Theories Flashcards
(116 cards)
1
Q
First order change
A
System does not change, even if behavior does….
I.e. husband and wife who are fighting, stop talking to each other so no more fighting, but original problem or cause of conflict remains
2
Q
Black box
A
No idea what internal process or cause of external behavior is, but can see still observe outcome
3
Q
White box
A
Able to see process/cause of external behaviors
4
Q
Double bind
A
A situation where one cannot effectively comment on it since one is receiving a conflicting message simultaneously and it would be dangerous or impossible to disengage the message
5
Q
Double bind is treated via
A
Paradox
6
Q
Functional Analysis
A
CB(F)T
Systemic Practice of defining the role of the symptom in the system
7
Q
Operant conditioning
A
When you reward positive behavior towards ultimate goal
(Shaping behavior),
Ideally, you reward positive behavior immediately
8
Q
REBT
A
A,B,C,D. etc
Confronting irrational beliefs in session
9
Q
DBT
A
Evidence based treatment for Borderline
Finding balance or synthesis between 2 polar opposites
10
Q
DBT
A
- Transition client’s away from black and white thinking
- Integrative theory
- DBT group for one year also
11
Q
Solution focused therapy
A
Always looking for everything to be stated in positive terms
12
Q
Solution focus therapy
A
Assess strengths
13
Q
Solution focused therapy
A
Looking for exceptions
14
Q
Solution focused therapy
A
Times when problem was expected to happen but it didn’t
15
Q
Solution focused therapy
A
Assess solution,in positive behavioral terms, i.e. miracle question/Magic wand
16
Q
Solution focused
A
Scaling questions
17
Q
Solution focused therapy
A
Do one thing differently
Small changes in small steps
18
Q
Solution focused therapy
A
Formula first session task:
What you DON’T want to change
19
Q
Narrative therapy
A
Looking to enact preferred identities
20
Q
Narrative therapy
A
Separate person from problem (narrative)
Who are you when you’re not in this problem?
21
Q
Narrative therapy
A
Once you separate client from problem, start having them enact PREFERRED narrative
22
Q
Narrative therapy
A
Relative influence question:
When you are mapping the influence of the person, vs the problem, or vice versa
23
Q
Interrupt pattern and allow client to “self organize”
A
Strategic Therapy
24
Q
Minimum amount of disruption to effect change, get them out of ruts with smallest change possible
A
Strategic Therapy
25
Morphogenesis
How a (family) system can react and change from new information WITHOUT losing stability
26
Morphostasis
A system's (family) ability to react to new information change and to still remain stable
27
Cybernetic Process
Constant tension between morphogenesis and morphostasis to maintain homeostasis
28
First order change
Roles shift, but no actual change
29
Second order change
When a system changes its homeostasis due to "positive" feedback
30
Communication: Report and Command
Report (content)
Command (relationship)
Report: Literal content of the communication
Command:Relationship Metacommunication, how to interpret communication
31
Holon
An entity or organism unto itself (like a family)
32
Symbolic Experiential Theory
Carl Whitaker
33
Therapy of the Absurd
Carl Whitaker
Symbolic Experiential Theory
34
2 Battles
Battle for structure
Battle for initiative
35
This battle should only be won by therapist
Battle for structure
Symbolic Experiential Theory
36
This battle should only be won by client
Battle for initiative
Symbolic Experiential Theory
37
Absurdity for specific purpose:
To perturb the system in a compassionate/caring way
Symbolic Experiential Theory
Therapist always conveys caring, no matter how brutal the truth
38
Use of Co-Therapists: good cop/ bad cop
Symbolic Experiential Theory
39
Therapist focuses on Emotional Systems
(Not just behavior and interactions)
Symbolic Experiential Theory
Carl Whitaker
40
Satir Family Therapy
5 Communication stances when threatened
1. Congruent (the Positive One)
41
Satir Family Therapy
5 Communication stances when threatened
2. Placator- most common for therapy
42
Satir Family Therapy
5 Communication stances when threatened
3. Blamer: Must learn empathy
43
Satir Family Therapy
5 Communication stances when threatened
4. Super Reasonable: Spock
44
Satir Family Therapy
5 Communication stances when threatened
5. Irrelevant: Distracts/class clown
45
Satir's Family Therapy Stances all acknowledge:
3 realities:
Self
Other
Context
46
Satir's 6 Stage Model of Change
(First 3)
1. Status Quo
2. Foreign elements
3. Chaos
47
Satir's 6 Stage Model of Change
(Last 3)
4. Integration of new Responsibilities
5. Practice
6. New Status quo
48
Family Life Chronology
Satir Family Therapy
49
Surviving Triad
Child and two parents
Satir Family Therapy
50
Iceberg
Tip of iceberg represents problem/symptoms
Bottom is emotions driving it
Satir Family Therapy
51
Sculpting
Position each person to metaphorically represent their roles
one member of the family at a time is asked to physically arrange the family members in relationship to one another.
