Strategic Therapy Flashcards Preview

MFT Clinical Exam > Strategic Therapy > Flashcards

Flashcards in Strategic Therapy Deck (12)
Loading flashcards...
1
Q

Strategic Therapy

Theory of Change

A

Change occurs through action-oriented directives and paradoxical interventions.

2
Q

Strategic Therapy

Role of the Therapist

A

• Therapist delivers directives that facilitate
change, particularly around
patterns of communication.
• Focuses on solving problem/eliminating symptoms
• Designs a specific approach for each person’s presenting problem

3
Q

Strategic Therapy

Treatment Goals

A
  • Solve the presenting problems

* Change dysfunctional patterns of interaction

4
Q

Strategic Therapy - Interventions

Paradoxical Directives:

A

Maneuvers that are in apparent contradiction to the
goals of therapy, yet are actually designed to achieve them; paradoxical interventions help avoid confrontation with therapist’s instructions; undermines resistance by keeping client in charge

5
Q

Strategic Therapy - Interventions

Positioning:

A

Therapist takes a more exaggerated and extreme view of the problem and the family is obligated to rebel. That leads to them seeing the ways in which they have competency.

6
Q

Strategic Therapy - Interventions

Homework

A

Assignments or directives that take place outside of therapy is essential to the therapy having a successful outcome. The underlying goal of the homework is to try to change the way the family dynamics function around
the presenting problem that was identified in session.

7
Q

Strategic Therapy - Interventions

Prescribing the Symptom

A

A strategy in which the therapist encourages or

instructs the client to engage in or practice the symptom.

8
Q

Strategic Therapy - Interventions

Restraining

A

The therapist will discourage change or changing too quickly in an effort to elicit the desire to change from the
client.

9
Q

Strategic Therapy - Interventions

Ordeals

A

Particular type of symptom prescription in which clients are encouraged to carry out harmless but unpleasant tasks whenever symptoms occur; example: having to get up and clean the basement every time the client cannot sleep.

10
Q

Strategic Therapy - Phases of Treatment

Beginning

A

Define the problem; determine how the client understands the problem; assess family’s destructive patterns of relating and communicating the continued problem; state goals –what behaviors need to change and what would
be the signs of change

11
Q

Strategic Therapy

Middle

A

Review attempted solutions; assign ordeals; prescribe the problem; relabel behavior; instruct client to respond to
the problem in a new way

12
Q

Strategic Therapy

End

A

Plan for maintenance of new behavior; plan for future challenges; emphasize positive changes made.