المهنية والتعاطف المتقدم

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Questions and Answers

ما هي الأهداف الأربعة الرئيسية في نموذج نمو ساتير؟

  • زيادة الوعي الذاتي
  • زيادة المسؤولية
  • أن نصبح صانعي خيارات
  • كل ما ذكر (correct)

تعتبر الفروق بين الأساليب المعرفية والعلاج السلوكي أهم شيء في العلاج الأسري الاستراتيجي.

False (B)

ما هو التركيز الأساسي للعلاج المركّز على الحلول؟

صحة العميل

في نموذج سFBT، يبدأ التغيير من ________.

<p>تغيير صغير</p> Signup and view all the answers

ما هي الفرق بين المحتوى والمشاعر؟

<p>المحتوى يتعلق بالأشخاص والتواريخ (B)</p> Signup and view all the answers

يمكن أن يُعرف الاستماع إلى التعبير عن المشاعر كأحاسيس فارغة.

<p>True (A)</p> Signup and view all the answers

ما هي مرحلة التحول في العلاج الأسري الحراري؟

<p>المرحلة الأساسية (A), الترقيم (B), معركة الهيكل (C), قبل العلاج (D)</p> Signup and view all the answers

ما هي جملة الأهتمام الأساسية (SMART)؟

<p>أهداف محددة، قابلة للقياس، تتطلب جهدًا من العميل.</p> Signup and view all the answers

ما هو دور التفكير في المشاعر في العلاج?

<p>يساعد في فهم تجارب العميل ومشاعره وتحسين التفاعل بينهم.</p> Signup and view all the answers

ما هي أنواع الأسئلة الجيدة في العلاج؟

<p>الأسئلة المفتوحة (A)</p> Signup and view all the answers

يمكن أن يساعد التداخل العلاجي في تغيير اتجاه المحادثة نحو الخيارات البديلة.

<p>True (A)</p> Signup and view all the answers

يجب استخدام الأسئلة كملء فراغات في العلاج.

<p>False (B)</p> Signup and view all the answers

ما هي أهمية التشاركية في العلاج الأسري؟

<p>تساعد على تحقيق فهم مشترك بين جميع الأعضاء.</p> Signup and view all the answers

الأسئلة ذات _____ هستند للأسئلة المباشرة.

<p>غرض</p> Signup and view all the answers

ما هي العناصر الأساسية لهدف SMART؟

<p>الأهداف يجب أن تكون قابلة للقياس (D)</p> Signup and view all the answers

ما هو محور نظرية عمان العائلية، وفقًا لموراي باوين؟

<p>تتميّز النظرية بتفريق الذات وإدارة القلق.</p> Signup and view all the answers

What is the purpose of the therapist's language?

<p>To acknowledge the client's experience or push the client.</p> Signup and view all the answers

What are the drawbacks of decreasing direct communication between family members?

<p>Prevents escalation into symmetrical relationships (B), Decreases family members' understanding of each other (D)</p> Signup and view all the answers

What does vocalics refer to?

<p>The use of voice as a means of nonverbal communication.</p> Signup and view all the answers

What purpose do circular questions serve in therapy?

<p>Explore mutual influences in relationships (B)</p> Signup and view all the answers

What are open-ended questions intended for?

<p>To allow the recipient to answer in meaningful ways.</p> Signup and view all the answers

What is the 'stroke and kick' technique in therapy?

<p>Joining mechanism followed by a challenge (B)</p> Signup and view all the answers

What is termination in the context of therapy?

<p>The ending of the therapeutic relationship.</p> Signup and view all the answers

What is therapeutic silence used for?

<p>To provide space for introspection (C)</p> Signup and view all the answers

How is utilization used in therapy?

<p>The therapist takes whatever happens in a session to help move the session forward.</p> Signup and view all the answers

What do interactional questions focus on?

<p>What happens between two or more people.</p> Signup and view all the answers

Flashcards

Content vs. Feeling

Content describes who, what, when, where, and how; feelings represent a person's emotional state, experienced at varying intensities.

Empty Feelings

Statements like "I feel..." without expressing a specific emotion are considered empty feelings and are not helpful.

Reflection of Feelings (Straightforward)

Identifying the feeling a client expresses without adding context.

Reflection of Feelings (Combination)

Connecting a client's feeling to the situation or content that triggered it.

