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Tryggve Balldin

Tryggve Balldin. Bachelor of social work FFT therapist Incredible years Lic psychotherapist Supervisor of psychotherapy Married 3 kids Sweden Africa Good dancer Sport and food interested Implementation of models. Want to challenge….

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Tryggve Balldin

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  1. Tryggve Balldin Bachelor of social work FFT therapist Incredible years Lic psychotherapist Supervisor of psychotherapy Married 3 kids Sweden Africa Good dancer Sport and food interested Implementation of models

  2. Want to challenge… • If MTFC show success in 50-80% (Yippee!!) of all cases…what about the other 20-50%.... • Could we as therapist do something different in our therapeutic approach to reach for the 20-50%?? • Do we look to stubbornly on the “natural” process… “change behavior-change cognition-change emotion and change relation”

  3. Three crucial questions • What do we claim we do? • Do we do what we claim we do? • Does the work make a difference?

  4. Treatment gives side effects…

  5. Side effect studies Lilienfeld 2007 TREATMENT PROGRAMS REGARDING CONDUCT DISORDER HAVE UP TO 30% NEGATIVE SIDE EFFECTS

  6. Target group for MTFC Families with youths that show a relational destructive behavior

  7. CLIENTFOCUS – THE FAMILY??

  8. What do we claim we do? • Strengthen resilience factors • Weakening risk factors

  9. The family – a resilience resource

  10. ON A META LEVEL • STRESS • COMMUNICATION

  11. Stress-an important indicator for cognitiveability… • What happens in the brain when we are stressed? (ref J. Gottman) • What lowers stress in the systems? (ref J. Coen) (ref P. Fisher)

  12. Why communication? • Communication – what happens in our brain when we speak and listen to each other? (mirror neurons)

  13. But how do we do this….?

  14. GOAL SETTINGS • The goals should be expressed in behavioral terms • The goals should be expressed in terms of presence • The goals should be realistic • The goals should be dependant on others

  15. Contexual marking - Who are you, who am I and what are we going to do together?

  16. Work with the goals set in the program but… • …while working with the goals, focus more upon how you work rather than with what issue you address… • …”destress” the family system… • …focus on functional communication patterns… • …let the family tell sense a different kind of relation in the therapeutic room…

  17. Communication breakdown • Brush your teeth • You must • You do not talk to me in that way my little princess • Forget about your weekly allowance • You are grounded • No • Shut up • Says who • I do not give a shit Screams, shouts and hits

  18. Roleplay • Stop somebody telling a story so obvious for themselves… (From how did you get here today to what are really passionate about these days…)

  19. Positive reframing Anger-disappointment Complain – longing Etc – etc Training time!!! List the most common negative emotions in a family therapy session…

  20. Confirmation • Confirm the emotion, but positive reframe the emotion

  21. A family in crisis

  22. Moretraining… • Praise – 5:1 – tell 5 things that X really is good in, skills, characteristics etc • Work with dyads in the family, change dyads

  23. Moretraining… • Let one family member tell another what he/she means to him/her (in a positive way)

  24. The therapist… • mimicry • tonality • role model

  25. Movement

  26. TRAINING

  27. Practice, mimic, praktice, mimic…

  28. At what speed can change be done in… The peekaboo game – gives us guidance…

  29. MTFC – what is the model? • BEHAVIOURAL MODEL? • RELATIONAL MODEL?

  30. The hen and the egg… Does behavior change lead to insight or Does insight lead to behavior change?

  31. Stress is the indicator of ”what to dowhen”? • The higher stress the more focus upon behavior change in reality time is needed but we need a lot of different techniques to achive this • The lower stress the more emotional focus based on history, presence and the future

  32. Support system...

  33. THAT´S ALL FOLKS…THANK YOU

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