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MFT Clinical > Theories > Flashcards

Theories Flashcards

1
Q

What are the 5 schools of Therapeutic Modalities?

A

CBT
Humanistic
Existential
Family Systems
Psychodynamic

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2
Q

What are the 4 CBT sub-modalities?

A

Cognitive Behavioral
Rational-Emotive Behavioral
Reality Therapy
DBT

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3
Q

What are the 4 HUMANISTIC / EXISTENTIAL sub-modalities?

A

Client-centered
Existential
Gestalt
Experiential

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4
Q

What are the 2 POST-MODERN sub-modalities?

A

Solution-focused
Narrative therapy

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5
Q

What are the 6 PSYCHODYNAMIC sub-modalities?

A

General psychodynamic
Psychodynamic
Depth psychology
Attachment-based
Self-psychology
Object-relations

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6
Q

What are the 4 FAMILY SYSTEM sub-modalities?

A

General Family System Theory
Structural
Strategic
Bowen

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7
Q

[POST-MODERN (6 bullets): Solution-Focused Family]

A
  • 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
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8
Q

Psychodynamic Family Therapy; 4 Bullets

A
  • 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
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9
Q

Treatment Goals and Objectives

A
  • 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
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10
Q

Emotionally Focused Therapy (EFT); 5 Bullets

A
  • 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
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11
Q

3 Stages of Emotionally Focused Therapy (EFT)

A
  1. Assessment and cycle de-escalation
  2. Change in interactional position
  3. Consolidation and integration
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12
Q

Structural Family Therapy; 6 Bullets

A
  1. Who: Munichin
  2. Work: Altering structure to change bx patterns
  3. Boundaries issues; disengaged vs enmeshed
  4. Dysfunctions: Rigid structure prevents adaptation to healthy ways of relating
  5. Goal: restructure family
  6. Premise: actions precede understanding
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13
Q

3 Steps of Structural Therapy

A
  1. Joining
  2. Evaluation
  3. Restructuring
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14
Q

Gestalt; 5 Bullets

A
  1. Neurotic bx as growth disorder due to abandoning self for self-image
  2. Disturbed boundary between self vs environment
  3. Unable to satisfy needs of self
  4. Goal: help Ct become aware of and integrate feelings, thoughts, and bx as a unified whole
  5. Techniques: games of dialog, dream work, reframing, assume responsibility
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15
Q

Integrative Behavioral Couple Therapy (IBCT); 4 Bullets

A
  1. Problems result from both actions and inactions AND related emotional reactivity
  2. Identify repetitive problematic bx interactions by functional analysis
  3. Focus on emotional context, then strive toward greater acceptance
  4. Disagreements normal; but cause stress when responded with habitual responses of coercion, vilification, and polarization
  5. Goal: acceptance and tolerance for disagreements/differences; change techniques to change bx
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16
Q

Readiness For Termination (3 Bullets)

A
  • 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
17
Q

Postmodernism (4 Bullets)

A
  • 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
18
Q

Adlerian Therapy (3 Bullets)

A
  • 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
19
Q

4 Phases of Adlerian Therapy:

A
  1. Build therapeutic relationship
  2. Exploring lifestyle
  3. Foster self-understanding
  4. Help with re-orientation
20
Q

African American Clients (4 Bullets)

A
  • 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
21
Q

Milan Systemic Family Therapy (5 Bullets)

A
  • 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
22
Q

5 Parts of Milan Systemic Family Theory (5 Bullets)

A
  1. Pre-session tx team discussion
  2. Interview with family
  3. Discussion of the interview among team
  4. Conclusion by team and prescription for family
  5. Post-session team discussion
23
Q

Solution-Focused Therapy Interventions (initial); 3 Bullets

A
  • Genuine compliments
  • Identify strengths and resources
  • Goal-setting
24
Q

Solution-Focused Therapy Interventions (assessment); 3 Bullets

A

Scaling question
- Assess readiness to change
- Put issues and progress on a continuum
- Reveal cause of sx as Ct’s inability to see strengths

25
Q

Solution-Focused Therapy Interventions (tx phase)

A
  • 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

MFT Clinical (2 decks)

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