Apply Family And Couples Models - Licensed Master Social Worker LMSW

1. Which approach views symptoms as serving a function to maintain family homeostasis?

   Strategic Family Therapy. This model assumes symptoms preserve family balance, targeting change through strategic interventions.

2. Which Milan technique uses curiosity and neutrality with circular questioning?

   Circular questioning. This method explores multiple perspectives to reveal differences and promote new understandings neutrally.

3. What is the key goal of Bowen Family Systems Therapy?

   Increase differentiation of self and reduce reactivity. Bowen's approach aims to foster individual autonomy within family systems to manage emotional processes effectively.

4. Which SFBT tool rates progress on a $0$–$10$ scale to guide next steps?

   Scaling questions. Scaling quantifies client perceptions, highlighting progress and motivating small, achievable changes.

5. In Narrative Therapy, what does externalizing the problem mean?

   Separating the person/relationship from the problem. Externalization views issues as separate entities, reducing blame and opening space for new narratives.

6. Which SFBT question asks clients to imagine the problem is solved overnight?

   The miracle question. It helps clients envision a preferred future, identifying steps toward solution-building in therapy.

7. Identify the Structural Family Therapy technique that intensifies an interaction to expose patterns.

   Enactment. By having families demonstrate issues in session, therapists can identify and restructure problematic patterns directly.

8. Which couples model targets negative interaction cycles and attachment needs (Sue Johnson)?

   Emotionally Focused Therapy (EFT). Johnson's model interrupts distress cycles by addressing attachment insecurities and promoting vulnerability.

9. What does Structural Family Therapy mean by boundaries (diffuse, clear, rigid)?

   Rules regulating contact and roles between subsystems. Boundaries define the permeability of interactions, influencing family cohesion and adaptability in Structural therapy.

10. What does Bowen mean by differentiation of self?

    Separating thinking from feeling while staying connected. Differentiation enables individuals to maintain emotional balance and relationships without fusion or cutoff.

11. Identify the most appropriate model when a family shows diffuse boundaries and enmeshment.

    Structural Family Therapy. Structural therapy directly addresses enmeshed structures by clarifying boundaries and hierarchies.

12. In Gottman Method terms, what are the "Four Horsemen" of relationship breakdown?

    Criticism, contempt, defensiveness, and stonewalling. These behaviors predict divorce, as they erode trust and communication in couples according to research.

13. What is paradoxical intervention in Strategic Family Therapy?

    Prescribing the symptom to disrupt resistance and patterns. Paradoxical techniques encourage the symptom to highlight its function and facilitate voluntary change.

14. Which Structural Family Therapy technique has the therapist temporarily join the family system?

    Joining. This technique builds rapport and allows the therapist to observe and intervene in family dynamics from within.

15. What is the primary focus of the Gottman Method for couples intervention?

    Strengthen friendship, manage conflict, and build shared meaning. Gottman's evidence-based approach enhances relationship stability through core components of healthy partnerships.

16. In Bowen theory, what is a triangle?

    A 3-person system used to stabilize anxiety in a dyad. Triangles diffuse tension by involving a third party, a common emotional process in family systems.

17. Identify the most appropriate model when a couple is stuck in a pursue-withdraw attachment cycle.

    Emotionally Focused Therapy (EFT). EFT targets attachment patterns like pursue-withdraw to foster emotional accessibility and responsiveness.

18. What is the primary focus of Solution-Focused Brief Therapy with families/couples?

    Build solutions by amplifying strengths, exceptions, and goals. SFBT shifts focus from problems to client competencies, fostering rapid, goal-oriented change in families.

19. In Strategic Family Therapy, what is a directive?

    A specific task prescribed to change interaction patterns. Directives are tailored assignments that interrupt problematic sequences and promote new behaviors.

20. What is the core idea of Milan Systemic Therapy regarding family problems?

    Problems are maintained by circular interaction patterns. Milan therapy sees issues as perpetuated by recursive family interactions, requiring systemic reframing.

21. What is the primary focus of Structural Family Therapy (Minuchin)?

    Family structure: subsystems, boundaries, and hierarchy. Minuchin's model emphasizes reorganizing dysfunctional family structures to promote healthier interactions and roles.

22. Which Bowen intervention uses a multigenerational map to assess patterns?

    Genogram. Genograms reveal intergenerational patterns, aiding in understanding and detriangulating family dynamics.

23. What is the primary mechanism of change in Narrative Therapy with families/couples?

    Externalize the problem and re-author preferred stories. Narrative therapy empowers clients by deconstructing dominant problem stories and constructing alternatives.

24. What is the main goal of Emotionally Focused Therapy (EFT) for couples?

    Restructure attachment bonds by changing emotional responses. EFT facilitates secure attachments by accessing and reshaping underlying emotions in couple interactions.

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