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Mastering Competencies in Family Therapy
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Mastering Competencies in Family Therapy
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Test Bank For Mastering Competencies in FamilyTherapy: A Practical Approach to Theory and Clinical
Case Documentation 3rd Edition By Diane R. Gehart
Directives - ANSWER:Directives are directions for the family to complete a specific
task.
• Tasks rarely linear solutions to problem; instead
"perturb" system's interaction patterns to create
new ones
• Directives get people out of ruts with the smallest
change possible
Strategic Therapy - ANSWER:Therapist must not take a rigid and stereotyped
approach to therapy. Any standardized method of therapy, no matter now effective
with certain problems, cannot deal successfully with the wide range that is typically
offered to a therapist. Flexibility and spontaneity are necessary.
• Similar to MRI and systems theory, but different in
case conceptualization
• Six ways to think about a problem
• Looks at stages of family life
• Assess hierarchy and power
• Interventions based off behavioral directives
• Straightforward
• Indirect
Strategic therapy and MRI similarities - ANSWER:• Grounded in general systems and
cybernetic theories
• Brief therapy approaches
• Use uniquely crafted behavioral prescriptions
• Differences lie in case conceptualization and approach to
behavioral prescription
Strategic sessions - ANSWER:• characterized by use of enigmatic, creative directives.
• Behavioral prescriptions that interrupt problem interaction sequence
Contributors of Strategic Therapy - ANSWER:Jay Haley
• Cloe Madanes
• Eileen Bobrow
• Jim Keim
Five formal stages of strategic therapy: (Initial Interview) - ANSWER:Five formal
stages:
• Social stage
• Problem stage
• Interaction stage
,• Goal-setting stage
• Task-setting stage
report function - ANSWER:The content of a message that conveys information
Axioms - ANSWER:Basic truths about communication
Created by: Watzlawick, Beavin, and Jackson
Counterparadoxes - ANSWER:In systemic family therapy, placing the family in a
therapeutic double bind in order to counter the members' paradoxical interactions.
telling family members not to chain or change too quickly. This slows down
attempted solutions by the family
future oriented questions - ANSWER:They are about the relationship between two
from the view of another, how one person responds or would respond to actions of
another
EX: Asking child, How does your dad react when you mom leaves unexpectedly?
rituals - ANSWER:Prescribe the family to do something highly scripted, the
interactions act to interrupt patterns in the family. An example of this would be
having a "funeral" for a symptom
Milan model view of problem formation - ANSWER:As a "Game"
Strategic Family Therapy (Haley) - ANSWER:*Therapy is a power struggle between
the client/family and the therapist, in which the therapist struggles to disrupt the
family's patterns; improvement in 1 aspect of the system leads to improvement in
the entire system
*grew out of the communication theory developed by Bateson's schizophrenia
project
*emphasizes directive or task-oriented interventions over understanding the
meaning of symptoms.
3 models of strategic therapy - ANSWER:1. MRI brief therapy
2. Haley and Madanes Strategic Family Therapy
3. Milan Strategic Therapy
*Developed: at the Mental Research Institute in Paulo Alto
Influenced: by hypnotic principles and Milton Erickson
Pragmatic strategies of problem solving and change - ANSWER:1. Brief
2. Efficient
, 3. Non-Pathological
Major contributions
1. Problems can result from family interaction sequences
2. Families often unintentionally perpetuating their problems
3. Sudden change is possible
*Result of the development of these models (brief approach)
focused on interrupting cycles in which attempts to solve problems make the
problems worse
4 basic truths about communication - ANSWER:1. people are always communicating
2. Communication defines the relationship between sender and receiver
3. Punctuation of communication sequences impacts the relationship
4. communication is either symmetrical or complementary
All behavior is communicative and so one cannot not communicate
Command function - ANSWER:A command function dictates the relationship
between sender and receiver, it is a statement that defines the relationship
symmetrical communication - ANSWER:when individuals communicate in similar
ways (going to escalate)
complementary communication - ANSWER:when individuals have different
communication systems defined by distance
4 main types of pathologic communication - ANSWER:1. Denying that one is
communicating
2. Sending paradoxical messages
3. Discrepant punctuation of communication sequences
4. Symmetrical escalation
paradoxical messages - ANSWER:Messages the contradict themselves (telling them
to do something that is inconsistent)
paradoxical messages best resolved through meta communication
meta-communication - ANSWER:talking about the way they are communicating with
one another
normal family strengths - ANSWER:1. They maintain integrity in the face of
environmental challenges through negative feedback
2. Are able to communicate and are flexible
initial interview - ANSWER:Phone contact:
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