Family therapy 1
Terms
undefined, object
copy deck
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the family system therapy
how are individuals best understood? - thru looking at their interactions with the entire family
- symtoms are viewed as>
- expression of dysfunction in family
- what are the 3 uses of problematic behaviors?
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serve a purpose in the family
show the familys inability to operate productively
symptomatic patterns handed down thru generations - what are the beliefs of family therapists?
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an individuals affliations and interactions have more power
work with family to see how the individual acts in the system and see the types of interventions needed - what is fusion?
- we as a family believe this - children are not independant and don't make their own choices. a person's level of differentiation is related to his parents.
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differentiation - people with low levels are
how will they likely try to resolve stress? -
more reactive to environmental stress
conflict, dysfunction, withdrawl, triangulation -
what are boundaries?
boundaries cause fmailies to be
when rules become too rigid, familes become -
unspoken rules that determine who talks to whom and what can be talked about
fused
disengaged - what can family dysfunction be caused by?
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behavioral sequences that are too rough/rigid
pattern can cont until broken up - who started Structural family therapy
- Munuchin
- what is the focus on?
- how, when and to whom family members relate
- what are sytmptoms a by product of?
- structural failings
- what must occur before symptoms are reduced?
- structural changes in the family
- what kind of techniques are used?
- active, directive, and well thought
- overall what are the goals of structural family therapy?
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reduce symptoms
structually change family system - what are the techniques of structural family therapy?
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family mapping-draw map to id boundaries
enactments-reenact conflict situation that would happen at home
reframing- put new light or diff interpretation on the problem
joining-build alliance in family -
family therapy key concepts
focuses on solving problems in the _
presenting problems are seen as _
therapy is _ and _
therapist designs plans to help_
change occurs when_ -
present
real and not a symptom of dysfunction
brief, solution oriented
change
when family follows therapists directions -
Anger control in children and adolescents
what are the 3 diagnostic categories? -
ODD- inappropriate levels of anger, defiance don't do it cuz they don't want to do it
CD-overt and covert antisocial bx- bedwetting, killing animals
ADHD- inappropriate levels of inattention, hyperactivity - don't do it bc they forgot or was distracted -
what is the general focus of anger control training?
what does it teach? -
control emotional and impulse responding and help with appropriate response to anger
arousal management skills and cognitive strategies to promote self control - when anger appropriate and when not - anger control training?
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begin with a group orientation - same sex let them introduce themselves and explain rules
teach brief relaxation techniues - deep breaths and teach them cues of anger like red face role play to small stressors - what are the ABC's of anger?
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antecedent - what gets u angry
triggers- beginnin of anger sequence
behavior- how do u know when u are angry
consequences- what happened - what are the 3 things therapists explain to refut aggressive behaviors?
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that we all have beliefs about why ppl act the way they do towards us
ex both aggressive and nonaggressive ways to interpret situations
that interpreting in a nonaggressive way will help control anger - what are 5 assertion techniques?
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ABEEF
alternative responses to anger
broken record- calm monotone repetition of what u want
empathetic assertion- sensitive listening to another
escalationing assertion- seq of respnses that increase assertion
fogging-used to short circuit s sggressive verbal confluct - self instruction techniques are used - which include?
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use reminders - things we say to ourselves to guide behavior
move from overt to covert
thinking ahead - think before acting
self evaluation- give oneself feedback on how a situation was handled coping statements- made when self control failed - what does the end of the program include?
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end with recap of elements
offer additional booster sessions if necessary -
anger management
parent child interaction therapy -
developed by eyeberg
designed for fmailies with young children 2-7 who have behavior, emotional, or developmental problems
includes play therapy - what are the key features?
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uses direct coaching of parent-child interactions
intervention in preschool years - what are the goals of parent-child interaction?
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establish warm and loving relationship bt parent and child
teach parent to give effective instructions and consistently cons equate bx
improvements will occur from above - what are the stages?
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Stage 1 CDI
Stage 2 PDI - what is CDI
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child directed interaction
est positive relationship bt parent and child - parent follows childs lead
parents taught non directive skills
parental warmth attention and praise appropriate prosocial play ignore undesirable bx
to master 50 decriptions, 15 praises, no critical comments - what is pdi
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parent directed interaction
parent gives instructions
consistent consequences to bx
DRIP- describe, reflect, initiate, praise
teach parents behavior manangement skills
based on operant conditioning
parents trainined to provide consistent pos and neg consequences - therapist is a coach in parent-child interaction- what does therapist coach?
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labeled praises - i like the way you are _
gentle corrections
directives
coach every parent verbalization
coach easier skills before hard ones
use humor
give more praise than criticism - parent management training founded by who
- gerald patterson
- behavior disorders are a result of _
- coercive family processes
- what is the goal of parent mangament training
- modify interactions bt parent and child that are characterized by coercion and replace with interactions that enforce prosocial bx