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21 Cards in this Set
- Front
- Back
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How did the family used to be viewed?
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just focused on family system not environment; nuclear family structure; hierarchical structure; system not context; theories as objective measures; absolute truths
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What are some of the old ideas that modern times have brought back?
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Not assuming divorce is the solution (problems don't go away with divorce); client centered approach; self is wealth of knowledge; Questions rather than answers
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What do we know about the four factors that account for change?
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40% Client factors
30% Client/therapist relationship 15% Techniques 15% Placebo |
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What does the book say about assessment?
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ongoing
very comprehensive cover a lot of territory broader coverage |
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name integrative theories?
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IBCT, IPCT, Olsen's Integrative Theory, Snyder's Pluralistic, EFCT, Emotionally focused, transtheoretical
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Prochaskas's Process of Change
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Precontemplation - no problem awareness
Contemplation - aware of prob but not much else Preparation - attempting to take action Action - working toward alleviating problem Maintenance - continuing gains Termination - no longer ? |
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What are some of the things that have changed?
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genetic research; brain and physiological research; Spirituality; Aging; Attachment; Shamanism and old age healing rituals; Smart marriages; Happiness/Optimism; Motivational interviewing and focus strength building; coaching
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Guiding Principles:
Family Therapists will: |
Be sensitive to the broader contexts with which families function
Tailor treatment to the special needs of each family Use ingenuity and flexibility in the design of brief interventions Celebrate the cultural diversity that characterizes the families they serve Be aware of issues related to gender role socialization Psychoeducation will become more important |
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Examples of an assumption that therapists have:
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Divorce as the only solution
Medical model fitting all Have to work in a symptom based model Structure of Power (gender inequalities) |
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Interpersonal
between family members |
Solution-Focused
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Intrapsychic
within self |
Object Relations
CBT |
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How have most therapists been trained?
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Pick one theory
Individual Intrapsychic |
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Name 10 Family Systems Theories
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Bowen,
Contextual, Object Relations, MRI Brief, Strategic Haley, Behavioral & Cognitive, Psychoeducational, Feminist, Network, Milan Systemic, Structural, Experiential, Solution-Focused, Narrative, Collaborative |
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What does Self-Change Process mean?
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Transtheoretical, across all change theories??????
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10 Processes of Self-Change
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Conscious Raising
Dramatic Relief, Self Reevaluation, Environmental Reevaluation, Self Liberation Social Liberation Counter Conditioning Stimulus Control Reinforcement Management Helping Relationship |
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Levels of Change
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Symptom-situational problems
Maladaptive Cognitions Current Interpersonal Conflicts - systems Family Systems Conflict Intrapersonal Conflicts - Object Relations |
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What does "Suitability for Treatment" mean?
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Family's own formulation of problem and distress
Expectations for treatment Readiness and motivation for treatment |
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Tailoring Variables: The Level of...
Read section before test |
Family Functioning
Relational Conflict Individual Functioning Readiness Distress Differential Therapeutics |
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Goals of Tailoring
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Enhance the therapeutic relationship
Create an environment in which a couple or family can benefit from therapeutic suggestions or directives Deal with specific therapeutic impasses such as noncompliance or resistance |
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Characteristics of families presenting in therapy
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Little Education
Low pretreatment levels of functioning Multiple Life Problems Mandated Treatment |
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What do we base our decisions when choosing strategy/theory?
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A. A comprehensive assessment
B. The matching of the therapeutic strategy based on the comprehensive assessment C. Tailoring the chosen therapeutic strategy to couple/family needs circumstances, treatment capacity, response to therapist and treatment D. Implementation, review and revision of matching/tailoring efforts |
