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Family Therapy

Family Therapy. The Systems Approach. Paradigm Shift. Person (Being) is inextricably linked to the system Individual psychology is obsolete. History and Background. Anthropology Cybernetics Ecology Game Theory One-way mirror (bicameral model). Paradigm Shift.

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Family Therapy

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  1. Family Therapy The Systems Approach

  2. Paradigm Shift • Person (Being) is inextricably linked to the system • Individual psychology is obsolete

  3. History and Background • Anthropology • Cybernetics • Ecology • Game Theory • One-way mirror (bicameral model)

  4. Paradigm Shift • Circular causality (epistemology) • Simultaneous, mutual causal process • AB • Einstein’s universe • not… Linear causality • AB • Newton’s Universe

  5. Definition of System • Unit of interacting parts (2 or more elements) • Interact in patterned, stable manner through time despite fluctuations in the environment • Ecosystem of family my include culture, police, hospital, employment, etc.

  6. What is your system? • Parents • Siblings • Family • Friends • Institutions • Culture • Society

  7. System Elements • Dyads • Triads Genograms

  8. System Dynamics • Homeostasis or Evolution • Feedback controls system • Negative stifles change=morphostasis • Positive (deviance) maximizes change=morphogenesis

  9. System Dynamics • Dx = troubled family usually in 1.“morphosttic deadlock”, sometimes 2.“morphogenetic runaway” • Tx = 1. Intro new patterns of behavior, or 2. add more structure, stability, pattern

  10. System Dynamics • Coalition Theory • Collaborative • Symmetrical • complementary M F C

  11. System Dynamics • Coalition Theory – Perverse Triangles M F C

  12. The enmeshed family(Salvador Minuchin) • Enmeshed Disengaged • Over-resonant • boundaries

  13. The role of the symptom • I.P. (identified patient) • Symptom and system have reciprocal relationship • Morphostatic or morphogenetic • Solution to a deeper problem • Expression of conflict, stress • Emergence of symptom marks change

  14. Tx – Help system to recalibrate, usually through promoting flexibility--break the cycle (spiral) • Positive re-framing • Clarifying communication • Paradoxical intervention • Prescribing the symptom • Etc.

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