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MFT Licensing Exam: Domain 1, Deck 3: The Practice of Systemic Therapy, Exams of Psychology

MFT Licensing Exam: Domain 1, Deck 3: 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 3:
The Practice of Systemic Therapy
Framo Family Therapy - Theory of Change -
1. Change occurs when a person understands the issues that originated in his/her
family of origin and how they are projected onto that indiv's current intimate
relationships.
2. A corrective experience must occur with the client's family of origin in order to help
facilitate change.
Framo Family Therapy - Role of the Therapist -
- Therapist creates strong therapeutic alliance to help build trust with client
- TX takes active/supportive role in educating client on how previous experiences have
influenced client's present relationships.
Framo Family Therapy - Phases of Treatment -
1. Conjoint Therapy - Focuses on building trust and having each partner identify
goal for therapy
2. Couple Group Therapy - helps couples see others struggling with same issues
3. Family of origin (FOO) - consists of 2- 2 hour session that are done individually with
FOO. This allows for corrective exp to occur with FOO
Framo Family Therapy - Treatment Goals -
1. Allow client to come to terms with problems related to his/her FOO
2. Specific Treatment goals are developed by each partner and may change as the
couple goes through various stages.
General Systems Theory (GST) - Theory of Change -
Change occurs by helping the system view the family as the problem rather than
an individual as a problem
The family system becomes the focal point of therapeutic interventions
General Systems Theory (GST) - Main Concepts -
The system is greater than the sum of it's parts. - System must be viewed as a
whole - not by it's parts
Homeostasis - Systems tend to resist change thus keep things the same instead of
dealing with probs.
Negative Feedback - Behavioral reactions that correct a deviation of a system and
return it to its previous state of homeostasis
Positive Feedback - In an effort to maintain homeostasis, the system participates in
NEW BEHAVIORS, which then creates and reinforces negative communication patterns
and exacerbate the problem
Calibration - the mormal operational system of the family
Wholeness - The whole system is combined of individuals
Equifinality - The same results can be accomplished by different family systems (Ex.
two different people could experience two different traumas (divorce and death) and
each end up with the same condition i.e. major depression)
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MFT Licensing Exam: Domain 1, Deck 3:

The Practice of Systemic Therapy

Framo Family Therapy - Theory of Change - ✔1. Change occurs when a person understands the issues that originated in his/her family of origin and how they are projected onto that indiv's current intimate relationships.

  1. A corrective experience must occur with the client's family of origin in order to help facilitate change. Framo Family Therapy - Role of the Therapist - ✔- Therapist creates strong therapeutic alliance to help build trust with client
  • TX takes active/supportive role in educating client on how previous experiences have influenced client's present relationships. Framo Family Therapy - Phases of Treatment - ✔1. Conjoint Therapy - Focuses on building trust and having each partner identify goal for therapy
  1. Couple Group Therapy - helps couples see others struggling with same issues
  2. Family of origin (FOO) - consists of 2- 2 hour session that are done individually with FOO. This allows for corrective exp to occur with FOO Framo Family Therapy - Treatment Goals - ✔1. Allow client to come to terms with problems related to his/her FOO
  3. Specific Treatment goals are developed by each partner and may change as the couple goes through various stages. General Systems Theory (GST) - Theory of Change - ✔Change occurs by helping the system view the family as the problem rather than an individual as a problem The family system becomes the focal point of therapeutic interventions General Systems Theory (GST) - Main Concepts - ✔The system is greater than the sum of it's parts. - System must be viewed as a whole - not by it's parts Homeostasis - Systems tend to resist change thus keep things the same instead of dealing with probs. Negative Feedback - Behavioral reactions that correct a deviation of a system and return it to its previous state of homeostasis Positive Feedback - In an effort to maintain homeostasis, the system participates in NEW BEHAVIORS, which then creates and reinforces negative communication patterns and exacerbate the problem Calibration - the mormal operational system of the family Wholeness - The whole system is combined of individuals Equifinality - The same results can be accomplished by different family systems (Ex. two different people could experience two different traumas (divorce and death) and each end up with the same condition i.e. major depression)

