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Unformatted text preview: e general ways. For example,
despite the emphasis on the brevity of treatment, families are advised to
change slowly or refrain from changing at all. When change is reported,
the therapist might advise slowing down. This usually produces more
rapid results. When rapid change is produced, the therapist might suggest
a relapse to the old behavior. Refraining from change often increases
control over behavior. Chapter 4: Strategic & Systemic
6. Termination. Therapy is usually terminated by the end of ten sessions. The
family’s gains are discussed and the therapist helps the family look ahead to
any remaining unresolved problems. The client or family is reminded that the
purpose of this treatment was to provide them with a base on which to build
future changes. With oppositional clients, the therapist may downplay the
gains and predict more pessimistic outcomes.
If the family expresses apprehension about termination, it is done without the
usual ending. Any of the unused ten sessions are “deposited,” for later use at
the family’s request. Most families do not use them.
Treatment Evaluation. The brief therapy group stresses the evaluation of
treatment. A group member not involved in the treatment, compares the
treatment goals to the observable results by determining: if the specific treatment
goal was met; the current status of the presenting complaint; if the family sought
additional therapy; if improvements occurred in other areas of the patient’s life;
and if new problems have arisen (in order to address the possibility of symptom
The group reports that 40% of treatments succeed, 32% show significant
improvement, and 28% fail. In some cases the team did not formulate a goal
concretely and specifically enough to evaluate its outcome adequately. In other
cases the changes did not provide relief. According to the authors, these results
compare favorably with those of longer-term therapies.
The MRI group are considered the “engineers” of the family ther...
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- Spring '09