Milan Systemic

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Double Blind

"Damned if I do, Damned if I don't"

invariant prescription

Always given at the end of the first session. For example, tell a couple to go off for an evening without telling the children were you are going.

No

Are Milan therapists responsible for change?

circularity

Circular questioning.

second order cybernetics

Conception of the family as one unit

power struggles

Conflict between the part of the family that should be holding the power, and those that really are holding the power.

neutrality

Don't take sides.

Systemic Stages

Entire family present, pre-session, interview, test hypothesis, team discussion, present conclusions, post session, short term therapy

Systemic dysfunction

Family is caught up in a "dirty game", problems are maintained by behavioral sequences, family's old beliefs do not fit current patterns of behavior

faulty interactional patterns

How are symptoms maintained?

circular questions

Interview questions that compare and contrast members behavior

generational boundaries

Like Haley and Madanes, they believe that families should have clear generational boundaries.

hypothesizing

Listen to call when the client first calls, then the team gathers to discuss which focuses the questions and gives direction to the initial session.

attend to beliefs

Looks at meanings.

homeostasis

Maintains status quo.

MRI brief

Milan is most similar to what model?

Systemic Stance

Neutral, hypothesize, perturb the system, indifferent to outcome

Systemic Theorists

Palazzoli, Boscolo, (Cecchin, Prata, Selvini)

symptom behavior is reframed as being helpful to protect families rules. formally presented.

Positive connotation

positive connotation

Similar to a reframe. Any symptom gets a positive spin. "Jenny's throwing tantrums keeps her parents together."

normality

The Milan group, like the MRI, also disdains concepts of "normality."

"neutral"

Therapy should be neutral and not have any expectations of families.

dirty games

Ways families keep power over each other.

preserve homeostasis

What is the function of symptoms?

Negative

What kind of feedback does Milan Systemic take into account?

milan.

Who uses co-therapy groups?

positive connotation

a message to the family from the therapist that the problem is logical and meaningful in its context.

ritual

an ordering of behavior in the family either on certain days, or at certain times.

Systemic attends to:

beliefs rather than behavior

Invariant Prescription

breaks up enmeshment, parents go away together away from children, come back with "secrets"

Systemic change

develop alternative beliefs by creating an environment in which new info is introduced into the family.

Change is:

happening, they just need to see it

family games

hidden power struggles within a family system.

paradox

is the oscillation that is set up between 'win' and "lose" positions. Originally termed double bind by Bateson.

Positive Connotation*

paradoxical reframing, each fam members contribution to the problem is reframed as useful, beneficial, functional

Systemic assessment

pre-meeting info used for hypothesis, hypothesis leads directly to interventions

Rituals

series of actions that involve the whole family, used repeatedly under prescribed circumstances (one way mirror), results in changes in beliefs/behaviors

Logical connotation

the idea that development of a symptom is understandable in its context, people have gotten used to it and habits are hard to change

Neutrality

therapist withholds judgment, either positive/negative, to avoid becoming apart of family's struggles

Circular questioning

to change perception, each member is asked to comment on the behavior and interactions of two other members (based on bateson)

Hypothesizing

trial and error process by which the therapist makes initial suppositions about the presenting problem, then tests by asking questions

Dirty game

unacknowledged power struggles between parents and symptomatic child

Palazzoli

was a prominent Italian psychoanalyst. Coauthor of the milan theory with Bateson and Haley.


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