Therapy stages Flashcards by Eric Stullmam

Structural

early stage goal

Observation
join and accomodate
challenge symptom

How well did you know this?

Not at all

Perfectly

Structural

Early stage intervention

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

How well did you know this?

Not at all

Perfectly

Structural

middle stage goal

Challenge family structure

How well did you know this?

Not at all

Perfectly

Structural

Middle stage interventions

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

How well did you know this?

Not at all

Perfectly

Structural

Late stage goal

Consolodation

How well did you know this?

Not at all

Perfectly

Structural

late stage interventions

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

How well did you know this?

Not at all

Perfectly

object relations early stage goals

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

How well did you know this?

Not at all

Perfectly

object relations early interventions

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.

How well did you know this?

Not at all

Perfectly

object relations middle stage goals

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

How well did you know this?

Not at all

Perfectly

object relations middle stage interventions

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

How well did you know this?

Not at all

Perfectly

Object relations late stage goals

Resolve idealized transference

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

How well did you know this?

Not at all

Perfectly

object relations late stage interventions

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

How well did you know this?

Not at all

Perfectly

object relations termination criteria

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

How well did you know this?

Not at all

Perfectly

Existential
goals
DFFAAAIA

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

How well did you know this?

Not at all

Perfectly

Existential

interventions

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

How well did you know this?

Not at all

Perfectly

Bowen

overall goals

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

How well did you know this?

Not at all

Perfectly

Bowen

Middle stage goals

reduce fusion
detriangulate
improve communication skills
reduce repetition of dysfunctional patterns

How well did you know this?

Not at all

Perfectly

Bowen

early stage goal

reduce emotional reactivity

How well did you know this?

Not at all

Perfectly

Bowen

early stage interventions

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

How well did you know this?

Not at all

Perfectly

Bowen middle stage interventions

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

How well did you know this?

Not at all

Perfectly

Bowen late stage interventions

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

Bowen stages of Therapy

Early: evaluation

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

Bowen late stage of therapy

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

Bowen middle stage of therapy

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

Bowen late stage goals

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

Strategic | overall goals

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

Strategic | overall interventions used

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

reframe and relable

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

empty chair technique

Gestalt, Satir, Bowen

I statements

Gestalt, Satir, strategic, Bowen, object relations | everyone but cbt, solution, narrative

role playing

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

Family Systems Theories

Satir, Haley:strategic, minuchin:Structural, Bowen

Stages in the Family Life Cycle

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

therapeutic parts party

Satir: talking to parts of oneself

Structured famiy interview

Strategic/communications: helps therapist to assess patterns of communication

structural assessment tool | family structural mapping

symbolic diagrams that depict family interactional styles

structural middle stage interventions include

paradoxical interventions and education/homework

Bowen time frame

long term

bowen early stage interventions include

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

bowen middle stage interventions

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

solutions interventions, middle

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

solution rules

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

narrative

sparkling moments

narrative middle stage interventions | exception questions

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

narrative middle stage interventions | externalizing questions

When did temper first begin to influence you?

narrative middle stage interventions | preference questions

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

narrative middle stage interventions | deconstruction questions

Where did that idea come from?

narrative middle stage interventions | meaning questions

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

narrative middle stage interventions | reauthoring

future oriented questions. "what do you predict?" | How do you think these new discoveries will affect your relationship with fear?

Homework

Structural, strategic, cbt, Bowen, narrative, solution