Abstract:SYPRENE, a new international Systemic Practice Research Network (PRN), has been established to fill the gap in practice-based research on the effectiveness and efficiency of strategic therapies. This article presents the rationale for the creation of SYPRENE and describes data collection methods, and the encoding system implemented within this PRN. More developments are expected in the recruitment of practitioners, the types of data collected, findings, and the implementation of SYPRENE in supervision, trainin… Show more
“…SYPRENE (Vitry et al, 2020) takes into account different elements (in order to better analyse the link between the intervention and the effect obtained: (1) RAS with evaluation of the problem‐solving outcome from the client’s and therapist's perspective; (2) effect of homework and reframing; (3) emotional change; and (4) since 2019, the ORS/SRS 5 (Miller & Duncan, 2004) have also been administered. When larger data samples are collected, these assessments will make it possible to better understand the processes that help to resolve clients’ problems.…”
Section: Resultsmentioning
confidence: 99%
“…Data in SYPRENE are collected from both practitioners and clients, and then entered digitally into the data‐recording system by the practitioners (Vitry et al, 2020). Practitioners all undergo an initial 90‐minute training in the use of SYPRENE, and then engage in a monthly online conference to discuss cases and assessments.…”
Section: Methodsmentioning
confidence: 99%
“…RAS (Vitry et al, 2020, 2021) are: ‘Communication actions repeatedly attempted by the person, his entourage or his cultural system to solve a life difficulty with him/herself, others or the world, without succeeding; they create a problem that they perpetuate and aggravate by keeping the affected person(s) blocked in a restricted perception of the situation. These redundant actions, which can generate further emotional distress, take the form of language, behaviors or thoughts, intentional or unintentional.…”
Section: From the Repetition Compulsion To The Concept Of Redundant Attempted Solutionmentioning
confidence: 99%
“…SYPRENE, a systemic practice research network created by LACT 1 Research (Vitry et al, 2020), is a unique online data collection tool which allows naturalistic studies of the differential effectiveness of therapeutic processes by type of problem treated. Although MRI strategic‐interactional therapy has ‘stood the test of time’ (Hale & Frusha, 2016) and there is some empirical support that strategic therapy works (e.g., see Horigian et al, 2016; Jackson et al, 2018; Wittezaele & Nardone, 2016), the limited transferability of laboratory‐based efficacy research into everyday clinical practice is often stressed in the literature (Baucom et al, 2018; Seligmann, 1995; Tasca et al, 2015; Teachman et al, 2012).…”
Section: Syprene: Evaluation and Process Studiesmentioning
confidence: 99%
“…Looking for solutions to fill the gap between laboratory and naturalistic psychotherapy outcome studies, practice research networks (PRNs) were introduced in the 1990s, in the hope that large numbers of cases coming from real‐life clinical practice would allow specific information valid for everyday practice and thus greater generalisability of results and conclusions to be obtained. SYPRENE was developed to accomplish this with systemic therapies, beginning with the MRI strategic approach (Vitry et al, 2020).…”
Section: Syprene: Evaluation and Process Studiesmentioning
The theory of redundant attempted solutions (RAS) is described from its origins to today. Based in cybernetics and introduced at the Mental Research Institute in Palo Alto, California, the main principle of RAS is that repeating an unsuccessful solution may actually serve to perpetuate and further entrench a problem. A true reducer of complexity, a definition of RAS is presented that appreciates biopsychosocial dimensions of diagnosis and intervention. Data are also presented from SYPRENE, a systemic therapy practice research network that documents the use of strategic interventions to stop RAS.
