Marriage and Family Exam 2

How does dysfunction occur in Boweian Therapy?

Lack of differentiation of self (people are emotionally reactive, fused)

Unresolved issues from family of origin carry into current relationship

What is the stance of therapist in Boweian Therapy?

Neutral, objective, coach/consultant

Avoids triangulation

Focus on self-reflection, not emotional reactivity

What is the goals of Boweian Therapy?

Increase differentiation, Detriangulation, Lower anxiety & increase self-awareness

What are the key interventions of Boweian Therapy?

Genograms,Process questions, I-statements, Coaching,Detriangulation strategies

How does dysfunction occur in Structural Therapy?

Family becomes stuck in rigid structure that no longer works (Rigid or enmeshed boundaries)

What is the stance of therapist in Strutural Therapy?

Active not neutral, Joins family (leadership role) and acts as an agent of change

What are the goals of Strutural Therapy?

Creation of an effective hierarchy, Fix boundaries (more flexible or more firm), Restructure of family organization

What are the key interventions of Strutural Therapy?

Joining & Accommodating,Enactments (acting out the problem), Boundary Making, Unbalancing (taking sides, to shift power), Structural Mapping

How does dysfunction occur in Stratgetic Therapy?

Applying the same attempted solutions (feedback loops)

What is the stance of therapist in stratgeic therapy?

Actively involved in the therapy process, Tries to outwit family/resistance, Takes full responsibility for all outcomes

What are the goals of Stratgeic Therapy?

Interrupt feedback loops, Reframe problems/symptoms/behaviors, Establish hierarchy & boundaries (where needed)

What are the key interventions of stratgeic therapy?

Directives, Paradoxical interventions (prescribe the symptom), Reframing, Circular questioning

How does dysfunction occur in Experiential Family Therapy?

Emotional suppression and denial of impulses

What is the stance of the therapist in Experiential Family Therapy?

Proactive, direct, active, and engaged, Caring relationship built with each family member (takes on a family member role), Use of self to facilitate change

What are the goals of Experiential Family Therapy?

Create new experiences to breakdown roles, expectations and build awareness, Moves towards individuation

What are the key interventions of Experiential Family Therapy?

Used people as a technique (their personality and their experiences), Role Playing, Family Puppet Interviews, Family Sculpting

How does dysfunction occur in Narrative Therapy?

When the stories people take on lead them to construe their experience in unhelpful ways (more identified w/their diagnosis/stereotypes)

What is the stance of therapist for Narrative Therapy?

Collaborative (disclose beliefs/views), Rejects pathologizing, Encourages clients to educate and correct them when assumptions are made that don't fit their experience

What is the goal of Narrative Therapy?

Separate from problem-constructed stories, to open space for new views of themselves, empowering them to become more active authors of their own lives

What are the key interventions of Narrative Therapy?

Used ONLY questions during therapy, Reauthoring, Reinforcing the New Story, Identifying problem-saturated stories

How does dysfunction occur in Solution-Focused?

People have the ability to behave effectively but this thought process is blocked by a negative mind-set

What is the stance of the therapist in Solution-Focused Therapy?

Believe that clients want to change and have the capability to do so, Collaborative, conversational, "Cheerleader"

What are the goals of Solution-Focused Therapy?

Helping clients see their problems have exceptions and these exceptions are the solution

What are the interventions of Solution-Focused Therapy?

n/a

What is group therapy?

Peers that share a common issue

Continuity: commitment to therapy

Equality: equal power

Safety: easier to share opinions

What is Family Therapy?

Family legacy

Different issues/wants for outcomes

Power dynamics

Lack of safety/security

What was discovered about schizophrenic patients in the 1950s?

When patients were with families symptoms were magnified compared to a decrease in asylums

When family member got better, someone else became symptomatic

What did Batson discover with schizophrenic patients?

Families do not cause symptoms but do play a role/influence symptoms behavior

What are the diffrent types of communication?

Report & Command (report: what is being said; command: interpreted and the relationship)

Metacommunication: covert and unnoticed

What is Indivality and Togetherness?

How successfully people reconcile these two polarities depends on the extent to which they have learned to manage emotionality

What is Differntation of Self?

Largely determined by the degree of autonomy from their family

Functional level of differentiation is influenced by the quality of current relationships

Who is considered the first family therapist?

John Bell; opened discussions to help families solve their problems

What is the central premise of Boewian Theory?

Differentiation of self: autonomy from family, influenced by quality of relationship

What are emotional triangles?

n/a

What is Whitaker's view on theory?

Hinders a clinician's intuition and creativity

What is Satir's goals of Family Therapy?

Support each other in communicating openly & honestly on what they see, hear, and think about in the presence of others

Encourage decisions to be made by exploration and negotiation rather than in the presence of others

What are 3 constructs of Structural Therapy?

Structure: organization of family into subsystems

Subsystems: smaller units determined by age, gender, and function

Boundaries: invisible barriers that regulate contact with others

What are the benefits of Structural Therapy?

Simple and inclusive; Looks beyond content to underlying frameworks

Is structural therapy evience based?

Yes for substance abuse disorder, eating disorders, psychosomatic dx, ADHD

What are the criticisms of Strutrual Therapy?

pathologizing, harsh, combative

What is Person of the Therapist?

Adopts the idea of "wounded healer", we empathize with others through our own trauma

Concept of signature themes; lifelong/ongoing issues that run through our personal journey

What are the benefits of POTT?

Allow yourself/therapists to identify where their struggles could/might impact therapy and how we can handle those "triggers"