5 Written Questions

1. Redefining the family's perspective on problems as problems within the family structure.
2. Haley & Madanes. Views difficulties as an inability to cope with either environmental or personal life changes. Goal is to facilitate a solution in the most efficient and ethical way possible. Focusing on strengths rather than weaknesses is key to success. Key concepts: moving from who is to blame to what can be done, relationship maintenance, encouraging conversations outside of therapy that are not happening.
3. Coalitions btwn subsystems in the family that serve a specific purpose.
4. Fairbarin, Kohut, Gilligan. Believes that marriage becomes a closed system that inhibits growth through mutual unconscious interactions between the partners. The mothering figure is the central motivation for selection and attachment of a mate. A partner finds "lost parts" of the self in the other partner.
5. Therapist has the family or a subsystem of the family act out, in session, how they typically deal with a specific type of problem.

5 Matching Questions

1. Complementarity
2. Structural Family Theory (Salvador Minuchin)
3. Negative feedback loop (Attenuating)
4. Paradoxical prescription/directive
5. Ego analytic Couples Therapy

1. a Input that maintains the status quo of a system.
2. b Based on the premise that all families have an underlying organization which may be adaptive or maladaptive. Therapy identifies maladaptive structural elements and makes changes in these structural elements.
3. c Genchiel, Gray, Apfelbaum, Wile. Foster the ability of the couple to communicate important feelings. Dysfunction originates from the individual's incapability to recognize and validate sensitivities and problems in the relationship. Two major categories of problems: dysfunction brought into the relationship from early childhood trauma and experiences and the individuals reaction to difficulties and sense that he or she is un-deserving because of shame and guilt.
4. d The extent to which different family roles are in harmony with each other.
5. e Techinique which involves prescribing the problem behavior.

5 Multiple Choice Questions

1. Changing the family structure via enactment, spontaneous behavior sequences and reframing.
   1. Restructuring the family
   2. Detriangulation
   3. Therapeutic Triangle
   4. Report level
2. Rigid structures that do not lend themselves to being changed in the face of changing family circumstances.
   1. Spontaneous behavior sequences
   2. Inflexible family structures
   3. Open system
   4. Power hierarchies
3. Prior to the session the therapy team formulates its initial hypothesis relative to the presenting problem.
   1. Hypothesizing
   2. Enmeshment
   3. Coaching
   4. Restraining
4. Occur when the therapist highlights an interaction that is naturally occurring in the moment and assists the family in modifying problem sequences.
   1. Take Charge role
   2. Power hierarchies
   3. Spontaneous behavior sequences
   4. Integrative Behavioral Therapy
5. Graphic representation of family relationships that includes a minimum of three generations.
   1. Open system
   2. Reframing
   3. Enactment
   4. Genogram

5 True/False Questions

1. The Congruent Communicator → Family member seeks to distract others and seemingly has difficulty relating to what is going on in the moment.

   True        False

2. Rituals → Equal acceptance of all family members by the therapist. The therapist avoids allying with individual family members.

   True        False

3. Symmetrical Relationships → Egalitarian relationships, which roles are mirror images.

   True        False

4. Subsystems → Family that does not accept information from systems outside itself.

   True        False

5. Sibling Position → Associated with the development of specific personality characteristics.

   True        False