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MFT Licensing Exam: Domain 1, Deck 1: The Practice of Systemic Therapy, Exams of Psychology

MFT Licensing Exam: Domain 1, Deck 1: The Practice of Systemic Therapy 2024

Typology: Exams

2023/2024

Available from 09/08/2024

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MFT Licensing Exam: Domain 1, Deck 1:
The Practice of Systemic Therapy
Adlerian Therapy - Theory of Change -
Change occurs by increasing client's self-awareness, and challenging and
modifying his or her fundamental premises , life goals, and basic concepts.
Adlerian Therapy - Therapists' Role -
- Accepting, encouraging, respectful, optimistic
- Co-thinker
- Relationship is collaborative and built on trust
Adlerian Therapy - Treatment Goals -
- Challenge the client's basic premises and life goals
- Develop socially useful goals and increase social interests
- Increase the client's sense of belonging
Adlerian Therapy - Primary Concepts & Interventions -
- Inferiority: Inferiority feelings are the source of all human striving. Individual
growth results from our attempts to overcome real or imagined inferiorities.
- Early Recollection: Used as an assessment tool - stories that occurred before the age
of 10. Focus on thoughts and feelings at that time.
- Family Constellation: Exploration of the family atmosphere and relational dynamics
that prevailed when client was a child.
- Lifestyle Assessment: Identifying client goals and motivations - through early
recollections.
Also, Dream Interpretation, Summary, Role-Playing, Guided Imagery, and
Encouragement.
Adlerian Therapy - Phases of Treatment -
Beginning: Establishing the Relationship. Early recollections, questionnaires and
family constellations. Helps client become aware of their assets.
Middle: Encourage self-understanding and insight through interpretation. Therapist
stays optimistic
End: Put insights into practice. Encourage client to take risks with new behaviors as if
they are the people they want to be.
Attachment-based Therapy - Theory of Change -
Change occurs through exploration of past and current relational attachments
and trauma in the environment of a healing, secure, and reliable relationship.
Attachment-based Therapy - Role of the Therapist -
- Provide sufficiently secure base for person to explore past emotional
experiences of the past and present
- Create secure, accepting, non-judgmental environment which enables client to share
traumatic experiences and explore attachment pattern
Attachment-based Therapy - Key Concepts -
Attachment Behavior System: organized pattern of signals and responses that
leads to a development of a protecting trusting relationship
Secure Attachment: has developed a strong sense of self and empathy for others.
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MFT Licensing Exam: Domain 1, Deck 1:

The Practice of Systemic Therapy

Adlerian Therapy - Theory of Change - ✔Change occurs by increasing client's self-awareness, and challenging and modifying his or her fundamental premises , life goals, and basic concepts. Adlerian Therapy - Therapists' Role - ✔- Accepting, encouraging, respectful, optimistic

  • Co-thinker
  • Relationship is collaborative and built on trust Adlerian Therapy - Treatment Goals - ✔- Challenge the client's basic premises and life goals
  • Develop socially useful goals and increase social interests
  • Increase the client's sense of belonging Adlerian Therapy - Primary Concepts & Interventions - ✔- Inferiority: Inferiority feelings are the source of all human striving. Individual growth results from our attempts to overcome real or imagined inferiorities.
  • Early Recollection: Used as an assessment tool - stories that occurred before the age of 10. Focus on thoughts and feelings at that time.
  • Family Constellation: Exploration of the family atmosphere and relational dynamics that prevailed when client was a child.
  • Lifestyle Assessment: Identifying client goals and motivations - through early recollections. Also, Dream Interpretation, Summary, Role-Playing, Guided Imagery, and Encouragement. Adlerian Therapy - Phases of Treatment - ✔Beginning: Establishing the Relationship. Early recollections, questionnaires and family constellations. Helps client become aware of their assets. Middle: Encourage self-understanding and insight through interpretation. Therapist stays optimistic End: Put insights into practice. Encourage client to take risks with new behaviors as if they are the people they want to be. Attachment-based Therapy - Theory of Change - ✔Change occurs through exploration of past and current relational attachments and trauma in the environment of a healing, secure, and reliable relationship. Attachment-based Therapy - Role of the Therapist - ✔- Provide sufficiently secure base for person to explore past emotional experiences of the past and present
  • Create secure, accepting, non-judgmental environment which enables client to share traumatic experiences and explore attachment pattern Attachment-based Therapy - Key Concepts - ✔Attachment Behavior System: organized pattern of signals and responses that leads to a development of a protecting trusting relationship Secure Attachment: has developed a strong sense of self and empathy for others.

