sg_chpt4

Although haleys model is presented with the strategic

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Unformatted text preview: btain records or other relevant external data. Haley and Madanes Jay Haley left the MRI group in 1967 and worked for the next 10 years with Salvador Minuchin (see Chapter 6: Structural Family Therapy,) and Braulio Montalvo at the Philadelphia Child Guidance Clinic (Nichols & Schwartz, 1998). He then formed the Family Therapy Institute in Washington, DC, with Cloe Madanes. Although Haley’s model is presented with the strategic models, his work is also clearly influenced by the structural view. Like Minuchin and other structuralists, Haley believed that not only must the symptoms or presenting problem be addressed in treatment, but also the underlying family structure that results in the symptoms. Haley’s work is also clearly influenced by Erickson with his use of directives (between session tasks) and paradoxical interventions. Theory of Normal Development and Dysfunction The Haley-Madanes model is more theoretical than the non-normative MRI model. Like the structural theorists, they “consider family life cycles…and Chapter 4: Strategic & Systemic general systems concepts (e.g. homeostasis, positive feedback) in their conceptualizations of family functioning” (Piercy, et al., 1996, p. 51). They contend that symptoms stem from a faulty organization within the family and serve a function in maintaining its structure and homeostasis. In their view, the hierarchical arrangement of family members is critical. “Haley (1976) suggests that, ‘an individual is more disturbed in direct proportion to the number of malfunctioning hierarchies in which he is embedded’” (cited in Nichols & Schwartz, 1998, p. 360). Madanes adds that symptoms may also function in what she calls incongruous hierarchies “created when children use symptoms to try to change their parents” (Nichols & Schwartz, p. 361). Assessment and Treatment Like MRI brief family therapists, Haley and Madanes are interested in present behaviors and sequences of interactions. They use s...
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