Week 6 Case Study Discussion - Strategic Family Therapy
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Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 1
Strategic Models
Communications Outlook
• What Is Occurring in the Family, not Why It It Occurring.
• Social Context for Pathology
• Sequence and Hierarchy of Interactions
• Punctuation
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 2
Strategic Models
• MRI Brief Family Therapy • All behavior is communications
• Communications occur simultaneously and at different levels
• Content (report) and relationship (command)
• Relationships defined by command messages
• Relationships as symmetrical or complimentary
• Symmetrical relationships may become competitive (symmetrical escalation)
• Complementary relationships and superior/inferior roles
• Dynamics of punctuation
• redundant interactive patterns and recursive feedback loops
(continued on next slide)
Strategic Models
MRI Brief Family Therapy (continued)
• Paradoxical Communication • Paradoxical injunction • Double bind message • Redefining, prescribing, restraining
• How Attempted Solutions to Problems Contribute to the Problem Itself
• First Order and Second Order Change
• Relabeling (continued on next slide)
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 3
Strategic Models
Strategic Family Therapy (continued)
• Three Types of Misguided Solutions • Actions needed but not taken
• Unnecessary action taken
• Action taken at the wrong level
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 4
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 5
Strategic Models
• SFT: Haley and Madenes • Brief and active treatment
• The meaning of symptoms/Symptom as strategy
• Power and control
• Triangles, sequences and hierarchies
• Developing therapeutic strategies
• The initial interview
• The use of directives
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 6
Strategic Models
The Milan Systemic Model
• Selvini-Palazzoli, Boscolo, Cecchin, & Prata
• The Early Model • Paradoxes, counterparadoxes, rituals, and positive connotation
• Long brief therapy
• Structured family sessions
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 7
Strategic Models
Milan Systemic Model (continued)
•Hypothesizing, Neutrality, and Circular Questioning • Define each of the above and their role in the theory.
• The role of underscoring “relatedness”with each of these principles
• The invariant prescription
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 8
Strategic Models
• A Post Milan Epistemology
• Karl Tomm • Reflexive questioning
• The addition of “strategizing” to the repertoire of the systemic model
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 9
Behavioral and Cognitive-Behavioral Models
Behavioral Theory
• Leading Figures
• Reinforcements
• Adopting and Family Framework • Couples therapy
• Classical and operant conditioning
• Contingency contract
Behavioral and Cognitive-Behavioral Models
Cognitive Behavioral Theory
• Ellis and Beck
• Cognitive Restructuring
• Schemas
• Role of Assessment • Behavioral analysis
• Problem and functional analysis
• Homework Assignments
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 10
Behavioral and Cognitive-Behavioral Models
• Behavioral Couples Therapy
• Manipulating the Contingencies of Reinforcement
• From Reinforcement to Skills Building
• Therapeutic Contracts
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 11
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 12
Behavioral and Cognitive-Behavioral Models
• Integrative Couples Therapy • Jacobson and Christensen
• Themes of acceptance
• Research on the Behavioral Model • John Gottman
• The four horsemen of the apocalypse
• The 5:1 ratio of positive to negative
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 13
Behavioral and Cognitive-Behavioral Models
• Parent Education (A Behavioral Model) • Family management skills building
• Positive reinforcement, shaping
• Contingency contracting
• Functional Family Therapy • Focus on outcomes of behavior and how to change
them.
Goldenberg/Goldenberg, Family Therapy, 8th
edition © Brooks/Cole Cengage 2013 14
Behavioral and Cognitive-Behavioral Models
• Conjoint Sex Therapy • Sex as a metaphor for couple dynamics
• Need for sexual education
• Skills building
• Masters and Johnson
• Sensate focus, systemic desensitization, communications training
• David Schnarch
• Donald Meichenbaum