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61 Cards in this Set

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  • Back
Ordeal Therapy
Therapist will instruct a client to carry out an unpleasant chore whenever the symptom appears during the day, thus making the distress of the consequences greater than the distress of the original symptom.

Theory - Strategic
Mimesis
A tactic used by a structural therapist, who attempt to copy or mimic a family's communication and behavioral patterns in order to gain acceptance by the family members.
Split Loyalty
During a divorce children divide up their loyalty between the parents. They do not usually turn on one or the other.
Double Bind
An individual (the parent usually) gives the child two messages at once.

"Love me!" "Hate me!"
Epistemology
How we know what we know...

We each have our own epistemology: culture, religion, etc.
Alliance
A shift within the family when family members team up in a healthy manner.

Benign triangle.
Coalition
When family members team up against another member.

This is a toxic triangle that creates imbalance.
Differentiation
A description of the bond between the parent and the child when that bond is broken.

Breaking away from the emotional bondage and becoming yourself.
Emotional reactivity
Reacting to a situation with emotion instead of logic.
Placator
People please-er.

Theory = Satir
Boundaries
Lines between family members. These lines can be ridged or permeable.

Theory = Minuchin Structural
Enactment
Therapist asks the clients to have a discussion about an issue as if the therapist is not in the room.
Accommodation
Making changes within a family one relationship/issue at a time. Baby steps!
Complementarity
In every dyad there are specific functions fulfilled in the relationship.

One person is the extrovert, the other is the introvert...etc.
Metaphor
The "symptom" is often symbolic of something else.
Revolving Slate
Patterns are repeated throughout the generations. These patterns are often unconscious.

Theory = Nagi Contextual
Legacy
Expectations handed down from previous generation concerning what is expected of men and women.

Theory = Nagi Contextual
Reciprocity - Debt & Balance Ledgers
A family accounting system of what has been given to who & what is still owed.

Theory = Nagi Contextual
Emotional Cut-off
To deal with the fusion and lack of differentiation in intimate relationships, family members distance themselves from others - emotional divorce.

Theory = Bowen Transgenerational
Societal Regression
Familial characteristics can be observed in interactions on a societal level.

Example: During societal times of high anxiety there is an increased tendency for emotional reactivity and less individuation.

Theory = Bowen Transgenerational
Multigenerational Transmission Process
A tendency to repeat impairing patterns of emotional behavior throughout the generations. This causes a decrease in differentiation.

We tend to marry individuals that are at the same level of differentiation.

Theory = Bowen Transgenerational
Family Projection Process
The lack of differentiation of the parents is passed down to one or more of their children.

This dynamic impairs the child.

Theory = Bowen Transgenerational
Super Reasonable
Calm, collected, always correct, in control, rigid, and avoids emotion.

AKA - The Computer

Theory - Satir
Family Sculpting
Asking clients to use their bodies and/or props to explain the relationships within their family.

After, the client processes why the sculpture is the way it is. This helps turn the abstract into visual.

Theory = Satir
Long Brief Therapy
1. Pre-Session: the phone call is the beginning of therapy
2. Session: gathering the data. Conducted with 2 therapists in the room & 2 behind the mirror.
3. Inter-Session: Family takes a break and all therapists meet to decide prescription. This is where Greek Chorus comes into play.
4. Intervention: Prescription is given and send family home.
5. Post-Session: All therapists meet to discuss the intervention & how the family reacted.

Theory = Milan
Invariant Prescription
Developed by Selvini-Palazzoli.

A single, unchanging verbal directive issued to all parents with symptomatic children. It is intended to help the parents and the children break out of the destructive games and establish clear boundaries.

Theory = Milan
Enmeshment
A family organization in which boundaries between members are blurred and members are over concerned and over involved in each others lives, which limits autonomy.
Pretending Techniques
Paradoxial interventions based on play and fantasy in which clients are directed to "pretend" to have a symptom.
Externalizing
Helping clients view the issue as occurring outside of themselves, this helps them to get over it.

Theory = Narrative
Irrelevant
Muddled thoughts and verbalizations, childish, ditzy, airhead, changes topic abruptly and for no reason, random.

AKA - The Distractor

Theory - Satir
Cybernetics
The study of methods of feedback control within a system, the flow of info through feedback loops.
AAMFT
American Association of Marriage & Family Therapists

Michigan Chapter = MAMFT
IAMFC
International Association of Marriage & Family Counselors
ACA
American Counselor Association

Michigan Chapter is MCA
CMFCE
Coalition for Marriage, Family & Couple Education
Bowenian Theory
-Murray Bowen
-Transgenerational Model
-Focus on pyschodynamic
-Insight is key!

