لایب سان

Author(s): Maurizio Andolfi (auth.)

Publisher: Springer US, Year: 1979

ISBN: 978-1-4613-2963-3,978-1-4613-2961-9

Contents INTRODUCTION: THE FAMILY AS AN INTERACTIONAL SySTEM.................................................. 1 Premises. . ... . ... . .. .. . . . . .. .. . . . . .. .. . . .. .. .. . . . ... . . . 1 Toward a Redefinition of Diagnosis and Intervention ........ 7 The Family as a System in Continual Transformation ......... 7 The Family as an Active Self-Regulating System . . . . . . . . . . . . . 8 The Family as an Open System in Interaction with Other Systems. . . .. .. .. .. . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . .. 10 1. FORMATION OF THE THERAPEUTIC SYSTEM ........... 14 The Therapeutic Team ................................... 14 The Setting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 The Therapist-Supervisor Relationship .................... 16 The First Session . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Initial Diagnostic Observations. . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Exploring the Problem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Activating the System .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 The Therapeutic Contract ................................ 43 2. REDEFINITION IN FAMILY THERAPY. . . .. .. . . . . .. .. . . .. . 49 Redefinition of the Therapeutic Relationship ............... 50 Redefinition of the Context. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Redefinition of the Problem .............................. 56 Redefining the Problem in Positive Terms. . . . . . . . . . . . . . . . . . . 57 Amplification of the Problem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 xiii xiv CONTENTS 3. SPACE AND ACTION IN FAMILY THERAPY . . . . . . . . . . . . . . 71 Nonverbal Communication. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 Incongruence between Form and Content. . . . . . . . . . . . . . . .. . . 74 The Meaning of Space ................................... 76 Action Techniques: Sculpting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Methodology and Technique ............................. 79 Family Sculpting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Sculpture in Training for Family Therapists. . . . . . . . . . . . . . . . . 85 Children and Play in Family Therapy ...................... 87 Playas a Means of Facilitating Children's Participation in Family Therapy........................................... 89 Playas a Means of Joining a Family System ................. 90 Playas a Means of Gathering Information about the Family System. . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .. . 91 The Use of Play in Restructuring ......................... 92 4. TASKS................................................. 96 Directiveness in Family Therapy .......................... 96 Classification of Tasks .................................. 99 Restructuring Tasks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Countersystemic Tasks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Contextual Tasks ...................................... 102 Displacing Tasks ...................................... 103 System-Restructuring Tasks ............................. 109 Reinforcing Tasks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Tasks Utilizing Symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 Paradoxical Tasks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 The Significance of Paradox in Therapy .................... 122 Prescribing the Symptom. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124 Prescribing the Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Metaphorical Tasks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Metaphor as a Means of Communication ................... 137 Using Metaphorical Tasks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 5. EXAMPLES OF STRUCTURAL FAMILY THERAPY. . . . . . . . . 143 Achieving Autonomy: The Case of Luciano. . . . . . . . . . . . . . . . . 143 Composition of the Nuclear Family. . . . . . . . . . . . . . . . . . . . . . . . 143 CONTENTS XV Referral and Motivation for Family Therapy. . . . . . . . . . . . . . . . . 143 Phases of Therapy ..................................... 145 A Family with an Encopretic Child ........................ 156 Therapeutic Stages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157 Bibliography. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 Index.................................................. 167

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