EPPP Therapy Structural Family – Flashcards
Unlock all answers in this set
Unlock answersquestion
Structural Family Therapy
answer
The theory and therapeutic model dev by Minuchin, which focuses on family organization & boundaries & the ways in which these structures govern interactional patterns. DYSFUNCTION, in this model stems from BOUNDARIES too RIGID or too DIFFUSE, both of which prevent the system and its subsystems from achieving its goals.
question
Structure
answer
Structural Family Therapy Minuchin A concept/term... The interrelationship amoung system elements that make up the organization of the system. In first order change, structures can be affected w/o altering the organization of the system; whereas, in second order change the organization's rules and structure are changed.
question
Accomodation
answer
Structural Family Therapy Minuchin A variety of engagement techniques... such as joining, in which the therapist adapts him/herself to the family's style of interacting.
question
Mapping the System
answer
Structural Family Therapy Minuchin An assessment technique...aka (structural map) used to depict a family's organization and gain an understanding of its complex structures and sequences (eg traingles, coalitions, emo cut-offs).
question
Perspective Change
answer
Structural Family Therapy Minuchin A term...the process by which elements of a system are TRANSFORMED to NEW STATES OR levels of ORGANIZATION.
question
Subsystem
answer
In Structural Family Therapy, Minuchin A term... an organized component of a system which has a specific role in the functioning of the larger system and is somewhat autonomous from it, ie; a parental or sibling subsystem.
question
Developmental System Change
answer
In Dev Psych/Systems Theory A term... The transition of the family from one stage of dev to another in the family life cycle.
question
Discontinuous Change
answer
Strategic Family Therapy Hailey and Madanes A concept/term... SUDDEN change resulting from shifts in BELIEFS.
question
Continuous Change
answer
Structural Family Therapy-Minuchin Transgenerational models; A term... Change occuring through a gradual learning process.
question
Distancing
answer
Structural Family Therapy Minuchin A concept/term... The process of creating emo space, often in response to enmeshment d/t diffuse boundaries. ie; adolescents may distance themselves as a way of solidifying an id.
question
Intensity
answer
Structural Family Therapy Minuchin A therapeutic stance/technique... in which the therapist regulates the degree of impact of his/her messages. Intensity can be regulated, for ie; by increasing the length of transaction or repeating the message. Tone, pacing, and volume are the tools of intensity.
question
Parentified Child
answer
Structural Family Therapy Minuchin A term for... A role set of behaviors, and placement in a family sequence which stems from the FUNCTIONAL REMOVAL OF A CHILD FROM THE SIBLING SUBSYSTEM. A parentified child differs from a child w/ healthy responsibilities when that 1) child's parental responsibilities are POORLY DEFINED and therfore, unlimited and are 2) BEYOND the scope of the child's DEV capabilities. Such children BECOME SXS-MATIC when they cannot handle or perform a responsibility they are given. Ie; a 17 y/o girl functions as the family's head when her mother sits uninvolved in the corner of the room.
question
Tracking
answer
Structural Family Therapy Minuchin An engagement technique... in which the therapist participates in the family dynamic, while privately noting the dysfunctional or unbalanced processes being enacted. The therapist must assume the median position-paying attn to him/herself while engaging w/ the family.
question
Boundary
answer
Structural Family Therapy Minuchin A concept/term.... Hypothetical dividers bw or amoung subsytems w/i the family or bw systems. They are defined SPATIALLY by the ways members ALLIGN w/ one another. They are set by the implicit or explicit RULES concerning WHO participates in WHICH subsystem and in WHAT manner. Boundaries and the subsytems they define MAY CHANGE over time and w/ variable circumstances. In SFT, boundaries are described as CLEAR, RIGID, or DIFFUSE.
question
Closed System
answer
Structural Family Therapy Minuchin A concept/term.... A self-contained system w/ impermeable boundaries which resists change and operates w/ minimal interactions w/ its outside environment, thereby increasing its dysfunction.
question
Disengagement
answer
Structural Family Therapy Minuchin A concept/term.... Emotionally distant and uninvolved family members w/ overly rigid boundaries in which members are isolated and disconnected from one another.
question
Diffuse Boundaries
answer
Structural Family Therapy Minuchin A concept/term.... Boundaries that are not clearly defined or maintained, resulting in blurred generational roles and responsibilities. Diffuse boundaries often lead to enmeshed relationships.
question
Unbalancing
answer
Structural Family Therapy Minuchin A technique... designed to disrupt a dysfunctional sequence by lending greater support to one side of a conflcit than the other.
question
Enmeshment
answer
Structural Family Therapy Minuchin A concept/term.... A loss of autonomy d/t diffuse boundaries, resulting in familiy members being overly involved in one another's emotional lives.
question
Cross Generational Coalition
answer
Structural Family Therapy Minuchin A term.... Describes a stable coalition bw a parent & child against the other parent.
question
Probing
answer
Structural Family Therapy Minuchin A technique... in which the therapist asks questions and/or makes provocative comments designed to evoke responses which help to obtain info about how the family operates. Even failure to obtain the family's cooperation provides info about their boundaries.