Satir Family Therapy
52
Represents both Systemic and Individual therapy
Satir Family Therapy
53
Model is intended to be a brief solution to a specific problem
Strategic Therapy, and why it's called Strategic
Jay Haley and MRI
54
How to fix problems as quick as possible
Strategic Therapy
55
Therapist viewed as an authority/teacher
Strategic Therapy
56
Circular Causality
Series of causes and effects leading back to original cause of problems and either alters or confirms it, leading to new sequence/feedback loop
Strategic Therapy,
57
First Order Change
Change occurs but only impacts symptom relief, not family roles
58
Second Order Change
Creates Lasting Change, NOT just symptom relief
59
Problem: Symptom is an attempt to address/solve problem
Strategic Therapy
Goal is to relieve symptom of family
60
Goal: Relieve Symptom of Family
Strategic Therapy
61
Strategic Family Therapy Goals
To address negative behaviors of poor hierarchy and boundaries in family
62
Therapist Role:
Strategic Family Therapy
Works in collaboration with Family
63
Directive:
Task assigned by therapist to address family problem
Strategic Family Therapy Goals
64
1. Social stage
Therapist observes
Strategic Family Therapy Goals
65
2. Problem Stage
Problem defined
Strategic Family Therapy Goals
66
3. Interaction stage
Combines first and second steps
Strategic Family Therapy Goals
67
4. Goal setting
Sign contact to address fix goals
Strategic Family Therapy Goals
68
Paradoxical Intervention
Counter intuitive or opposite prescribed
Strategic Family Therapy Goals
69
Paradoxical Intervention
Goal: Symptom Relief
i.e. "Argue at 7pm"
Strategic Family Therapy Goals
70
Ordeals:
Pair unpleasant tasks w/ symptoms
I.e. "When you get anxious, scrub bathroom"
Strategic Family Therapy Goals
71
Restraining:
Strategic Family Therapy Goals
"Do not change!" (Almost sarcastically)
Strategic Family Therapy Goals
72
Positioning:
Strategic Family Therapy Goals
Exaggerating severity of symptom
Strategic Family Therapy Goals
73
Strategic Directives:
Get people out of rut with smallest changes possible
74
Systemic Therapist
Interrupts negative interactions, often with ridiculousness,
i.e. "Wear hats whenever you argue"
75
Systemic Therapy
Interrupts system and allows it to reorganize in manner without priblems
76
5 stages of Strategic Family Therapy
1. Social Stage
77
5 stages of Strategic Family Therapy
2. Problem Stage
78
5 stages of Strategic Family Therapy
3. Interaction Stage
79
5 stages of Strategic Family Therapy
4. Goal setting stage
80
5 stages of Strategic Family Therapy
5. Task setting stage
81
Strategic Family Therapy
Initial appointment:
Invite all members of household, even if it's only individual therapy
82
Strategic Positioning by Therapist
Role of therapist shifts
83
Strategic Positioning by therapist
What response most likely to cause change?
84
Strategic Positioning by Therapist
Most commonly used:
Social courtesy and one down position
85
Strategic Therapy
5 ways to think of problems
1. Involuntary vs voluntary
86
5 basic ways to think of problem
2. Helplessness vs Power
Strategic Family Therapy
87
5 basic ways to think of problem
2. Helplessness vs Power
Strategic Family Therapy
88
5 basic ways to think of problem
3. Metaphorical vs Literal
Strategic Family Therapy
89
5 basic ways to think of problems
4. Hierarchy vs Equality
Strategic Family Therapy
90
5 basic ways to think of problems
5. Hostility vs love
Strategic Family Therapy
91
Emphasize increasing family's ability to love
Strategic Family Therapy
92
Strategic Goals
How to get family to redefine Homeostasis to cause it to reset
93
Strategic Family Therapy
Interventions
Straight forward directives: Therapist has more power/authority
94
Strategic Family Therapy
Interventions
Indirect directives: less power with clients
95
Strategic Family Therapy
Interventions
Paradoxical Symptom:
Therapist reframes meaning and context of symptom so client can no longer use it
96
Strategic Family Therapy
Allows client to reorganize according to cultural beliefs, no actual notion of "normal"
97
Strategic Family Therapy
Indirect directives
1. Metaphorical taskes
98
Strategic Family Therapy
Indirect directives
2. Pretend techniques: "Fake it till ya make it!"
99
Paradoxical Symptom
Reframe symptom in context of client meaning so client can no longer use it
100
Metaphorical Task
Indirect Directive
Strategic Therapy
101
Pretend Techniques (fake it till you make it)
Indirect directives
Strategic Therapy
102
Ordeal Therapy:
When client feels helpless, assign an "illogical" task, and also before "A" first do "B"
Strategic Therapy
103
Allows clients to Reorganize according to culture
Strategic Family Therapy
104
Existential Therapy
Daseinanalysis
Feels more like psychodynamic, how is client engaging and interacting with environment
105
Existential Therapy
Logotherapy
Developed by Victor Frankl
106
Existential
Life has no meaning, we must find it (except for Frankl)
107
Existential
Freedom and Responsibility
Major focus
108
Existential
Even with consequences we are free to choose
109
Existential
Therapist:
Where is it client does NOT feel free?
110
Existential
Death anxiety:
Instinctual and plays major role in terms of death, anxiety, denial, etc
111
Existential
How is fear of death related to presenting problem?
112
Existential
Work on client's accepting their death, death of others, which leads to more responsibilities and better choices
113
Existential
Purpose of neurosis/symptom:
Purpose of neurosis/symptom:
To preserve our sense of self in outside world, symptom gives clue where person is not taking responsibility for self/behavior
114
Existential
Goals:
Long term goal:
To live a long and authentic life
115
Existential
Interventions
Subtle, identifying issues, reflecting, addressing and resolving
116
Existential
Acknowledging existential isolation
We come in, journey, and die alone in life. We must learn to live with it...define and affirm self to achieve true sense of freedom
