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MFT Licensing Exam: Domain 1, Deck 3: The Practice of Systemic Therapy 2024
Typology: Exams
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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.
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
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