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Details

Structural Family Therapy
Salvador Minuchin
22
Social Work
Post-Graduate
01/16/2022

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Cards

Term

Founder of Structural Family therapy

 

Underpinnings

Definition

Salvador Minuchin

 

● Action oriented approach that believes action precedes understanding. ● Believes that symptoms are a consequence of family transactional patterns and for those symptoms to change, the family structure must be reorganized. 

Term
Theory of change for strucutral family therapy
Definition
Change occurs by remodeling the family’s organizational structure to include clear boundaries and a proper family hierarchy.
Term
Role of therapist
Definition
● Active and involved (stage director) ● Work in collaboration with the family ● Joins with family by adapting to their style of interaction, including their affective range, mannerisms, and language.
Term
Family Structure
Definition
the invisible set of functional demands that organizes the ways in which the family members interact. (Minuchin, 1974)
Term
Alliances
Definition
Subgroups based on gender, generation, and developmental tasks
Term
Alignment
Definition
This refers to how family members group together or relate to one another. They may include affiliations or splits from individuals or subsystems; they could be short-term or ongoing; however, they all develop for the purpose of maintaining homeostasis.
Term
Coalitions
Definition
Alignments where two or more family members join together to form a bond against another family member.
Term
Subsystems
Definition
How family partitions itself based on different needs and tasks. They consist of two or more members of the system based on common characteristics such as gender, generation, interests, or function
Term
● Power Hierarchy
Definition
: Leadership and direction must be provided by adults, typically parents.
Term
Boundaries (3 types)
Definition
Boundaries: ○ Rigid/Inflexible: Boundaries are clearly defined and not open to change. Disengagement is caused by rigid/inflexible boundaries. ○ Diffuse: Boundaries are blurred and there is little sense of separateness within the family system. Enmeshment is caused by diffused boundaries. ○ Clear: Balance between separateness (I) and belonging (we) in the family system.
Term
Family Mapping
Definition
A diagram, developed and used by the therapist outside of the therapeutic session, to identify boundaries, structures, and relationships within the family system.
Term
Family Mapping
Definition
A diagram, developed and used by the therapist outside of the therapeutic session, to identify boundaries, structures, and relationships within the family system.
Term
● Complementarity
Definition
When two or more individuals function as a team and recognize that they depend on each other to achieve particular tasks.
Term
● Mimesis
Definition
The therapist tracks the family’s style of communication and behaviors, and then copies (mimics) it in order to be accepted by the family
Term
● Joining:
Definition
Therapist gains temporary acceptance into the family by engaging with individual members and subsystems. This process allows the therapist to eventually disrupt and alter dysfunctional aspects of the system
Term
Reframe
Definition
A technique used by the therapist that redefines the original interpretation of an issue and offers a new, more constructive perspective.
Term
Enactments
Definition
An intervention that encourages the family to act out a relationship dynamic during the therapeutic session. Provides the therapist an opportunity to observe dysfunctional aspects of the system that can eventually be restructured.
Term
Tracking:
Definition
The therapist pays close attention to family members and how they relate to one another during an enactment or spontaneous behavioral sequence. ○ Notice boundaries, coalitions, roles, rules, etc.
Term
Unbalancing
Definition
Supporting someone who is in a one-down position with the goal of altering their hierarchical position.
Term
Tx goals (5)
Definition
Help the family understand how family structure (relationships and hierarchies) can be changed. ● Help create clear and healthier boundaries. ● Strengthen the spousal subsystem and the family’s hierarchy. ● Restructure the family system to allow for symptom relief and constructive problem solving. ● Alter dysfunctional transactional patterns
Term
Interventions
Definition
● Acts like a “distant relative” through the process of joining with the family. ● Deliberately increases the level of stress through the use of enactments. ● Observes the interactions during enactments and spontaneous behavioral sequences. ● Reframes presenting symptoms as responses to the family structure. ● Disrupts dysfunctional patterns of communication and replaces them with more functional interactions. ● Reinforces healthy boundaries and disrupts unhealthy ones through boundary making. ● Challenges the family’s rules that continue to exist even though they are no longer of use. ● Explores how new patterns of interaction can be integrated into the family.
Term
Phases of tx
Definition
Beginning: Joining and accommodating; assess family interactions through use of family mapping; learn about coalitions, subsystems, alliances; reframe presenting problem as a function of the system. Early/Middle: Highlight and modify interactions; utilize enactments of issues to challenge participants and unbalance system End: Review progress made; reinforce structural change; provide tools for future
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