“…SYPRENE (Vitry et al, 2020) takes into account different elements (in order to better analyse the link between the intervention and the effect obtained: (1) RAS with evaluation of the problem‐solving outcome from the client’s and therapist's perspective; (2) effect of homework and reframing; (3) emotional change; and (4) since 2019, the ORS/SRS 5 (Miller & Duncan, 2004) have also been administered. When larger data samples are collected, these assessments will make it possible to better understand the processes that help to resolve clients’ problems.…”
Section: Resultsmentioning
confidence: 99%
“…Data in SYPRENE are collected from both practitioners and clients, and then entered digitally into the data‐recording system by the practitioners (Vitry et al, 2020). Practitioners all undergo an initial 90‐minute training in the use of SYPRENE, and then engage in a monthly online conference to discuss cases and assessments.…”
Section: Methodsmentioning
confidence: 99%
“…RAS (Vitry et al, 2020, 2021) are: ‘Communication actions repeatedly attempted by the person, his entourage or his cultural system to solve a life difficulty with him/herself, others or the world, without succeeding; they create a problem that they perpetuate and aggravate by keeping the affected person(s) blocked in a restricted perception of the situation. These redundant actions, which can generate further emotional distress, take the form of language, behaviors or thoughts, intentional or unintentional.…”
Section: From the Repetition Compulsion To The Concept Of Redundant Attempted Solutionmentioning
confidence: 99%
“…SYPRENE, a systemic practice research network created by LACT 1 Research (Vitry et al, 2020), is a unique online data collection tool which allows naturalistic studies of the differential effectiveness of therapeutic processes by type of problem treated. Although MRI strategic‐interactional therapy has ‘stood the test of time’ (Hale & Frusha, 2016) and there is some empirical support that strategic therapy works (e.g., see Horigian et al, 2016; Jackson et al, 2018; Wittezaele & Nardone, 2016), the limited transferability of laboratory‐based efficacy research into everyday clinical practice is often stressed in the literature (Baucom et al, 2018; Seligmann, 1995; Tasca et al, 2015; Teachman et al, 2012).…”
Section: Syprene: Evaluation and Process Studiesmentioning
confidence: 99%
“…Looking for solutions to fill the gap between laboratory and naturalistic psychotherapy outcome studies, practice research networks (PRNs) were introduced in the 1990s, in the hope that large numbers of cases coming from real‐life clinical practice would allow specific information valid for everyday practice and thus greater generalisability of results and conclusions to be obtained. SYPRENE was developed to accomplish this with systemic therapies, beginning with the MRI strategic approach (Vitry et al, 2020).…”
Section: Syprene: Evaluation and Process Studiesmentioning
The theory of redundant attempted solutions (RAS) is described from its origins to today. Based in cybernetics and introduced at the Mental Research Institute in Palo Alto, California, the main principle of RAS is that repeating an unsuccessful solution may actually serve to perpetuate and further entrench a problem. A true reducer of complexity, a definition of RAS is presented that appreciates biopsychosocial dimensions of diagnosis and intervention. Data are also presented from SYPRENE, a systemic therapy practice research network that documents the use of strategic interventions to stop RAS.
Cet article présente le paradigme de la Recherche sur le Processus de Changement. En 1966, Kiesler a posé les bases de ce nouveau paradigme en insistant sur la relation interpersonnelle et la complémentarité des réponses du patient aux interventions du thérapeute. Dans la continuité de ces travaux, Greenberg (1986) s’intéresse non seulement à la singularité de la thérapie mais aussi à la singularité des différents épisodes de la thérapie. En tenant compte du contexte et en recueillant le point de vue des participants (thérapeute et patient), il propose une méthode d’analyse des tâches pour les événements significatifs de façon à mieux identifier, décrire, expliquer et prédire les processus de changement. Nous illustrerons ce paradigme de la Change Process Research par l’étude d’un épisode en thérapie familiale en nous appuyant sur la perspective des patients pour sélectionner l’événement significatif. La méthode permet de réduire le fossé entre la pratique et la recherche car le clinicien peut s’appuyer sur ce type d’analyse lorsqu’il est effectué durant la thérapie pour mieux s’ajuster aux patients lors des sessions suivantes dans une pratique d’auto-supervision.
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.
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