Advanced Family Therapy
MID-TERM EXAM #2
Please answer the following questions in a few phrases, sentences or a short paragraph. If you need more room for any question, put it on the back of page l or 2 of the exam.
1. What is the purpose of "hypothesizing" according to Milan systemic therapy?
This technique utilized by systemic therapists assists them to develop a formulation as to how and why an issue has arisen, why the symptom could be serving a function within the family, and possible reasons as to why it continues to be a problem. This technique can be done both individually or amongst a team of clinicians. Hypothesizing is helpfu in identifying relationship dynamics and interactional patterns amongst family members. If the symptom serves a function in the family, hypothesizing assists to view it in a positive light.
2. Describe one of the distinct differences between the structural and systemic approach (Milan) in how the therapist operates within the interview.
One of the main differences is that the Milan approach utilizes a team interview with two members of the team conducting the interview while another member observes from behind a two-way mirror. In addition, the therapist uses more circular questioning and the therapy is more oriented towards assessment and information gathering. Within the Structural approach, there is only one therapist and he/she takes on a more active, intervention-oriented role whereby one challenges the existing family issue.
3. What does the concept of neutrality refer to in the Milan approach?
Within the Milan approach, neutrality refers to the therapist being willing to be open-minded and curious to multiple hypotheses about the family system and to welcome family members to examine these hypotheses, which heightens the likelihood of change as more options become available.
A few multiple choice: (a few may look familiar…..)
4. Structural family therapists use __________ to observe and change transactions that make up the family structure. a. genograms
b. paradoxical directives
5. The goal in structural family therapy when working with enmeshed families is to: a. establish reinforcement reciprocity by teaching methods of positive control b. differentiate individuals and subsystems by strengthening boundaries around them c. always start by making boundaries more permeable
d. all of the above
6. A method of interviewing developed by the Milan associates in which questions are asked to highlight differences among family members, is known as: a. a therapeutic double-bind
b. circular questioning
c. positive connotation
d. a family ritual
A Milan systemic therapist effects change by:
a. sequentially joining members of the family to unbalance a dysfunctional homeostasis b. releasing repressed emotions
c. releasing information about differences
d. suggesting alternative solutions around which the family can reorganize
8. According to narrative therapy, by maintaining a dominant story of their problem, family members fail to see_________________________their problems.
1. the paradox in
2. their contributions to
3. exceptions to
4. underlying causes of
9. According the narrative theory, therapists should NOT:
1. take a collaborative, listening position with clients
2. help people separate from their problems
3. consider the larger historical and political context
4. search for flaws in the family system
10. Narrative therapists often employ which of the following interventions:
1. role playing prosocial behavior
2. finding unique outcomes to the problem saturated story 3. drawing firm boundaries around the parental couple
4. mapping out troublesome triangles...
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