MAS-MFT – Theory Chart Comp Study – Flashcards

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Bowenian - Concepts
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-Differentiation of Self -Triangles -Nuclear Family Emotional Process -Family Projection Process -Multigenerational Transmission Process -Sibling Position -Emotional Cutoff -Societal Emotional Process
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Structural - Concepts
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-Describes families as having an underlying organization in terms that provide clear guidelines for diagnosis and treatment -Hierarchy -Cross-Generational Coalitions -3 Essential Constructs of Structural Family Therapy Family Structure Subsystems Boundaries
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Strategic-Haley - Concepts
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-First Order change, Second Order Change -Focuses on sequences of behaviors & communication patterns (functions) -Structural concepts (hierarchies, wholeness and boundaries) -Focus on presenting problem -Ahistorical -Emphasized family life cycle -Critical to look at transitional points -Saw symptoms as relationship metaphors
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Strategic-MRI - Concepts
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-Feedback loops -Family Homeostasis
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Strategic-Milan - Concepts
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-Family Games -Formulaic -Therapy team
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Solution-Focused - Concepts
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-Focuses on Solutions to the Problems -Goes from problem talk to solution talk -Concentrate on solutions that have worked or might work. (Exceptions)
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Narrative - Concepts
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-Problems are seen as the performance of oppressive dominant stories or knowledge. (problem saturated stories) -Problems can be told in a story format. -Delabelizing through Externalizing -Constructing and deconstructing stories -Unique outcomes
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EFT - Concepts
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-Viewed emotion in a central role. -Growth through immediate shared experience -Self Worth -Uncovering the within (expressing vulnerabilities) -Attachment theory --Attachment "injuries" --Attachment "panic"
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Experiential - Concepts
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-Viewed emotion in a central role. -Creativity, spontaneity, and play -Growth through immediate shared experience -Experimental -Self worth
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Behavioral (CBT) - Concepts
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-Interested in patterns of behavioral responses and mediating cognitions. -Reductionistic -The idea that people seek to maximize rewards and minimize costs -NonPathological -Individualistic.
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Psychoeducational - Concepts
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-Educating client so they might develop skills for understanding and coping with a family member that has a behavioral health diagnosis. -Relationship skills building or stress management. -Family functioning and the environmental factors within family life play a role in relapse rate. -Expressed Emotion
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Bowenian - Dysfunction
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-Low differentiation (Togetherness - Fused), (Individuality - Emotional cutoff), -Symptoms result when a person faces more stress than they can handle. -People who are differentiated handle stress better.
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Structural - Dysfunction
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-Stress + Failure to Realign -Normal vs. non-normal depends on a functional family structure (If families don't have a functional structure they end up with symptoms and dysfunctions)
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Strategic-Haley - Dysfunction
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-Malfunctioning hierarchy is behind most family problems -Child behavior disorders are part of a dysfunctional triangles that maintain the child's symptoms. -Symptoms can be viewed through the way the family communicates
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Strategic-MRI - Dysfunction
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-Families are stuck and need help getting out of the positive feedback loop -Nonnormative stance - use no criteria to judge the health or normality of an individual or family
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Strategic-Milan - Dysfunction
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-Non-normative stance in that they believed in "neutrality" o Same as MRI, not Haley, had criteria (triangles, hierarchy) o No criteria that determines function or dysfunction o Does not apply preconceived goals or normative models to families
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Solution-Focused - Dysfunction
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-Stuck in narrow, pessimistic view of the problem and can't see a solution -Problems are unseccessful attempts to solve difficulties
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Narrative - Dysfunction
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-Non-normative
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EFT - Dysfunction
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-Dysfunctional couples do not have the freedom to be or express themselves
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Experiential - Dysfunction
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-Dysfunctional families do not have the freedom to be or express themselves
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Behavioral (CBT) - Dysfunction
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-Treatments based on assumptions that family interactions are maintained and changed by environmental events or contingencies (behavioral piece), and mediating cognitions that precede and follow each family member's behavior (cognitive).
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Bowenian - Problem
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-Degree of differentiation of self -Repeating intergenerational patterns -Creation of triangles (triangulation)
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Structural - Problem
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-Arise when inflexible family structures can't adjust to developmental and situational challenges
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Strategic-Haley - Problem
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-Dysfunctional hierarchy creates dysfunctional interaction. This leads to difficulty in family life cycle transitions. -Problem is engaging the family -Symptoms add function to the problem -Inability to adjust in family life.
