets
- Brief, empirical couple’s therapy modalities
- Relational distress attributed to attachment insecurity in early relationships of FOO.
- Focus on role of emotions of the couple
- Predictable sequence when a party feels disappointed, hurt, fearful
- Goal to expand and restructure emotion experiences to create secure bonding
3 Stages of Emotionally Focused Therapy (EFT)
- Assessment and cycle de-escalation
- Change in interactional position
- Consolidation and integration
Structural Family Therapy; 6 Bullets
- Who: Munichin
- Work: Altering structure to change bx patterns
- Boundaries issues; disengaged vs enmeshed
- Dysfunctions: Rigid structure prevents adaptation to healthy ways of relating
- Goal: restructure family
- Premise: actions precede understanding
3 Steps of Structural Therapy
- Joining
- Evaluation
- Restructuring
Gestalt; 5 Bullets
- Neurotic bx as growth disorder due to abandoning self for self-image
- Disturbed boundary between self vs environment
- Unable to satisfy needs of self
- Goal: help Ct become aware of and integrate feelings, thoughts, and bx as a unified whole
- Techniques: games of dialog, dream work, reframing, assume responsibility
Integrative Behavioral Couple Therapy (IBCT); 4 Bullets
- Problems result from both actions and inactions AND related emotional reactivity
- Identify repetitive problematic bx interactions by functional analysis
- Focus on emotional context, then strive toward greater acceptance
- Disagreements normal; but cause stress when responded with habitual responses of coercion, vilification, and polarization
- Goal: acceptance and tolerance for disagreements/differences; change techniques to change bx
Readiness For Termination (3 Bullets)
- Primary and ideal situation: goals achieved; both thx and ct agree to terminate
- Goals not achieved but ct acquired skills needed to deal with remaining problems
- Tx unsuccessful; thx and ct reached consensus to terminate
Postmodernism (4 Bullets)
- Rejects the notion of objective reality and absolute truth
- Embraces reality as subjective and we live in a world constructed through observations
- Social constructionists: language is the tool to express constructions
- Applying it to therapy: constructions are not objective facts but instead linguistic tools to describe and understand families
Adlerian Therapy (3 Bullets)
- Replace Freud’s emphasis on instinctual drives in development of personality
- Viewed mental disorder as mistaken lifestyle to compensate feeling inferior thus obsession with power and a lack of social interest
- Goal: help develop social interest and foster a sense of belonging
4 Phases of Adlerian Therapy:
- Build therapeutic relationship
- Exploring lifestyle
- Foster self-understanding
- Help with re-orientation
African American Clients (4 Bullets)
- Use of ecological systemic approach, e.g., Boyd Franklin’s multiple system approach to address different systems
- include extended family, non-blood kins, church and other communities, and social agencies as strengths and resources
- Use of time-limited, goal-oriented intervention to foster egalitarianism
- Help build skills to foster self-agency over life
Milan Systemic Family Therapy (5 Bullets)
- Family: self regulating system resulting from trials and errors
- rules of family game: repeated interaction patterns
- Unacknowledged allegiances by members to control each other to maintain homeostasis
- Dirty games: deceitfulness and power struggles
- Goal: Play a different game –> understand problems in a different way and new solutions to problems
5 Parts of Milan Systemic Family Theory (5 Bullets)
- Pre-session tx team discussion
- Interview with family
- Discussion of the interview among team
- Conclusion by team and prescription for family
- Post-session team discussion
Solution-Focused Therapy Interventions (initial); 3 Bullets
- Genuine compliments
- Identify strengths and resources
- Goal-setting
Solution-Focused Therapy Interventions (assessment); 3 Bullets
Scaling question
- Assess readiness to change
- Put issues and progress on a continuum
- Reveal cause of sx as Ct’s inability to see strengths
Solution-Focused Therapy Interventions (tx phase)
- Stays goals-oriented by focusing on long-term goals
- Assign HW that focuses on and hold space for positive outcomes
- Exception questions for expression of negative emotions toward positive changes
- Coping questions and HW review to acknowledge positive outcomes
