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68 Cards in this Set

  • Front
  • Back
When you are conducting therapy with Hispanic-American individuals, you should remember that:
ANSWER: They may assimilate at different rates within a family.
2. An Asian-American couple who define themselves as being very tradition comes in form therapy. Research indicates that the most effective approach to working with these clients is which of the following?
ANSWER: structured and directive
3. Overall, research suggests that, all other things being equal;
ANSWER: Americans and Caucasian clients benefit equally well from therapy regardless of the race of the therapist.
4. Hospital clinicians began to acknowledge and include the family in an individual's treatment when:
ANSWER:
a) they noticed when the patient got better, someone in the family got worse
b) they realized the family was footing the bill for treatment
c) they realized the family continued to influence the course oftreatment anyway
d) ANSWER: a and c
5. Kurt Lewin's idea of can be seen in action in Minuchin's promotion of crises in family lunch sessions, Norman Paul's use of cross-confrontations, and Peggy Papp's family choreography.
ANSWER: Unfreezing
6. Family sculpting and choreography are applications of this early approach to group treatment, which consists of dramatic enactments from the lives of group members and uses a number of techniques to stimulate emotional expression and clarify conflicts.
ANSWER: psychodrama
7. Frieda Fromm-Reichmann's concept, " mother," described a domineering, aggressive, rejecting, and insecure mother who was thought to provide the pathological parenting that produced schizophrenia.
ANSWER: schizophrenogenic
8. Since the beginning of their profession, have been concerned with the family, both as a and the focus of intervention.
ANSWER: social workers
9. Gregory Bateson and his colleagues at Palo Alto introduced this concept to describe the patterns of disturbed family communication which cause schizophrenia.
ANSWER: double bind
10. The only means to effectively escape a double bind is to:
a) withdrawal from the relationship
b) metacommunicate
c) quid pro quo
d) a and b
ANSWER: d) a and b
11) According to Theodore Lidz, marital schism occurs when: a one spouse with serious
ANSWER: there is a chronic failure of spouses to achieve role reciprocity
12) Jackson's concept, , that families are units that resist change, became the defining metaphor of family therapy's first three decades.
ANSWER: family homeostasis
13. Quid pro quo refers to:
ANSWER: a bargain struck between husband and wife which constitues an equal exchange.
14. This family therapist's personal resolution of emotional reactivity in his family was as significant for his approach to family therapy as Freud's self-analysis had been for psychoanalysis.
ANSWER: Jay Haley
16. This family therapist believed in the existence ofan interpersonal unconscious within each family.
ANSWER: Murray Bowen
17. The techniques of structural family therapy fall into two general categories, joining and
ANSWER: restructuring techniques
18. A relativistic perspective that emphasizes the subjective construction of reality, and implies that what we see in families is based as much on our preconceptions as on what is actually going on, is known as:
ANSWER: pluralism
19. The feminist revolution in family therapy differs from the Milan or constructivist revolutions because it:
ANSWER: theoretical and personal
20. A theory which places greater emphasis on a person's interactions with the family, and is considered more compatible with family therapy than previous psychoanalytic approaches.
ANSWER: object relations
21. The one-day "survival-skills workshop" conducted with groups of family members is . used in which treatment approach?
ANSWER: psychoeducation
22. The dysfunctional family constellation which has been most commonly cited by family therapists typically blames the 's relationship with the children for family symptoms.
ANSWER: mother
23. The archetypal family case of the over involved mother and peripheral father is best understood as the product of:
ANSWER: societal forces
24. In addition to its use with families with schizophrenia, the psychoeducational model is purportedly applicable to the treatment of______________ as well.
ANSWER: alcoholism
25. Medical family therapists believe that the field of family therapy has ignored the impact of on family functioning.
ANSWER: Chronic illness
26. Feminist and constructivist styles of therapy differ with respect to notion?
ANSWER: feminists don't advocate neutrality in their work with families
27. The tension between the position, asserts that any family structure is fme if its adaptive or functional for the family, and the ecological position, asserts that there are some basic universal principles that determine a system's health or illness, has fueled many of the debates in family therapy during the 1980s.
ANSWER: relativistic
28. Another trend of the 1980s, in which many authors discussed how to do family therapy with specific types of problems and family constellations, was the trend toward
ANSWER: increased specialization
29. According to the approach to treatment, family stress is thought to cause problems for schizophrenic members, but families don't cause schizophrenia.
ANSWER: psychoeducation
30. Medical family therapists help families reorganize their resources and prepare to deal with a family illness by relying on their assessment of:
onset and course of the illness
stage in the family life cycle
the family's resources and degree of isolation
ANSWER: all of the above
The primary goal of Bowen family therapy is to:
Answer: increase the level of differentiation of self in family members
The "differentiated" individual:
Answer: can balance his or her needs for closeness and autonomy
. An increase in chronic anxiety in the nuclear family system will tend to
________ less differentiated families, while it will _ more highly differentiated families
Answer: cause an increase of symptoms and be absorbed by
Murray Bowen developed his ideas about family therapy while at the NIMH, studying
_____families. Based on his observations ofthese families' intense clinging
interdependence, he concluded that a lack of differentiation was responsible for all family
pathology
Answer: psychotic
According the Bowen theory, the flight from an unresolved emotional attachment to one's parents is known as:
Answer: emotional cutoff
In Bowen theory, this is a process wherein the projection of varying degrees of immaturity to different children in the same family occurs. The child who is most involved in the family emerges with the lowest level of differentiation, and passes on
problems to succeeding generations.
