Final exam - Strategic Family Therapy / Existential Family Therapy

Question 1

Homeostasis:

-family stability is achieved by ? that regulates the ? of the family and its members.

Answer 1

feedback

behavior

Question 2

Homeostasis:

Whenever a ? is threatened—that is, disturbed—it endeavors to maintain ?

Answer 2

family system

stability (homeostasis)

Question 3

Homeostasis:

apparently puzzling behavior might become understandable if it were seen as a ?.

Answer 3

homeostatic mechanism

Question 4

What is Equilfinality?

Answer 4

the ability to reach a final goal in a variety of ways; there is never only one way to achieve.

Question 5

Indications for Family Therapy

1, When individual treatment has been?

Answer 5

ineffective

Question 6

Indications for Family Therapy

2. When ? in one family member is likely to cause ? in another family member.

Answer 6

improvement

distress

Question 7

Indications for Family Therapy
3.
When one member is ?

Answer 7

scapegoated

Question 8

Indications for Family Therapy

4. When presenting problem involves ?

Answer 8

family crisis (e.g. death/divorce)

Question 9

Contraindications for Family Therapy

1. ? are unwilling or unavailable to participate.

Answer 9

Key family members

Question 10

Contraindications for Family Therapy

2. One family member is so ? that his/her behavior makes family treatment ?.

Answer 10

disturbed

impossible

Question 11

Contraindications for Family Therapy

3. When presenting problem is related to issues ??.

Answer 11

outside the home

Question 12

Families have a unity that is greater than the sum of the parts, therefore cannot be analyzed by isolated segments

Answer 12

Nonsummativity / Wholeness

Question 13

Overinvolved with one another, boundaries become diffuse between subsystems

Answer 13

Enmeshed Families

Question 14

There is little interaction among family members and supervision, causing members to feel a sense of isolation and lack of connection

Answer 14

Disengaged Families

Question 15

This crisis happens when one fails to overcome problems or master conflicts at a particular stage of the family life cycle

Answer 15

Developmental crisis

Question 16

This crisis is Those that suddenly shake up and transform a family system so profoundly that it never returns to its former way of functioning

Answer 16

Situational Crisis

Question 17

Example of situational crisis

Answer 17

divorce, death of family : therapist help family with transition

Question 18

Example of developmental crisis

Answer 18

Retirement

Empty nest

Question 19

Conjoint Family Therapy

Answer 19

Both members of the couple/entire family are seen at the same time by the same therapist

Question 20

Concurrent Family Therapy

Answer 20

All members are seen by the same therapist individually. (e.g. dv cases)

Question 21

Collaborative Family Therapy

Answer 21

Each family member is seen by a different therapist. Therapists meet periodically to discuss the family as a whole.

Question 22

Network Family Therapy

Answer 22

A therapist work with the entire network of significant people of family including friends and pastors.

Question 23

Events are related through a series of interacting loops or repeating cycles. A causes B, B affects A, etc.

Answer 23

Circular Causality

Question 24

Goals of Strategic Family Therapy

1. To produce family change (behavior) you must alter ? Look at how they ? as a family and improve it.

Answer 24

1. the entire family system

communicate

Question 25

Goals of Strategic Family Therapy | 2. Stabilize the family at a different, more ? level

Answer 25

functional

Question 26

Goals of Strategic Family Therapy | 3. Plan a strategy for solving ?

Answer 26

the presenting problem

Question 27

Goals of Strategic Family Therapy | 4. Prevent repetition of ? and introduce?

Answer 27

dysfunctional sequences | alternatives

Question 28

Interventions (treatment) of Strategic Family Therapy | 1. Use of directives with ? for tasks to be accomplished in and out of session.

Answer 28

precise instructions

Question 29

Interventions (treatment) of Strategic Family Therapy | 2. Utilize client’s ? to force symptom

Answer 29

own momentum | abandonment

Question 30

Interventions (treatment) of Strategic Family Therapy | 3. Relabel dysfunction as?

Answer 30

understandable

Question 31

A technique used in strategic therapy whereby a therapist directs family members to continue their symptomatic behavior. If they conform, they admit control and expose secondary gain, if they rebel, they give up their symptom.

Answer 31

Paradoxical Directive

Question 32

A technique: Cloe Madanes’ playful paradoxical intervention in which family members are asked to pretend to engage in symptomatic behavior. The paradox is, if they are pretending to have a symptom, the symptom cannot be real.

Answer 32

Pretend Techniques

Question 33

First Order vs. Second Order Change | 1. First order change is ? and does not produce an overall alteration in the system

Answer 33

superficial (e.g. panic attack. Helping the person with CBT to cope with panic attack. )

Question 34

First Order vs. Second Order Change | 2. Second order change does produce a basic change in ?

Answer 34

the structure (e.g. Change how the family interacts so that the person can learn to use alternative way not using panic attack to communicate. )

Question 35

Goals – Experiential Family Therapy (Virginia Satir) 1. personal ? 2. Identify ? individuals play in family 3. Develop healthy ? 4. Stress family 5. Build individuals 6. Help family ?

Answer 35

1. growth 2. role 3. communication patterns 4. intimacy 5. self-esteem 6. negotiate decisions

Question 36

What theory?: - Concerned about feeling or emotion in the family system. -Areas of focus were feelings of acceptance or rejection, alleviating family pain, and bolstering family members’ self-esteem. - A family’s faulty communication is evidence of its dysfunctional relationships

Answer 36

Virginia Satir theory

Question 37

Technique used to understand history of family’s development. Information gained is discussed openly in order to build trust. Therapist models congruent behavior. (e.g. ages on the board)

Answer 37

Family Life Chronology (Satir)

Question 38

Satir - types of family games | 1. one member of the family always agrees, one disagrees and the third is the distractor

Answer 38

Rescue game (e.g. When parents have conflicts, child doesn't want to take a side. She/he does something cute to distract.)

Question 39

Satir - types of family games 2. two people always agree and the third disagrees If people in coalition, two people agree to support each other no matter what the issues are. The third one disagrees; there is always a lack of agreement.

Answer 39

Coalition game

Question 40

Satir - types of family games | 3. everyone agrees with everyone else at the expense of personal needs

Answer 40

Lethal game –Often in anorexic family. For the sake of the family, people agree to each other, system takes priority over individuals so agreement is superficial. Not allowed to express own true feelings.

Question 41

``` Dysfunctional Roles (Satir) 1. fear disapproval, dependent ```

Answer 41

Placaters –Often this is a kid. They agree out of fear of disapproval.

Question 42

``` Dysfunctional Roles (Satir) 2. attack others in order to cover up feeling empty and unloved ```

Answer 42

Blamers - They have negative feelings but don't share it instead attack someone else.

Question 43

``` Dysfunctional Roles (Satir) 3. only feel safe at a distance, rely on intellect to cover vulnerability ```

Answer 43

Computers –Never share feelings, intellectualizing the problem.

Question 44

``` Dysfunctional Roles (Satir) 3. gain approval by acting cute and harmless ```

Answer 44

Irrelevant People (distractors) –Often kids, by acting cute and harmless get approval.

Question 45

Communication style: This comments on and qualifies the content (e.g. tone of voice) The way people relate on this level is the primary indicator of the nature of their relationship

Answer 45

Metacommunication

Question 46

A technique involving an arrangement of a family in space, with the physical placement of each figure determined by an individual family member acting as director

Answer 46

Family Sculpture