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Strategic-MRI - Problem
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-Positive feedback loops, cybernetic explanation - difficulties are turned into chronic problems by the persistence of misguided solutions. -Problem development through positive feedback loops -3 solutions that perpetuate problems: 1. action is necessary but not taken, 2. action is taken but not necessary, 3. action is taken but at the wrong level
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Strategic-Milan - Problem
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-Family members were seen as engaging in unacknowledged destructive, repetitive sequences of interaction (Patterns of behavior) -Family's game: how family members attempt to control each other's behavior -Alliances: people that are aligned/supportive of/bond with each other, mother/daughter, father/daughter, positive connotation, does not have to have a coalition -Coalition: two or more people against people or group, must have alliance.
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Solution-Focused - Problem
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-Stuck in narrow, pessimistic view of the problem and can't see a solution -Problems are unseccessful attempts to solve difficulties
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Narrative - Problem
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-Dominant Story persists -Client doesn't recognize marginalized unique -People create problem saturated stories (narrow thinking) -Client has labeled themselves
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EFT - Problem
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-Assumed negative interaction patterns in the couple system were rooted in unmet attachment needs -Root cause of problems is emotional suppression (Couples engage in a negative cycle because needs aren't met)
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Experiential - Problem
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-Unexpressed emotion -Similar to EFT
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Behavioral (CBT) - Problem
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-Symptoms are learned responses -Do NOT look for underlying meaning in symptoms -There are behaviors that have no underlying meaning and can be changed -Concentrate on the symptom and look for responses in environment that reinforce problem behavior
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Psychoeducational - Problem
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When there's been a diagnosis -A change in family roles -Caregivers stressed and overburden -Financial hardship (loss of income) -Accommodations to treatment regimen -Communication regarding illness -Coping with multiple losses
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Bowenian - Goal
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-Decrease anxiety and increase differentiation of self -Increase the ability to distinguish between thinking and feeling with self and others -Use the skill of differentiation to direct one's life and solve problems -Requires reopening closed family ties and detriangulation
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Structural - Goal
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-Alter family structure (i.e., hierarchies, clear boundaries) so the family can solve its problems -Flexibility (when transition occurs, family knows how to adapt) -Spousal subsystem established as an entity distinct from the parental subsystem -Creation of an effective hierarchical structure between parents and children
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Strategic-Haley - Goal
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-Resolution of the presenting problem (first order change) -Structural reorganization of the family hierarchy and generational boundaries (second order change)
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Strategic-MRI - Goal
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-Define a resolvable complaint -Identify attempted solutions that maintain the complaint -Understand client's unique language for describing problem -First & Second order change (Defining and changing the feedback loop)
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Strategic-Milan - Goal
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-Expose family games and reframe motives for symptomatic behavior -Less problem-focused: wanted to change a family's awareness or beliefs -More inclined to say that "meaning changes behavior" - opposed to Haley, (change the meaning, change the way the family interacts) -Clear generational boundaries
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Solution-Focused - Goal
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-Help clients think differently (solution talk) and become satisfied with life -Trust clients to reach their goals with skills that they already possess but have lost sight of due to focusing on failures rather than successes -Identify exceptions to problems (Only a small change is necessary) -Help clients set clear and achievable goals
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Narrative - Goal
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-Generation of alternative stories that incorporate vital and previously neglected aspects of lived experience. -Marginalized stories -Becoming co-creaters
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EFT - Goal
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1. Create a safe, collaborative alliance: everyone is protected 2. Track negative cycles that constraining and narrow the partners' responses to each other 3. Facilitate identification, expression and restructuring of emotional responses
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Experiential - Goal
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-Learn to recognize and express emotions -Growth not stability is the goal of experiential family therapy -Focus on individuals and their experience more than on family organization -Increasing stress among the family members leads to increased emotional expression and honest, open communication -Changing experience changes affect; need to get out of head into emotions; active interventions change experience, emotions
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Behavioral (CBT) - Goal
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-Ultimate goal is the understanding, prediction and control of behavior -Increase the rate of rewarding interactions in family relationships -Decrease use of coercion and aversive exchanges -Modify specific behavior patterns -Teach communication and problem solving skills -Challenge interpretations of behaviors
