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Chapter 9 Alternate Modes of Clinical Intervention (Chapter 10 Deleted) - Nov. 14, 2012.docx

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PSY 257
Donna Darbellay

Chapter 9: Alternate Modes of Clinical Intervention (Chapter 10 Deleted) November-14-12 9:37 AM 1. Group Therapy Assumption: both maladjustment and adjustment are rooted in interpersonal relationships Both maladjustment and adjustment are rooted in Focus Feedback (multiple sources): leading to symptom discovery. II: Interpersonal interactions 2. Group Therapy primary factors- Therapeutic Factors - facilitate openness and honesty Cohesiveness- acceptance; family type setting Catharsis – opportunity to express emotions Interpersonal Learning – feedback teaching new social skills Normalization – see universality of personal problems Multiple sources of feedback – increases impact Altruism – sharing in other’s growth 3. Group Therapy in Practice Types of Groups homogenous heterogeneous open closed various theoretical orientations- CBT, psychodynamic, behavioral compare process vs CBT 4. Considerations in Formation of Groups developmental level: ideally similar intellectual level: may be most significant gender: more important for children size: 7-12 to maintain a dynamic, feedback therapist/s: opposite sexes can create a ―family‖ 5. Couple and Family Therapy Diagnosis ◦Usually a V-code-relational disorder but – Conditions that need clinical attention but no disorder System Approach ◦More than the sum of its parts ◦No memory ◦Transactional patterns (open vs. closed) ◦Can be open or closed 6. Goal Increase relational satisfaction Approaches Conjoint –seen together Individual - Techniques (determined by problem, therapist’s training/orientation Facilitate problem-solving (there’s always a problem… so we want to improve communication skills) Develop communication 7. Don’ts in Couple Therapy – p312 -don’t take sides - don’t proceed until goals and problems have been clarified - don’t be abstract (must be concrete) - don’t be abstract (must be concrete) - don’t discount small stuff; examine all (validates) - don’t assume problem perceived in the same manner - don’t get hooked in to the past - don’t allow the couple to direct the session 8. Couples: Gottman (model based on core triad: behavior, perception, physiology) Circular Causality each person’s pathology is a reaction to the other’s (Erikson’s mutual regulation) Two Kinds of People Coaching people and Dismissing people Gottman’s 4 Horsemen of the Apocalypse Criticism – Defensiveness – Contempt – Stonewalling – 9. Gottman’s SMH Level 1 – The friendship level: love maps, fondness, tu
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