family learning session - iv - october 2017
TRANSCRIPT
LEARNING GOALS
• 1. BEGIN TO TRACK CONFLICTUAL INTERACTIONAL PATTERNS IN SESSION
• 2. IDENTIFY AT LEAST SOME ALTERNATIVES FOR STRUCTURING CONFLICTUAL INTERACTIONS
• 3. LEARN HOW TO “TALK ABOUT TALKING” IN PRE-DISCLOSURE DISCUSSIONS
• 4. MANAGE DISCLOSURE OF DEBT AND GAMBLING RELATED SECRETS.
COUPLES IN CONFLICT
TENDENCY IN PROBLEM GAMBLING TREATMENT TO
AVOID SEEING COUPLES DUE TO POTENTIAL CONFLICT
COSTS OF NOT PROVIDING SERVICES WHEN CONFLICT IS HIGH
MANAGING CONFLICT IN SESSION AND ENSURING SAFETY BETWEEN SESSIONS
ROUTINE ASSESSMENT FOR IPVAS NOTED IN PAST FAMILY THERAPY LESSONS, COUNSELORS MUST SCREEN FOR INTIMATE PARTNER
VIOLENCE DURING THE FIRST SESSION OR SOON AFTER.
SAFETY PLANS
NEED TO BE CREATED WHENEVER THERE IS RISK OF VIOLENCE.
TAKING A META-VIEW
• PATTERNS OF INTERACTION
• COUNSELOR AS PART OF THE THERAPEUTIC SYSTEM
• KEEPING THE BROADER SYSTEM AND SOCIETAL CONTEXT IN MIND
Ameliia attunes to and accomodates
Jane
Jane responds in a power-over move
David supports Jane's position
Amelia shuts down or futher
accomodates
Jane's position and voice is further
legitimizaed
POWER AND ATTUNEMENT PATTERNS
Lisa lodges a complaint/makes a bid
for attunement
Don dismisses the complaint as
unimportant/fails to attune to LIsa
Lisa modifies her complaint to
accomodate/attune to Don and repeats
Don fails to acknowledge Lisa's attempt to
accomodate and again dimisses Lisa's
complaint/request
Lisa escalates andrepeats in order to be
heard in hopes Don will attune to her needs
Don shuts downcommunication without
attuning to Lisa
SOME RELATED TASKS
• TAKE A META-VIEW OF INTERACTIONS IN THE THERAPY ROOM
• TRACK PATTERNS OF INTERACTION
• NOTICE YOUR OWN CONTRIBUTIONS TO COUPLE INTERACTIONAL PATTERNS
• RECOGNIZE POWER DYNAMICS AND WORK TO SUPPORT JUST RELATIONSHIPS
• IDENTIFY HOW GAMBLING IS TAKING ADVANTAGE OF EXISTING COUPLE INTERACTION AND HOW
GAMBLING IN TURN AFFECTS INTERACTION
• MANAGE OWN ANXIETY WHEN FACED WITH CONFLICT BETWEEN OTHERS
STRUCTURING COUPLE INTERACTION
INTERRUPTING INTERACTIONS IN WAYS THAT ATTEND TO POWER AND RELATIONSHIP DYNAMICS
ENACTMENTS: WHEN TO ASK COUPLES TO TALK DIRECTLY V TALKING TO THE COUNSELOR
PAUSING FOR MEANING, INTENTION, EMOTION
COACHING COUPLE INTERACTION
VIDEO EXAMPLE
SOME RELATED TASKS• IDENTIFY PATTERNS OF INTERACTION INHERENT IN REPETITIVE COUPLE CONFLICT
• INTERRUPT INTERACTIONAL PATTERNS IN WAYS THAT KEEP CLIENTS ENGAGED IN TREATMENT
• ATTUNE TO EACH PARTNER’S FEELINGS, NEEDS AND EXPECTATIONS WHILE TAKING THE SIDE OF BOTH
• ASSESS THE LEVEL OF TENSION IN RELATIONSHIPS TO DETERMINE HOW TO STRUCTURE ENACTMENTS
• KNOW WHEN TO SEE MEMBERS OF A COUPLE INDIVIDUALLY AND HOW TO BRING THEM BACK TOGETHER
TO SHARE AS APPROPRIATE
• DELIVER OR RESTATE MESSAGES IN WAYS THAT ENCOURAGE DEEPER UNDERSTANDING AND ACCEPTANCE
SECRETS
Talking about talking
Impact of secrets
Disclosing in ways that build trust
PLANNED AND UNPLANNED DISCLOSURE
•IMPACT OF DISCOVERING SECRET
•FORCING DISCLOSURE
•PLANNING AND SUPPORTING DISCLOSURE
QUESTIONS AND COMMENTS