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AMFTRB NATIONAL EXAM Questions and Answers.
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AMFTRB NATIONAL EXAM Questionsand Answers.
What theoretical disciplines influenced the transgenerational models? -
\Psychoanalytic and object relations
How long does treatment typically last when using a transgenerational model? -
\Approximately 2 years
(Terms) insight/working through -
\Transgenerational models
multigenerational transmission process -
\process by which roles, patterns, emotional reactivity, and family structure are passed
from one generation to another. Poorly differentiated individuals tend to marry one
another, and over several generations produce offspring who are increasingly less
differentiated and as a result suffer from severe mental disorders including
schizophrenia
Family projection process -
\lack of differentiation in parents often results in one of the parents becoming
dysfunctional, immature, and fused with one of the children. COnflict in parental sub-unit
is avoided, but child's emotional growth is sacrificed. Symptoms and lack of
differentiation is transmitted from parents to children.
nuclear family Emotional System -
\Fused family that is unstable and unable to cope with stress. Characterized by conflict
and dysfunction that are transmitted across generations.
triangles -
\smallest stable emotional unit in a family and describes process by which two people
recruit third person into system to mediate the level of conflict or tension between them.
pseudo-self -
\person who is not differentiated may be fused with another person. as a result they do
not reason with their values but instead borrows values of person with whom they are
fused and commonly makes emotionally reactive choices.
solid-self -
\a person who is well differentiated and is able to function based upon a personally
defined set of values, beliefs, convictions, and life principles
,Differentiation of self -
\separation of intellectual and emotional functioning, which results in being less reactive
to family system dynamics and other members emotional states
According to Bowen, symptoms within the family can manifest in 3 places... -
\The marital relationship
The health of one partner (physical or mental)
In the children (or the space between the parent and child)
Bowenian Interventions -
\Differentiation of self scale
Genogram
Emotional-cutoff assessment
Person-to-person relationships
Coaching
I Position
Extension of Bowen's model -
\Philip Guerin: elaborated on genogram and developed the displacement story
intervention.
Betty Carter: extended the model to fit a feminist perspective
Monica McGoldrick: extended Bowenian model to include the role of enthnicity as a
factor in the family. Feminist. Written extensively on family life cycle. Culturally
appropriate therapy.
Strategic family therapy -
\Bateson, Palo Alto group, Erickson
The Palo Alto Group -
\Jay Haley, Don Jackson, John Weakland, William Fry
Double Bind -
\1. Communication involves two or more people with an important emotional relationship
2. Pattern of communication is repeated
3. Communication involves a "primary negative injunction" or a command not to do
something on threat of punishment.
4. Communication involves a second abstract injunction also under threat of punishment
that contradicts primary injunction
5. Third negative injunction both demands a response and prevents escape.
6. Recipient becomes conditioned to respond and sequence is no longer necessary to
maintain symptom.
What was Erickson known for? -
\Paradoxical intervention and hypnotherapy
, What models are associated with the Strategic model? -
\MRI and Haley & Madanes
What field did the Brief Therapy Center derive from? -
\MRI
What are the 6 steps of assessment and treatment from the MRI model? -
\1. Introduction to treatment setup
2. Inquiry into definition of the problem
3. Estimation of behaviors maintaining the problem
4. Setting the goals for treatment
-Explore previous attempts to solve
problem
5. Selecting and making behavioral interventions
Reframing, paradoxical interventions,
restraining techniques, positioning
6. Termination
With which two models does the Haley-Madanes model derive? -
\strategic and sructural
The 4 stages of haley-Madanes Therapy -
\1. Social Stage
2. Problem stage
3. Interactional Stage
4. Goal-setting stage
Directives
Incongruous Hierarchies (Haley-Madanes) -
\Created when children use symptoms to try to change their parents.
Haley-Madanes Interventions -
\Dramatizations
Pretending
Make-believe Play
Directives
Structure of Original Milan Model -
\1. Presession- team formed an initial hypothesis
2. session- hypothesis validated and modified
3. Intersession- team met alone to form an intervention
4. Intervention- therapist returned to deliver intervention, either a positive connotation or
ritiual, which was given in for of statement together with prohibition against change,
using paradox to counter resistance to change.
5. post-session discussion- team analysis of sx and formulation of plan for next session
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