Quiz 1 (Week 2-4) Flashcards
(64 cards)
Reframing (systemic) is constructed of 3 main ideas
- People often see experiences in categories
- Once a category is decided it is hard to see other options
- Yet, once a second category is found (using ‘fact’) it is hard to see the original
Reframing is found in most types of ________
Systemic Family Therapies
What is Reframing (Positive Connotation - Milan Reframe)
Finding an alternative yet equally plausible explanation for a situation
What are Circle Questions?
Asking questions to get the family to understand a broader context
- and reframe the situation without the therapist having to outright reframe it
Types of Circle Questions
- Behavioural Sequence questions
- Behavioural Difference questions
- Comparison/Ranking questions
- Before-and-After questions
- Hypothetical circular questions
Directives are the most common yet misunderstood technique (T or F)
True
Give an example of a Directive
Ex. Instead of asking a couple to stop arguing, ask them to set a 5 minute times
- Directives are not logical, they break up IPs
How did the Milan start?
An unpaid group met weekly to discuss a new technique of meaning and ritual
Who came up with the IP Scope?
Karl Tomm –> (Tomm’s IPs)
- pioneer of family therapy
Main goal/view of Systemic and Strategic Therapy
- Solve the presenting problem seeing it as a relational/interactional issue, NOT individual
4 Steps of Systemic Therapy
- Access interaction pattern and meaning
- Intervene by interrupting the pattern
- Evaluate outcome and client response
- Interrupt new pattern
8 Aspects to Therapeutic Relationship (RAIN SH MC)
- Respecting and Trusting the System
- Adapting to Client Language and Viewpoint
- Neutrality
- Irreverence
- Maneuverability
- Helplessness - One-Down Stance
- Social Courtesy
- Collaboration
(RAIN SH MC)
Interaction Pattern Cycle (4 stages)
- Homeostasis
- Tension Rises
- Symptom
- Tension Subsides
What are Invariant Prescriptions
Interventions that do not change between family - often for anorexia or schizophrenia
What is Dangers of Improvement involve?
Asking the client what potential issues could arise during treatment or resolutions
What is Restraining/Going Slow do?
- “immunizes against setbacks”
- If they listen they are cautious, if not they are working harder at achieving the goal (win-win)
What are the 3 main phases of Structural Therapy
- Join family - build alliance
- Map family - evaluate and assess
- Address and intervene
What are Enmeshment/Diffuse Boundaries?
Unclear boundaries between member causing a lack of individuality - too collective
What are Disengagement/Rigid Boundaries?
Strong individual boundaries that can isolate members of the family from emotional connection- too individual
Goal of Structural Therapy
- to modify functioning so the family can solve their own problems - restructure boundaries and hierarchy
What is the enactment technique?
Requesting the family acts out an argument or situation
What are the “3 dance moves” of enactments
- Observing natural/spontaneous interactions
- Invite family to enactment (elicit transactions)
- Redirecting alternatives
What are Cross-generational Coalitions
- Subsystems that form between parent and child against parent/key caretaker
What are the 3 types of Hierarchies
- Effective (authoritative)
- Insufficient (permissive)
- Excessive (authoritarian)