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Strategic Aligning with Parental Generation - ANSWER-
Technique directed at strengthening the parental hierarchy and
reinforcing that parents are in charge of the children. Therapist
breaks neutrality and intentionally aligns with parental
subsystem.
Symbolic-Experiential Assessment - ANSWER--Beings with first
phone call -Assesses all the way out to extended family and
community and back to internal worlds of every individual. -
Attempts to gain thorough understanding of system as a whole
and individual idiosyncracies. Pays particular attention to:
subsystems, emotional age versus chronological age, triadic
patterns, teaming, dyadic collusions, and individual dynamics.
Symbolic-Experiential Diagnosing - ANSWER-Non-
pathologizing. If asked what
the diagnosis is, therapist will respond with a
therapeutic double-bind.
,Symbolic-Experiential Who is Involved? - ANSWER-All
members of the family.
At least 2
generations.
Symbolic-Experiential Treatment Duration - ANSWER-Meets
weekly until later phases, then monthly. Will go on as long as
needed, usually between 6 months and 2 years.
Symbolic-Experiential Goals of Therapy - ANSWER--Increase
each members' sense of belongingness, while also
encouraging the freedom to individuals. -Develop and
environment where individuals feel safe to be emotionally
expressive.
-Individuals are encouraged to grow in ways congruent to their
authentic selves.
Milan Therapy Structure - ANSWER-1. The pre-session- Team
meets and makes initial hypothesis.
2. Session- Team meets with family to check hypothesis.
3. Intersession- Team meets to discuss and form an
intervention.
,4. Intervention- Therapist returns and delivers intervention to
family; either a positive connotation or prescription of a
ritual.
5. Post-session Discussion- Team debriefs and makes plans
and hypotheses for next session.
Milan Team Approach - ANSWER-A team of therapists that
strategically
hypothesize and plan interventions regarding the family.
Often, the team
watches therapy through a one-way mirror as
it happens.
Milan A Learning Process - ANSWER-Interventions are viewed
as this by the therapist. The therapist can test the hypotheses
and interventions through trial and error as they learn about the
family.
Milan Hypothesizing - ANSWER-Continual process of
conceptualizing the nature of the family's behavior that guides
questioning and interventions
Milan Counterparadox - ANSWER-Intervention used to unravel a
family's double-bind message by referring to their dysfunction
, as legitimate and necessary, and as so, instructing the family
not to change.
Milan Neutrality and Irreverence - ANSWER-The therapist's
stance of being
open to multiple hypotheses regarding the
family's behavior.
Milan Rituals - ANSWER-Intervention presented by therapy
team that is described in great detail, instructing individuals in
the family to carry our specific behaviors at specific times of
the day for a distinct period of time. Serves to provide
consistency and clarity as to the hypothesized problem within
the family.
Milan Positive Connotation - ANSWER-Assigned a positive
motive or value to
each family member's behavior, whether it's a desirable
behavior or not.
Milan Goals - ANSWER-Open families up to accommodating
and adjusting to
new information and beliefs and maintain healthy
systemic functioning.