sg_chpt4

C taken the wrong action buying gifts for a daughter

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Unformatted text preview: – suggests an intervention that gets the family to act. b. tried to solve a nonexistent problem (punish a toddler for masturbating) – need to get the family to stop acting. c. taken the wrong action (buying gifts for a daughter instead of giving her attention) – need for different action. 5. Selecting and making behavioral interventions. As noted above, the type of problem and the solutions previously attempted suggest particular strategic interventions. Strategic interventions fall into broad categories: a. Reframing. “The use of language to give new meaning to a situation” (Piercy, et al., 1996, p. 63) which may lead to changes in reactions to behaviors (first-order change) or to the alteration of rules that govern Chapter 4: Strategic & Systemic behavior (second-order change). Reframes do not necessarily have to reflect the actual truth of the situation. For example, an angry hurt teen who has been locked out of the house by his father may be told that it is the only way the father has to demonstrate his love. Armed with a new way to interpret his father’s behavior, the teen may then change his behavior toward the father who may in turn soften his behavior toward his son. MRI therapists have been criticized for an overly pragmatic approach in which any reframe that might lead to a change was allowable. As a result, they have increased their efforts to be sensitive and respectful in the formulations they offer families (Nichols & Schwartz, 1998). b. Paradoxical Interventions. Asking the family to do something that seems in opposition to the goals of treatment (note: According to Nichols & Schwartz, as strategic therapy models have evolved, the use of paradoxical interventions has declined due to the necessary use of deception.). For example: Symptom Prescription: The family is requested to continue to perform or even expand the symptom. The intervention may be compliance based if the therapist wants the family to do as suggested or defiance ba...
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This document was uploaded on 04/03/2014.

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