Week 6 - Systemic Assessment Flashcards
(18 cards)
What is a systemic lens?
Consider:
- family history/ancestry
- environment
What is the value of systemic perspectives?
Environment and family are both risk and protective factors
What is the systems perspective in psychology?
- Understand people by assessing their interactions with their ecological systems (family + environment)
- Symptoms are a dysfunction within a family/system
Systems perspective: problematic behaviours
Problematic behaviours serve a purpose for the family/system. They suggest the system’s inability to operate productively
Individual therapist
Obtain: diagnosis
Therapy: begin right away
Focus: on causes
Concern: with individual experience/perspective
Intervene: individual coping
Systemic therapist
Obtain: explore systems and family
Therapy: invite whanau
Focus: family relationships
Concern: transgenerational meanings
Intervene: change context within ecological system
Te Wheke - Family Therapy
- Wairuatanga: spirituality
- Hinengaro: mental well-being
- Taha tinana: physical well-being
- Whatumanawa: open expression of emotion
- Mana ake: unique identity
- Hā a koro ma, a kui ma: breath of life from the forebearers
- Whanaungatanga: extended family
- Mauri: life force
Integration of theoretical perspectives in formulation of presenting problems (3)
- Attachment theory
- Structural family therapy principles
- Self development
What is development of self? (3 age points)
Age 0: need for belonging
Age 10/11: experiences shape identity, need space and opportunity for unique experiences
Age 35: differentiation/healthy expression of emotions, need social connections
What is attachment from a Māori perspective?
Connections and relationships to whanau, whenua (land) and wairua
What is attachment theory now?
Attachment as a spectrum.
Framework about attachment and connection to people, objects and land
What is quality of attachment?
Quality of attachment is the capacity for caregivers to recognise, validate and mirror emotional state of children to develop emotional regulation
Model of secure attachment and secure relating
- Left / dismissive
- Centre / secure
- Right preoccupied
What are the key concepts of Minuchin’s Structural Family Therapy?
Observe family to see family structure and consequences - functional demands/roles
What are family subsystems, and what is a structural difficulty of these subsystems?
- Family members play a different role in their subsystems.
- structural difficulty occurs when one subsystem takes over/intrudes another
When can emotional regulation occur for structural difficulty of family subsystems?
Emotional regulation comes from early experience of belonging
What are the boundaries of Structural Family Therapy? (1 + 4)
Healthy boundaries allow personal identity while creating belonging within family system.
1. emotional barriers
2. disengagement, overly detached, rigid
3. dependency, enmeshment (blurred boundaries)
4. dismissive vs over-responsive
What is the SCORE 15?
- assesses family relationships and functioning
- completed individually for each person aged 12+
- children 8-11 use Child SCORE
