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27 Cards in this Set
- Front
- Back
Considerations for multiple clients:
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Individual goals/interests may conflict
Identify "the client" as the family or couple (system) |
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Confidentiality
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Cine up with your definition and discuss it in the first session
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Confidentiality: Two concepts unique to MFT:
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Secrets
Change from systemic to individual formats in therapy |
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Three types of secrets:
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Shared family secret
Internal family secret Individual secret |
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Shared family secret
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Know to all members
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Internal family secret
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Known to some and not to others
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Individual secret
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Know to only one member (private)
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Two perspectives on confidentiality & secrets:
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Pro-secrets & Anti-secrets
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Pro-secrets:
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Therapist encourages disclosure, but respects the individual's privacy if they choose not to share.
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Anti-secrets:
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No-secrecy policy
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Middle ground:
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Some are okay if beneficial to the client system
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Secrecy vs. Privacy
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Depends on how relevant info is to person unaware of the information.
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Privileged communication suggestions for therapists:
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- Do NOT testify without a subpoena
- Learn provisions of your state - Obtain written agreement from all parties |
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Childhood trauma that is now resolved and not affecting clients:
(privacy/secrecy) |
Privacy
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Past affair during a previous marriage and not affect clients:
(privacy/secrecy) |
Privacy
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Withholding adoption information:
(privacy/secrecy) |
Secrecy
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Current affair during a current marriage:
(privacy/secrecy) |
Secrecy
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Informed consent
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- CRITICAL!
- MFT may have desirable outcomes for some and not for others - Clearly state goals |
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Inequity & Imbalance:
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- Gender differences
- Partnership vs. marriage - Triangulation |
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Power: (two types)
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1. Legitimate power
2. Expert power |
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Legitimate power:
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Power with superiority
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Expert power:
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Power with knowledge
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Creating distress for change:
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- Weigh risks and benefits of distress
- Always lead to well-being of client(s) |
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Convening multiple clients (involving other relationship members beyond client):
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- Encourage participation
- Writing a letter (homework) - Enforcing - Enabling |
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Enforcing
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Use indirect pressure (can be coercion)
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Enabling
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Increase attractiveness of therapy
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Paradoxical interventions:
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Designed to block or change dysfunctional sequences by "encouraging" rather than confronting symptoms & objectionable behavior
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