MFT Licensing Exam: Domain 1, Deck 2:
The Practice of Systemic Therapy
Constructivist Theory - Theory of Change -
✔Change requires inner motivation rather than environmental or external sources.
Necessary: individuals must challenge their patterned cognitions in order to allow for
change to occur.
Underpinning: Problems arise when individuals become stuck in unconscious patterns
then turn into habits
Constructivist Theory - Role of the Therapist -
✔Therapist listens for patterned cognitions from client (bc they represent client's
core beliefs) TX also guides client to find meaning in their lives as a way to reduce
problems
Constructivist Theory - Main Concepts/Treatment Goals -
✔Main Concepts: Clients seek out experiences that validate their belief system
COP - Core Ordering Processes - the way clients organize worldviews, define identity,
and relate to others:
1. Reality
2. Value
3. Self
4. Power
Treatment Goals:
- Develop coping/problem solving skills
- Gain insight of self and others
- Develop meaningful life direction
Constructivist Theory - Interventions -
✔Basic Centering Techniques - breathing exercises
Problem solving skills
Pattern work - identifying unhealthy patterns
Role Playing
Contextual Theory - Theory of Change -
✔Change occurs by promoting a sense of mutual understanding, responsibility, and
trust between family members. This allows for a facilitation of dialogue thus making
change possible.
Contextual Theory - Role of the Therapist -
✔- Work through emotional conflicts that are being avoided in order to create a
sense of fairness and support among family members
- TX does not take a neutral or impartial stance
Contextual Theory - Main Concepts -
✔Trust, loyalty, and mutual support/responsibility - key elements that holds family
relationships together
Problems in families and indiv's occur when there is an imbalance of giving and taking
Relationally balanced family = well-functioning family
