SW 612 Family Assessment And
Intervention Exam Latest Update
shedler: the efficacy of psychodynamic psychotherapy - ANSWER *psychodynamic
therapy have effect sizes as large as those labeled as ES and EB
*patients maintain gains and improve after treatment ends
I. distinctive features of psychodynamic technique
-brief than psychoanalysis
-explores aspects of self not fully known
-seven distinct features
1. focus on affect and expression of emotion
2. exploration of attempts to avoid distressing thoughts and feelings
3. identification of recurring themes and patterns
4. discussion of past experience (developmental focus)
5. focus on interpersonal relations
6. focus on the therapy relationship
7. exploration of fantasy life
II. how effective is psychotherapy in general?
-pretty darn effective
III. how effective is psychodynamic therapy?
-not only effective, but effects increase over time
IV. psychodynamic process in other therapies
*Therapist adherence to the psychodynamic prototype predicted successful outcome in
both psychodynamic and cognitive therapy.
V. the flight of the dodo
-all therapies were pretty equal in effectiveness
,hartman: many ways of knowing - ANSWER we need to want to know about everything,
not just the "right" thing
nichols family therapy introduction - ANSWER I. psychotherapeutic sanctuary
-freud's psychoanalysis and roger's client centered therapy were two most influential
approaches to psychotherapy in 20th century
II. family vs individual therapy
-changing a family changes the lives of its members
III. thinking in lines, thinking in circles
-family therapists consider people's mutual influence on each other
IV. the power of family therapy
-problems addressed at their source
nichols chp. 1 the evolution of family therapy - ANSWER I. the undeclared war
A. small group dynamics
-changing group behavior requires "unfreezing"
-process/content distinction: how people talk vs what they're saying
B. the child guidance movement
-coined the "schizophrenogenic mother"
C. marriage counseling
-object relations: couples referred by divorce courts?
II. research on family dynamics and the etiology of schizophrenia
A. gregory bateson-palo alto
-metacommunication: that the speaker is in charge
-double bind: patients are an extension of a crazy family environment
B. theodore lidz-yale
-rejected idea that maternal rejection caused schizophrenia
-marital schism: spouses undermine each other and compete for children's affection
-marital skew: serious character flaws in one spouse who dominates the other
C. lyman wynne-national institute of mental health
,-pseudomutuality: facade of harmony
-pseudohostility: bickering of comedy-like families instead of real animosity
-rubber fence: invisible barrier that permits limited extrafamilial contact
D. role theorists
-second-order cybernetics: therapy system includes therapist as well as family
-mystification: distorting someone's experience by denying it
III. from research to treatment: the pioneers of family therapy
A. john bell
-first family therapist, wasn't published until 10 years later
-child centered phase, parent centered phase, then family centered phase
-multiple family group therapy: 4-6 families seen together
-multiple impact therapy: team members met with combos of family members and then
met to make recommendations
-network therapy: assisted families by assembling their entire social network
B. palo alto
-complimentary relationships: those in which partners are different in ways that fit
together
-symmetrical relationships: based on similarity
-family rules hypothesis: within any committed unit, there are red
nichols chp. 14 research on family intervention - ANSWER I. research and practice:
worlds apart
-not a lot of subjective research arguing the effectiveness of family therapy
II. methodological issues in studying the effectiveness of family therapy
-requires program manuals and fidelity checks
-efficacy (treatment works in controlled conditions) vs effectiveness (treatment works in
clinical settings) studies
III. research findings on the effectiveness of family-focused interventions
A. family interventions for childhood problems
, 1. externalizing disorders
-yes
2. conduct disorders
-yes
3. substance abuse
-yes
4. ADHD
-complementary to medication
5. internalizing disorders
-mixed
6. childhood depression
-yes
7. childhood anxiety
-mixed
8. eating disorders
-yes
B. family interventions for adult disorders
1. depression
-yes
2. substance abuse
-yes
3. serious mental illness
-yes except schizophrenia
C. relationship difficulties
1. disorders of attachment
-yes
2. child maltreatment
Intervention Exam Latest Update
shedler: the efficacy of psychodynamic psychotherapy - ANSWER *psychodynamic
therapy have effect sizes as large as those labeled as ES and EB
*patients maintain gains and improve after treatment ends
I. distinctive features of psychodynamic technique
-brief than psychoanalysis
-explores aspects of self not fully known
-seven distinct features
1. focus on affect and expression of emotion
2. exploration of attempts to avoid distressing thoughts and feelings
3. identification of recurring themes and patterns
4. discussion of past experience (developmental focus)
