This paper has described some of the interventions developed at the Ackerman Brief Therapy Project in treating the families of symptomatic children. The interventions are based upon a differential diagnosis of the family system and upon an evaluation of that system's resistance to change. They are classified as compliance-based or defiance-based, depending upon the family's degree of anxiety, motivation, and resistance. Paradoxical interventions, which are defiance-based, are used as a clinical tool in dealing with resistance and circumventing the power struggle between therapist and family. A consultation group acting as a Greek chorus underlines the therapist's interventions and comments on the consequences of systemic change. This group is also sometimes used to form a therapeutic triangle among the family, therapist and group, with the therapist and group debating over the family's ability to change.
This paper will describe an experimental community project aimed at “well families”. The program was designed to be preventive by providing service to families before their problems escalated into crisis proportions. It emphasized an educational rather than treatment bias; this orientation forced us to expand concepts, experiment with new techniques, and re‐evaluate our ideas on how families change. Of particular importance to us was the emphasis on behavioral change rather than intellectual insight. In the course of this work, family sculpting came to be an increasingly valuable tool.
This article describes a method for doing therapy that uses multisystemic themes that combine meaning and action to facilitate therapeutic change. By identifying central themes that operate at the individual, dyadic, triadic, whole family, intergenerational, and sociocultural levels, the therapist is able to develop effective interview questions and design useful interventions. In this method, behavioral symptoms are framed as a current manifestation of an overarching theme. This orientation enables family and therapist to de-pathologize symptoms and work collaboratively toward change. Case examples from a wide variety of families with differing presenting problems, interactional patterns, three-generational histories, and cultural backgrounds, illustrate the efficacy of the method.
This paper has described a format for treating couples using the technique of couples choreography to define the marital relationship in metaphorical terms. When the metaphors are acted out, the reciprocity in the relationship is translated into concrete images. These images provide the basis for systemic interventions aimed at disrupting the escalating reciprocity. Prechange tests are used to regulate the speed of change in relation to the reciprocal positions. Change is viewed as an unsettling phenomenon that temporarily unbalances the marital relationship. The group serves as a theatrical setting in which the marital relationships are "staged" and examined with humor and objectivity. An atmosphere of experimentation is created, which is necessary for carrying out the unconventional tasks.
In the fall of 2009, we the authors started a project at the Ackerman Institute for the Family in New York City that focuses on understanding and transforming impasses in couples' therapy. In experimenting with various interventions, we discovered the power of sculpting to capture and transform stalemates in couples relationships. In this article, we describe the ways in which sculpting brings forward the gestalt of a couple's impasse, highlights nuances of emotions and feelings, and reveals elements of both present and past. We also discuss the ways in which sculpting illuminates the partners' sense of self in the relationship as they feel constrained within their reciprocal dynamics. Through three different cases, we outline a protocol for sculpting. We demonstrate how the therapist invites the partners to create a visual/sensory narrative of their impasse, guides staging of their metaphors and images, and utilizes their enactments to unpack emotions, beliefs, and patterns that are typically on the periphery of awareness. We also articulate how sculpting offers a platform for the process of change.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.