Lanie - Family Therapy

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INTERVIEW

The goal of the first interviewis to build an alliance with

the family and develop ahypothesis about whats

maintaining the presentingproblem. ( To come with atentative hypothesis)


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FIRST SESSION CHECKLIST

1) Make contact with eachmembers of the family and

acknowledge his or her pointof view about the problem andfeelings about coming to

therapy.2) Establish leadership by

controlling the structure and

pace of the interview.


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3.) Develop a working alliance

with the family bybalancing warmth andprofessionalism.

4.) Compliment familymembers on specific

positive actions and familystrengths.5.) Maintain empathy with

individuals and respect for


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6.) Focus on specific problems

and attempted solutions.7.) Develop hypotheses aboutunhelpful interactions around

the presenting problem. Becurious about why these havepersisted.

8.) Dont overlook the possibleinvolvement of familymembers, friends, or helpers


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9.) Negotiate a treatment

contract thatacknowledges thefamilys goals andspecifies the therapistsframework for

structuring treatment.10.) Ask if family members

have any question.


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THE EARLY PHASE OFTREATMENT

Is devoted to refining thetherapists hypothesis into a

formulation about whatsmaintaining the problem

and beginning to work onresolving it.


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EARLY PHASE CHECKLIST

1) Identify major conflicts and bringthem into the consulting room.

2) Develop a hypothesis and refineit into a formulation about whatthe family is doing to perpetuate

or fail to solve their presentingproblem. Formulations shouldconsiders process and structure,

family rules, triangles, and


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3.) Keep the focus of treatment

on primary problems and theinterpersonal conditionssupporting them.

4.) Homework assignmentsshould address both problemsand the underlying conditions

supporting them.5.) Challenge family membersto see their own role in the


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6.) Push for change, in the

session and between athome.

7.) Seek and makeeffective use ofsupervision and

consultation to test thevalidity of formulations

and effectiveness of


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The Middle Phase ofTreatment

Is devoted to helping

family membersexpress themselves and

achieve mutualunderstanding.


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MIDDLE PHASE OFTREATMENT

1) Use intensity to challenge family members.2) Void being so directive and controlling that the family


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TERMINATION

Termination comes forbrief therapist as soonas the presentingproblem is resolved.

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Lanie - Family Therapy