Equipotentiality - the same experience in a family system can potentially end up with different results. (two siblings are physically abused as children. one could end up with depression, one could struggle with being in relationships) First Order Change - Change that happens within the family system, but has no effect on the system - leaving it unchanged Second Order Change - changes that do impact the system and how it functions Non-Summativity - The family system is treated as a whole and not just each individual family member. General Systems Theory (GST) - Treatment Goals - ✔1. Move the system towards an equilibrium

  1. Assist clients in identifying conflicts that are currently affecting them
  2. Assist the family in exploring and recognizing defense mechanisms that help them deal with dysfunctional family behaviors or patterns. General Systems Theory (GST) - Interventions - ✔No Fault - Indiv's are not blamed within the family system for existing problems - there is no "identified patient" Reframing - Conflict within the family is not accredited to a specific individual, the family system is the problem and the prime focus Gestalt therapy - Theory of Change - ✔Change occurs through an increased awareness of the here-and-now experience. Process-oriented therapy focuses on how client is experiencing him/herself in the world in the present moment Gestalt Therapy - Role of the Therapist - ✔- Therapist takes active role to help increase client's awareness and focuses on the present moment
  • Therapist pays attention to client's body language, nonverbal cues, and promotes direct experiencing
  • Therapist asks HOW and WHAT questions rather than WHY questions. Gestalt Therapy - Main Concepts - ✔Focuses on Process (observations) and the content (talking) What is happening in the present moment? The past is discussed in terms of how the past affects the present. Gestalt Therapy - Treatment Goals - ✔- Increase awareness of the environment, being present in the moment, and knowing oneself
  • Assume responsibility for one's destiny and identity Gestalt Therapy - Interventions - ✔Phenomenological Basis: understand and focus on the client's perception of reality Experiential: client is asked to be more aware and understand what and how they are thinking, feeling, and doing when they interact with others (and the therapist) Empty Chair Technique: A form of role-playing, client addresses and empty chair as if another person was in it to act out two or more sides of a discussion Direct Experiencing: Encourages client to experience a feeling rather than just talk about it. Gottman's Theory of Couples Therapy - Theory of Change -

Six Stages of Personal Growth: Attachment (birth - 18 months), Exploration, Identity, Competence, Concern, Intimacy (teenage years) Imago - Treatment Goals - ✔Help the couple develop conscious, intimate, and committed relationships Help partners heal one another's childhood wounds Assist partners in visualizing their dream relationship Assist the couple in ending behaviors that avoid intimacy End criticism and teach each partner to directly ask for what they want Express negative feelings appropriately Medical Family Therapy - ✔A psychoeducational model in which clients with medical problems and their families are treated by a team including physicians, allied health care professionals, and mental health professionals. When one member is sick, the whole family is sick. Medical Family Therapy - Theory of Change - ✔Change occurs if the family can utilize supports and gain an understanding of how to navigate the healthcare system Medical Family Therapy - Treatment Goals - ✔Identify coping skills Work on Communication within the family and with treatment providers Identify social supports Establish Boundaries within family Promote a sense of commitment to one's own care Medical Family Therapy - Interventions - ✔Assist families in setting limits on the amount of control the illness has over their lives Discuss beliefs about the illness and treatment Provide resources for families (support groups) ad work with the family to develop a support network Collaborate with medical and healthcare professionals Narrative Therapy - Theory of Change - ✔Individuals are experts on their own lives. Problems are viewed as separate entities from the client and change occurs by creating a new narrative or story which emphasizes the client's competencies and strengths Narrative Role of Therapist - ✔Collaborator, Investigative reporter, neither direct or passive but ACTIVE, sides with client, focus on client's language and words, think creatively Narrative Therapy - Main Concepts - ✔Problem Saturated Stories - dominant stories of the client's life Externalizing the Problem - Separating the person from the problem story Unique Outcomes - Times in the client's life where they were able to resist the effects of the problem Narrative Therapy - Treatment Goals - ✔Deconstruct problem saturated stories in order to create more helpful stories. Re- authoring the story - having a new story emerge. Externalize the problem Narrative Therapy - Interventions - ✔Externalizing problem

Social Constructivism (focus on past and present) Deconstructive Questions Mapping the problem Identifying Unique Outcomes Enlisting a Witness Writing a letter