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Structural Family Tx
Therapy
Question | Answer |
---|---|
Structural Family Therapy- major concept | sequences of behavior that become predictable over time; organized patterns in which family members interact; patterns form hierarchy within the family and complementarity of functions |
Family subsystems | include each individual member and the dyads, triads and larger groups that they compose |
Internal Boundaries | metaphor for invisible barriers that regulate the amount of contact among subsystems within the family |
External Boundaries | metaphor for invisible barriers that regulate the amount of contact among family subsystems and external contacts. |
Boundaries (variances) | vary from rigid, permitting little flow of energy in and out of the family and its subsystems, potentially resulting in disengagement between family members to diffuse, i.e., very open and at times leading to enmeshment between family members. |
1st major concepts of practice model | Decentralize the presenting problem and symptom bearer |
2nd major concept of practice model | Explore the family pattern that maintains the presenting problem |
3rd major concept of practice model | Explore what key family members bring from the past that still influences the present |
4th major concept of practice model | Redefine the problem and open up options |
Techniques of Structural Family Therapy | o Joining & accommodating o Enactment o Structural mapping o Highlighting & modifying interactions (aka shaping competence & using intensity o Boundary making o Unbalancing o Challenging unproductive assumptions |
Joining & Accommodating | coming together and managing the myriad of every day living; also deals with boundary making; in treatment the therapist joins the family structure and looks for areas of flexibility to work on changing the structure. |
Enactment | family members encouraged to deal directly with each other in sessions; reveals structural patterns |
Structural mapping | structural hypothesis that the therapist makes early in the intervention process; includes the assessing the problem that family presents and the structural dynamics it displays. |
Highlighting and modifying interactions | shaping competence and using intensity to modify patterns that are revealed |
Boundary making | between couples and between the couple and the outside world |
Unbalancing | change the relationship within a subsystem; offset the negative balance that family members may have with one another to change the patterns. |
Challenging unproductive assumptions | help change the family's views of their situation to promote change in behaviors |
Related concepts to Structural Family Therapy | o Triangulation o Coalitions & alliances o Conflict detouring o Attachment o Individuation o Complementarity o Strengths o Interpretational context o Family life cycle o Circular causality |
Triangulation | when an third party is brought into the relationship to relieve stress or problems between the other two...can be positive or negative. |
Coalitions and alliances | within family structure and subsystems-can be damaging. |
Conflict Detouring | diverting issues onto another family member; ex: parents transmitting their stress to psychosomatic children |
Attachment | innate tendency to seek out closeness to caretakers in the face of stress |
Individuation | standing along in family structure |
Complementarity | teaching family members how they are supporting negative behaviors; helps recognize the initial step to the problem. |
Strengths | |
Interpretational context | unconscious meanings of actions or thoughts; ex: getting angry at your son for something he does that is similar to what your husband does, but you don't confront the husband and get increasingly angry at son. |
Family life cycle | |
Circular causality | the idea that actions are related through a series of recursive loops or repeating cycles. |
Commonly used approach to these issues: | adolescents with high risk for drug abuse and conduct or antisocial personality, families of low socioeconomic status, families with psychosomatic members, and families with addictions. |
structure of a family | where family members sit in relation to one another |
intensity | changing maladaptive transactions by using strong affect, repeated intervention, or prolonged pressure |