Advanced Family Midterm

Front 1

Structural Goals

Back 1

1. Correct the hierarchy
2. Boundary allignment
3. maintain structure (hierarchy)

Front 2

Structural Interventions

Back 2

1. address non verbals
2. self-disclose
3. role playing
4. action oriented directives

Front 3

Strategic Goals

Back 3

1. disrupt "stuck" cycles
2. see problems as helping and serving a function
3. reversing attempted solutions (MRI)

Front 4

Strategic Interventions

Back 4

1. paradoxical directives, ordeals
2. restraining from change: "go slow"
3. positioning
4. therapy ordeals
5. helpless, one-down
6. rituals
7. pretending to have the client's problem

Front 5

Solution-Focused Goals

Back 5

1. Clients can change
2. assess strenghts/resources
3. small change is change
4. focus on solutions
5. identify exceptions to the problem

Front 6

Solution-Focused Interventions

Back 6

1. miracle question
2. target solutions on tape
3. scaling questions

Front 7

Postmodern goals

Back 7

1. create and construct meaning together
2. to create a learning task
3. be in a continual process of constructing new meanings
4. practice openness to new possibilities, meanings, and stories
5. multiple roads, maps are encouraged
6. manage conversations in a therapeutic manner

Front 8

Post-modern Interventions

Back 8

1. "not knowing"
2. no pre-knowing
3. idea presented in tentative language
4. non-normative stance
5. cinderella story
6. create new stories
7. read a novel

Front 9

Ego-Analytic Goals

Back 9

1. positive interpretations
2. avoid self-reproach
3. client's attitued toward the problem is the problem
4. all problems are partial atempts to be understood

Front 10

Ego-Analytic Interventions

Back 10

1. Avoid rebukes
2. positive reframes and interpretations
3. provide "defense attorney"
4. normalize "hidden validity"
5. help client's get feelings/thoughts across

Front 11

General Characteristics of Jesus Approach to Counseling

Back 11

1. Maintained firm boundaries
2. Flexible
3. Father-Focused
4. Wholistic View of Man
5. brief, change-focused, Growth-focused
6. Instilled Faith, Hope, and Love
7. Respected Individual Choices
8. Available After Hours
9. Multiple Interventions
10. Relationally Focused
11. Challenged the Ethical Code of the Day
12. Use of Socratic Method
13. Attention to the Unseen (heart, knigdom, future)

Front 12

First Session Distinctives

Back 12

Assess the couples status (who is motivated, agree on a goal, increase hope)
The Exception Question
The Scaling Question (assess couple satisfaction, committment, severity, hopefullness, motivation)
The Miracle Question
Goal Setting
Homework assignment (surprise task)

Front 13

Second Session Distinctives

Back 13

Scaling Process
Small change is change
WW Principle (what's working)

Front 14

Procedures in Middle Stage

Back 14

1. Introducing a crisis to stimulate change
2. Techniques - slow down, raise emotion, take sides

Front 15

Confrontation

Back 15

Warnings: potentially explosive, may lose client or family member
Process: must have solid relationship, bounce back and forth b/w members (don't stay long, always come back to middle, reframe, don't label)
use humor
Always client centered

Front 16

Definition of Resistance

Back 16

act of being in opposition to or avoiding something
real or created?

Front 17

Considerations for Resistance

Back 17

1. 2 person dynamic
2. both parties have responsibility
3. use martial arts concept: resistace can be used as momentium
4. slow it down
5. move toward symmetry: find something to agree on, use leading statements, use future oriented questions
5. Suggestions for HW: small, specific, and connected

Front 18

Main Question for Resistance

Back 18

What could I do different to get a different outcome?

Front 19

Therapy v Teaching

Back 19

Therapy is not teaching
Teaching assumes a one-up position
Therapy requires hearing from the client
Client's goals are foremost in therapy
Talk time belongs to the client

Front 20

Therapy v. Teaching Considerations

Back 20

Presence of high emotionality conducive for teaching mode (don't use to escape present emotion)
amount of time devoted to teaching (not excessive)
need of the client to know/learn the new skill
don't teach b/c bored, silence, slow moving

Front 21

Middle Stage Interventions

Back 21

1. Introducing a Crisis to Stimulate Change
2. Describing a Behavior Pattern
3. Rewarding Clients
4 Role play/ Enactments
5. Interrupt the settings/expectations

Front 22

3 Rules of Role play/Enactments

Back 22

1. doctrine of no surprises
2. directive posture when setting up role play
3. give role-players specific instructions regarding the setting/expectations

Front 23

Termination Procedures

Back 23

1 Assessing Dependency
2. When to terminate
3. Components of Termination

Front 24

Assessing Dependency in Termination

Back 24

# of sessions
signs of problems (inappropriate phone calls)
ask client when the next session should be

Front 25

When to Terminate

Back 25

listen for tips from client
goals are accomplished
follow-up, check-up session

Front 26

Components of Termination

Back 26

review/summarize course of treatment
talk about relapse possibilities
session exit interview

Front 27

Why do people change?

Back 27

1. natural change
2. Brief Intervention Effects
3. Dose Effects
4. Faith/Hope Effects
5. Counselor Effects
6. Waiting List Effects
7. Change-talk effects

Front 28

4 Principles of Mitivational Interviewing

Back 28

1. Express Empathy
2. Develop Discrepancy
3. Roll with Resistance (avoid agumentation)
4. Support Self-Efficacy

Front 29

Common Therapy Traps

Back 29

1. Question-Answer Traps
2. Taking Sides Trap
3. Expert Trap
4. Labeling Trap

Front 30

psychoanalytic goals

Back 30

1.Develop supervisory frame (manage)psychoanalytic frame
2.Evaluate psychodynamics
3.Identify transference & counter-trans
4.Training analysis
5.Therapist recieves processes of the clients
6.Seperation- Individuation Process

Front 31

psychoanalytic interventions

Back 31

1.No interruptions
2.Unconscious processes of the systems
3.Analysis by therapist analytic frame
4.Insight is primary
5.Projective Evaluations

Front 32

transgenerational goals

Back 32

1.Explore awareness of F.O.O issues
2.>clients personal authority
3.emphasize client's unique qualities
4.definition of self (differentiate)
5.ability to hold an "I" position
6.reduce anxiety,raise differentiation (Bowen)7.raise emotion, use of self (Symbolic)

Front 33

transgenerational interventions

Back 33

1."I" positions
2.self-delineation
3.explore anxiety & feelings
4.triangles
5.genograms
6.live and video supervision
7.role play

Front 34

Integrative goals

Back 34

1.Integration-style matching & style shifting
2.Meta-frames perspective:(5) levels
3.Maintain recursive perspective
4.>awareness of blocks & avenues to change
5.Explore eclectic frames
6.Remove constraints & facilitate new experiences
7.Generate wider view of client/family
8.Help construct alliances
9.More flexible, more contextual

Front 35

Integrative Interventions

Back 35

1.Provide alternative explanations
2.Live, video
3.Use of questions
(4) Domains:
a.client
b.self as therapist
c.therapeutic process d.supervision process

Front 36

Integrative Interventions

Back 36

1.Provide alternative explanations
2.Live, video
3.Use of questions
(4) Domains:
a.client
b.self as therapist
c.therapeutic process d.supervision process

Front 37

Integrative Interventions

Back 37

1.Provide alternative explanations
2.Live, video
3.Use of questions
(4) Domains:
a.client
b.self as therapist
c.therapeutic process d.supervision process