Deck 10: The Structural Model

Question 1

Which of the following is not characteristic of "psychosomatic families"?

A)Disengagement
B)Enmeshment
C)Overprotective attitude by parents
D)Overprotective attitude by child

Answer 1

A

Question 2

Family coalitions:

A)may introduce stress into a family system.
B)are usually beneficial,as in helping draw the distinction between what is expected of males and of females.
C)between children and grandparents are usually beneficial to overall family functioning.
D)generally result in family collapse.

Answer 2

A

Question 3

One objective of structural interventions is for the psychosomatic family to achieve:

A)greater enmeshment.
B)clearer boundaries
C)more rule-governed interactions
D)greater disengagement

Answer 3

B

Question 4

Members of disengaged families run the risk of over-emphasizing:

A)family belongingness.
B)indifference to each other's needs.
C)individual differentiation
D)togetherness.

Question 5

Which of the following is not emphasized by Structural therapists?

A)A family's hierarchical organization
B)The narrated stories families use to understand their transaction patterns
C)A family's subsystems
D)The wholeness of the family

Question 6

Members of enmeshed families run the risk of over-emphasizing:

A)family belongingness
B)indifference to each other's needs.
C)individual differentiation

Question 7

A primary therapeutic goal for structuralists is:

A)organizational change.
B)insight.
C)self-differentiation.
D)educating the client.

Question 8

Structuralists claim that dysfunctional families require:

A)a change in the covert rules that govern family transactions.
B)resolving problems with each parent's family of origin.
C)increased togetherness.
D)All of the answers are correct

Question 9

In disengaged families,boundaries are:

A)inappropriately rigid.
B)easily crossed.
C)poorly differentiated.
D)clear between people

Question 10

Some feminists are critical of Minuchin's emphasis on family hierarchies because they believe it:

A)upsets the parental subsystem
B)places women in conflict with their children.
C)gives parents excessive power.
D)reinforces sexual stereotypes.

Question 11

Minuchin developed many of his therapeutic techniques working with underorganized families of delinquent youngsters at the:

A)Wiltwyck School.
B)Jewish Board of Guardians.
C)Ackerman Institute.
D)Georgetown University Family Center

Question 12

According to Aponte and Van Deusin,every family transaction makes a statement regarding:

A)power.
B)boundaries.
C)alignments.
D)All of the answers are correct.

Question 13

Of the following,the most strictly system-oriented is:

A)Satir.
B)Minuchin.
C)Ackerman.
D)Framo.

Question 14

In an enmeshed family:

A)members separate easily.
B)members are intertwined in each other's lives.
C)clear boundaries exist between persons and between subsystems.
D)All of the answers are correct.

Question 15

Minuchin was director of the _______________ from 1965-1975.

A)Chicago Family Institute
B)Mental Research Institute​
C)Eastern Pennsylvania Psychiatric Institute
D)Philadelphia Child Guidance Clinic

Question 16

Three subsystems are most important in Minuchin's system.Which of the following is not one of these?

A)Spousal
B)Extended
C)Parental
D)Sibling

Question 17

Which of the following statements is not consistent with the structural viewpoint?

A)Family members relate according to certain arrangements which govern their interactions.
B)Family transaction patterns offer clues regarding family organization.
C)Emotional cutoff separates a member from the remainder of the family.
D)A family in difficulty is operating within a dysfunctional structure.

Question 18

Describe how enactments contribute to change in structural family therapy.

A)Family therapy is a group encounter emphasizing growth.
B)Troubled marriages usually contain pathogenic introjects from past relationships.
C)Individual symptoms are rooted in the context of family transaction patterns
D)Clear communication reduces family dysfunction.

Question 19

Structural Family Therapy is:

A)geared to past obligations.
B)based on insight preceding action.
C)primarily concerned with pathological families.
D)concerned with the context of family structures.

Question 20

Structural therapists tend to focus on family:

A)triangulation.
B)"dirty games."
C)introjects.
D)transactional patterns

Question 21

Imitating a family's manner,style,and affective range calls for a therapeutic technique called _______________ by structuralists.

