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Strategic Intervention

Strategic Intervention. Strategic Intervention. Symptoms maintain balance Symptoms reflect dynamics in family When symptoms are cured there is always a consequence. Strategic Intervention - Hierarchy. Examine distribution of power Examine who tells who what to do

derek-burris
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Strategic Intervention

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  1. Strategic Intervention

  2. Strategic Intervention • Symptoms maintain balance • Symptoms reflect dynamics in family • When symptoms are cured there is always a consequence

  3. Strategic Intervention - Hierarchy • Examine distribution of power • Examine who tells who what to do • Illustrate that when hierarchal arrangements are confused, then individual shows symptoms • Examine if there is hierarchal incongruity – this is when families have two conflicting hierarchies – for example does child take on more dominant hierarchy or power than parents

  4. Strategic Intervention Transitions Points in Life • Courtship • Marriage • Childbirth • Middle Marriage • Weaning Parents From Children • Retirement and Old Age

  5. Strategic Intervention • Symptoms/problems occur when there is dislocation or interruption in the family life cycle • Control and influence seen as key motivations for problems in families

  6. Goals of Strategic Intervention • Goal of Therapy is to Move People to Next Stage of Family Life • Goal of Therapy to address power struggles • Goal of Therapy prevent repetitive behavior that is harmful • Prevent coalitions across generational lines • Alter Interaction Styles

  7. Structure of Strategic Interviews • (Social Stage) observe mood, organization, relationship dynamics • (Problem Stage) get perspective of each member • (Interaction Stage) watch family discussion of problem, observe interaction patterns • (Goal Setting) highlight and clarify problem, address goals, means of measuring change, assign directive or homework, feedback from this determines next intervention

  8. Strategic Techniques • Offer tasks • Emphasize things in present not past/future • Argue for 10 minutes each night (accentuate problem deliberately) • Assess how directives affect family

  9. Use of Paradoxical Injunction • Continue problem behavior so client rebels against therapist • Compliance Based - you worry at a set period each day so you don’t worry other times • Defiance Based - parents ask permission from child before making rules • Exposure Based - father gives girl quarter every time she defies mom • Control Based - ask couple to ague 20 minutes so they know how they start and stop argument

  10. Ordeal Therapy • More trouble to maintain system than give it up • Give present to someone before you argue with them • Rearrange furniture before you argue

  11. Pretend Techniques • Enact feared situation • Have others respond • Realize it is not so bad

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