Family And Couple

Front 1

Systems Theory

Back 1

Focuses on the systemic factors of the couple or family. Less concerned with the patient-therapist bond and intrapsychic phenomena

Front 2

Cybernetics

Back 2

What system theory is based on. States that nothing happens at random. There always a way to predict how members within systems will behave.

Front 3

Cybernetics suggest?

Back 3

All affects and behaviors are product of complex mutually determined and co-constructed processes between members. (Think the baby Mobile)

Front 4

Patient in Systems Theory

Back 4

The dyad/family/group

Front 5

Systems Theory: Clinical focus

Back 5

Attending to the factors that support or inhibit the natural development and evolution of the group. Making adjustments that allow it to move forward. Chiropractor.

Front 6

Systemic view of Distress

Back 6

RESISTANCE! Often as a result of a change in the role of one of the members in the system and the systems inability to accept that change.

Front 7

Family System Theory

Back 7

People cannot be understood in isolation from one another.

Front 8

Describe the Mobile example for family systems

Back 8

Moving a single piece has an effect on all of the other pieces on the mobile. Depending on the connection to the piece moved other pieces may be effected more or less.

Front 9

Identified Patient Issue

Back 9

The idea that a system will contrubute to making a certain person look worse than they are rather than letting the group focus on the poor dynamic of the group.

Front 10

Restriction

Back 10

How each member of the system becomes impacted by the negative actions of a member of the system resulting in the others becoming more restricted. Alcoholic family...

Front 11

The systemic Hypothesis

Back 11

The maladaptive dynamic in the system is a product of the system and all the parts of the system have contributed to it either consciously or unconsciously. The dynamic happens for a reason.

Front 12

The intervention

Back 12

To alter the maladaptive dynamic that is preventing growth

Front 13

Condensation

Back 13

One person in a system gets shrink wrapped with all of some emotion material that is difficult for the group. The rest of the group is now void of that thing.

Front 14

Polariaztion

Back 14

Like condensation only with two people. One person gets all of thing A and the other gets all of B.

Front 15

Dysfunctional systems

Back 15

Pull towards homeostasis and role assignment. Threatened by change to the system.

Front 16

Role Assignment/Induction

Back 16

Used by dysfunctional systems to recruit individuals to play particular roles who generally volunteer to play that role.

Front 17

Roles:

Rule/norms:

Back 17

The script each person plays (Funny, loner...)

The culture of the group often determined by the most powerful subgroup of the system.

Front 18

Systemic Stressors:

Back 18

Change in the system is prompted by normative and non-normative stresses.

Front 19

Homeostasis

Back 19

The tendency of system to keep doing things as they have always been done.

Front 20

Circular causality

Back 20

A cycle where each party's behavior causes/contributes to the behavior of the other

Think distancer/pursuer.

Front 21

Systemic Therapy

Back 21

To make the members of the system aware of the dynamics of the group and to get the individuals to change their roles continuously.

Front 22

The Developmental perspective

Back 22

Idea that things maybe going well for a while until a new developmental challenge occurs at which point an underlying vulnerability may be revealed.

Front 23

Three Main Dimensions of the Family System

Back 23

Cohesion

Flexibility

Communication

Front 24

Cohesion

Back 24

The emotional bonding that family members have towards one another. Too much (enmeshed) or too little (disengaged) can be problems.

Front 25

Four levels of Cohesion

Back 25

Disengaged

Separated

Connected

Enmeshed

Front 26

Flexibility

Back 26

Amount of potential for change in leadership/role assignment/relationship rules.

Front 27

Four levels of Flexibility

Back 27

Chaotic

Flexible

Structured

Rigid

Front 28

Communication

Back 28

The systems listening/speaking/self-disclosure/clarity/respect and regard

Front 29

Ahistorical approaches

Back 29

Strategic, Structural, And behavioral/CBT

Front 30

Historical approaches

Back 30

"contextual," Psychodynamic (object relations), Bowen (Multi-generational), Solution and Narrative.

Front 31

Structural Family Therapy

Back 31

Created by Salvador Minuchin. Wants to identify codes that regulate human behavior. Uses 3 challenging strategies. Very active and manipulative role.

Front 32

Murray Bowen

Back 32

Bowenian and Transgenerational Approaches

Front 33

Where did Bowen train

Back 33

Georgetown where Dr. T did his training.

