Family Therapies

Differentiation

Emotional Triangles

Family Projection Process

Multigenerational Transmission

T assumes role of coach
Remains neutral

Subsystems

Boundaries

Rigid family triads

Stable coaliton

Unstable coalition

Detouring attack coalition

Detouring support coalition

Phases

1) Joining

Mimesis

Tracking

Maintenance

2) Evaluate family structure

3) Reframing, unbalancing,
boundary making, enactment

Initial session
(highly structured)

Social stage

Problem stage

Interactional stage

Goal-setting stage

Straightforward directives

Paradoxical directives

Prescribing the symptom

Restraining

Ordeal

Five-part therapy session

Pre-session

Session

Intersession

Intervention

Post-session

Gaps of 4-6 weeks

Strategies

Hypothesizing

Neutrality

Circular questioning

Positive connotation

Family rituals

Social construction

Externalizing questions

Opening space questions

Therapeutic letters

Therapeutic certificates

Definitional ceremonies

Engagement and motivation

Therapeutic alliance

Joining and reframing

Behavior change

Goals

Training in parenting

Communication

Problem solving

Coping skills

Generalization

Resource linking

Generalize skills

Avoid relapse

Assessment & cycle
de-escalation

Changing interactional
positions & creating new
bonding events

Consolidation & integration

Dysfunctional communication
styles

Placating

Blaming

Computing

Distracting

Functional communication

Congruent (leveling)

Family sculpting

Family reconstruction

Multidisciplinary team

Bronfenbrenner's ecological
model

Core principles

Finding the fit

Focusing on positives and strengths

Increasing responsibility

Present-focused, action-oriented,
well-defined

Targeting beh. sequences

Developmentally appropriate
interventions

Encouraging continuous effort

Evaluation and accountability

Promoting generalization