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Doreen Upshaw

Case:

Reframing

MULTI-MAN MOMMY

3 Ways in which families sabotage solutions

Development of Problems

  • Problems aren't linear
  • Reaction to symptom creates problem
  • Family as a system maintains problem
  • Not changing current behavior maintains problem or makes problem worse

Cybernetics, Family Rules, Homeostasis

  • Deny Problem

  • Take action when unnecessary

  • Action is taken at the wrong level

What is it?

Feedback Loops

  • Negative (-)
  • Positive (+) = Problems

  • Mental Research Institute

Rebecca Quadri

  • 35 year old single mother: works full time, is home by 6pm and on weekends. Still dating youngest child's father, he does not live with them, but mother would like him to move in. 

  • 2 children: girls, 16 and 3, different fathers.

  • 16 year old doesn't trust mom’s boyfriend because she was sexually molested by mothers ex-boyfriend (not her father). 16 y/o was in a shelter for a while for running away because of the molestation. She resents mother “a little” for her constant male partners.

  • Mother was unaware of molestation and immediately got rid of that boyfriend. She would do anything for her children's protection. She believes she has found “the one” this time, but the family is in distress because 16 year old has panic attacks and shuts down when mom’s boyfriend stays at the home overnight. 

Focus:

First Order Change

  • Behavior change that occurs within the system

Second Order Change

  • Modify or alter rules within the system

"The Devil's Pact"

Direct

Specific Goals

Observe Pattern Interactions

  • Established 1952
  • Located in Palo Alto, CA
  • Contributors:
  • Don Jackson
  • John Weakland
  • Paul Watzlawick
  • Jay Hayley

Decrease Distress/Problem

Short-Term Therapy

Therapeutic Techniques

MRI Group

Directives - give clients direction

  • Small
  • Manageable
  • "baby steps"

Strategic Family Therapy

Rebecca Quadri

Doreen Upshaw

Caroline Crimone

Paradoxical Interventions

  • Reframing
  • alter the meaning of the situation by altering the conceptual or emotional context in a way the entire situation is percieved differently
  • Therapeutic Double Bind
  • Contradicting the clients behavior
  • Prescribing the symptom
  • urge or coach to engage their symptoms
  • "Devil's Pact"

References

  • Chapter 4: Strategic and Systemic Therapy. (n.d.). Retrieved March 10, 2015, from http://www.mftlicense.com/pdf/sg_chpt4.pdf
  • Gardner, B. C., Burr, B. K., & Wiedower, S. E. (2006). Reconceptualizing strategic family therapy: Insights from a dynamic perspective. Contemporary Family Therapy: An International Journal, 28 (3), 339-352.
  • Gehart, D. (2016). Strategic Therapy. In Theory and Treatment Planning in Family Therapy: A Competency-Based Approach (1st ed.). Boston, MA: Cengage.
  • Goldenberg, H., & Goldenberg, I. (2008). Strategic Therapy. In Family Therapy: An Overview (8th ed.). Belmont, CA: Brooks/Cole.
  • Griffin, W. A. & Green, S.M. (1999). Models of family therapy: The essential guide. Philadelphia: Taylor & Francis.
  • Mental Research Institute. (2008). About us . Retrieved March 7, 2015, from http://www.mri.org/about_us.html.
  • Mental Research Institute. (2008). Strategic family therapy . Retrieved March 7, 2015, from http://www.mri.org/strategic_family_therapy.html.
  • Mental Research Institute. (2008). Therapy services. Retrieved March 7, 2015, from http://www.mri.org/services.html.

Assessment

For the therapist

1. Specific

  • What is the behavioral complaint?
  • What individual sees the behavior as maladaptive?
  • What features make it a problem?

= Target Behavior

= Procedure of the problem-solution loop

Got a Clear Definition of the Issue? Go On.

  • Who made attempts to resolve the issue?
  • What methods or interventions were used?

Therapy

Objectives

GOAL

  • Define positive feedback loops

  • Determine the rules of family system maintaining problem

  • Change the rules

  • Understand client language for the problem

Prohibit the behavior responsible for maintaining problem

  • Brief
  • Therapist is direct
  • Therapist DOESN'T want position of power or authority
  • Therapist doesn't care about what caused the problem

Therapy In Session

MRI - Strategic Family Therapy

6 Step Process

1. Intro to treatment setup

2. Inquiry and definition of problem

3. Estimation of behavior maintaining problem

4. Setting goals

5. Select behavioral interventions

6. Termination

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