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35 Cards in this Set

  • Front
  • Back
Group therapy history
■ Joseph H Pratt’s (1905)- worked in groups with tubercular patients
■ J.L. Moreno- Brought his psychodrame to US from Vienna- group therapy
■ Rosenbaum- group analysis
■ Slavson- encouraged parents to work with adolescents in controlled play
Family therapy history
■ child guidance movement
■ attachment theory
■ Fruzzetti & Jacobson (1991) trace back to the 19th century social work movement
■ Jackson & Weakland (1961)- to influence a family member one must deal with the entire family
■ Bateson & Jackson- Double-Bind –example- dad says to stand up for what you think is right then goes on to say what he says goes.
■ Lidz and Bowen- worked Schizophrenia patients with bad parents and in a group
■ Satir, Haley, Jackson, bell- gave direct to the family therapy movement
Couples therapy history
■ Fruzzetti & Jackson- development as a discipline
■ Jacobson, Margolin, Stuart, Weiss, Hops, Patterson- Behavioral marital therapy
■ Johnson, Hunsley, Greenberg, Schindler- emotionally focused couples therapy
Psychodynamic group therapy
Dynamics of the group secondary to individual analysis – role of the therapist is key
Behavioral/CBT group therapy
Focus is on efficiency, homogenous diagnosis/presenting problem, skills-based and time-limited
Assumptions of Group Therapy
■ Individual analysis is superior to group sessions
■ Group therapy can permit a deeper analytic experience because individuals can “lean” on the group thus increase their anxiety tolerance
■ Psychoanalytic group psychotherapy
■ General goals of the approach and differences between specific therapies
○ led by clinician that is actively involved
■ differ in theoretical orientation, specific or broad focus
Group-based therapy
Members support each other, no therapist in charge
Support groups
Family members learn about text and symptoms
Psy-education
Types of group therapy
○ psy-education
○ support groups
○ group based
Psychodrama (Moreno)
■ Patients act out roles this is said to bring about a degree of emotional relief
■ Its suppose to help people with social skills and lead to improved levels of self-expression
■ Said to be effective although the studies had small numbers (Kipper and Ritchie)
Transactional Analysis (Eric Berne 1961)
■ Analysis is focused on 3 states child ego state, parent ego state, and adult ego each state has positives and negatives.
■ Depending on how you are raised you will have positives and negatives of both.
■ Use of games to play out these positive and negatives people have in a one on one group session where others observe but are intensely involved
■ No good evidence to say if it works
Group behavior therapy
■ Therapy in which people with similar issues are involved
■ depression, social skills deficits, pain, agoraphobia, and other conditions
■ behavioral and cognitive group therapy
■ Popular in young children and adolescents
Psychodynamic
■ individual more important than group dynamics
■ therapist is key
Behavioral/CBT
■ focus on efficiency
■ developed for specific need
■ skill based and time limited
Group Therapy Approaches
○ Psychodrama (Moreno)
○ Transactional Analysis ( Eric Berne 1961)
○ Group Behavior Therapy
○ psychodynamic
○ behavioral/CBT
Family Therapy used for...
Obsessive-compulsive disorder, Schizophrenia
Therapeutic goals of Family Systems Therapy
● change relations
● decrease member anxiety
● aid in self-differentiation
Family systems therapy assessment
● history, dynamics, extended family
● genogram
■ mutually influential, dependent relationships
■ system will attempt homeostasis
Family systems therapy
Conjoint Family Therapy
The whole family is seen at one time by one therapist
Concurrent Family Therapy
One therapist sees all family member but in individual sessions
Collaborative Family Therapy
Each family member sees a different therapist then the therapist gather and discuss the family as a whole
Behavioral approaches to family therapy
■ Get family members to dispense the appropriate social reinforcement to one another for desired behavior
■ Teaches family members to self-monitor problematic behaviors
Multisystemic Therapy
■ Clinical problems come from multiple factors (ex: school, family, individual)
■ Treatment in home, school, other locations
■ Therapist available 24 hours a day
■ Uses evidence based techniques
■ Seen to be efficacious and effective
■ Used for Juvenile, youth substance use, neglect, family abuse, child/ youth health issues
Depressive symptoms, anxiety disorders, as well as the reduction of several health-related behaviors (e.g., smoking, overeating, etc.).
Couples Therapy
Behavioral Marital Therapy (Richard Stuart)
■ A major treatment was Contingency contracting
■ Spouses were trained to modify their own behavior to effect a specific desired change in their mates behavior
■ Also Support-understanding techniques
■ Aim to increase positive behavior emitted by partners, increase collaboration within the couple, increase positive feelings.
■ Also Problem- solving techniques
■ Training couples in positive communication skills so that effective decision making and negotiating are possible
Goals of Couples Therapy
■ To deemphasize the problem
■ Solve individual problems
■ Also to get the family as a unit
Role of therapist in couples therapy
○ Model of communication, mediator, teacher
○ Specific therapeutic techniques and what problems/disorders they are used to treat
Effectiveness of Couples Therapy
■ Powers, Vedel, and Emmelkamp’s (2008) metaanalyses reveal SUPERIOR long-term effects for behavioral couple’s therapy as compared to individual CBT in the treatment of substance use disorders.
■ These treatments appear to be efficacious in reducing relationship distress. Further, both couples and family therapy may be useful in the treatment of specific psychological disorders in individual partners or family members.
Effectiveness of Family Therapy
■ (Shadish and Baldwin 2003) Meta-analysis of 20 previous meta-analysis subjects effect size of .58
NO FORM OF FAMILY THERAPY WAS CONSISTENTLY SUPERIOR
Group therapy is the best way to treat which disorders?
Depression and eating disorders
Group therapy is:
■ superior to _______control
■ ___________> heterogeneous
■ outpatient > _________
■ ________ gender > single gender
■ behavioral > _______
■ superior to waitlist control
■ homogenous > heterogeneous
■ outpatient > inpatient
■ mixed gender > single gender
■ behavioral > eclectic
Emotionally Focused Couples Therapy
Brief treatment that seeks to change partner’s problematic interaction styles and emotional responses.
Couples therapy is good in treating...
Depressive symptoms, anxiety disorders, as well as the reduction of several health-related behaviors (e.g., smoking, overeating, etc.).