Model Matrix

Model Matrix

Yes

PCN-521 Model Matrix

Directions: Below is a matrix you will use throughout this course to gather and organize information. It is suggested you save this document for future use as it will be a helpful study guide in preparation for your licensure exam.

CBT

Psychoanalytic

Bowen

Structural

Strategic

Experiential

Solution-focused

Narrative

Feminist

Key Figures

Ivan Pavlov, Watson, Thorndike, B.F. Skinner, and Bandura

Sigmund Freud, Dr. Josef Breuer, Karl Abraham, and Sandor Ferenczi
Dr. Murray Bowen,

Salvador Minuchin, Braulio Montalvo, Cloe Madanes, and Jay Haley

Milton Erickson, Don Jackson, Jay Haley, Cloe Madanes, John Weakland, Dick Fisch, Paul Watzaliwck, and Giorgio Nardone

Key Techniques

Downward Arrow, ABCs, match thoughts to feelings, replace unhelpful thoughts with useful thoughts, replace negative self-talk, and explore alternate schemas

Free association where clients talk about what comes to mind, therapeutic transference analysis, and interpretative intervention

Questioning of family members and construction of a family genogram

Joining in a position of leadership, working with interaction, mapping underlying structure, tracking, highlighting and modifying interactions enactment, and restructuring

Prescribing the symptom – exaggerating a symptom to show how damaging it is to the family

Relabeling – changing connotation of a symptom from negative to

Paradoxical intervention – a more in-depth way of prescribing the symptom

How do problems arise and persist?

Recurring faulty cognitions result in problematic response patterns

Problems are caused by latent disturbances. Disturbances emanate from unresolved issues during an individual’s development or repressed trauma. Problems are rooted in the unconscious mind.

Due to multigenerational transmission; each generation moves to a lesser level of differentiation resulting in a downward spiral until unresolved emotional cutoffs and attachments are successfully resolved.

Problems emanate from the functional structure of a family; problems are maintained by dysfunctional families when one member faces external pressures such as when a parent is laid off or when a member reaches developmental transitions such as when a child reaches adolescence.

Problems persist due to problem-causing symptoms held within a family. The symptoms are repetitive in nature which makes the problem persist. Symptomatic members of the family usually deny intent to control the symptoms by claiming the symptoms are involuntary.

Therapy Objectives

To modify specific patterns of thinking / behaviors and to alleviate the presenting symptoms

To bring repressed conflicts to consciousness where they can be dealt with.

To change faulty patterns in which family members have been interacting via self-motivated self-differentiation

To alter the existing family structure and creation of an effective family therapy. To strengthen boundaries in enmeshed relationships and open them up in disengaged relationships.

To influence family members by implementing carefully planned interventions and issuance of various directives for resolving problems

How does change occur?

Changed beliefs lead to changed behaviors

Change occurs when contingencies of reinforcement are altered

A therapist helps a client to bring underlying conflicts to the point of gaining insight and understanding that enables the person to resolve the problem

Change occurs when a client gets insight regarding his/her problems. This is when self-differentiation occurs. An individual client is able to separate his/her emotional and intellectual functioning while still maintaining autonomy from emotional issues of others enabling the individual to function based on reasoned principles.

Behavior of family members is changed via opening of alternative patterns of interaction that can help modify the family structure. Dormant structures are activated. A therapist defines a problematic sequence in a structure, directs enactment and guides a family to modify the enactments.

Therapist helps the entire family to weather crises together and to alter family communication patterns which allows constructive change to take place

Therapist Role

Ask questions to challenge assumptions rather than directly challenging

Teach family that emotional problems are caused by unrealistic beliefs

Therapist should exercise technical neutrality (distant, uninvolved attitude). A therapist should not take sides in a client’s activated internal conflicts (the therapist should remain equidistant).

The therapist is supposed to be neutral; his/he role is to encourage family members to communicate through him/her rather than among themselves. The therapist is a coach who teaches family members differentiation moves. The therapist is also an educator who teaches families about dynamics of family systems.

To observe how a family interacts and then draw a chart of the family structure to help the family identify the hierarchy, subsystems, and boundaries within the family unit. The therapist uses this chart to identify where change is needed and types of intervention that are necessary to restructure the family.

The therapist is responsible for initiating what takes place in therapy. The therapist designs a specific approach to each individual’s presenting problem. Ideally, the therapist takes responsibility for influencing clients directly.

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