5. focus on interpersonal relations
6. focus on the therapy relationship
7. exploration of fantasy life
II. how effective is psychotherapy in general?
-pretty darn effective
III. how effective is psychodynamic therapy?
-not only effective, but effects increase over time
IV. psychodynamic process in other therapies
*Therapist adherence to the psychodynamic prototype predicted successful outcome in
both psychodynamic and cognitive therapy.
V. the flight of the dodo
-all therapies were pretty equal in effectiveness
,hartman: many ways of knowing - ANSWER we need to want to know about everything,
not just the "right" thing
nichols family therapy introduction - ANSWER I. psychotherapeutic sanctuary
-freud's psychoanalysis and roger's client centered therapy were two most influential
approaches to psychotherapy in 20th century
II. family vs individual therapy
-changing a family changes the lives of its members
III. thinking in lines, thinking in circles
-family therapists consider people's mutual influence on each other
IV. the power of family therapy
-problems addressed at their source
nichols chp. 1 the evolution of family therapy - ANSWER I. the undeclared war
A. small group dynamics
-changing group behavior requires "unfreezing"
-process/content distinction: how people talk vs what they're saying
B. the child guidance movement
-coined the "schizophrenogenic mother"
C. marriage counseling
-object relations: couples referred by divorce courts?
II. research on family dynamics and the etiology of schizophrenia
A. gregory bateson-palo alto
-metacommunication: that the speaker is in charge
-double bind: patients are an extension of a crazy family environment
B. theodore lidz-yale
-rejected idea that maternal rejection caused schizophrenia
-marital schism: spouses undermine each other and compete for children's affection
-marital skew: serious character flaws in one spouse who dominates the other
C. lyman wynne-national institute of mental health
,-pseudomutuality: facade of harmony
-pseudohostility: bickering of comedy-like families instead of real animosity
-rubber fence: invisible barrier that permits limited extrafamilial contact
D. role theorists
-second-order cybernetics: therapy system includes therapist as well as family
-mystification: distorting someone's experience by denying it
III. from research to treatment: the pioneers of family therapy
A. john bell
-first family therapist, wasn't published until 10 years later
-child centered phase, parent centered phase, then family centered phase
-multiple family group therapy: 4-6 families seen together
-multiple impact therapy: team members met with combos of family members and then
met to make recommendations
-network therapy: assisted families by assembling their entire social network
B. palo alto
-complimentary relationships: those in which partners are different in ways that fit
together
-symmetrical relationships: based on similarity
-family rules hypothesis: within any committed unit, there are red
nichols chp. 14 research on family intervention - ANSWER I. research and practice:
worlds apart
-not a lot of subjective research arguing the effectiveness of family therapy
II. methodological issues in studying the effectiveness of family therapy
-requires program manuals and fidelity checks
-efficacy (treatment works in controlled conditions) vs effectiveness (treatment works in
clinical settings) studies
III. research findings on the effectiveness of family-focused interventions
A. family interventions for childhood problems
, 1. externalizing disorders
-yes
2. conduct disorders
-yes
3. substance abuse
-yes
4. ADHD
-complementary to medication
5. internalizing disorders
-mixed
6. childhood depression
-yes
7. childhood anxiety
-mixed
8. eating disorders
-yes
B. family interventions for adult disorders
1. depression
-yes
2. substance abuse
-yes
3. serious mental illness
-yes except schizophrenia
C. relationship difficulties
1. disorders of attachment
-yes
2. child maltreatment
