Licensed Marriage and Family Therapist (LMFT) Practice Exam

In structural family therapy, what does 'dirty games' refer to?

1. Clear and open communication

2. Manipulations that reinforce conflict

3. Positive feedback mechanisms

4. Healthy conflict resolution

The correct answer is: Manipulations that reinforce conflict

In structural family therapy, the term 'dirty games' refers to manipulations that reinforce conflict among family members. This concept emphasizes the patterns of interaction that families develop, which can be dysfunctional and lead to ongoing strife. These "games" often involve hidden agendas, indirect communications, or covert tactics aimed at achieving personal goals, which ultimately perpetuate misunderstandings and emotional wounds within the family system. Recognizing and addressing these manipulative behaviors is essential in therapy because it helps families to alter their dynamics and improve their communication patterns. By identifying the 'dirty games,' families can work towards more constructive interactions and healthier relationships. This concept is crucial in structural family therapy as it provides insight into how family hierarchies and boundaries contribute to conflict and dysfunction. The therapeutic process often involves unearthing these patterns and guiding families towards more effective and transparent forms of communication.