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MISC Study Topics > Systems Theory > Flashcards

Systems Theory Flashcards

(72 cards)

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1
Q

General Systems - Change

A

-change occurs by helping the system view the problem in the context of the family
-the family system is the focal point of interventions

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2
Q

General Systems - Role of the therapist

A

Helps the family explore:
-belief systems
-rules and roles that are present in the family
-family hierarchy
-expectations
-defense mechanisms and their purpose

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3
Q

General Systems - Main concepts

A

-homeostasis
-feedback loops
-calibration
-wholeness
-equifinality
-equipotentiality
-first order change
-second order change
-nonsummativity
-boundaries

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4
Q

General systems - tx goals

A

-move toward equilibrium
-explore and recognize healthier interactions to decrease dysfunctional behaviors/patterns
-help family rework beliefs
-assist individual family members in seeing their role in any given dynamic
-increase family member’s understanding of deafferent experiences and perceptions
-assist in correcting problematic or unhealthy feedback loops

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5
Q

General systems - interventions

A

-observe feedback loops
-explore: belief system, family values, rules and roles, hierarchy, expectations, circular causality between members of the family
-reframe presenting issues as system issues
-explore each family member’s role in dysfunctional interactions
-challenge the communication

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6
Q

Bowen - change

A

-change occurs by understanding multigenerational dynamics and differentiation

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7
Q

Bowen - therapist’s role

A

-coach/educator
-supervisor
-investigator
-neutral

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8
Q

Bowen - tx goals

A

-self differentiation
-decrease emotional fusion
-improve communication
-decrease recurrence of dysfunctional patterns
-reduce emotional reactivity
-facilitate detriangulation

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9
Q

Bowen - key concepts

A

-triangles
-differentiation of self
-nuclear family emotional system
-family projection process
-multigenerational transmission process
-emotional cut off
-genogram

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10
Q

Bowen - interventions

A

-reduce anxiety/emotional turmoil in the family system by talking to therapist
-reframing
-genogram
-detriangulation
-increasing differentiation
-teaching “I” statements
-opening cut off relationships
-interactions with family
-models
-bibliotherapy

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11
Q

Strategic - change

A

-change occurs through action oriented directives and paradoxical interventions

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12
Q

Strategic - role of therapist

A

-delivers directives that facilitates change
-focuses on solving problem/eliminating symptoms
-designs a specific approach for each person’s presenting problem

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13
Q

Strategic - interventions

A

-paradoxical directives
-positioning
-homework
-prescribing the symptom
-restraining
-ordeals

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14
Q

Structural - change

A

-change occurs through restructuring the family’s organization

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15
Q

Structural - therapist’s role

A

-active and involved
-helps the family understand how family structure can be changed, the impact of rituals and rules, and how new patterns of interaction can be integrated into the family

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16
Q

Structural - primary concepts

A

-alliances
-coalitions
-power hierarchy
-subsystems
-family map
-disengaged boundaries
-enmeshed boundaries

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17
Q

Structural - interventions

A

-joining
-tracking
-mimesis
-unbalancing
-reframe
-enactment
-boundary making

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18
Q

Satir - change

A

-change occurs through self awareness and improved communication

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19
Q

Satir - role of therapist

A

-facilitator
-resource detective
-genuine and warm
-honest and direct

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20
Q

Satir - tx goals

A

-clients to increase congruent communication, improve self esteem/confidence and personal growth

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21
Q

Satir - key concepts/interventions

A

-incongruent communication
-styles of communication
-modeling communication
-family life chronology
-family sculpting
-taking responsibility
-metaphors and story telling
-transforming rules

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22
Q

Psychodynamic - change

A

-Change occurs through insight and understanding of early unresolved issues

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23
Q

Psychodynamic - role of the therapist

A

-assumes nondirective role
-establishes holding environment and the opportunity to develop a secure attachment

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24
Q

psychodynamic - key concepts

A

-past influences the present
-underlying conflicts
-defense mechanisms
-transference
-countertransference
-interpretation

