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MFT national exam: Domain 1-Practice of Marriage and Family Therapy

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Collaborative Couple’s Therapy
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Dan Wiles
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Collaborative Couple’s Therapy
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Based on the assumption that conflict is inevitable and emphasis should be placed on how couples handles that conflict.
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Collaborative Couple’s Therapy
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Based on the three cycles: (1) distant and estranged. (2) oppositional where the partner is seen as the enemy. (3) collaborative with the partner seen as an ally.
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Collaborative Couple’s Therapy
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the therapist collaborates with the couple to teach them to collaborate with each other and must be careful not to be drawn into the couple’s negative cycles.
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Milton Erickson
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Was actively involved in the development of strategic therapy while working at MRI.
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Milton Erickson
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Most well known for his use of unusual and non-traditional techniques such as hypnosis.
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Milton Erickson
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Believed in the power of the unconscious mind and proposed that hypnotic traces could make people more open to therapy.
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Milton Erickson
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Known for confusion technique which occupied the conscious mind so that the unconscious mind could take over.
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Milton Erickson
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His therapeutic metaphors involved storytelling by the therapist to create a metaphor for the client’s problem that could assist understanding.
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Milton Erickson
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Much of his contributions were centered on the idea that resistance to change was a key obstacle to success in therapy.
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Intervention in couple’s therapy for severe anxiety or depression
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One approach to ending patterns of damaging behavior is to engage and guide the couple in role-reversal in session. This involves the non-depressed partner expressing sadness, focusing on the loss the depression has caused the relationship, while the depressed partner is guided to be more assertive and take on the role of providing emotional support and care for the other partner.
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Intervention in couple’s therapy for severe anxiety or depression
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Opening space where the non-depressed partner is instructed to back off from some of the daily care-giving tasks this gives the depressed partner a chance to show improvement.
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Intervention in couple’s therapy for severe anxiety or depression
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Writing positive requests. the therapist instructs each partner to write down complains, criticisms, and negative feelings toward the other in a notebook. At the end of the day, each partner chooses the most important and restates it as a positive request. Letters are exchanged, but the contents are not discussed without the therapists. Each partner should feel free to honor any requests possible.
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Betty Carter
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Pushed the value of considering family life cycle in therapy. Increased recognition of other important factors related to family life cycles such as historical documentation of family problems for the current family and past generations as well as the impact of extended family on client’ problems.
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Social Constructionism
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Share common beliefs with constructivists about how individuals build perceptions from their own personal beliefs characteristics as well as from actual objects and events they encounter in the world.
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Social Constructionism
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Emphasizes the importance of society or communities in the development of an individual’s belief system.
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Social Constructionism
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Therapists work with clients to build or construct new understanding of the world and their problem. This can help the client explore new options for approaching the problem.
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Social Constructionism
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There is a heavy focus on language in creating new definitions for situations and specific explanations for events.
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Neuropsychology
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Study of the relationship between how the brain works and the way people behave.
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Neuropsychology
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Diagnostic tools include standardized tests like the Woodcock-Dean, Boston Naming Test, Wisconsin Card Sorting Test, and the The Controlled Oral Word Association as well as medical tests like brain scans and EEGs.
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John E Bell
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One of the first psychologists known to practice family therapy. Proposed that just like other groups, families go through stages in therapy and this therapist came up with a specific plan to treat each stage. Saw the therapist’s role as that of a facilitator, encouraging participation of all members and improving family communication.
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Mimesis model of trauma intervention
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Focuses on the importance of accurately remembering the traumatic event. The belief is that a trauma victim’s inability to remember clearly causes them to constantly be searching for the details in their mind, even acting out details, or seeking the people or places related to it.
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Mimesis model of trauma intervention
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Therapists should help victims stop recreating their trauma by replacing that reaction with a more positive simulation of feeling. this model would support the use of hypnosis and related practices This model also supports the idea of grief work or exercises to work through stages of grief.
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Jay Haley
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Known for his direct, sometimes confrontational approach to therapy. Highly critical of traditional psychoanalytical approaches prior to the 1960s. He believed that action was more important than understanding and focused on getting clients to do something about the presenting problem.
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depression or anxiety symptoms effect on a couple
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An individual often develops a sense of helplessness, unable to make decisions or participate in ordinary activities and constantly seeking reassurance. This puts the other partner into the constant role of taking care of the depressed or anxious partner.
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Ivan Boszmormenyi-Nagy’s contextual therapy
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Based on psychoanalysis, but expanded to include the belief that family ethics are the most important feature of the family relationship.
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Ivan Boszmormenyi-Nagy’s contextual therapy
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Family systems become dysfunctional when actions of the members destroy trust by showing a lack of concern, acting unfairly or by not assuming responsibility.
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Ivan Boszmormenyi-Nagy’s contextual therapy
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Saw the therapist’s main job as that of a guide, helping the family find the way back to trust and fairness by working through their problems honestly and in a supportive, caring way.
