When rapid change is produced the therapist might

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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 substitution). 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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