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Reflection of Meaning

Understanding how a client interprets their situation and how it relates to their sense of self.

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Mutualization

Blending multiple perspectives from family members to create a shared understanding.

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Multipartiality

The therapist takes all parties' perspectives, treating everyone equally important.

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Neutrality

The therapist takes no side, which can sometimes make clients feel misunderstood.

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Open Questions

Questions allowing for detailed, varied answers, encouraging the client to share information in their way.

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Closed Questions

Questions seeking specific, limited answers.

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Swing Questions

Structurally closed questions intended as open questions, helping explore a situation indirectly.

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Relational/Interactional Questions

Questions focusing on how people react to each other, assessing interaction dynamics.

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Conversational Questions

Questions that arise organically from the conversation, helping clarify and expand the discussion.

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Goal Setting (SMART)

Establishing specific, measurable, achievable, relevant, and time-bound goals, crucial for therapeutic success.

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Termination

The end of the therapeutic process, aimed at helping clients manage future challenges and sustain their improvements.

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Specific Behavior Goal

A clearly defined action a client wants to achieve in therapy, focusing on specific improvements in self (like increased self-esteem) or family dynamics.

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Family as Sharing Experience

The family unit is a core place for shared experiences, both positive and challenging, that shape individual and relational growth.

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Congruence

Harmony between one's internal feelings and outward expressions, leading to personal well-being.

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Survival Stances

Unconscious ways individuals, particularly in families, respond to stress and emotions, potentially impacting dynamics.

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Genuine Therapist

A therapist who models authenticity and emotional expression in therapy while building trust and rapport.

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Sculpting

A family therapy technique where family members physically portray their roles and dynamics to gain insight.

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MRI Brief Therapy

A goal-oriented, time-limited therapy approach that aims at quick problem resolution by focusing on observable behaviors.

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Strategic Family Therapy

A therapy model focusing on how family interactions maintain problems and emphasizing actions to change those patterns.

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Solution-Focused Brief Therapy

An approach emphasizing clients' strengths and resources to find solutions rather than focusing on problems.

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SMART Goals

Goals that are Specific, Measurable, Achievable, Relevant, and Time-bound, which are essential to track progress in therapy.

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Therapeutic Summary

A concise overview of a therapy session that captures key points, feelings, and client understanding expressed.

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Increasing Intensity

Techniques that increase the energy and emotional engagement in a therapy session, often used to provoke reflection and change.

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Decreasing Intensity

Strategies that help lower emotional intensity in therapy, often used when communication becomes too heated or argumentative.

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First Order Change

A change that occurs on the surface level of a system, without fundamentally altering the underlying rules or patterns.

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Second Order Change

A change that fundamentally alters the underlying rules and patterns of a system, creating lasting transformation.

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Goal Prioritization

The process of organizing client concerns in order of importance determining which goals to address first during therapy

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Therapist's Language

Used to acknowledge or push client's experience during therapy

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Decreasing Intensity

Techniques to prevent escalation, reduce direct communication, and deflect blame.

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Increasing Intensity

Strategies to emphasize important communication points, enhance therapeutic silence, and use therapeutic interruptions.

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Vocalics/Paralanguage

Using voice to communicate nonverbally: Pitch, pacing, volume, humor, challenges.

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Circular Questions

Exploring relationships mutually, focusing on differences of perception & experience, using differences in degree or time.

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Open Questions

Questions that encourage detailed answers from clients, allowing self-expression.

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Swing Questions

Structurally closed questions used to function as open-ended questions, exploring indirectly.

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Unwitting Self-Disclosure

Unintentional self-revelation via nonverbal cues; potentially problematic if misread by therapist.

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Enactments

Family members acting out interactions; therapists can observe, intervene and support new behaviors.

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Stroke and Kick

A technique focusing on appreciation (stroke) and challenging concerning behaviors (kick).

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Pitch

Degree of highness/lowness of voice; communicates importance and emotional connection.

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Termination

Ending of therapeutic relationship, can be client-, therapist-, or forced.

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Solution-Focused Therapy

Focuses on strengths, solutions, and future, emphasizing client's capacity for change.

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Narrative Therapy

Clients' stories are examined, challenged, and rewritten to improve understanding of challenges and empower them to create alternative narratives.

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Therapeutic Silence

Intentional absence of verbal communication; allows for introspection and processing for both parties.

