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LMFT TDC Cards > Theories > Flashcards

Theories Flashcards

1
Q

Solution Focused Therapy

What are the tx goals of SF tx?

A

Implement small and lg changes to achieve their future goals using current strengths and resources

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2
Q

Solution focused

Common interventions with SF tx?

A
  1. Exception questions
  2. Miracle Questions
  3. Scaling questions
  4. Pre-supposing change
  5. Coping questions
  6. Affirmations and compliments
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3
Q

What is the beginning phase of tx for SF tx?

A

find strengths, evision future, goals

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3
Q

solution focused

What is the end of SF tx?

A

help them find things they can do to continue their positive changes, identify hurdles/barrier in the future and plan for them

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3
Q

solution focused

What is the middle phase tx for SF?

A

identify resources and traits they already use to solve problems, exceptions to the problem, scaling questions, provide positive feedback to clt

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4
Q

Psychodynamic

What is the role of a psychodynamic therapist?

A

establishing holding environment to develop a secure attachment. nondirective role

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5
Q

psychodynamic

What is the beginning phase of tx for psychodynamic?

A

Establishing holding environment, building rapport, exploring clt’s experience, empathy, interpretation, maintaining neutrality

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6
Q

psychodynamic

What is the middle phase of tx for psychodynamic?

A

promoting insight and growth, increasing individuation, work thru termination and abandonment issues

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7
Q

psychodynamic

End phase of psychodynamic

A

Clts are ready to terminate when they put new insights into action

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8
Q

psychodynamic tx goals

psychodynamic tx goals

A

uncovering and interpreting unconscious impulses and defenses. including relationships, attachmemts, and how they are projected onto current relationships

helping clt understanding the influence the past has on present

enhance self esteem

Allow them to access painful feelings/memories in safety to resolve inner conflict

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9
Q

psychodynamic

psychodynamic interventions

A

Observe and reflect clt bringing past issues into therapeutic relationship

avoid being brought into countertransference maladative patterns

interpreting transference

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10
Q

object relations

OR tx goals

A

providing reparative experiences

gaining insight into past relationships impacting fx

improving relationships with self and others

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11
Q

object relations

when two contradictory states (love and hate) are compartmentalized and not integrated

A

The concept of splitting

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12
Q

object relations

The process in which a person will project a thought or belief that they have onto a second person. The secondary person is then changed by the projection and begins to behave as tho they are actually charcterized by those thoughts or beliefs that were projected

A

projective identifcation

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13
Q

General system theory

What is the role of the therapist in general systems theory

A

Help the family explore:

belief systems and values
rules and roles
family hiearchy
expectations
defense mechanisms

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14
Q

general systems theory

Main concepts to remember in general systems

A
  1. people seek homeostasis and resist change, often using negative feedback loops
  2. wholeness: the idea that all of the units combined are greater than the sum of the parts, individuals and their interactions have an effect on the system as a whole
  3. First order changes: surface level, bx based, don’t change much
  4. second order changes: deeply affect the rules and systems of the organization
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15
Q

systems theory

tx goals for system theory

A
  1. move to equilibrium
  2. healthier interactions
  3. challenging beliefs
  4. individuals understand their roles in any given dynamic
  5. increase empathy among inidividuals in unit
  6. correcting problematic feedback loops
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16
Q

systems theory

common interventions for systems theory

A
  1. observe feedback loops
  2. exploring family rules, values, heirachy, expectations
  3. reframe issues from one person to the whole family
  4. explore each person’s role in the dynamic
  5. challenge communication patterns
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17
Q

bowen

What the the main point of bowen’s theory?

A

change occurs thru understanding multignerational dynamics and diffentiation

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18
Q

bowen

tx goals for bowen

A
  1. reduce anxiety and emotional turmoil
  2. self-differentiation
  3. improve communcation skills
  4. decrease reoccurence of dysfunctional patterns
  5. reduce emotional reactivity
  6. facilitate detriangulation
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19
Q

bowen

Key concepts for bowen

A
  1. triangles
  2. differentiation of individuals
  3. multigenerational transmission process
  4. fixing emotional cutoffs
  5. genograms
  6. interrupting arguments
  7. teaching i statements
  8. bibliotherapy
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20
Q

bowen

beginning phase for bowen

A

genogram, assess individuals differentiation/triangualtion, patterns massed down multi-generationally

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21
Q

bowen

middle phase bowen

A

teach and model differentiation thru communcation skills building, de-triagulation, reunitification, responsibility taking for thoughts and feelings

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22
Q

bowen

end phase bowen

A

family can review skills and knowledge gained in therapy

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23
Q

stategic

theory of change in strategic

A

change occurs thru action oriented directives and paradoxical interventions

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24
Q

strategic

tx goals for strategic

A
  1. solve presenting issue
  2. change dysfunctional patterns of interaction
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25
Q

strategic

key interventions in strategic

A
  1. paradoxical interventions
  2. positioning
  3. homework
  4. prescribing the problem
  5. restraining
  6. ordeals
26
Q

strategic

beginning phase of strategic

A

define the problem, determine how clt udnerstands the issue, assess destructive patterns of engaging with issue, state goals, determine what bxs need to change and how we would know if they did change

27
Q

strategic

middle phase of tx strategic

A

review attempted solutions, assign ordeals, prescibe the issue, relable the bxs and ask family to respond to problem in new way

28
Q

strategic

end phase of tx strategic

A

plan for maintaining new bxs, plan for future changes, emphasize positive changes made

29
Q

satir/communications

Theory of change for satir

A

Change happens thru self-awareness and improved communication. Humanistic.

