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EPPP - Irene 2014 > Family therapy > Flashcards

Family therapy Flashcards

(62 cards)

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1
Q

Types of family therapy

A 
general systems
cybernetics
double-bind communication
communication/interaction family therapy
extended family systems therapy
structural family therapy
strategic family therapy
object relations family therapy
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2
Q

General systems theory

A

system is maintained by mutual iterations of its components

actions of interacting components are best understood by studying in context

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3
Q

open system

A

continuously receives input from and discharges output to the environment and is more adaptable to change

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4
Q

homeostasis

A

tendency for family to act in ways to maintain the family equilibrium or status quo; if one problem improves, likely to appear elsewhere in family

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5
Q

Cybernetics

A

negative/positive feedback loops

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6
Q

negative feedback loop

A

reduces deviation and helps system maintain status quo

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7
Q

positive feedback loop

A

amplifies deviation or change and disrupts the system; can promote appropriate change in dysfunctional family system

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8
Q

Grandfather of family therapy

A

nathan ackerman

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9
Q

traditional view of individual therapy

A

Lockean, Western, scientific cause and effect

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10
Q

Systems view of therapy

A

Kantian; reciprocal view of causality

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11
Q

double-bind communication

A

conflicting injunctions; one expressed verbally and one nonverbally

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12
Q

Communication/interaction family therapy assumptions

A

people are always communicating
communication has report (info) and command (relationship) function
interactions are symmetrical or complementary

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13
Q

symmetrical communication

A

equality between communicators but may escalate to competitive

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14
Q

complementary communication

A

inequality, maximizes difference between communicators - dominant/submissive

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15
Q

communication/interaction family therapy view of maladaptive behavior

A

circular model of causality, symptoms are both cause and effect; dysfunction includes blaming, criticizing, mind reading, and overgeneralizing

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16
Q

Communication/interaction family therapy goals and techniques

A

alter interactional patterns using direct and paradoxical strategies such as prescribing the symptom and reframing

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17
Q

Extended family systems therapy premise

A

extends system theory beyond nuclear to extended family

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18
Q

Differentiation of self

A

refers to ability to separate intellectual and emotional functioning; lower differentiation become fused with emotions that dominate family

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19
Q

undifferentiated family ego mass

A

family whose members are highly fused; choose mates of similar differentiation

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20
Q

emotional triangle

A

in two-person system with instability, third is recruited to stabilize or reduce stress; lower level of differentiation in family, greater probability of emotional triangle

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21
Q

family projection process

A

parental conflicts and emotional immaturity are transmitted to kids who have a lower level of differentiation; often involves oldest child or one born during time of stress; this child is perceived as special;

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22
Q

extended family systems view of maladaptive bx

A

multigenerational transmission process progressively lower levels of differentiation

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23
Q

extended family system goal

A

increase differentiation

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24
Q

extended family therapy techniques

A

therapeutic triangle with couple, remaining objective and neutral, reduce fusion; work with more differentiated individual, other will come along

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25
Genogram
depicts relationships between family members, dates of significant life events
26
Extended family therapy strategies
talk to therapist rather than each other in calm, factual manner; send clients home to family of origin
27
Structural family therapy - boundaries
overly rigid = disengaged from each other | too diffuse = permeable, family members are enmeshed
28
rigid triads
chronic boundary problems: 1. detouring - parents focus on a child by overprotecting or blaming the child "scapegoating" for family problems 2. stable coalition: parent and child form cross-generational coalition and gang up against other parent 3. triangulation: aka unstable coalition; each parent demands that the child side with him/her against other parent
29
structural therapy view of maladaptive bx
result of an inflexible family structure
30
psychosomatic families
when illness threatens life of child, often a high degree of enmeshment limits individual autonomy with low tolerance for conflict and overprotectiveness
31
structural family therapy goals
restructure family; actions precede understanding, emphasize chaining bx vs foster insight
32
Joining
join family in a position of leadership
33
tracking
identifying and using family values, life themes, and sig life events in conversation
34
mimesis
adopting family's affective and communication style
35
evaluating family structure
evaluate structure, transactional patterns, power hierarchies, and boundaries; may construct family structural map
36
restructuring family
deliberately unbalance (stress) the family's homeostasis
37
enactment
role-play relationship patterns so they can be identified and altered
38
reframing
relabeling behaviors so they can be viewed in a more positive way
39
Strategic family therapy influences
Jay Haley - communication/interaction and structural school of family therapy Milton Erickson - hypnotic technique to increase ability to manipulate client and control course of therapy; paradoxical directives - use client's resistance to change behavior
40
Strategic family therapy view of maladaptive bx
role of communication and how it is used to exert control; symptom is an interpersonal phenomenon
41
Strategic family therapy goals
alter family transactions and organization, particularly hierarchies and generational boundaries
42
Strategic family therapy 4 stages
social stage, problem stage, interaction stage, goal-setting
43
Strategic family - approach of therapist
active, take-charge; issue directives
44
Paradoxical intervention
by resisting the directive, family member ends up abandoning dysfunctional behavior
45
ordeals
unpleasant tasks the client must perform whenever a symptom occurs
46
restraining
encouraging family not to change
47
positioning
exaggerating the severity of symptom
48
prescribing the symptom
deliberately engage in symptom
49
Milan systemic family therapy view of maladaptive bx
circular patterns of action and reaction; patterns so fixed that members are no longer to act creatively or make choices about their lives
50
milan therapy goal
help family members see their choices and assist in exercising choice
51
milan therapy techniques
therapeutic team: 1-2 members meet and others observe; observers may call therapist out for strategy conference
52
neutrality
therapist remains an ally of the entire family
53
milan use of paradox
``` use counter paradox (therapist double-bind) positie connotation (reframing) -- used not to elicit resistance but to provide info so family can derive solutions ```
54
circular questions
used to help recognize differences and similarities in perceptions eg. who was more upset, mom or dad
55
behavioral family therapy principles
operant conditioning, social exchange and social learning theory
56
behavioral family therapy maladaptive bx
learned and maintained by antecedents and consequences
57
bx family therapy techniques
focus on observable bus; ongoing assessment; emphasis on increasing/decreasing bxs through contingent reinforcement; improving communication and problem-solving
58
functional family therapy
uses cbt strategies
59
object relations family therapy view of maladaptive bx
result of intrapsychic and interpersonal factors
60
projective identification
family member projects old introjects onto another family member and reacts as if
61
object relations family therapy techniques
interpret transferences, resistances to foster insight
62
multiple transferences
between family members, to therapist, family as whole

EPPP - Irene 2014 (10 decks)

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