Preoccupied/Anxious Attachment: client dreads abandonment and fosters anger/hurt at parents. Can be overly dependent Dismissive/Avoidant Attachment: client dismisses importance of love and connection - and emotions, in general. Does not like looking inward - can be shallow. Independent an intolerance of others showing heightened emptions Fearful/Avoidant Attachment: usually has history of trauma and/or loss. Fearful or believe they are unworthy of love. Mistrustful, uncomfortable with emotional closeness Attachment - based therapy - Phases of Treatment/Interventions - ✔Beginning: forging personal relationship with client. Collaboratively determine client's attachment style Middle: Disruptions explored (relational). Teach clients self-reflection. End: Repair occurs during late-middle phase and end of treatment. Therapist helps create new reality of painful events for the client in order to get rid of unwanted emotions and reactions. behavioral therapy - ✔focuses on changing behavior by identifying maladaptive behaviors, replacing them with appropriate behaviors, and using rewards or other consequences to make the changes Behavioral Therapy - Role of the Therapist - ✔Therapist identifies maladaptive behaviors as well as what causes these behaviors. Feelings and client's history are not a main focus of treatment Behavioral Therapy - Key Concepts - ✔Positive Reinforcement: occurs when a behavior is followed by a stimulus that is rewarding - increasing frequency of that behavior Negative Reinforcement: occurs when a behavior is followed by the removal of an aversive stimulus. Ex wife nags husband until he does something, then nagging stops Positive Punishment: when a behavior is followed by a stimulus, such as shock, spanking, loud noise and the behavior decreases Negative Punishment (penalty): occurs when behavior is followed by removal of stimulus (ex. taking away a child's toy following undesirable behavior) Token Economy: token is given for a desired behavior. tokens can be exchanged for power, prestige, etc. Shaping: increasingly accurate approximations of a desired response are reinforced - operant conditioning(?) Behavioral Therapy - Treatment Goals - ✔- Identify the problem, monitor behavior, reinforce desired behavior

  • time limited and symptom focused Behavioral Therapy - Interventions - ✔- Social skills and assertiveness training
  • Self-control exercises (biofeedback and muscle relaxation)
  • positive reinforcement
  • Token economy - used with children Bowen Intergenerational Therapy - ✔- Lack of differentiation and fusion (enmeshment/symbiosis) - blurring of boundaries Bowen Intergenerational Therapy - Theory of Change -

✔Congruence - therapist is transparent with feelings thoughts and beliefs - does not hide behind professional facade Unconditional positive regard - complete, nonjudgmental, respect/acceptance of client Empathy Self-actualization Locus of Control - client is able to take control of their life Non-directive therapy - clients lead discussion cognitive-behavioral therapy (CBT) - ✔- treatment focused on examining relationship between thoughts, feelings, and behaviors

  • Problem-focused, goal-directed form of treatment Usually time-limited
  • Therapist creates structured sessions and provides homework CBT (cognitive behavioral therapy) - Theory of Change - ✔-Change occurs by exploring patterns of thinking that lead to self-destructive behaviors -Clients can then modify or change patterns of thinking to cope with stressors in more positive manner CBT (cognitive behavioral therapy) - Main Concepts - ✔Negative Cognitive Triad: View of self "I suck", View of the world "everyone thinks I suck", View of future prospects "because I suck, i have no hope for the future." Automatic Thoughts: Thoughts about selves and others that client may not be aware of Maladaptive Automatic Thoughts: Automatic thoughts that are typically centered on negative themes that are accepted as true Schemas: rules that dictate how indiv's think about and interpret the wold and play a role in regulating self-worth and coping skills. Changing schemas is a major target of CBT Socratic questioning: open-ended brief questions that help discover client's maladaptive thoughts or beliefs. Therapeutic Metaphors: allows for shift in perspective by utilizing imagery rather than logic CBT (cognitive behavioral therapy) - Treatment Goals - ✔Relieve symptoms of problems Identify unrealistic automatic thoughts and change them to more positive schemas Modify maladaptive behaviors Develop positive coping skills and strategies Collaborative Language Systems - Theory of Change - ✔Change happens when a new meaning for the problem is evolved through therapeutic dialogue in session. Objective is to dissolve problems and the problem- determined system by co-creating new possibilities and perceptions of the old story through dialogue. Collaborative Language Systems - role of the therapist - ✔- Therapist takes a not knowing stance - not an expert
  • Therapist is a conversational partner in dialogue Collaborative Language Systems - Main Concepts -

✔Not Knowing position by therapist - no preconception, no hypothesis, no directives or dx Problem-determined system - agreement to look at problem in a certain way Dissolved - problems not solved, they are dissolved when a new meaning is applied Family therapy REFLECTIVE TEAM Reflexive questions - constructed by tx to help client reflect on problem perception and to consider other options Presenting problems are socially constructed through language and becomes a narrative that client has agreed to believe.