Strategic 2 most powerful insights:
families often perpetuate own problems thru their own actions; Directives can bring about sudden change
Strategic therapy grew out what theory of who's what project?
Communication theory, Bateson's, schizophrenia project
Strategic 3 models:
MRI (Jackson) brief, Haley and Madane's Strategic, Milan systemic
Erikson's hypnotherapy helped create what?
Three things Milan group was known for
helping eating disorders, positive connotations, the dirty games people play
Two Axioms of Strategic?
People are always communicating; all messages have REPORT and COMMAND functions
Command messages are patterned as?
3 parts to MRI approach
1. ID + feedback loops that maintain probs 2. Determine rules that support these interactions 3. Find way to change rules to interrupt prob maintaining behavior
the price of symptom outweighs that of giving it up
Interpersonal Payoff of behavior
child picking fight gets mom out of depression (example)
protective function symptom serves in family
Normal Family Development 3 views
MRI-avoided positions of how family should be Milan- neutrality Haley- clear boundaries and hierarchies
According to Communications theory, the essential function of symptoms is?
To maintain homeostatic equilibrium of family systems
3 explanations for how problems develop (haley & Milan embraced all three)
1. cybernetics; + feedback loops (MRI) 2. Structural: incongruous hierarchies 3. Functional: symptoms serve functions for the system
MRI views families as ________ not _________.
Stuck, not sick
How did MRI define normal?
They didn't. If it worked for the family, it's fine.
Goals of MRI assessment/therapy?
1. ID PP 2. ID attempted solutions 3. understand unique language of client
Haley's 3 steps assessment?
1. define PP 2. cross-generational coalitions 3. interpersonal payoff of problem behavior
Haley's ultimate goal?
To restructure family hierarchy and boundaries.
Haley always wanted to know
what was the payoff for the F for having the symptom
Milan wanted to?
1. outwit resistance (tell them to keep doing what they're doing) 2. focused on behavior not beliefs 3. therapist responsible for change
more about soothing and loving than power
Unique technique to Milan group?
6 step MRI model:
1. intro to treatment setup 2. define PP 3. what's the behavior that's maintaining PP 4. set goals for treatment 5. making behavioral interventions 6. termination
designed to decenter clients by seeing themselves in relation to others/ context from other perspectives
4 stages in Haley/Madanes:
1. social 2. problem 3. interaction 4. goal-setting
What stage in Haley/Madanes asks each person their perspective and looked for clues re: triangles and hierarchy?
What stage do Haley/Madanes look for coalitions/hierarchy, and F discusses POV amongst themselves?
Milan Model 5 parts
presession (initial hypo) , session (modify or verify hypo) , intersession (team therapists meet) , intervention (team therapists go back to F and present interventions) , postsession discussion (team remeets and plans/discusses)
What's the most distinctive innovation to come from Milan model?
used to engage families in a series of actions that ran counter to or exaggerated rigid family rules and myths