week 3 ch 10 Flashcards
Theorist of the Structural Approach
Minuchin
5 Dysfunctional Family Structures:
enmeshed families, disengaged families, families with a peripheral male, families with noninvolved parents, and families with juvenile parents.
3 Focuses of FAMILY STRUCTURE
BOUNDARIES
HIERARCHY
SUBSYSTEMS
ELEMENTS OF A STRUCTURAL FAMILY THERAPY ASSESSMENT:
(1) Role of the symptom in the family
(2) Subsystems
(3) Cross-generational coalitions:
(4) Boundaries
(5) Hierarchy
(6) Complementarity
(7) Family Development
(8) Strengths
In Structural theory complementarity means v
teamwork
Phases OF TREATMENT USING A STRUCTURAL FAMILY THERAPY APPROACH
PHASE I : Joining and accommodating
Phase II: Assessing family interactions
PHASE III: Monitoring family dysfunctional sets
PHASE IV: Restructuring transactional patterns
Structural Interventions
FAMILY MAPPING BOUNDARY MAKING UNBALANCING ENACTMENTS SYSTEMIC REFRAMING CHALLENGING THE FAMILY’S WORLDVIEW THERAPEUTIC INTENSITY CRISIS INDUCTIONS COMPLIMENTS & SHAPING COMPETENCE EXPANDING FAMILY TRUTHS
UNBALANCING
The therapist changes the hierarchy by encouraging the father to take on a greater role. You unbalance the system so that you can realign it
ENACTMENTS
Acting out a conflict in the session
REFRAMING
Reframing a problem so that you change the meaning and offer a different explanation
THERAPEUTIC INTENSITY
You take a situation and you make it really intense and use repeated interventions
Crisis Induction
The therapist causes a crisis on purpose so that the family has to deal with it instead of being complacent
GOALS IN STRUCTURAL FAMILY THERAPY: Clear
boundaries between all subsystems
GOALS IN STRUCTURAL FAMILY THERAPY: Effective parental
hierarchy
GOALS IN STRUCTURAL FAMILY THERAPY: Family structure that promotes
development and growth of individual and family.