Effectiveness and Efficiency of Strategic and Systemic Therapy in Naturalistic Settings: Preliminary Results from a Systemic Practice Research Network (SYPRENE)

Abstract

SYPRENE, an international digital systemic practice research network (PRN), was established in 2014 to fill the gap in practice-based research on the effectiveness and efficiency of systemic therapies, starting with strategic therapies. This article reports initial outcome results. So far, twenty-seven therapists from several countries using the MRI brief therapy strategic approach have collected data for a wide range of problem diagnoses. Data are reported here for 1,150 completed cases. The drop-out rate was 19%. Significant improvement or complete problem resolution was reported by therapists in 80% and by patients in 90% of cases, with an average of 5.4 sessions and 5.3 months of treatment. Patients reported significant improvement on the GHQ-12 with a large effect size, and 76% of cases were evaluated as reaching reliable and clinically significant change.Practitioner points 1. SYPRENE is a digital practice research network 2. Outcome data have been collected on 1,079 cases. 3. Evidence supports the effectiveness of strategic therapy.

Therapeutic aphorisms for paranoid personality disorder and paranoid ideation treatment: psychological opposites and complementaries in brief therapy

“…Brief therapy (BT) (Watzlawick et al, 1967(Watzlawick et al, , 1974Haley, 1973Haley, , 1985aHaley, ,b,c, 1987Weakland et al, 1974;Watzlawick, 1977;Fisch et al, 1982;de Shazer, 1988;Gulotta, 1997;O'Hanlon and Beadle, 1997;Watzlawick and Nardone, 1997;Soo-Hoo, 1997Fisch and Schlanger, 1999;Hoyt, 2009;Huibers, 2010;Hagg, 2011;Cepukiene and Pakrosnis, 2011;Petruccelli and Verrastro, 2012;Hoyt and Talmon, 2014;Paoli, 2014Paoli, , 2019Pietrabissa et al, 2016;Broadman, 2017;Cannistrà and Piccirilli, 2018;Kim et al, 2019;Solis and Vargas, 2019;Vitry et al, 2019Vitry et al, , 2021Koorankot, 2021;Proietti et al, 2022;Asai and Asai, 2023;Espugnatore et al, 2023) has intercepted the therapeutic value of As (Watzlawick, 1977;Nardone, 2007;Rampin, 2007;Paoli, 2014) to such an extent that in BT training, students are invited to practice the study of As. A brief examination of some of the founding principles of BT (referred to in the Encyclopedia of Psychotherapy as "Contextual Brief Therapies"; Steenbarger, 2002) will be useful to better understand the reason behind the predilection of this therapeutic approach toward the As:…”

Epistemology, history and foundations of brief strategic therapy. Giorgio Nardone’s Model

“…Datos a tener en cuenta por las implicancias que pueden tener para los pacientes, con un menor tiempo de tratamiento y menor coste asociado y sin el uso de fármacos. Demostrando tanto la eficacia como la eficiencia de la terapia breve estratégica (Vitry et al, 2021). En un contexto post pandemia, se necesitan y requieren de tratamientos que sean de corta duración y de eficacia demostrada.…”

El modelo de Psicoterapia Breve Estratégica de Giorgio Nardone

“…El modelo de Psicoterapia Breve Estratégica de Giorgio Nardone Finalmente, en un reciente estudio que contó con la participación de 1150 pacientes de distintos países, con una variedad de diagnósticos, se les aplicó la terapia breve estratégica y se reportó un 80 % de resolución completa de los síntomas, con una media de 5,4 sesiones en promedio y solo 5,3 meses de tratamiento en general. Estos resultados evidencian la eficacia y la eficiencia del modelo de la terapia breve estratégica (Vitry et al, 2021). En ninguno de los casos se utilizó fármacos.…”