Reichelt S, Christensen B
University of Oslo, Institute of Psychology, Norway.
Fam Process. 1990 Sep;29(3):273-87. doi: 10.1111/j.1545-5300.1990.00273.x.
This article presents ideas and reflections emerging during a project on family therapy with drug abusers. Initially inspired by the writings of Stanton and Todd on the subject, the project developed into a recursive and self-reflective process, characterized by increasing doubts about the usefulness of categorization of families, of pre-planning therapy, and of the therapist as an "expert." The limitations of approaches that emphasize the importance of understanding the family structure as the basis for changing it are discussed, particularly with respect to how they decrease therapist flexibility and may block the family's finding their own solution. Alternative approaches to practice and research are also discussed, bearing on ideas particularly formulated by theoreticians and practitioners inspired by second-order cybernetics.
本文介绍了在一个针对药物滥用者的家庭治疗项目中产生的想法和思考。该项目最初受到斯坦顿和托德关于该主题著作的启发,后来发展成为一个循环且自我反思的过程,其特点是对将家庭分类、预先规划治疗以及将治疗师视为“专家”的实用性越来越怀疑。文中讨论了那些强调将理解家庭结构作为改变基础的方法的局限性,特别是关于这些方法如何降低治疗师的灵活性以及可能阻碍家庭找到自身解决方案的问题。还讨论了实践和研究的替代方法,这些方法与受二阶控制论启发的理论家和从业者特别提出的观点有关。