This preview shows page 1. Sign up to view the full content.
Unformatted text preview: he symptom and sides with
the winner in disapproving of the symptomatic behavior.
5. Now desperate, the misunderstood child continues the game and the
6. The game becomes stabilized as the family believes the child is crazy and
develops methods of dealing with their crazy child. In this way the psychotic
behavior is maintained.
Assessment and Treatment
Before the 1990s when Selvini Palazzoli and Prata were engaged in systemic
work, the goal was to help the parents form a stable alliance and thereby alter the
patterns of interactions among family members. The intervention, the invariant
prescription, was the same for all families (Nichols & Schwartz, 1998). The team
directed the parents in the formation of a secret coalition. First, the parents met
with the therapists without the knowledge of other family members and then
began taking longer and longer secret trips so that eventually they were away for
several days without telling other family members. They were asked to keep
notes on family members’ reactions to review with the therapists.
By the mid-1990s, although still influenced by her years of systemic work, Selvini
Palazzoli returned to long-term psychodynamic treatment models for
individuals and families. “This new therapy revolves around understanding the
denial of family secrets and suffering over generations” (Nichols & Schwartz,
1998, p. 376). Boscolo and Cecchin
Boscolo and Cecchin became interested the processes that occurred during the
therapy sessions. They believe that when families gain new information in a Chapter 4: Strategic & Systemic
session, providing them with an understanding of the tacit beliefs and rules
under which they operate, or its epistemology, they are stimulated to find a new
epistemology that allows new ways of operating. The goal of therapy is simply to
introduce new information rather then set specific goals for changes (Piercy, et
al., 1996). The therapist asks the family questions that “are designed to decenter
clients by orientin...
View Full Document
This document was uploaded on 04/03/2014.
- Spring '09