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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This document was uploaded on 04/03/2014.
- Spring '09