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Bowenian - Therapist Role
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-Neutral -Objective -Coach -Expert (non-collaboration) -Educator
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Structural - Therapist Role
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-Active: moves people around -Involved -Leadership: asking questions, being curious, modelling, control within the system, o makes the plan while allowing flexibility (Modelling flexibility)
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Strategic-Haley - Therapist Role
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-Expert -Directive (calculated, step by step) -Active -Unique -Creative -Process over Content **Assessment and goal are structural, His calculated approach and step-by-step tactics are strategic
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Strategic-MRI - Therapist Role
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-Active (asking questions, involved) -Clients are viewed as customer -Attend to process over content -Non-normative
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Strategic-Milan - Therapist Role
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-Neutrality is basic therapeutic stance of being on everyone's and no one's side in the family at the same time. -Nonjudgmental. -Emphasize clear generational boundaries. -Team Approach
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Solution-Focused - Therapist Role
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-Client-centered (focused) -Collaborative -Non-judgmental -Not knowing/inquisitive -Co-creators of solutions -Shared expertise -Curious (Asks lots of questions) -Very suportive and positive
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Narrative - Therapist Role
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-Facilitator -Co-creator -Co-Navigator -Collaborative -Non-normative -Non-judgmental -Curious (Asks lots of questions) -Does not assume they know the meaning of story
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EFT - Therapist Role
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-Emphasis on creation of "Safe therapeutic environment" for clients to feel comfortable -Client-centered -Collaborative: what do you want out of this -Genuine: client believes you have their best interest -Emotionally present and available -Demonstrates acceptance/nonjudgmental -Focuses on empathic attunement
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Experiential - Therapist Role
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-Uses their own personality -Must be open and spontaneous, empathic, sensitive, and demonstrate caring and acceptance -Be willing to share and risk, be genuine, and increase stress within the family -Teach family effective communication skills in order to convey their feelings -Active and directive
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Behavioral (CBT) - Therapist Role
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-Directive -Teacher -Coach -Model -Reinforcer
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Psychoeducational - Therapist Role
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-Builds and maintains supportive, collaborative partnership with family -Facilitates family learning and management skills.
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Bowenian - Techniques
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-Genogram -Neutralizing Triangles/Create Therapy Triangle -Relationship Experiments -The "I-Position" -Process Questions (process over content)
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Structural - Techniques
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-Joining -Accommodating -Tracking -Mimesis -Enactment (3 parts) -Working with Interactions -Diagnosing -Boundary Making -Highlighting & Modifying Interactions -Challenging Assumptions
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Strategic-Haley - Techniques
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-Directives - straightforward interventions, indirect interventions, -Paradoxical interventions --Metaphoric communications --Prescribing the symptom --Restraining change --Positioning client's perception of the problem --Pretend techniques --Ordeals -(First Session: Social, Problem, Interactional)
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Strategic-MRI - Techniques
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1. Intro to treatment setup 2. Inquiry and definition of problem 3. Estimation of behavior maintaining the problem 4. Set goals 5. Selecting and making behavioral interventions 6. Termination ** Reframing, Paradoxical Interventions, (prescribing symptoms, restraining change, positioning client's perception of the problem)
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Strategic-Milan - Techniques
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1. Presession 2. Session 3. Intersession 4. Intervention 5. Post Session ** Positive Connotation, Rituals, Circular Questioning
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Solution-Focused - Techniques
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-Miracle Questions -Exceptions Questions -Scaling Questions -Compliments -Summary Message -Making Suggestions
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Narrative - Techniques
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-Unique Outcomes -Externalizing Problem
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EFT - Techniques
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-Educating couple on Gottman's Four Horsemen - Create a safe, collaborative alliance: everyone is protected
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Experiential - Techniques
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-Role Playing -Empty Chair -FamilyDrawing -Family Puppet Interviews -Family Sculpting
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Behavioral (CBT) - Techniques
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-Operant Conditioning -Generalization -Reinforcement Schedule -Shaping
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Psychoeducational - Techniques
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-Education -Social Support: talk to other parents that are dealing with the problem (online/ in person) -Skills Training -Relationship building -Partnership with physicians/professionals -Educational Groups/Programs -Two formats: o Working with individual families o Working with multiple families simultaneously
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