Answer: multigenerational transmission process
This Bowenian term describes the level ofemotional "stuck-togetherness" or fusion in the family.
Answer: nuclear family emotional process
The central premise of Bowen theory is that unresolved must be resolved before one can differentiate a mature, healthy personality
Answer: emotional reactivity to one's family oforigin
From a Bowenian perspective, optimal development in the family occurs when all members are relatively differentiated, anxiety is low, and parents
Answer: remain in emotional contact with family of origin
Unlike experiential therapists, Bowenians seek to levels ofanxiety in order to increase levels of differentiation of self in the family.
Answer: decrease
. is a prominent technique in Bowen therapy designed to clarify emotional processes involved in altering key triangles. The technique is used in order to help family members become aware of systems processes and recognize their own roles in them--it was first developed for use with emotional pursuers and distancers.
Answer: relationship experiments
. A paradoxical technique that forces a patient to either give up a symptom or admit that it is under voluntary control is known as: a a positive connotation
Answer: prescribing the symptom
. A primary goal of communications family therapy is to:
Answer: interrupt dysfunctional feedback loops
Basic change in the structure and functioning of a system is known in general systems theory as:
a. first-order change
Answer: b.second-orderchange
The development and use of "pretend techniques," paradoxical interventions in which family members are asked to pretend to engage in symptomatic behavior, is associated with which strategic/systemic therapist?
Answer: Mara Selvini Palazzoli
. The Bateson group may be best remembered for the concepts ofthe double bind and
Answer: metacommunication
The idea that because the mind is so complex, it's better to study people's input and output (e.g., behavior and communication) than to speculate about what goes on in their minds is known as:
Answer: black box concept
. A method of interviewing developed by the Milan associates in which questions are
asked to highlight differences among family members, is known as:
Answer: circular questioning positive connotation
. A technique used by the Milan group that prescribes a specific act for members to perform--it is designed to change the family system's rules.
Answer: family ritual
Action and insight are the primary vehicles of change in family therapy. The _____ school emphasizes behavioral change and eschews insight as a medium for change.
Answer: strategic
Selvini Palazzoli's technique of ascribing positive motives to family behavior in order to promote family cohesion and avoid resistance to therapy is known as:
a. ordeal therapy
Answer: positive connotation
Madanes categorizes family problems according to 4 basic intentions of family members involved in them. They are: the desire to dominate and control, the desire to love and protect others, the desire to repent and forgive, and the desire to
Answer: beloved
A conflict created when a person receives contradictory messages on different levels of abstraction is known as a:
Answer: double bind
A family therapist who begins a session by greeting individual family members by name and asking for each person's view of the problem is demonstrating which strategy?
Answer: Joining
The primary treatment goal of structural family therapy is to
Answer: alter the family structure
Structural family therapists use to observe and then change transactions that make up family structure
Answer: enactments
“Unbalancing" involves
realigning relationships between subsystems
therapeutic neutrality
restorying the family's narrative
taking sides
Minuchin's term for psychological isolation that results from overly rigid boundaries around individuals and subsystems in a family is _
Answer: disengagement
. When two people marry, they must learn to negotiate the nature of the boundary between them, as well as the boundary separating them from the outside. This structural requirement is known as _
Answer: accommodation
Structural family therapists are , because they believe symptoms in one member are expressive of the entire family structure
Answer: pragmatists
The goal in structural family therapy when working with enmeshed families is to:
Answer: differentiate individuals and subsystems by strengthening the boundaries around them
Structuralists believe the family must first accept the therapist, in a process called ___which allows the therapist to increase stress and unbalance the family homeostasis, thus opening the way for structural transformation on in the family.
Answer: .joining
.___________ is another method interactions, which structural therapists use to help family members employ more functional alternatives already in their repertoire of skills.
Answer: shaping competence
Functionalism is:
Answer: the idea that symptoms can be understood in the context of the larger family
Structural-functionalist and cybernetic perspectives have been criticized for what reason?
they are considered too mechanistic
they fail to adequately consider the impact of contextual processes
they are reductionist
Answer: all of the above
The concept of the family life cycle was introduced to the field by:
Answer: Jay Haley
The notions of functionalism, structuralism, and general systems theory are all embraced by which family theory?
Answer: structural family therapy
Boundaries around the executive subsystem in the family are of particular importance because the family is seen by structural therapists as crucial to the family's well-being.
Answer: hierarchy
25, Structural therapists attempt to alter the family's view of reality by:
changing cognitive constructions