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25
psychodynamic - assessment
-emphasis on early development -the role of the past and unconscious is very important -clients identify thoughts and feelings regarding events in the past
26
psychodynamic - tx goals
-uncover and interpret unconscious impulses and defenses against them -examine client's self awareness and understanding of the influence of the past -enhance ego strength and self esteem -decrease unhealthy coping mechanisms -access painful feelings in a safe environment -examine early relationships, attachments, and interactions to discover what issues from the family of origin might be projected in current relationships
27
psychodynamic - interventions
-establish and holding environment -observe and reflect the ways in which a client projects previous object relationships into therapeutic interactions -therapist points out patterns of distortion and manipulation -avoid being pulled into the client's maladaptive patterns -identify and resolve the underlying causes of internal and relational conflict -interpret transference
28
CBT Beginning Phase
-establish safe and support therapeutic relationship -complete functional analysis to assess and define the problem and negative thought patterns -educate and explain CBT -set COLLABORATIVE goals
29
CBT Middle phase
-identify negative thought patterns -uncover negative schemas -assign homework to self monitor thoughts, moods, and behaviors -label cognitive distortions -reframe thoughts -learn and practice new skills and behaviors
30
CBT End phase
-review gains -identify skills learned -rehearse for new situations -anticipate future struggles
31
REBT Beginning phase
-provide psychoeducation regarding REBT -identify underlying irrational thought patters and beliefs and the resulting feelings and behaviors
32
REBT Middle phase
-challenge mistaken beliefs -therapist must dispute these beliefs using very direct (confrontational) methods -blunt, honest, and logical in order to push people toward changing thoughts and behaviors -clients are encouraged o change unwanted behaviors using meditation, journaling, and guided imagery
33
REBT End phase
-review progress made and apply learned skills to anticipated future struggles
34
DBT Beginning phase
-move client from out of control to achieving behavioral control -mindfulness and distress tolerance skills are taught -focus on addressing self harm
35
DBT Middle phase
-fuller emotional experience -support client to learn to live -define life goals -build self respect -find peace and happiness
36
DBT End phase
-finding deeper meaning through a spiritual existence
37
Client/person centered phases
-NO PHASES OF TX BECAUSE IT IMPLIES THAT THE THERAPIST HAS AN AGENDA
38
Gestalt phases
-NO PHASES BC GESTALT DOESN'T HAVE A MAP. THE FOCUS IS ON THE HERE AND NOW.
39
Existential phases
-NO DISTINCT PHASES
40
Experiential/symbolic beginning phase
-engage family as authentic people -battle for structure -encourage all members to attend -family wins battle of initiative -gather info about boundaries, coalitions, roles, and level of conflict
41
experiential/symbolic middle phase
-develop a sense of cohesion -create alternative interactions -highlight inappropriate boundaries -role play situations -use play and craziness
42
experiential symbolic end phase
-highlight accomplishments and reflect on growth -identify possible blocks to future growth -role play future scenarios -each member expresses feelings about their experience of therapy
43
narrative beginning phase
-client is invited to tell their problem saturated stories
44
narrative early/middle phase
-the problem is externalized -mapping the influence/effects of the problem -identify/explore unique outcomes -re-author story -enlist a witness
45
narrative end phase
-create written artifacts -document and support new narrative -write letters to self and others
46
SF Beginning phase
-join with client competencies -envision preferred future -begin to identify client's strengths -use solution oriented language -achievable goals
47
SF middle phase
-identify strengths, resources, and traits client already has used to deal with problem -utilize solution talk -identify exceptions to the problems -utilize scaling questions to reflect on the nature of change the client has experienced -feedback to clients that include compliments and tasks -catch and highlight small changes -compliments and cheerleading
48
SF End phase
-assist the client to identify things they can do to continue the changes they have made -identify hurdles or perceived barriers that could get in the way of the changes they made
49
Psychodynamic beginning phase
-establish holding environment -build rapport and therapeutic alliance through listening, exploration of client's experience, empathy, interpretation, and maintaining neutrality
50
Psychodynamic middle phase
-promote insight and growth -increase individuation -work through termination and abandonment issues
51
psychodynamic end phae
-terminate therapy when client is able to put new insights into action
52
OR beginning phase
same as psychodynamic -establish holding environment -build rapport and therapeutic alliance through listening, exploration of client's experience, empathy, interpretation, and maintaining neutrality
53
OR Middle phase
-promote insight and growth through interpretation -confront resistance and primitive defense mechanisms -focus on transference/countertransference dynamic -identify and process projective identification
54
OR end phase
-work through termination and abandonment issues -consolidate interpretations -review insights gained in therapy
55
Self psychology psychodynamic beginning phase
-establish therapeutic holding environment -demonstrate that the therapist is able to provide containment -provide experience near empathy -explore client's problem and history
56
Self psychology psychodynamic middle phase
-repair disruptions of the self object transference -addressing enactments -empathizing with losses and blows to self -mourning loss of self objects -mourning ambitions and fantasies -identifying alternative self objects
57
Self psychology psychodynamic end phase
-reflect on the treatment process -acknowledge and process issues related to termination
58
bowen beginning phase
-create a family diagram of multigenerational emotional connections -assess individuals levels of differentiation and triangulation -identify dysfunctional patterns that have been passed along
59
bowen middle phase
-teach and model differentiation through communication skill building -de-triangulation -encourage reunification from cutoff family members -teach the family how to take responsibility for their feelings and thoughts
60
bowen end phase
-review new skills and knowledge gained in therapy
61
strategic beginning phase
-define the problem -determine how client understands the problem -assess family's destructive patterns of relating and communication the continued problem -state goals (what behaviors need to change and what would be the signs of change)
62
strategic middle phase
-review attempted solutions -assign ordeals -prescribe the problem -relabel behavior -instruct client to respond to the problem in a new way
63
strategic end phase
-plan for maintenance of new behavior -plan for future challenges -emphasize positive changes made -highlight tools
64
structural beginning phase
-join with family -accommodate and challenge rules of family system -assessment/mapping of hierarchy, alignments, boundaries -reframing the problem to include whole system
65
structural middle phase
-highlight and modify interactions -utilize enactments of issues to challenge participants and unbalance the system
66
structural end phase
-review progress made -reinforce structural change -provide tools for future
67
Satir beginning phase
-establish rapport -establish a sense of equality and hope -assess communication patterns, stances, and concerns -identify treatment focus and goals
68
satir middle phase
-increase the family's congruent communication -support and strengthen each individuals sense of uniqueness and self esteem
69
satir end phase
-help family practice, implement, and integrate changes and increase awareness of larger familial patterns
70
attachment beginning phase
-attunement -therapist provides a secure base by demonstrating empathy and care -collaboratively identify client's attachment style
71
attachment middle phase
-explore disruptions -support client's ability to regulate and express emotions in relationally difficult situations -teach clients to have a reflective stance toward themselves
72
attachment end phase
-repair work -therapist helps client create a new reality of painful events for the client in order to get rid of unwanted emotions and reactions

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