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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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