Lecture 8 Flashcards
Who influenced strategic family therapy?
Gregory Bateson
Who said “ it was far more important to get people to actively do something different about their problems, them help them understand why they have the problem “ ?
Jay Haley
Concepts
People are fundamentally strategic
We respond in thoughts feelings and actions
Focus is in here and now not the last
Focus on patterns of interaction
Milan family therapy
1970-1980’s
Key people Mara selvini Palazolli, cecchin, Luigi boscola and prata
Approach. - less behavioural and more focused on reframing motives for behaviour
Family team - not the therapist
Lynn Hoffman and Peggy penn worked as therapist in New York
Karl Tom ( 1988) Canada developed questioning techniques
Concepts of Milan o
Positive
Reframing ( begins the problem )
Reframing to explain negative behaviours as having positive intent
Give logic to the symptom and removes blame and judgment
Circular questions - what does your father do when your angry, who is most angry
Double descriptions - offering multiple views to a problem n
Rituals of Milan
Tasks aimed at disrupting patterns of relating, may include ceremonial acts, therapist offers consideration
Hypothesising ( Milan )
Ideas or hunches that draw together the behaviour of the family, using context and providing an explanation of the symptom.
Position of the therapist
Neutrality
Strategic and structural therapy was influenced by batesons cybernetics theory ( systems ) what are the three main modes?
MRI - started by Jackson ( mental research institute )
Haley and Madanes strategic approach ( influenced by Erickson and Minuchin) unconcious was full of wisdom
Milan model palazzoli
MRI assumptions
Families make common sense but misguided attempts to solve problems.
Identify the feedback loop
Find the rules governing it
Change loop and rules
Haley and Madanes assumptions
What function does symptom serve?
What is the pay off?
Rules follow a hierarchical order / improve order and boundaries would prevent dysfunctional feedback loops
Families go through dysfunctional stages to get to functional ones
The Milan group
Followed work of MRI
Worked with power struggles and boundaries
Worked with schizophrenics and anorexics
Who said “ to ask a particular question, is to invite a particular answer”
Karl Tom
List four type of questions
Lineal - ( investigative) what bought you here today ?
Circular ( explore ) what does your father usually do when you and your mother talk?
Strategic ( corrective intent) why don’t you talk to him about your worries instead of your children ?
Reflexive ( facilitate intent ) if this depression disappeared how would your lives be different
Critique
More focused on language then emotions
Minimised negative communication
Not culturally sensitive