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Medical Family Therapy
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Practice of helping families developing strategies to deal with a chronic illness or disability suffered by one or more family members.
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Medical Family Therapy
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Therapists view the system as expanded beyond the immediate family to include other health care providers and support personnel such as doctors, nurses, school officials, and physical therapists.
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Medical Family Therapy
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The therapist attempts to help minimize the out of control feelings and helplessness the family might be experiencing and provide a supportive structure that can help the family support a sick member.
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Carl Whitaker
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Stated the belief that in order to effect the change a family needs, the therapist must engage the family on a deep and personal level. He often used very confrontational techniques including argument, teasing, yelling, and approaches designed to produce tension and stress, which he believed where necessary for change.
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Positivism
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The theory that people’s observations and insights are a real indication of the world as it exists. Believe in one real truth, which means there can be only one real interpretation of client’s problem.
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Realism
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The theory that the world can only be viewed in one true way. This means there is no room for personal perspectives or interpretations.
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Essentialism
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The theory that everything in the world has one true nature that can be figured out. This theory does not support the belief that things in the world can be interpreted differently based on personal, cultural, or social perspective.
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Empiricism
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The theory that all of a person’s knowledge comes trough sensual experiences.
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Crisis intervention: Step 1
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Listening. the therapist should build trust and rapport with the client and use guiding questions and validation to encourage the client to open up and provide information.
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Crisis intervention: Step 2
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Assessment. the therapist needs to figure out ow serous the crisis is and identify any possible threat the client might pose to himself or others. The therapist should work with the client to discover coping strategies and potential resources such as family or friends that can help.
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Crisis intervention: Step 3
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Action plan. the plan should be simple and short term. The therapist and client should develop the plan together with reasonable goals. the therapist should only take a more aggressive and direct role if faced with client resistance.
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Crisis intervention: Step 4
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Closing in which the plan is reviewed, arrangements are made for follow up, and the therapist provides guidance for accessing resources.
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feminist therapy
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the therapist pays close attention to the role of gender, gender stereotypes, and society’s influences in the family system. Takes into consideration how men and women have been conditioned to think, feel, and behave by society and gender stereotypes.
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narrative solutions
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Joseph Eron, Thomas Lund
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narrative solutions
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Combines features of two different models and centers on the idea of preferred view which is the belief that people have strong feelings about how they want to see themselves and how they want other people to see them.
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Albert Robert’s crisis intervention model
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stage 1: quickly enacted assessment of the crisis as well as immediate action if needed to prevent death.
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Albert Robert’s crisis intervention model
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stage 2: The therapist gains the family’s confidence and establishes a relationship as quickly as possible. The therapist then figures out the major issues facing the family, including whatever it was that sent the family over the edge.
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Albert Robert’s crisis intervention model
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stage 3: The therapist helps the family come up with some options and then together develop a plan.
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Albert Robert’s crisis intervention model
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stage 4: requires long term plan for follow up and continued treatment to avoid future crises.
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Constructivism
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The belief that people’s understanding of the world is built on a combination of their own perceptions based on senses, beliefs, values, and individual processing abilities, as well as the actual things in the world.
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Construcivism
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This theory holds that every person constructs the world actively and differently and that construction is a combination of personal characteristics and environment.
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Constructivism
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Every family member’s view of the world must be accepted as valid, since it is unique to that person. Therapists can work with clients to help them reconstruct certain views or perceptions that are causing conflict within the family or guide individuals toward constructs that enable better problem solving.
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Complimentary relationship
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Relationship in which the members complete one another by possessing different characteristics, strengths, and weaknesses that make u for what the others are missing.
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Emotional reactivity
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The characteristic of responding spontaneously and without serious thought, often based solely on emotions or feelings rather than logic.
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Coalition
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When two or more members of a family work together against another member or members.
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Symmetrical relationship
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Relationship in which the members demonstrate equal status or importance with no clearly dominant member.
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Process/content
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The difference that therapists observe between how family members interact (process) and the topic or subject of discussion or interaction (content).
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Identified patient
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The family member whose symptoms or behaviors are stated by the family as the reason for coming to therapy.
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Undifferentated family ego mass
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Term used by Bowen to describe the inability in some families to experience individual feelings and emotions, instead showing an unhealthy tendency to function as one emotional being.
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second-order cybernetics
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The therapy that anyone who observes or tries to change a family system, such as a therapist, cannot remain neutral and will become a part of the system.
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Metacommunication
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Part of the theory that states all communication has two parts, the obvious and direct message and hidden or suggested message.
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Anti-Mimesis model of trauma intervention
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It is the belief of some people in this school that reaction to trauma does not really exist and that a traumatic event simply produces consequences like any other event. Excessive grief work or emphasizing a grieving process and pushing remembering is not supported under the belief that this simply encourages stress, anxiety, and fear. Anti-Mimesis theorists believe that symptoms of stress or anxiety most likely result from problems or dysfunction in the family system, not from the traumatic event itself and treatment should look deeply at the whole system.