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treatment > Therapy stages > Flashcards

Therapy stages Flashcards

1
Q

Structural

early stage goal

A

Observation
join and accomodate
challenge symptom

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2
Q

Structural

Early stage intervention

A

engage family; looks for alliances and splits
Family history; relabeling the problem
enactment

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3
Q

Structural

middle stage goal

A

Challenge family structure

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4
Q

Structural

Middle stage interventions

A

“main stage”
re-enactment; realigning subsystems; Marking boundaries to rigidity and promote closeness;
homework/education; escalating stress
supporting one-down person

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5
Q

Structural

Late stage goal

A

Consolodation

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6
Q

Structural

late stage interventions

A

discontinue treatment digressively
presenting problem resolved
family system has been restructured
family has skills to resolve future conflicts

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7
Q

object relations early stage goals

A

safe holding environment, therapeutic alliance, establish boundaries, explore problems to establish goals, sx identification and reduction, identify recapitulation

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8
Q

object relations early interventions

A 
establish and model boundaries
active listening
psychosocial hx
assessment
clarify and amplify issues
put language to feelings
psycho education, normalization for sx redux
use of referrals to reduce sx
reframe role of I.P.
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9
Q

object relations middle stage goals

A

promote insight - split off/disowned parts of self
uncover unconscious wishes and desires
discover resistance/defense mechanisms
develop ability to distinguish past relational dynamics from present
increase individuation and separation
promote reintegration of split-off parts of self
promote development of cohesive true self
reparent

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10
Q

object relations middle stage interventions

A 
clarification and amplification
interpretation, reframing
explore intention of defences/resistance
interrupt projection process
interpret and explore transference
identify and increase tolerance for split-off parts and feelings
continue psychoed
provide corrective emotional experience
use of objective counter-transference
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11
Q

Object relations late stage goals

A

Resolve idealized transference

work through termination issues; loss of therapy and therapist, regression, reparenting

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12
Q

object relations late stage interventions

A

review and consolidate self soothing/coping skills
work through abandonment issues, regression
provide corrective emotional experience

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13
Q

object relations termination criteria

A 
sx connected w/cause
conflicts worked through
reduction of repetition compulsion
holding capacity improved
greater separation and individuation
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14
Q

Existential
goals
DFFAAAIA

A

develop microcosmic relationship
facilitate awareness of parts out of awareness and our unique subjective experience
facilitate search for personal meaning and life goals
affirm personal choices and responsibilities
acceptance of anxiety
acceptance of responsibility for our own choices
increase choice potential
assume responsibility for ownership of one’s life

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15
Q

Existential

interventions

A 
share personal reaction to client
self disclosure
challenging client to see how they avoid making decisions
encouraging choice making
promote awareness of metacommunication
being curious about clients experiential world
clarifying
identifying
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16
Q

Bowen

overall goals

A

Differentiation of each family member (intrapsychic, interpersonal)
redirection of anxiety & relief from symptoms
Reduce emotional reactivity (reacting vs. responding)

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17
Q

Bowen

Middle stage goals

A

reduce fusion
detriangulate
improve communication skills
reduce repetition of dysfunctional patterns

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18
Q

Bowen

early stage goal

A

reduce emotional reactivity

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19
Q

Bowen

early stage interventions

A

Genogram of family’s multigenerational relationship system
Teach “I” statements
bibliotherapy
educate on: developmental stages/life cycle tasks, grief work

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20
Q

Bowen middle stage interventions

A 
Differentiate between thoughts and feelings
educate re:triangles-> detriangulating
coach one-to-one relationships
Continue gathering family information
role playing
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21
Q

Bowen late stage interventions

A

home visits; empty chair work
educating re: grief stages
letter writing
“caring/sharing” days

22
Q

Bowen stages of Therapy

Early: evaluation

A 
therapist is coach in neutral position, connects with each person
models "I" position
interaction is observed
genogram history taking
looks for emotional cut offs
23
Q

Bowen late stage of therapy

A

individuals have learned how to detriangulate -> solid self higher level of differentiation/state beliefs without attacking others; home visits

24
Q

Bowen middle stage of therapy

A

Interventions - Differentiation; teaching differences between thinking/feeling
alters triangles - promotes marital diad communic.
opens closed systems; helps ind. see role in family conflict to avoid recapitulation
establish closer ties with community and extended family
- talk about toxic issues; regulate contact

25
Q

Bowen late stage goals

A

reconnect, resolve
improve relationships with significant other
grief/loss work

26
Q

Strategic

overall goals

A
  1. plan a strategy for solving presenting problem
  2. produce family change by altering system
  3. prevent repetition of dysfunctional patterns; presenting problem no longer serves a function
  4. help family to next stage of family life
  5. point out power struggles in family relationships
27
Q

Strategic

overall interventions used

A

creates a new problem that leads to resolution of presenting problem
moves in and out of coalitions no aligning

28
Q

reframe and relable

A

Bowen, Satir (translates unexpressed needs and wants of I.P.), Strategic: i.p.’s sx’s as systemic, problem that can be solved(early and middle) , Object relations - sx’s of i.p., structural -the sx.
everyone but cut, solution, narrative

29
Q

empty chair technique

A

Gestalt, Satir, Bowen

30
Q

I statements

A

Gestalt, Satir, strategic, Bowen, object relations

everyone but cbt, solution, narrative

31
Q

role playing

A

cbt, Satir, existential, gestalt, Bowen, object relations, everyone but solution, narrative, structural

32
Q

Family Systems Theories

A

Satir, Haley:strategic, minuchin:Structural, Bowen

33
Q

Stages in the Family Life Cycle

A
  1. Between families
  2. joining of families through marriage
  3. families with young children
  4. family with adolescents
  5. launching
  6. family in later life
34
Q

therapeutic parts party

A

Satir: talking to parts of oneself

35
Q

Structured famiy interview

A

Strategic/communications: helps therapist to assess patterns of communication

36
Q

structural assessment tool

family structural mapping

A

symbolic diagrams that depict family interactional styles

37
Q

structural middle stage interventions include

A

paradoxical interventions and education/homework

38
Q

Bowen time frame

A

long term

39
Q

bowen early stage interventions include

A

psychoeducation, relabeling and reframing and diminish reactive anxiety (overemotional), models differentiation.

40
Q

bowen middle stage interventions

A

process statements, education about multigenerational patterns and communication, roleplay and coaching, use of displacement stories(bibliotherapy, cinema tx)

41
Q

solutions interventions, middle

A

scaling questions, exception questions, “when is the problem not a problem”, punctuating solutions and exceptions.

42
Q

solution rules

A

if not broken don’t fix
if it’s working do more of it
if it’s not working try something else.

43
Q

narrative

A

sparkling moments

44
Q

narrative middle stage interventions

exception questions

A

Was there a time when ‘the rift’ invited you into conflict and declined the invitation

45
Q

narrative middle stage interventions

externalizing questions

A

When did temper first begin to influence you?

46
Q

narrative middle stage interventions

preference questions

A

How does temper get you to participate in its plans for you?

47
Q

narrative middle stage interventions

deconstruction questions

A

Where did that idea come from?

48
Q

narrative middle stage interventions

meaning questions

A

What does it say about you that you were able to do that?

49
Q

narrative middle stage interventions

reauthoring

A

future oriented questions. “what do you predict?”

How do you think these new discoveries will affect your relationship with fear?

50
Q

Homework

A

Structural, strategic, cbt, Bowen, narrative, solution

treatment (6 decks)

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