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5 Cards in this Set
- Front
- Back
2nd session |
-goal: get a 3rd session -ask about missing members -ask if anyone has any questions or anything to add *if the family takes the lead let them (but not in the 1st session) *no major interventions |
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3rd session |
- usually been a crisis - more comfortable with taking a risk - usually family less guarded/ more likely to emote -therapist needs to spread out the focus (don't let one person monopolize the time) -expect resistance because of discomfort of discussing the family secret/going deeper |
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Fallacies of the family |
1) we don't need help/ don't have a problem 2) the IP has to want to quit/ family has no say or influence 3) treatment cures the IP 4) when use stops the problems stop |
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Predictable family issues in early recovery |
1) Pink Cloud (A false sense of confidence for the family/ IP) 2) Trust for the IP is hard for the family 3) Walking on egg shells 4) Building up to drink (B.U.D.)/prelapse *maybe restless, anger, or withdrawn 5) enabling Reasons for enabling: - ignorance - by default - resistance to the change of recovery 6) the IP does not abstain If IP is an adult, be careful not to take sides and monitor usuage If IP is a child: - start with the least restrictive intervention -just talk to them - have measurable consequences and enforce them - don't give them money - don't rescue them from school/legal trouble - lock them out of the house after curfew (if weather permits) - call the police when they participate in illegal activity that causes harm to another person - if child is 18, you can provide them an ultimatum |
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Other issues that are likely to come up in family therapy |
1) sexual problems *don't ask in first session/ in front of kids *if problem exist...this would be a good referral 2) support group triangulation (spouse feeling left out because of support group) * feelings of jealousy, disappointment , and frustration arise 3) subtle blackmailing (IP using recovery to get their way) 4) sponsorship by family member *bound to fail *seek first to understand not to be understood- Sean Covey |