30
Q

satir

tx goal for satir

A

clt to increase congruent communication, improve self-esteem/confidence

31
Q

satir

Interventions for satir

A
  1. identifying communcation styles and everyone’s role in the family
  2. family life chronology
  3. family sculpting
  4. taking responsibility
  5. metaphors and storytelling
  6. transforming rules to less ridgid guidelines
32
Q

satir

beginning phase of tx for satir

A

establish rapport, a sense of equality and hope, assess communication patterns, identifying tx goals

33
Q

satir

middle phase of tx satir

A

increase family congruent communcation, support and strengthen each individual’s sense of uniqueness and self-esteem

34
Q

satir

end phase of tx for satir

A

help family practice, implement, and integrate changes, and increase awareness of larger family patterns

35
Q

CBT

Theory of change for CBT

A

Change occurs by learning to modify dysfunctional thought patterns. Once a clt understand the relationship between thoughts, feelings, and bxs, they are able to modify or change patterns they use the cope with stressors

36
Q

cbt

goals for CBT tx

A
  1. clts learn negative patterns of thoughts, evaluate their validity, and replace them
  2. sxs are relieved
  3. develop positive coping skills
37
Q

cbt

key interventions for CBT

A
  1. negative cognitive triad (view of self, world, future)
  2. schemas
  3. socratic questioning
  4. homework
  5. exposure
  6. downward arrow
  7. three column technique and thought record
38
Q

CBT

Beginning phase of CBT

A

establish relationship, functional analysis, define issue, orient to CBT, set goals collaboratively

39
Q

CBT

Middle phase of CBT

A

identify negative thought patterns, uncover schemas, homework, monitor moods, reframing, practice new skills and bxs

40
Q

CBT

end phase of CBT

A

review gains, indentify skills learned, rehearse for new situations, anticipate future set-backs

41
Q

clt centered

theory of change for clt centered

A

change occurs by creating conditions for the clt to grow thru and therapeutic relationship with the presence of thee essential components: congruence/geniune, unconditional positive regard, and empathy

42
Q

clt centered

tx goals for clt centered

A
  1. self acceptance
  2. congruence between idealized self and actual self
  3. increasing self-understanding
  4. secreased defensiveness, insecurity, guilt
  5. more positive relationships and comfort with others
  6. increased ability to experience and express here and now feelings
43
Q

Gestalt

Theory of change for gestalt

A

change occurs thru increased awareness of the here and now experience in a dialogic relationship. existential and humanistic

44
Q

gestalt

tx goals for gestalt

A

the goal is for clt to become aware of what they are doing, how they are doiing it, how they change themselves, and learning to accept and value themselves

45
Q

gestalt

Key concepts for gestalt

A
  1. exploring experience by description and abstraining from interpretation
  2. allowing ther clt to be the expert
  3. experiements
  4. here and now focus
46
Q

gestalt

key interventions for gestalt

A
  1. empty chair
  2. experiments
  3. body awareness
  4. focus on the process (how things are said)
47
Q

existential

Theory of change for existential

A

change occurs thru finding philosphical meaning in the face of anxiety by choosing to think and act authentically and responsibly. The core question asked is “how do i exist in the face of uncertainty, conflict, or death?”

48
Q

existential

Tx goals for existential

A
  1. clt discovers their own life meaning
  2. clt confronts anxiety inherent in living
  3. clt experiences agency and responsibility in the construction of your life
49
Q

Existential

Key concepts for existential

A
  1. all persons capacity for self awareness
  2. we must all accept responsibility for freedom
  3. meaning of life is never fixed
  4. anxiety if part of being human
  5. death gives meaning to life
50
Q

existential

key interventions for existential

A
  1. moment to moment process
  2. talking/telling/naming the emotional pain
  3. honoring the pain and celebrating the meaning
51
Q

narrative

Theory of change for narrative

A

Change occurs by seperating the person from the problem and creating a new narrative that emphasizes the individual’s competencies and strengths

52
Q

narrative

tx goals for narrative

A
  1. understanding the problem saturated story and externalize the issue
  2. deconstuct problem saturated story in order to create healthier ones
  3. bring awareness to strengths
  4. increase clt’s sense of control in direction of life
53
Q

narrative

Key concepts for narrative

A
  1. externalizing issues
  2. looking for unique outcomes
  3. enlisting a witness
  4. creating written artifact
54
Q

narrative

Beginning phase of narrative

A

clt is invited to share their problem saturated story

55
Q

narrative

middle phase narrative

A

problem gets externalized, mapping influence of problem on their life, explore unique outcomes, reathor new story, enlist witness

56
Q

narrative

end phase narrative

A

create written artifact, document and support new narrative, write letters to self and others

57
Q

structural

Theory of change in structural family tx

A

change occurs thru restructuring the family’s organization

58
Q

structural

tx goals of structural

A

1.restructure the family system so that they can work thru issues and have sxs relief
2.change dysfunctional patterns and creatw new ways of relating to one another
3.flexible boundaries

59
Q

structural

Key concepts for structural

A
  1. subsystems (ex: martial subsystem in family)
  2. alliances/coallitions
  3. family map (not shared with family)
  4. fixing boundaries
    5.
60
Q

structural

common interventions in structural

A
  1. joining and memesis with family
  2. unbalancing the family
  3. refaming issues
  4. enactment of issues in session
  5. boundary making
61
Q

structural

beginning phase of tx in structural

A

Join with family; both accommodate to and challenge rules of family system;
assessment/mapping of hierarchy, alignments, and boundaries; reframing of problem to include
whole system.

62
Q

structural

middle phase of tx structural

A

Highlight and modify interactions; utilize enactments of issues to challenge participants
and unbalance the system.

63
Q

structural

end phase of tx

A

Review progress made; reinforce structural change; provide tools for future.

LMFT TDC Cards (4 decks)

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