COUN 601
STUDY GUIDE – EXAM 2
COUN 601 – Goldenberg et al. 9th edition
Chapters 5, 7, 8, and 9
Develop an understanding of conjoint therapy.
Pg. 338 Family therapy
What do marital schisms and marital skews look like? Marital schism refers to a
disharmonious situation in which each parent, preoccupied with his or her own problems,
fails to create a satisfactory role in the family that is compatible with and reciprocal to the
other spouse’s role marital skew, which the researchers also observed in families with
schizophrenic offspring, the marriage is not threatened, but mutually destructive patterns
nevertheless exist
Be able to explain pseudomutuality - giving the appearance of a mutual, open, and
understanding relationship without really having one , pseudohostility - maintain a re-
lationship by engaging in continuous superficial bickering, masking their deeper need for
tender- ness and affection. , and the rubber fence - a changeable situation in which the
specific bound- aries of the family may shift, as though made of rubber, allowing in
certain acceptable information but unpredictably or arbitrarily closing in order to keep
unacceptable information out.
Who coined the term “double-bind” and what does it mean? Bateson - A double-bind
situation occurs when an individual (often a child) receives repeated conflicting
injunctions from the same person (say, an adult) with whom the child has an important
ongoing relationship.
Know information on Fromm-Reichmann and the Schizophrenogenic Mother. Pg109
-111
Develop a working knowledge of Object Relations Family Therapy. Pg 174
Understand Framo’s approach to marriage and family therapy.pg 175
Be familiar with Object Relations Theory. Pg 174
What does “self object” refer to? - a selfobject is a person relatively more
undifferentiated from oneself who serves the needs of the self. He or she sees everyone as
an extension of self and as existing to serve the self.
What constitutes a “sound” theory? Be able to list trends of family therapy today. Pg. 160
Be familiar with Ackerman - a psychoanalytically trained child psychiatrist in the child
guidance movement, is generally credited with adapting psychoanalytic formulations to
the study of the family. In what may have been the first paper specifically to deal with
family therapy, Ackerman emphasized the influence of the family as a dynamic
psychosocial unit.
, Psychoanalysis - both as a collection of theories and a form of practice, deserves
recognition for playing the central role in establishing and defining the nature of
psychotherapy. psychoanalysis focused on treating neurotic individuals by examining
and reconstructing childhood conflicts generated by the colliding forces of inner drives
and external experiences.
COUN 601
, and Family Dynamics. pg 166
What are the foundational concepts of Experiential Therapy? practices that focus
attention on the here-and-now by attending to a “client’s verbal or non- verbal affectual
stance,” indicating the relative impact of facilitating, shifting, or disrupting therapist
behavior pg.234
What is family sculpting? a nonverbal communication method whereby a family member
can physically place other members in a spatial relationship with one another,
symbolizing his or her perception of the family members’ differences in power or degrees
of intimacy with one another
Be familiar with the experiential model - practitioners tailor their approach to the unique
conflicts and behavior patterns of each family with whom they work
and S-EFT - a multigenerational approach that uses therapy to address both individual
and family relational patterns (see Box 9.1). Oriented toward personal growth and family
connectedness, the therapist assumes a pivotal role in helping family members dislodge
rigid and repetitive ways of interacting by substituting more spontaneous and flexible
ways of accepting and dealing with their impulses
Be familiar with Satir’s Human Validation Process Model experiential in nature,
emphasizes the collaborative efforts of therapist and family members to achieve family
“wellness” by releasing the potential viewed as inherent in every family
Know information on symbiosis - intense enmeshment, in the development and
maintenance of schizophrenia
Know the family life facts chronology by Satir. understand the history of the family’s
development by depicting key elements in its evolution, beginning with the birth of the
oldest grandparents. Her goal was to force family members to think about characteristic
family patterns and especially about the relevant concepts that had formed the basis for
their developing relationships.
Be familiar with Emotionally Focused Couple Therapy.pg 248
Be familiar with undifferentiated family ego mass - a term derived from psychoanalysis.
The term conveys the idea of a family emotionally “stuck together,” one in which “a
conglomerate emotional oneness . . . exists in all levels of intensity”
Triangles - the basic building block in a family’s emotional or relational system is the
triangle
Understand the multi-generational transmission process - in which severe dysfunction is
conceptualized as the result of chronic anxiety transmitted over several generations.
, genograms – pg 209 offer helpful pictorial depictions of the family’s relationship system
over at least three generations.
, and Bowenian therapy techniques. 209-216
COUN 601
Know the differentiation of self - reflects the extent to which a person is able to
distinguish between the intellectual process and the feeling process of what he or she is
expe- riencing. Differentiation of self is demonstrated by the degree to which a person
can think, plan, and follow his or her own values or convictions, particularly around
anxiety-provoking issues, without having behavior automatically driven by the emotional
cues from others.
, undifferentiated family ego mass, symbiosis, triangles, birth order, emotional cut offs,
and all of the Bowenian terms.
Pay attention to “bold print” terms. You may see them again.
What did the use of a “one-way” mirror do for research and clinical practice in Marriage
and Family therapy? lifted the secrecy from the therapeutic process. Introduced into
family therapy by Charles Fulweiler, the mirrors allowed others to observe families in
psychotherapy, often producing insights into their interactive patterns.
Carefully read the text boxes, clinical notes, cases studies, etc.
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