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WALDEN UNIVERSITY NRNP 6645 PSYCHOTHERAPY MIDTERM EXAM NEW UPDATE 2024
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WALDEN UNIVERSITY NRNP 6645 PSYCHOTHERAPY MIDTERM EXAM NEW UPDATE 2024
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WALDEN UNIVERSITY NRNP 6645 PSYCHOTHERAPYMIDTERM EXAM NEW UPDATE 2024
Mental Research Institute (MRI) assessement technique
Assessment focuses n the symptom(s) and does not look at
history. Looks for instances of circular causality and determines
sequences of symptom maintaining behaviors
Who are the theorists associated with MRI?
Watzlawick, Wekland, Fisch, Jackson and Sluzki
sensate focus exercises
exercises designed to reduce anxiety and teach mutual
pleasuring through non-genital touching in non-demanding
situations
Attachment
seeking closeness in the face of stress
Anxiously attached children
have overly protective and intrusive parents
Avoidantly attached children
have emotionally unavailable parents. The child will make initial
attempts at seeking comfort from his or her caregiver, but when it
becomes apparent that the caregiver will not respond, the child
eventually gives up
complimentarity
refers to the reciprocity that is the defining feature of every
relationship
process/content
Focus on "how" people talk rather than "what" they talk about; the
most productive shift a family therapist can make; focusing on the
underlying processes that are contributing to the content is key
enmeshment
offers access to support, but at the expense of independence.
Enmeshed parents are loving and attentive; however, their
children tend to be dependent and may have trouble relating to
people outside their family
,family life cycle
a series of stages determined by a combination of age, marital
status, and the presence or absence of children
Narrative Therapy
emphasizes the fact that families with problems come to therapy
with defeatist narratives that tend to keep them from acting
effectively-Michael White
Personal Construct Theory
According to George Kelly, we make sense of the world by
creating our own constructs of the environment. We interpret and
organize events, and we make predictions that guide our actions
on the basis of these constructs.
Reframing techniques
Process of redefining events from a different point of view;
relabeling behavior to shift how family members respond to it
constructivism
teaches us to look beyond behavior to the ways we interpret our
experience. Moreover, in a world where all truth is relative, the
perspective of the therapist has no more claim to objectivity than
that of the clients
social constructionism
a sociological theory that argues that people actively shape their
reality through social interaction; it is therefore something that is
constructed, not inherent; it looks to uncover the ways in which
individuals and groups participate in the construction of their
perceived social reality
Solution Focused Therapy
the best way to solve a problem is to discover what people do
when they're not having the problem
triangles in family therapy
Relationship problems often turn out to be triangular (Bowen,
1978), even though it may not always be apparent
cybernetics
when a family functions like a closed system, the response to a
problem may actually perpetuate it; to employ this concept
,clinically, therapists simply identify how family members have
been responding to their problems and then get them to try
something different.
Bowen Family Systems Therapy
1. Two counterbalencing life forces are togetherness and
individuality
2. Differentation of self
3. Relationship Triangles
4. Understanding not problem-solving is the goal-ask process
questions
5. Use of genograms to outline relational dynamics
Murray Bowen
one of the pioneers of family therapy, emphasized theory as
opposed to technique, distinguishing his work from the more
behaviorally oriented family therapists. Bowen’s extended family
systems model is the most comprehensive theory in family
therapy. The goal in the Bowenian model is differentiation of
self, namely, the ability to remain oneself in the face of external
influences, especially the pressures of family life
Philip Guerin
Guerin's highly articulated model outlines several therapeutic
goals, which emphasize the multigenerational context of families,
working to calm the emotional level of family members, and
defining specific patterns of relationships within families
differentiation of self
cornerstone of Bowen's theory is both an intrapsychic and an
interpersonal concept; roughly analogous to ego strength; is the
capacity to think and reflect, to not respond automatically to
emotional pressures; it is the ability to be flexible and act wisely,
even in the face of anxiety
A differentiated person
capable of strong emotion and spontaneity but also possessing
the self-restraint that comes with the ability to resist the pull of
emotionality
Emotional Triangle
, Virtually all relationships are shadowed by third parties—relatives,
friends, even memories and driven by anxiety
triangulation
lets off steam but freezes conflict in place. It isn't that complaining
or seeking solace is wrong, but rather that triangles become
chronic diversions that undermine relationships.
unifferentiated family ego mass
describe an excess of emotional reactivity, or fusion in families. If
you know someone who overreacts to what you're trying to say
because he or she is given to emotional outbursts, then you know
how frustrating it can be to deal with emotionally reactive people
T or F: Lack of differentation in a family produces reactive
children
True: manifests as emotional overinvolvement or emotional cutoff
from the parents, which in turn leads to fusion in new
relationships—because people with limited emotional resources
tend to project all their needs onto each other. Because this new
fusion is unstable, it is likely to produce one or more of the
following: (1) emotional distance; (2) physical or emotional
dysfunction in one partner; (3) overt conflict; or (4) projection of
discord onto children
emotional cutoff
Describes how some people manage anxiety in relationships.
Some people seek distance by moving away; others do so
emotionally by avoiding intimacy or insulating themselves with the
presence of third parties
Process
patterns of emotional activity
process questions
Bowenian technique where questions designed to help family
members think about their own reactions to what others are doing
to foucs on rational planning and personal responsibility
relationship experiment
Second major technique in Bowenian therapy designed to help
clients try something different from their usual emotionally driven
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