Nce Family Therapy

Front 1

How is family therapy different than individual therapy?

Back 1

1. Focus on family
2. May be extended to client's social context
3. Usually more short-term

Front 2

What is the 5 stage family development pattern?

Back 2

Independence
Coupling
Parenting
Launching adult children
Retirement or senior years

Front 3

Homeodynamic principle

Back 3

Nathan Ackerman
Each family has a basic dynamic and following an interruption (counseling) will return to that dynamic even it's dysfunctional

Front 4

Psychodynamic Family Therapy

Back 4

Nathan Ackerman-uncover family defenses. Intrapsychic conflict dividing family members:
1. Underlying Assumptions- understanding intrapsychic and interpersonal interactions.
Homeostasis and social roles
2. View of maladaptive behavior-rigid or fluid
3. Therapeutic goals
4. Therapeutic techniques-catalyst

Front 5

James Framo

Back 5

Person's social environment shapes their behavior. Starts with entire family moves to couple gr therapy and finally intergenerational conferences with family

Front 6

Experiential Family Therapy

Back 6

Current experiences rather than insight for change.
Atten on emotions and what they represent

Front 7

When is Family Therapy preferred?

Back 7

1. Indiv therapy has been ineffective
2. Improvement in one fam member may cause stress in others
3. Family making mem a scapegoat

Front 8

When is family therapy not recommended?

Back 8

1. Key members won't participate
2. One member is so disturbed makes treatment impossible

Front 9

Family therapy rose from?

Back 9

General Systems and cybernetics

Front 10

Cybernetics

Back 10

Gregory Bateson- information, control, feedback, communication...

Front 11

General Systems Theory

Back 11

Ludwig Von Bertalanffy- arrangement and relations btw the parts that connect them to a whole

Front 12

Homeostasis

Back 12

Systems act that maintains it's equilibrium or status quo

Front 13

Formats of family therapy

Back 13

1. Conjoint-members seen at the same time by same therapist
2. Concurrent- one therapist sees all fam members separately
3. Collaborative- diff therapists sees each mem but meets to discuss
4. Network- therapist works w entire network of significant people in clients life
5. Mult couple or family- several couples or families meet in a group

Front 14

Virginia Satir

Back 14

Human Validation Process Model Key figures in family therapy. Love and nurturing the most imp healing aspect of therapy
Unmet needs
Blocked communication
Family sculpting
Family member roles

Front 15

Virginia Satir 5 styles of communication

Back 15

1. Placater
2. Blamer
3. Super-reasonable
4. Irrelevant
5. Congruent

Front 16

Family Therapy underlying assumptions

Back 16

All behavior is communicative even when the person is doing nothing
1. Double-bind
2. Symmetrical
3. Complementary
4. Equifinality

Front 17

Symmetrical communicatioms

Back 17

Equality btw communicators and may be competitive

Front 18

Complementary communications

Back 18

Inequality btw communicators and reflects their differences

Front 19

Principles of equifinality

Back 19

No matter where the system change occurs the result will always be the same

Front 20

Allignment

Back 20

Alliances formed among family members as they move toward homeostasis

Front 21

Closed System

Back 21

Self-contained; impermeable; does not interact w other systems

Front 22

Open system

Back 22

Permeable boundaries; interacts w other systems

Front 23

Coalitions

Back 23

Alliances w family members against other family members

Front 24

Conjoint

Back 24

Therapy with 2 or more members together

Front 25

Enmeshment

Back 25

Family members overly involved with each other limiting autonomy

Front 26

Scupting (family)

Back 26

A picture or representation of family relationships often made by physical placement

Front 27

Identified patient (IP)

Back 27

Mem of family that's the primary focus

Front 28

Joining

Back 28

Strategy of therapist entering a family system in order to explore and modify dysfunctions