A)enactment
B)tracking
C)mimesis
D)None of the answers are correct.

Question 22

enactments.​Attempting to change the hierarchical arrangement between parents calls for:

A)unbalancing.
B)enactments.
C)relabeling.
D)All of the answers are correct.

Question 23

Labeling an anorectic's refusal to eat as "stubborn" rather than "sick" is an example of:

A)reframing.
B)scapegoating.
C)regression.
D)shaping.

Question 24

_____________________ The therapeutic tactic of entering a family system by engaging its separate members and subsystems,gaining access in order to explore and ultimately to help modify dysfunctional aspects of that system.

Question 25

One tactic employed by Minuchin in treating anorectics is to:

A)avoid the subject of eating until brought up by a family member.
B)arrange for the first session to meet the family for lunch.
C)work individually with the identified patient
D)avoid enactments

Question 26

In Rosenberg's example of helping a mother deal with the tantrums of her 2 year-old,he used the technique of:

A)reframing.
B)enactment.
C)time-out.
D)paradoxical intervention.

Question 27

_____________________ A family organization in which boundaries between members are blurred and members are overconcerned and overinvolved in each other's lives,limiting individual autonomy.

Question 28

Structuralists view anorexia nervosa as:

A)genetic.
B)intrapsychic.
C)a family system diagnosis.
D)All of the answers are correct.

Question 29

Structuralists believe the anorectic symptom is embedded in a faulty:

A)family organization.
B)parent-parent relationship.
C)parent-grandparent-child relationship.
D)None of the answers are correct.

Question 30

Family mapping refers to the use of:

A)simple pictorial devices to depict family transactional patterns.
B)genograms to study several generations simultaneously.
C)therapeutic planning before each session
D)signals between co-therapists.

Question 31

_____________________ In structural family therapy,a facilitating intervention in which the family is induced to enact or play out its relationship patterns spontaneously during a therapeutic session,allowing the therapist to observe and ultimately to develop a plan or new set of rules for restructuring future transactions.

Question 32

Which of the following statements is true regarding structural family therapy?

A)Action precedes understanding
B)Insight precedes action
C)Symptom-removal is the main objective
D)Attention remains focused on the identified patient throughout treatment

Question 33

_____________________ The ease or flexibility with which members can cross subsystem boundaries within the family.

Question 34

Family maps are apt to reveal information about:

A)failed strategies.status quo relations.
B)status quo relations.
C)disaffiliation.
D)affiliation.

Question 35

Making an effort to create greater psychological distance between enmeshed family members involves:

A)tracking.
B)unbalancing.
C)boundary making.
D)reframing.

Question 36

Adopting the symbols of a family's life and deliberately using them in conversation with the family is the structural technique called

A)enactment.
B)tracking.
C)mimesis
D)accommodating.

Question 37

_____________________ An assessment technique used by structural family therapists to graphically describe a family's overall organizational structure and determine which subsystem is involved in dysfunctional transactions.

Question 38

One purpose in asking mother and father to change chairs,in the case of the shy and withdrawn teenage girl described in the text,was to:

A)make each more comfortable.
B)fulfill father's request,although mother objected.
C)bring father into the picture as an involved parent.
D)grant the daughter's request for the change.

Question 39

Family mapping refers to the use of:

A)simple pictorial devices to depict family transactional patterns.
B)genograms to study several generations simultaneously.
C)therapeutic planning before each session.
D)signals between co-therapists.

Question 40

Which of the following terms does not describe a structural therapeutic tactic?

A)Joining
B)Accommodating
C)Restructuring
D)Reconsolidation

Question 41

How does reframing work?

Question 42

Discuss the paradigm change introduced when Minuchin decided to work with entire families around the physical health concerns of one member of the family.

Question 43

In your opinion,what are the key strengths and possible limitations of this approach?

Question 44

What did Minuchin introduce to family therapy theory that qualifies him to be heralded as a "father" in the field?

Question 45

Define Minuchin's idea of family health. What structure needs to be in place for the family to have the greatest chance at being healthy?