Mft Exam Prep

Front 1

Elements to Legal Responsibility for Duty to Warn

Back 1

1. likelihood client will cause harm to self or others
2. Have special relationship and duties to control actions to protect
3. there is an identifiable victim or class of victims

Front 2

Confidentiality-Legal obligation

Back 2

to safeguard client communication, priviledged from forced disclosure

Front 3

Infertility-Ackerman Institute

Back 3

couples feel marginalized and wary of talking about experiences
physical and psychology privacy repeated violated
recommend narrative technique of externalizing the problem

Front 4

Infidelity

Back 4

-less about sex and more to do with keping feelings at bay
-prognosis better for younger conflict-avoidant couples than older
-is an encoded message spelling out dynamics of failing marriage

Front 5

Infidelity Treatment

Back 5

-must discuss affair to save relationship
-don't allow secrets
-confront the affair
-goal to creat an honest forum for discussion
-ultimate goal to have both parties see their contribution to affair

Front 6

Child custody with divorce

Back 6

-success depends more on ability of parents to collaborate with coparenting w/o serious chronic conflict
-child carries burden for adjustment

Front 7

Factors to determine best custody arrangement

Back 7

Do both parents think its best to have contact with each parent?
Are both parents capable of maintaining an adequate home for children?
Can parents get along with each other well enough to manage joint custody arrangement?

Front 8

Working with gay/lesbian couples

Back 8

-address/reflect on own biases
-issues are not the same as those for heterosexual
-connect to comm to provide social support
-Bowenian perspective for coming out useful

Front 9

Divorce Effects on Family System

Back 9

-parent-child relationship are unstable
-loss of parent
-requires massive structural, logistical and legal reorganization of family unit

Front 10

Factors that impact bereavement

Back 10

-Role of person in clients life
- nature of attachment
-circumstances of death
-age, gender etc of bereaved
-history of other losses
-culture

Front 11

Signs of complicated bereavement

Back 11

-prolonged intensity than "normal" grieving, ie. fresh grief reaction when speaking of deceased
-unwillingness to change home environment
-self-destructive behaviors

Front 12

treatment for complicated bereavement

Back 12

determine where in life cycle and resume, consider role of culture, give time and opportunity to talk, allow reorganization of family to happen

Front 13

Family intervention for depression

Back 13

-for inpatient it is useful, outpatient family therapy follow-up is essential,
-detrimental when marital problem contribute but not addressed
-not effective when marriages are happy
-brief tx inadequate when early trauma involved

Front 14

Treatment approaches recommended for depression

Back 14

CBT-can ignore clients relationships
Strategic (skewed hierarchy in marriage, symptoms seek power
Brief-enhance emotional connectedness
Papp & Ackerman Institute-explore cultural issues

Front 15

Suicide Assessment

Back 15

-clinical judgement is most widely used tool (keep records of assessment)
-assess mental status, stress level, support, vulnerability, plan

Front 16

Family violence revealed in session

Back 16

-set limits with offender to restrain from force, offer strategies
-if cannot agree to set limits then stop couple tx and do individual
-problem solve re: safety
-set up a safety plan alone with abused

Front 17

Medical Family Therapy Founders

Back 17

Susan McDaniel, Jeri Hepworth, William Doherty

Front 18

Goals of Medical Family Therapy

Back 18

work on multidisciplinary teams with health care practitioners, use active methods for coping, make use of social supports, balance needs of individuals

Front 19

Eating Disorders Outcomes

Back 19

-young child w/anorexia did best w/structural model approach and parental involvement
-family treatment more effective if dx < 3 years
-narrative approach

Front 20

Structural Approaches for Eating Disorders

Back 20

-child is part of psychosomatic system and need to change family interaction patterns
-intro adaptive ways of coping
-strengthen parental subsystem