question
Mimesis
answer
Structural Family Therapy Minuchin A joining technique...in which the therapist gains acceptance by mimicking the gestures, communication, and behavioral patterns of family members.
question
Joining
answer
Structural Family Therapy Minuchin An engagement technique... in which the therapist accepts & accomodates to the family & engages w/ each family member. The goal of joining is to establish a trusting & familiar connection w/ the family so that the therapist can effect changes from w/i the system.
question
Personal Map
answer
Structural Family Therapy Minuchin A term... A conception of interpersonal reality that a person uses to make sense of the world.
question
Cognitive Maps
answer
Structural Family Therapy Minuchin A concept/term... Mental models by which incoming info is perceived, understood, transformed, and stored, together w/ a corresponding repertoire of behavioral options. Maps are based upon integration of experiences. Eash part of the cognitive map-ie input and output-forms the individual's internal representation of reality. Cognitive maps shape actions and communication. They may be flexable, able to change & expand cumlatively w/ new info and experiences, or they may be rigid & limiting. Maps have both language and spatial aspects w/ a private voc & imagery that determines how incoming communication is interpreted.
question
Coalitions
answer
Structural Family Therapy Minuchin A concept/term...in which two family members form a COVERT alliance, either temporary or durable, against a third. Coalitions usually form across generational boundaries, ie bw one parents & child against the other parent or against another child. Coalitions create power blocks in families, which serve either to balance another coalition or establish control.
question
Alliance
answer
1.Structural Family Therapy -Minuchin & Strategic Family Therapy- Hailey/Madanes A concept/term... a bond or affiliation bw two or more family members. Alliances differ from coalitions in that they are generally w/i a subsytem and NOT HIDDEN. 2. Domestic Violence A term... refering to the redemptive phase of the abuse cycle, in which the perpetrator promises never to act violently again and the victim agress to participate in that goal.
question
Detouring
answer
Structural Family Therapy Minuchin A concept/term... when two family members attempt to preserve their relationship by defining their conflict as a disagreement about a third person, keeping the focus on that person rather than themselves and their problem.
question
Shaping Competence
answer
Structural Family Therapy Minuchin A method... of increasing family members' confidence in being able to solve their problems by pointing out what they have down right, rather than focusing on their mistakes.
question
Boundary Making
answer
Structural Family Therapy Minuchin A technique... in which the therapist establishes a functional semi-permeable (clear) boundary where either a rigid or diffuse boundary had existed previously.
question
Enactment
answer
Structural Family Therapy Minuchin A technique... used both in assessment and tx of families. Members are instructed to demonstrate their problem during the therapy session, allowing the therapist to observe the problem and deveop strategies to change it.
question
How is family structure reinforced?
answer
By the expectations that establish rules in a family
question
Disengaged Subsystems: Product of RIGID boundaries
answer
- emotionally distance - operate privately and separately Are independent, but isolated. Fosters autonomy, but limits affection and support.
question
Enmeshed Subsystems: NO One is allowed to operate w/o interference!
answer
Offer closeness and support but at the expense of independent competence. Enmeshed children often become dependent on their parents
question
Clear Boundaries
answer
Supports a hierarchical structure in which parents occupy a position of leadership. Enables children to interact with their parents, but excludes them from the spouse subsystem.
question
Accommodation
answer
Elements of a system automatically adjust to coordinate their functioning. People may have to work at it.
question
Symbols of Family Structure
answer
Rigid boundary, clear boundary, diffuse boundary, coalition, conflict, detouring, and over involvement
question
Structural Conditions for Behavior Change
answer
Joining, accommodating, and restructuring Joining gets therapist into the family, accommodating to their styles gives therapist leverage, restructuring maneuvers transform the family structure
question
Structural Assessment is based on -
answer
the assumption that a family's difficulties often reflect problems in the way the family is organized. It is assumed that if the organization shifts, the problem will shift.
question
"Normal family"
answer
Has functional structure that is flexible to changing family needs, such as when family is faced with external pressures (job loss) or developmental transitions (new child). Healthy families accommodate to the changed circumstances.
question
Problem Behaviors
answer
Results when a family's structure does not accommodate to changed circumstances, but instead becomes MORE RIGID
question
Cross-generational Coalition
answer
Inappropriate alliance between a parent and a child, who side together against a third member of the family
question
SFT JESHBUC Techniques
answer
1. Joining and accommodating 2. Engagements 3. Structural Mapping 3. Highlight and modifying interactions 4. Boundary making 5. Unbalancing 6. Challenging unproductive assumptions
question
Reframing
answer
Relabeling a family's descriptions of behavior to make it more amenable to therapeutic change
question
Shaping Competence: The Director/Cheerleader
answer
Praising them Complimenting them Reinforcing positives rather than confronting deficiences
question
Hierarchy
answer
When parents abdicate their responsibility of providing leadership & direction, it creates chaos, insecurity, & confusion
question
Restructure: Techniques
answer
- create a more effective structure to help family cope w/ stress, strains and anxieties
question
Unbalancing/Stroke and Kick
answer
therapist throws off the family's usual homeostatis
