EPPP- family therapy 2 – Flashcards
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Extended Family Systems Therapy
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Bowen
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Extended Family Systems Therapy
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"undifferentiated family ego mass"- highly emotionally fused
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Extended Family Systems Therapy
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multigenerational transmission
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Structural Family Therapy- founder
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Munichin
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Structural Family Therapy main idea
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boundaries ridgid=isolated diffuse/permeable = emeshement
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Structural Family Therapy
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rigid triads -detouring, stable coalition, triangulation
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Detouring
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In Structural family therapy this is a method of using child as focus to avoid couple issues
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stable coalition
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In Structural family therapy this is a pair that side againist another family member- e.g. mom and daughter side against dad
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Structural Family Therapy
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unstable coalition
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Structural Family Therapy- part of 1st stage
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Mimesis, adopting the familys affective and bx style (mimic)
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Strategic Family Therapy
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Haley Influenced by communication/interaction and Milton Erickson
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Strategic Family Therapy
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when communication becomes maladaptive it becomes all about control
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Strategic Family Therapy
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paradoxical interventions
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Milan Systemic Family Therapy founder
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Selvini-Palazzoli
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Milan Systemic Family Therapy main premise
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circular patterns- of action and reaction. When patterns are fixed the family members are no longer able to act creatively or to make new choices.
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Milan Systemic Family Therapy therapy technique
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therapeutic team- one way mirror is used observer may call therapist out of a session to have a "strategy conference
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Object Relations Family therapy
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projections identification
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Object Relations Family therapy
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multiple transferences
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Object Relations Family therapy
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introjects
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Extended family therapy
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Emotional Triangle - third person recruted to reduce tention
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Extended family therapy
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Therapy Goals and Techniques Genograms- to identify hx and patterns Encourage using therapist (remaining nuetral) in a emotional triangle
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Extended family therapy
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Therapy Goals and Techniques tx encourages partners to talk directly to the therapist(who stays calm and uninvolved). May choose to work with most differentiated member of family- this person is most likely one to change or may work with 2 family members and join the emotional triangle and attempt to reduce tention.
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Structural Family Therapy
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View or Maladaptive Bx: overly inflexible of diffuse boundries that inhibit the ability to adapt to stress AKA- Bad Boundries
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Structural Family Therapy 3 steps
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3 stages- joining, evaluating/dx. and restruc
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Structural Family Therapy- 1st step
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Joining - tracking- identifying and using family values and mimesis
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Structural Family Therapy
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Therapist action precedes understanding- unbalances the family homeostatis
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Structural Family Therapy- 3rd stage
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Enactments: family engages in conflict situation that would happen at home and reframing
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Structural Family Therapy- 2nd stage
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Family Mapping: draw map to identify boundaries , transactional styles
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Communication/Interaction Family Therapy
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Satir, Haley, Riskin,
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Communication/Interaction Family Therapy
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based on communication styles- placating blaming , super-reasonable, irrelevand and congruent
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Communication/Interaction Family Therapy
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Satir
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Stuctural Family Therapy (and in comm/interact and in strat)
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Reframing: new light or different interpretation on problem situation in family
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Strategic Family Therapy
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Focuses on solving problems in the present Presenting problems are accepted as "real" and not a symptom of system dysfunction
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Strategic Family Therapy
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Therapy is brief, process-focused, and solution-oriented
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Strategic Family Therapy
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Use of Directives: designed to change the system: advice, suggestions, coaching, giving ordeal-therapy assignment Paradoxical Interventions: exaggerate or perfect a problematic behavior
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Strategic Family Therapy
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alleviating family's transactions and org. especially hierarchies and generationsl boundaries.
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Strategic Family Therapy
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Reframing: reinterpreting problematic behaviors which are entrenched-giving new meaning to behaviors may produce new behaviors that fit the new interpretation
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Strategic Family Therapy
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underlying assumption is that bx change results in changes in perceptions and emotions
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Strategic Family Therapy
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therapy is highly structured and involves 4 stages-social stage (tx -watch family interact) , problem stage (gathing info about why family want tx), interaction stage(family discussed identified problems), goal-setting stage (tx contract agreement focus on defined goals)
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Strategic Family Therapy
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Therapist: active, take charge role. consultant, expert, stage director-change is therapist's responsibility
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Strategic Family Therapy
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Positioning - exaggerating the severity of a sx
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Strategic Family Therapy
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perscribing the sx
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Milan Systemic Family Therapy
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Hypothesizing- initial contact deriving ho
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Milan Systemic Family Therapy
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Systemic family therapy
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Milan Systemic Family Therapy
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Therapist uses neutrality
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Milan Systemic Family Therapy
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Paradox strategies including counterparadox (the therapeutic double-bind)
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Milan Systemic Family Therapy
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Circular questions asked to help family recognize difference/ simarity in perceptions "Who was more upset Mom or Dad?"
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Behavioral Family Therapy
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based on operant cond., social learnign and social, exchange
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Behavioral Family Therapy
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uses antecedents and consequences
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Object relations Family Therapy
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bx in family are seen as intrapsychic and interpersonal
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Behavioral Family Therapy
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Primary focus is the communication and problem-solving skills
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Object relations Family Therapy
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goal is to resolve attachment to family introjects
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Ackerman, Bateson and Bowen
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earliest contributors to family therapy
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Ackerman
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grandfather of family therapy came from psychoanalytic background and credited with deve. of double bind communication
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double bind communication
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parents say they want their adult child to be more independent and live out side of the home but then are extremely critical of any ideas the adult child has and then tell he/she that she is being too sensitive if she points out this inconsistsy
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Symmetrical communication
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In communiction/interaction tx- reglects equality btwn communicators but may lead to one-upsmanship
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Complementary communication
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(In communiction/interaction) reflects inequqlity and maximized differences btwn communicators. Dominant vs Submiss
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Ludwig von Bertalanffy
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General systems thory -entity that is maintained by mutual interactions - from biology
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Cybernetics
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Describes feedback loops
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Positive loop
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reduces tentions maintains status qu0
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Negitive loop
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ampliefies deviation or change disrupts system - can lead to runaways-breakdown
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Communication/Interaction Family Therapy
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-Sx are both cause and effect and create a Circular model of Causality
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Extended Family Systems Therapy
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Emotional triangle
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Extended Family Systems Therapy
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Family projection process- effects of parental process are trasmitted to children and this inturn lowers the child's level of differention
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Triangulation
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occurs when either parent demands that the child sides with him/her againist the other parent-(aka-unstable coalition)
