Selvini-Palazzoli M, Viaro M
Nuovo Centro per lo Studio della Famiglia, Milan, Italy.
Fam Process. 1988 Jun;27(2):129-48. doi: 10.1111/j.1545-5300.1988.00129.x.
This article presents a conceptual framework for individual treatment with chronic anorectic patients. In the first part of the article, the six-stage model for the anorectic process developed over the past years by M. Selvini-Palazzoli and her team is briefly explained. After presenting the model, we then discuss some related concepts, namely, "family game," "rule," and "strategy." Finally, the therapeutic technique in individual treatment is discussed. Two basic assumptions underlie this technique: first, the therapeutic relationship is instrumental, its main purpose being to improve the patient's personal relations outside therapy; second, the focus of the treatment is on the strategic incapacity of the patient who is caught up in and unable to cope with the "concealed family game."
本文提出了一个针对慢性厌食症患者个体治疗的概念框架。在文章的第一部分，简要解释了M. 塞尔维尼 - 帕拉佐利及其团队在过去几年中发展出的厌食症过程六阶段模型。在介绍该模型之后，我们接着讨论一些相关概念，即“家庭游戏”“规则”和“策略”。最后，探讨个体治疗中的治疗技术。该技术基于两个基本假设：其一，治疗关系具有工具性，其主要目的是改善患者在治疗之外的人际关系；其二，治疗的重点在于陷入并无法应对“隐藏的家庭游戏”的患者的策略性无能。
