Stierlin H, Weber G, Schmidt G, Simon F
Yale J Biol Med. 1985 May-Jun;58(3):255-63.
This paper reports the authors' observations on fifteen families in which a young adult member had been diagnosed as manic-depressive. All families were seen in systemic family therapy, with intervals of four to six weeks between sessions. The circular questioning method developed by Selvini-Palazzoli [1] and her team was widely employed. All families could be described as extremely rigid and bound-up systems characterized by a "restrictive parental complementarity," typical dynamics of reciprocal delegation, and certain cognitive features and shared assumptions. These "manic-depressive" families show similarities as well as differences when compared with families with schizophrenic members (i.e., "schizo-present" families). Finally, some therapeutic implications of this view and approach are developed.
本文报告了作者对15个家庭的观察结果，这些家庭中有一名年轻成年成员被诊断为躁郁症。所有家庭都接受了系统家庭治疗，各次治疗之间间隔四至六周。塞尔维尼 - 帕拉佐利[1]及其团队开发的循环提问法被广泛应用。所有家庭都可被描述为极度僵化和紧密相连的系统，其特征为“限制性父母互补性”、典型的相互委托动态关系，以及某些认知特征和共同假设。与有精神分裂症成员的家庭（即“存在精神分裂症患者”的家庭）相比，这些“躁郁症”家庭既有相似之处，也有不同之处。最后，阐述了这种观点和方法的一些治疗意义。
