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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.
- Spring '09