Systemic Approaches to Psychosis Part I — The Systemic Context

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An overview of relevant systemic theory is given with particular reference to the concepts of “Second Order Cybernetics” and the “Significant System”. This is followed by an examination of the work of experienced therapists from a systemic perspective. Common features include strategies to facilitate reversal of alienation and disconfirmation and to encourage the constructive co‐evolution of relationships between the index patient and close others. It is contended that a systemic approach potentially enables a therapeutic course to be charted and negotiated and that it also offers a valuable instrument with which to evaluate other therapeutic approaches.

Section: Therapeutic Strategiesmentioning

confidence: 99%

Systemic Approaches to Psychosis; Part II — Systemic Psychotherapy

Ingamells

1993

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Systemic Therapy and the Unbearable Lightness of Psychiatry

Stagoll

2017

This article is based on a transcript of the 2016 David Ingamells Memorial Lecture, at the Melbourne Clinic, sponsored by the Faculty of Psychotherapy of the Royal Australian and New Zealand College of Psychiatry. David was a leader in family therapy in Melbourne in the 1980s and ‘90s. Being invited to give this lecture led me to reflect on 50 years in psychiatry, and how systemic views have evolved over this time. Where did our foundational visions of social psychiatry come from, and where did they lead? How do our original heroes Laing and Bateson look nowadays? How has the concept of schizophrenia changed, and where does the DSM fit in? How can we move beyond the dominant ‘neuro‐molecular narrative’ and reconcile it with psychotherapy and ‘a social view of health?’

Family Therapy in Child and Adolescent Mental Health Practice: Integrating Family Therapy in Child and Adolescent Mental Health Practice: An Ethic of Hospitality

Larner¹

2003

This article integrates family therapy in contemporary child and adolescent mental health services as an evidence‐based practice. An integrative practice model is proposed where contextual approaches like systemic and narrative therapy complement and enrich individual problem‐focused models such as biological psychiatry and cognitive therapy. This is based on an ethic of hospitality towards all therapy discourses and the following best practice guideline: ‘To make optimum space for a systemic and narrative understanding contributes to evidence‐based practice in a contemporary mental health service.’ After discussing some dilemmas of integrative practice, I illustrate the therapeutic process by a detailed example of integrative family therapy with a depressed suicidal adolescent.