Front 34

Bowenian ideas

Back 34

Transgenerational model. Focused on common patterns of all human emotional systems. This is family systems theory

Front 35

Bowen Theroy

Back 35

Focus on patterns that develop in families in order to defuse anxiety which comes from too much closeness or too great a distance in the family.

Front 36

Bowen Theory for anxiety

Back 36

Anxiety occurs when a family member wants to differentiate.

Front 37

2 main goals of Bowen Theory

Back 37

1) Facilitating awareness of how the emotional system functions

2) Increasing levels of differentiation to make people focus on changing themselves rather than others.

Front 38

Differentiation

Back 38

The Capacity of the individual to function autonomously by making self directed choices, while remaining emotionally connected to the intensity of a significant relationship system

Front 39

1st 4 interlocking bowen ideas

Back 39

1 Emotional fusion /differentiation of self

2 Triangles

3 Couple conflict - has sub groups

4 Family projection process

Front 40

2nd 4 interlocking bowen ideas

Back 40

5) emotional cut off

6) Multi generational transmission process

7) sibling positions

8) Societal Emotional process

Front 41

Emotional fusion/Differentiation of self

Back 41

The hallmark of pathology for bowen. Fusion occurs when individuals choices are set aside to achieve harmony in the system. Can be either intense responsibility for another reactions or emotional cutoff.

Front 42

Terms Bowen vs Minuchin

Back 42

Bowen Fusion. Minuchin enmeshment. These are NOT the same. enmeshment is based on a lack of boundaries. Fusion is about each persons reactions in a relationship. Similar but different.

Front 43

Triangles

Back 43

The smallest stable relationship unit in bowen theory.

Front 44

Triangling

Back 44

Occurs when the anxiety in a dyad is relieved by involving a vulnerable third party who either takes sides or provides a detour for the anxiety. Think divorced kid.

Front 45

Nuclear Family emotional system

Back 45

Examines the impact of undifferentiation on the emotional functioning of a single generation family. This can lead to one of three symptom categories. Couple conflict, Illness in spouse, projection onto a kid.

Front 46

Bowen Couple conflict

Back 46

A single generation unit usually starts with a dyad and this is the idea about all of the problems that a couple can get into.

Front 47

Symptoms in a spouse

Back 47

Bowen described as the reciprocal side of each spouse's transference. Looking to the others qualities to fit a learned manner of relating to the other. Pushes each spouse's role to opposite extremes.

Front 48

Symptoms in a child

Back 48

Bowens idea that the previous generations anxiety about relationships can impact the next generation. The kid with the least emotional separation is the most vulnerable to symptoms. Can lead to triangling.

Front 49

Family projection process

Back 49

The intergenerational influences may determine which child becomes the focus of family anxiety and at what stage of life this occurs.

Front 50

Emotional cutoff

Back 50

A form of Fusion between generations in which anxiety is stop through either physical distance or emotional withdrawal. Breaking away bad. Growing away good.

Front 51

Multipgenerational transmission process

Back 51

The concept of how patterns, themes and positions in a triangle are passed down from generation to generation through the projection from parent to child. Impact will be different on each child.

Front 52

How many generations did bowen like to focus on?

Back 52

Three!

Front 53

Sibling position

Back 53

Bowen idea about birth order and dependence in the family system. Oldest has the more likely to become the leader youngest will be more likely to be a follower.

Front 54

Bowen treatment goals

Back 54

The goal is to assist family members towards greater levels of differentiation increasing responsibility for self in the emotional system.

Front 55

Bowen treatment aspects

Back 55

Central role of the therapist in directing conversation. Minimal focus on children to detriangle them from the parents and let the parents focus on the real issues.

Front 56

Three stages of bowen therapy

Back 56

1) Reduce clients anxiety about their part in the pattern of relating.

2) Focus adult clinent on self issues to increase lvl of differentiation.

3) adults learn to coach themselves in differentiation from their family of origin.

Front 57

Bowen role of the therapist

Back 57

Connect with a family without becoming emotionally reactive. Therapist must maintain a differentiated stance avoid getting pulled into and fused with the family.

Front 58

Drama of the gifted child

Back 58

Alice Miller. We are all the kids that tried to sooth the family system and it stuck with us. Can have poor boundaries because they want to help so much.

Front 59

Therapist activity.

Back 59

Bowen primarliy had couples talk directly to him rather than each other and avoided talks about feelings. "externalizing the thinking of each client in the presence of the other"

Front 60

Detriangling

Back 60

The central technique in bowenian therapy. Helps clients see all the ways they are triangled by others and how they attempt to triangle others in turn.