How to Coach Yourself and Others Coaching Families | Page 10

Strategy: The Three Ps of Effective Strategy..................................................................................50
Content Versus Process: A Critical Distinction ..............................................................................51
Chapter 3 - Diagnosing Family System Problems ..............................................................................52
Leadership .......................................................................................................................................52
Subsystem Organization..................................................................................................................52
Subsystem Membership ..................................................................................................................52
Triangulation ...................................................................................................................................53
Communication Flow......................................................................................................................53
Resonance .......................................................................................................................................53
Enmeshment and Disengagement ...................................................................................................53
Resonance and Culture....................................................................................................................54
Enmeshment (high resonance) and Disengagement (low resonance).............................................54
Developmental Stages .....................................................................................................................54
Assessing Appropriate Developmental Functioning....................... ................................................55
Common Problems in Assessing Appropriateness of Developmental Stage..................................55
Life Context ....................................................................................................................................56
Antisocial Peers...............................................................................................................................56
Parent Support Systems and Social Resources ...............................................................................56
Juvenile Justice System...................................................................................................................56
Identified Patient .............................................................................................................................56
Conflict Resolution .........................................................................................................................57
A Caveat..........................................................................................................................................58
Chapter 4 - Orchestrating Change.......................................................................................................59
Establishing a Therapeutic Relationship .........................................................................................59
Joining .............................................................................................................................................59
A Cautionary Note: Family Secrets ................................................................................................60
Tracking ..........................................................................................................................................61
Encouraging the Family to Interact.................................................................................................61
Tracking Content and Process.........................................................................................................61
Mimesis ...........................................................................................................................................61
Building a Treatment Plan ..............................................................................................................62
Enactment: Identifying Maladaptive Interactions ...........................................................................62
Family Crises as Enactments ..........................................................................................................62
A Cautionary Note: Adolescents Attending Therapy Sessions on Drugs.......................................63
From Diagnosis to Planning............................................................................................................63
Producing Change ...........................................................................................................................63
Seven Frequently Used Restructuring Techniques .........................................................................64
1. Working in the present ................................................................................................................64
2. Reframing: Systemic Cognitive Restructuring ...........................................................................64
Affect: Creating Opportunities for New Ways of Behaving...........................................................65
3. Reversals .....................................................................................................................................66
4. Working With Boundaries and Alliances ...................................................................................66
Behavioral Contracting as a Strategy for Setting Limits for Both Parent and Adolescent .............67
Boundaries Between the Family and the Outside World ................................................................67
5. Detriangulation............................................................................................................................68
Attempts by the Family to Triangulate the Counselor ....................................................................68
6. Opening Up Closed Systems.......................................................................................................69
7. Tasks ...........................................................................................................................................69
Central Role ....................................................................................................................................69
General Rule....................................................................................................................................69
Hope for the Best; Be Prepared for the Worst ................................................................................69
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