Unit 3 Part 1 (up to Slide 36) Flashcards
Milieu therapy
Provides a structured environment in order to affect behavioral changes, and to improve the psychological health and function of the individual
-helps to create a therapeutic community where individuals have opportunities for psychological growth 
Traditional Nuclear family
Married
Mother, father, and children
Nuclear family
Unmarried
Mother, father, children
Characteristics of a healthy family
Everyone feels valued, respected, safe, and important.
Respects boundaries
Have defined traditional roles for parents and children
Open communication
Dysfunctional family
Members do not respect one another
Unstable and unsafe
Strict rules, provides negative feedback, and is openly hostile
Boundaries not respected
No defined roles, blurred roles and expectations (enmeshed)
Caretaker (Martyr/Enabler)
Tries to keep everyone happy by not actually dealing with problems and taking all the blame onto themselves
-Cover up leads to unhealthy coping mechanisms and struggles with anxiety and depression by not dealing with core issues
Hero
Always right and perfect. Receives high amount of praise and positive attention in the family
- The hero has to live up to these expectations and often feels like they cannot make their own decisions
-Extreme pressure to be successful can lead to anxiety and depression 
Scapegoat
“Black Sheep”
Always seen as a problem and never good enough. Receives high amount of negative attention and more discipline.
-often impulsive and angry, feels shame, and like a failure that has a little motivation to succeed.
-needs to stop the “splitting” thinking that they are all bad
Lost Child
Child, that is ignored quiet, and feels invisible typically have a low sense of self identity, and not push to succeed.
-feels alone and misunderstood. May have learning disabilities, depression, and issues with self harm.
-they need to learn that they have value and connect with others. Often successful in life
Clown (Mascot)
Popular with other kids, but not always adults. Uses humor to cover up depression in mask serious issues in the family.
-tends to be a follower and needs to learn assertiveness techniques and take them self seriously
The Addict (Patient)
Takes on addict/sick role in the family. The family rallies around them which distracts a family from other issues.
-The addict resist treatment in order to keep the family together until they get angry that they are the only ones that everyone thinks needs “help”
Placater
One member of the family tries to sooth, someone who is angry or upset by making concessions.
-also exhibit enabling and co-enabler
- EX: a mother buys her child, a new toy when they throw a tantrum in the toy store to get the child to stop crying
Goal of Family therapy
The goals are to define and clarify relationships among and between family members and develop 1:1 relationships over “triangles “which are unhealthy emotional systems, and to encourage members to be seen as individuals rather than establish family roles and histories
Psychodynamic psychotherapy
Developed by Freud
Requires the client to access less of conscious thoughts, but more of unconscious, thoughts and feelings that have been deeply buried and are more difficult to access 
-attempts to uncover defense mechanisms that the client has used to protect her ego
-often uses free association, dream, analysis, interpretation, and role-playing between therapist and client
Cognitive therapy
Modifies distorted thoughts
Goal is to monitor negative automatic thoughts, and recognize connections between thoughts, affect, and behavior 
Arbitrary inference ( Distorted thoughts)
“Jumping to conclusions”
When we conclude without having all the facts, and sometimes despite contradictory evidence to support it 
Overgeneralization ( Distorted thoughts)
Make sweeping conclusions based on incidents
Dichotomous thinking ( Distorted thoughts)
“ All or nothing” type of thinking. No grey area
Selective abstraction ( Distorted thoughts)
Only choose a selected portion of evidence on which to base your conclusion (usually focus on failure rather than success)
Magnification ( Distorted thoughts)
Exaggerating, the negative significance of an event 
Minimization ( Distorted thoughts)
Under evaluating the positive significance of an event 
Catastrophic thinking ( Distorted thoughts)
Always thinking the worst will occur (careful of self- fulfilling prophecy)
Personalization ( Distorted thoughts)
Person takes responsibility for outcomes, regardless of circumstances.
Didactic learning (Cognitive therapy)
Teach client how to become their own therapist
Cognitive techniques (Cognitive therapy)
Ways to modify automatic thoughts
Behavioral interventions (Cognitive therapy)
To modify maladaptive cognitions and behaviors from them
Socratic questioning
Self reflection after posing question
Decatastrophizing
Examine the validity of catastrophic thought