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Psychology MFT Theories & Concepts 2024
Typology: Exams
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The concept of balance of fairness is synonymous with which theory? - ✔Contextual Contextual family therapy, founded by Ivan Boszormenyi-Nagy is based on ethical principles of family life. According to this model, interpersonal problems result when fairness is out of balance and one or more family members begin to feel "entitled." Eliminating other answers: The transgenerational model focuses on differentiation of self. Strategic is Haley's approach, conceptualizing symptoms as a metaphor for a disordered family hierarchy. The constructivist approach is a postmodern model that uses various narrative techniques to help families reconstruct stories about themselves. Who is generally considered the "father of general systems theory?" - ✔Ludwig von Bertalanffy Bertalanffy was a biologist who applied ideas about the organization and control of systems from the natural sciences to biology and human groups. He developed the concept of a human group as a self-regulating system, greater than the some of its parts. In 1968 von Bertalanffy published General Systems Theory. Eliminating other answers: Carl Sagan was an astrophysicist and author. Noam Chomsky is a linguist known for the study of the structure of language. Milton Erickson was a psychiatrist who developed the techniques of paradox, hypnosis, and emphasized reliance on the strengths in the client. In Bowen's model, performing an assessment by interviewing one partner at a time is: - ✔Method for preventing marital conflict from interfering with the assessment process. Bowen's assessment process is designed to obtain information about the level of differentiation of each individual family members and the strategies used by each person to manage anxiety resulting from the lack of differentiation. Unlike the structural model and many others, his model is less focused on seeing enactments of a problem then it is on understanding family history as it contributes to current dynamics. Eliminating other answers: Bowen's model does not focus on bringing secrets out in to the open. Bowen strives to reduce conflict by coaching, not by separation. The procedure is standard but only when needed. Answer c) is a better and more complete description of this procedure. A family enters therapy because the five year old is uncontrollable and has been diagnosed as autistic. The recommended approach for treating the family is: - ✔Psychoeducational. Psychoeducational approach educates parents about the mental illness or disorder and teaches them skills to deal with the behaviors and emotions associated with the particular disorder or illness. It has been demonstrated to be useful to families whose children have been diagnosed as mentally ill. This may be due to its ability to recommend new behaviors to family members without invoking feelings of blame for the cause of the problem. When first starting out with a family in therapy, it is important to: - ✔Adjust your style to the family's, paying close attention to both verbal and nonverbal cues as you attempt to engage with each member of the family.
Discussion: This question requires that you know Minuchin's structural family therapy model, in particular his engagement approach. The specific technique addressed is accommodation. Eliminating Other Answers: a) because it is an extreme "gate keeper" approach that is not recommended in this form by any of the models you are expected to know for the exam. b) because its emphasis on the fear of offending is not consistent with any of the models, and it proposes that the therapist support a dysfunctional communication pattern. c) while seating arrangement strategies are consistent with the structural model, they are not done for the purpose of avoiding fights, but rather for marking boundaries and changing sequences. The theory that sees the therapist's "use of self" as central to the assessment process is: - ✔Experiential Carl Whitaker's and Virginia Satir's experiential family therapy models make the most use of the therapist's personal experiences. Whitaker's approach encourages therapists to use their more "primal" emotions, reactions, and creativity, which he labeled the therapist's own "craziness." Satir's approach uses warmth, nurturing instincts, and support to facilitate the family's ability to foster the growth of each member. The newest experiential model, Greenberg and Johnson's emotionally focused couples therapy (EFT) also encourages the use of the self of the therapist, but with a focus on secondary (defensive) emotions to primary emotions. Eliminating Other Answers: a) structural, because the goal of the therapist is to mark boundaries and change behavioral sequences, rather then introduce authentic emotion. b) Transgenerational focuses on the therapist as coach and educator, and d) Milan systemic focuses the therapist on a neutral and objective hypothesizing task.
Eliminating Other Answers: b), c) & d) The strategic and structural models focus most on symptom relief. Many of these models take resolution of the presenting symptom to be the sole basis for terminating therapy. Knowledge Domain: 14. Major Models - Object Relations.
Eliminating Other Answers: a) & c) can be eliminated because both contextual and the other transgenerational models use information from the client and family and help develop insight, d) Solution-focused attends to information from the client regarding the exception to those times when the problem is predominant. Knowledge Domain: 14. Major Models - Experiential.
b) what happens to the least well differentiated member of the family when stress occurs. c) ABCX Crisis model, in which person A and B are triangulating person C by using X. d) the process of parental projection. - ✔19. c) ABCX Crisis model, where person A and B are triangulating person C by using X. Discussion: This is an exception question. Looking for the answer that does not fit Bowen's transgenerational model. The ABCX model describes behavioral sequences, not the action of anxiety and differentiation, which are the hallmarks of the Bowen model. Eliminating Other Answers: All other answers are aspects of the Bowen model. Knowledge Domain: 14. Major Models - Bowen.
✔22. b) identify the disabling sequence of which the symptom is a vital part. Discussion: The focus of assessment in the MRI model is the family's responses to the symptom or the problem. The attempted solution becomes ritualized and rigid, preventing the family from exploring new options for solving problems. The best answer is b) because it identifies the search for the role of the symptom in the family's sequence. Eliminating Other Answers: a) this is Haley's strategic model; c) closer to Haley's model than MRI; d) therapist disclosure is promoted by the experiential models. Knowledge Domain: 14. Major Models - MRI.
Eliminating Other Answers: The symptoms in the other answers are often found along with body weight problems, but are not the central, essential features. Knowledge Domain: 39. Eating Disorders.
Discussion: The supervisor is the person directly responsible for the students' professional, ethical behavior and is the person who should communicate the guidelines of ethical practice to them. Eliminating Other Answers: a) wouldn't insure adequate change; b) & c) might not have direct contact with the students and might not be a family therapist. Knowledge Domain: 32. Professional and ethical standards.
Eliminating Other Answers: a) no paranoia or thought disorder is suggested in the question; b) symptoms suggest much greater dysfunction then an anxious mood; d) there is no indication of depression. Knowledge Domain: 34. Individual psychopathology.
d) a contract in which behaviors are defined as dependent on what another person does. - ✔47. d) a contract in which behaviors are dependent on what another person does. Discussion: Quid pro quo is a type of contingency contract, used in behavioral family therapy. It is based on the reciprocal commitment of both partners to do something and therefore performing the designated behaviors is contingent on one another. Eliminating Other Answers: a) there is nothing escalating necessarily and the interactions contracted for are rarely negative, b) marital schism is a concept from Theodore Lidz and refers to a dysfunctional marriage in which each is centered on him/herself, undermines the other, and makes frequent threats of divorce. Knowledge Domain: 14. Major Models - Behavioral.
Discussion: The ethical guidelines pertain to teaching and supervising, as well as clinical practice. If a theorist is generally included in introductory classes, then he/she might be left out for a specific reason, but not because of a personal preference. The teacher's preferences and views can be expressed during discussion.