Front 29

Strategic

Back 29

Therapist devises strategies and interventions to resolve problem

Front 30

Structural

Back 30

Realigning the family in order to change dysfunctional interactions

Front 31

Triangulation

Back 31

When 2 members of a family have a problem they may turn to a third member

Front 32

Murray Bowen

Back 32

Family Systems Therapy
Intergenerational
Genograms
Guide toward differentiation
Sibling order

Front 33

Family Systems Theory 8 theoretical concepts

Back 33

1. Differentiation of self
2. Nuclear family emotional system
3. Triangulation
4. Family projection process
5. Multigenerational transmission process
6. Emotional cut-off
7. Sibling position
8. Societal emotional process

Front 34

Structural Family Therapy

Back 34

Salvador Minuchin-2 patterns
1. Enmeshed
2. Disengaged

Front 35

Structural Family Therapy Steps

Back 35

1. Underlying assumptions- the family is a system, structure (how they relate) subsystems, boundaries
2. Maladaptive Behavior- inflexible structure prohibits growth
3. Therapeutic Goals- restructure family
4. Techniques: joining, restructuring by deliberately unbalancing

Front 36

Jay Haley

Back 36

Strategic Family Therapy

Front 37

Strategic Family Therapy

Back 37

Changing behavior rather than insight. Practical approach:
Metaphorical communication(reframing, renaming, paradoxical injunctions)
Family reorganization

Front 38

3 main models of strategic family therapy

Back 38

1. MRI- mental research Inst
2. Haley and Madanes
3. Milan

Front 39

Milan strategic family therapy

Back 39

Connection among members
1. Family plays game while observed
2. Circular questioning- asked the same question to each member
3. Family rituals

Front 40

4 types of Behavioral/Cognitive therapy

Back 40

1. Behavioral marital
2. Behavioral parent skills
3. Functional family
4. Conjoint sex therapy

Front 41

Social Constructivists

Back 41

Institutionalized entity that has been constructed by a culture or society
Use:
Narrative
Solution therapy
Collaborative language systems
*however don't focus on history but on solutions

Front 42

Social Constructive Theorists

Back 42

Steve deShazer and William O'Hanlon

Front 43

Psychoeducation family therapy

Back 43

Therapeutic technique that assists families w their daily life and specific issues ie illness, life coping

Front 44

Attending

Back 44

Pay attention est. eye contact Sitting forward

Front 45

Paraphrasing

Back 45

Restatement of clients message without using affect

Front 46

Reflection

Back 46

Restatement of affective component of clients message

Front 47

Clarification

Back 47

Response to a confusing message

Front 48

Leading

Back 48

Encourages a client to talk about and experience: indirect or direct

Front 49

Summarization

Back 49

Ties together ideas, feelings

Front 50

Support

Back 50

Indicates the ideas have been heard, understood and behavior snare not unusual

Front 51

Approval

Back 51

Statements which express agreement

Front 52

Confrontation

Back 52

Honest constructive reaction by a counselor to the client

Front 53

Interpretation

Back 53

Hypothesis of cause and effect

Front 54

Splitting

Back 54

Splitting. This occurs when a person (especially a child) can't keep two contradictory thoughts or feelings in mind at the same time, and therefore keeps the conflicting feelings apart and focuses on just one of them. Sees black and white.
All good all bad

Front 55

Object Relations

Back 55

An object is someone who is loved. Children internalize good and bad aspects. They are attracted to those characteristics in a mate; friends

Front 56

Intrapsychic conflict

Back 56

Emotional clash w/in ones self. Id vs ego

Front 57

Equipotentiality

Back 57

Things w common origin can go very diff ways ex 2 abused children one grows up fine the other a criminal

Front 58

Equifinality

Back 58

Things with dissimilar origins can wind up in the same place. Ex Abused child; healthy child both grow up to be good parents

Front 59

Feedback loops

Back 59

Info pathway that helps system balance and correct. Pos feed: change the dysfunction Neg feed: maintain the current dysfunction

Front 60

James Framo

Back 60

Object relations- split introjects need to change
Untriangle