Front 21

Object Relations Approach for Eating Disorder

Back 21

-food is a substitute for meeting emotional needs
-typically multigenerational failures in nurturance
-family has rigid stance on high standards of physical appearance
-all "bad" parts of family are projected onto bulemic client
-address central theme of opposing interpersonal currents and unmet devel needs of ind vs needs of family system

Front 22

Milan Approach for Eating Disorder

Back 22

-alliances and coalitions are most serious level of dsyfunction
-anorexic doesn't accept responsibilty for problems (plays role of go-between in family)
-communication rejected on content and relational level so food is rejected
-use I statemetns
-family rituals with help of family who are bound together the client can be cured

Front 23

V-Codes

Back 23

Noncompliance With Treatment, Partner Relational Problem Physical / Sexual Abuse of a Adult, Parent-Child Relational Problem, Child Neglect Physical / Sexual Abuse of a Child, Sibling Relational Problem, Relational Problem Related to MH, Occupational, Academic, Acculturation or Relational Problem, Bereavement,
Adult, Child or Adolescent Antisocial Behavior, No Diagnosis or Condition, Malingering

Front 24

DSM Other Conditions of clinical Attention

Back 24

Psychological Factors Affecting Medical Condition,
Medication-Induced Movement Disorders: Neuroleptic Induced Parkinsonism, Neuroleptic Malignant Syndrome,Neuroleptic Induced Acute Dystonia, Neuroleptic Induced Acute Akathisia or Tardive Dyskinesia, Medication Induced Postural Tremor or Movement Disorder NOS,
Other Medication-Induced Disorder: Adverse Effects of Medication NOS,
Relational Problems: Related to a Mental Disorder or General Medical Condition, Identity Problem, Religious or Spiritual Problem, Phase of Life Problem

Front 25

Which models started in biological?

Back 25

Psychoeducation

Front 26

Which models started in individual?

Back 26

Psychoanalytic, Satir, Solution Focused

Front 27

Which models started in dyad?

Back 27

Behavioral

Front 28

Which models started in Family

Back 28

Bowen, Structural, Strategic, Contextual, Symbolic-Exp, Milan

Front 29

Which models started in societal?

Back 29

Feminist, Narrative

Front 30

Bowen Therapy-Goals

Back 30

-help family members get past blaming and fault finding in order to face and explore own roles in family problems
-achieve through understanding, not action
-MINIMIZE emotionality by using process questions to slow them down

Front 31

MRI Goals

Back 31

-help family define clear and reachable goals so that everyone knows when tx is successful
-by doing so clients are forced to clarify vague dissastifactions
-interrupt "more of the same" vicious feedback loops

Front 32

Strategic-Haley Goals

Back 32

-alter family structure by directly connecting to presenting problem
-changes in behavior alters perceptions

Front 33

Milan Goals

Back 33

-find ways to interrupt family games
-less behavioral and more about reframing
-focus on "seeing" things differently

Front 34

Structural Goals

Back 34

--family's job to solve problem
-put parents back in charge
-help parents function as cohesive executive subsystem
--strengthen boundaries around subsystems or increase interactions by making boundaries more permeable

Front 35

Experiential Goals

Back 35

-increase affective intensity in session by confronting members
-anxiety will expose hidden problem
-increased personal integrity and expanded experiencing

Front 36

CBT Goals

Back 36

-focus on behavior and not organization of family to rid presenting problem
-ignore bad behavior and reward good
-educational agenda
-behavior will change when contingencies of reinforcement are altered

Front 37

Feminist

Back 37

-equal responsibilty for problems looks like version of blaming the victim
-peripheral father, overinvolved mom, and symptomatic child
-reorganize so no one is stuck in specific positions by examining roles

Front 38

Solution-Focused goals

Back 38

-trust clients to reach their goals
-goal is simply to help shift language from talking about problems to talking about solutions
-setting goals is major intervention and process about future wants

Front 39

Narrative Goals

Back 39

-separate person from problem and then unite family to fight common enemy
-use questions