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Utilization

Improvisational therapy leveraging any current session element to move therapy forward; employing metaphors and expanding ideas.

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Interactional Questions

Focuses on interactions between individuals, and not on internal mental states.

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Study Notes

Professionalism, Advanced Empathy, & Mutualization

  • Distinguishing Content & Feeling:
    • Content = who, what, when, where, how
    • Feelings = person's emotional state, varying intensities
    • Time context is important (e.g., "at this time...")
    • Note emotional words, distinguish from empty feelings
    • Can use first-person reflection (client's perspective)
    • Use prompts like: "What you are telling me," "What I am hearing," or "I get the sense that..."
  • Reflection of Feelings:
    • Similar to paraphrasing, focus on the client
    • Straightforward reflections: Identify the feeling without context
    • Combination reflections: Connect feeling to the content causing it
    • Use metaphors
  • Reflection of Meaning:
    • Meaning = how the client understands themselves/self-concept
    • Explore client's understanding of current situation and how it relates to their self-concept
    • Example questions: "What do you make of the situation?" "What would this mean for you?" "What would mom think of this?"
  • Mutualization:
    • Therapist brings together 2+ perspectives for shared understanding
    • Importance unique to family therapy
    • Multipartiality vs. neutrality
  • Goals of Questions:
    • Aid in establishing rapport
    • Gather information
    • Challenge narratives
    • Encourage family member participation, even those not present
  • Pitfalls (self-regulation):
    • Fixer-role: Trying to solve the client's problems
    • Eagerness to act without regard for the client's natural curiosity
    • Being overly reactive and drawn into the client's narrative

"Good" & "Problematic" Questions

  • Good Questions:
    • Open-ended (e.g., What, How, When, Why) to allow meaningful responses
    • Closed but intended as open-ended (e.g., Did, Do, Are)
    • Relational/interactional: Focus on dynamics between people
    • Questions as interventions/conversational
  • Problematic Questions:
    • Double-barreled: Combining two questions
    • Long questions: Extending too long
    • Guessing questions: Implicitly containing the answer
    • Specific questions: Asking for overly precise answers
    • Leading questions: Suggesting a particular answer

Takeaways & Discussion Points, Use of Self & Intensity, Challenges, and Self-Disclosure

  • Takeaways/Discussion Points:
    • Questions are critical, use strategically
    • Mutualizing is important
    • The role of the therapist involves nuance
  • Use of Self & Intensity:
    • Understanding client reactions, therapeutic relationship
    • Techniques for addressing intensity levels (e.g., appropriate humor)
  • Challenges:
    • Challenging client perspectives/resources
    • Therapist perspectives
    • Examples: Minuchin's stroke and kick
  • Self-disclosure:
    • Intentional, intentional
    • Purpose, Spectrum, Unintentional/verbal/nonverbal
    • Repairing/working through it

Termination

  • Client-Initiated Termination: Occurs when client unilaterally terminates
  • Therapist-Initiated Termination: Occurs when the goals are achieved or client's issues are beyond therapist's scope.
  • Forced Termination: Occurs in cases of transfer or other situations where termination is necessary.
  • Client Dependency: occurs when client is unable to function without therapist's support

Theories: Intergenerational, Experiential, & Strategic

  • Bowen Family Systems Theory:
    • Focuses on differentiation of self, triangles, nuclear family emotions, etc., impacting relationships and leading to problems.
  • Contextual Family Therapy:
    • Rebalances emotional ledgers, improves relatedness, addresses stress.
  • Experiential Family Therapy (Satir & Whitaker): Explores self-esteem, communication, emotional expression, etc.
  • Therapeutic roles, key interventions, and theoretical frameworks are detailed.

Brief Therapy, Strategic Family Therapy, Goals, and Termination

  • MRI Brief Therapy: Short-term, focused on present realities, addressing problematic patterns, identifying and prioritizing goals.
  • Strategic Family Therapy: Action-oriented, considers context, identifies family dynamics, intervenes directly, focuses on solutions.
  • SMART Goals: Specific, Measurable, Achievable, Relevant, Time-bound

Interactional, Questions, and other topics

  • Relatonal/Interactional Questions: Focus on the interplay between people rather than a person-internal focus.
  • Other topics: Enactments can uncover and help address problems.
  • Self-Disclosure: Intentional or unintentional reveals of a therapist about personal information

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