They were asked to keep notes on family members

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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 symptom. 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...
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This document was uploaded on 04/03/2014.

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