Key Concepts:
1. Differentiation
2. Triangles
3. Nuclear Fam. Emotional Process
4. Family Projection Process
5. Emotional Cutoff
6. Multigenerational Transmission
7. Sibling position
8. Societal Regression
Contextual Theory
-Ivan Boszormenyi-Nagi
-Focus on psychodynamic

Key Concepts:
1. Legacy
2. Split Loyalty
3. Invisible Loyalty
4. Revolving Slate
5. Exploitation
6. Interlocking need templates
7. Parentification
8. Ledgers and Balances
Sager Theory
-Clifford Sager
-Focus on psychodynamic and couples counseling
-Focus on expectations
-Focus on Couple Profiles
Sager's Expectations
1. Verbalized
2. Conscious, but not verbalized
3. Unconscious
Satir Theory
-Virginia Satir
-Experiential Theory
-Focus on Satir's Five Types

Key Concepts:
1. Process - can't just talk, must do!
2. Growth - People have the ability to grow.
Whitaker Theory
-Carl Whitaker
-Experiential Theory
-Focus on process & experiencing
-Started therapy as directive and controlling, but pulls away once family starts to take control of situation.
Minuchin
-Salvador Minuchin
-Structural Theory
Structural Theory
-Salvador Minuchin
-Focus on how systems work together, how balance is achieved, how to give feedback, and how dysfunctional patterns develop.

Key Concepts:
-Boundaries
-Coalitions
-Power
Affiliation
Counselor supports and encourages one family member specifically.
Tracking
Counselor adopts the ways of the family. Example: culture, language, etc.
Disengaged expert
Counselor steps outside of the situation and shares their commentary/provides a prescription.
Structuralization
Review family hierarchy, power holder, etc.
Strategic Theory
-Jay Haley & Cloe Madanes
-Focus on resolving family issue at hand.

Key Concepts:
-Symptom focused
-Here & Now!
-Therapist is expert & in charge
-Uniqueness of family.
Milan Theory
-Mara Selvini-Palazzoli
-Focus on Long Brief Therapy

Key Concepts:
-Hypothesizing
-Circular Questioning
-Neutrality
Circular Questioning
Questions asked by the counselor that will bounce off of all the family members and make them think of an answer.
Behavioral Theory
-Aaron Beck, John Gottman
-Typical cognitive behavioral assessment of family members.
Areas of Caring and Responding
-Cron & Cron

1. Tolerate
2. Individuality
3. Business/Friendship = balance
4. Appreciation/Admiration
5. Unity - combo of #1-#4
Emotion Focus Therapy (EFT)
-Susan Johnson
-Focus completely on emotions and almost ignores dialog, cognitive, etc.
-Focus on underlying emotions of interactions.
Solution Focused Theory
-Insso Kim-Berg & DeShazer
-Focus on changing thought patterns through thinking - cognitive solutions.

Key Concepts:
-Look at exceptions, when things were good, not bad.
-"Miracle question"
-Scaling questions
Constructivism Theory
-Tom Anderson, Carl Thom, Harlene Anderson & Harry Goolishian

Key Concepts:
-Democratic relationship with client
-Unique meaning in experiences
-Rejects "fixed external reality"
-Meanings can be altered, but not usually.
-Based on attachment theory
-Problems = opportunities for change
Narrative Theory
-Michael White and David Epston

Key Concepts:
-Deconstruction and reconstruction
-Externalizing the problem
-Anti problem saturated stories
-Change internal dialog
-Focus on time when the problem wasn't the problem - unique outcome
-Re-authoring our narrative.
Provocative Theory
-Maurizio Andolfi

-Counselor supports client's narrative and dives into the nodal points where they can provoke thinking and change.
Nodal Point
-a trigger/moment/invitation for the counselor to jump into the family dynamic and ask a provocative question.
Ariadne Thread
-Someone in the family that will lead you in and will help develop the family story.

-Usually a child.

-Based upon the mythological story of Ariadne
PLSSIT
P - permission
L - limited info
S - specific
S - suggestions
I - intensive
T - therapy

-this method is used when dealing with client's sexual issues.
Greek Chorus
-therapists behind the two-way mirror observing the counseling session.