råmanus - GSI

5.3 Ombalansering – att rubba den rigida jämvikten ....................................................................................66
1. Allians med familjemedlemmar ............................................................................................................67
2. Ignorering av familjemedlemmar ..........................................................................................................70
3. Koalition mot familjemedlemmar .........................................................................................................72
5.4 Uppgifter – en röd tråd i strukturell familjeterapi...................................................................................73
1. Uppgifter under sessionen – i stället för frågor ....................................................................................73
2. Hemuppgifter – för ny struktur och nya samspelsmönster ..................................................................74
6. Inre omstrukturering – fokus på upplevelser och tänkande ................................................. 76
6.1 Utmana familjens världsmodell – nya perspektiv...................................................................................77
1. Omformulering – samma bild i ny inramning ......................................................................................78
2. Komplementaritet – hjälp den andre förändra sig ................................................................................79
3. Interpunktion och cirkulär kontroll – hönan och ägget........................................................................82
4. Universella symboler – skenbar objektivitet ........................................................................................83
5. Cirkulära frågor – nya tankar om andras tankar ...................................................................................83
6. Positivt tänkande – möjligheter i stället för omöjligheter....................................................................83
6.2 Utmana symtomet .....................................................................................................................................84
1. Utvidga problemet till sitt sammanhang ...............................................................................................84
2. Koncentration på symtomet – akut överlevnad ....................................................................................84
3. Patologisering – byt ut symtomet..........................................................................................................85
4. Normalisering – tona ned symtomet .....................................................................................................85
5. Paradoxala direktiv – föreskriv och överdriv symtom.........................................................................86
7. Strukturella förhållningssätt ...................................................................................................... 90
7.1 Aktivt engagemang ...................................................................................................................................90
7.2 Normativt styrande – lagom är bäst.........................................................................................................90
7.3 Resursmobilisering – familjens egen läkekraft.......................................................................................91
7.4 Fokusering och intensifiering – skärpa och styrka .................................................................................94
7.5 Expertposition – auktoritet och ledarskap .............................................................................................103
7.6 Personliga möten – expert på att vara sig själv .....................................................................................105
7.7 Politisk solidaritet – på familjernas sida................................................................................................106
Del II: Strukturell familjeterapi kontra andra riktningar ..................................................108
8. Traditionella terapier – likheter och skillnader .................................................................... 110
8.1 Psykoanalys – Sullivan, Fromm, Fromm-Reichmann, Horney, Erikson ............................................110
8.2 Familjeterapi och rock’n’roll .................................................................................................................112
8.3 Psykodynamisk familjeterapi – Ackerman… .......................................................................................113
8.4 Kommunikationsterapi – Bateson, Jackson, Satir.................................................................................115
8.5 BTC – MRI’s korttidsterapi: Watzlawick, Weakland, Fish .................................................................119
8.6 Strategisk terapi – Haley, Madanes .......................................................................................................120
8.7 Lösningsfokuserad terapi – de Shazer, Berg, O’Hanlon, Furman .......................................................123
8.8 Experientiell / existentiell terapi – Whitaker, Kempler........................................................................125
8.9 Nätverksterapi – Speck, Attneave..........................................................................................................132
8.10 Manual- och evidensbaserade modeller – MST, FFT ........................................................................135
MST...........................................................................................................................................................137
FFT ............................................................................................................................................................138
8.11 KBT – Beck, Ellis, Lazarus..................................................................................................................139
8.12 Feministisk familjeterapi......................................................................................................................142
8.13 Marte meo – triadisk mikroanalys .......................................................................................................144
8.14 Integrativ familjeterapi – Bowen, Nagy, BOF, BBIC, MFGT, GSI m m .........................................147
1. Bowens systemteori..............................................................................................................................148
2. Nagys kontextuella familjeterapi.........................................................................................................154
3. BOF – Barnorienterad familjeterapi....................................................................................................158
4. BBIC – Barns Behov I Centrum..........................................................................................................160
5. MFGT – multifamiljeterapi .................................................................................................................165
6. Hemterapi – svenska supernannys ......................................................................................................166
7. GSI – Satir, Minuchin, Watzlawick, Haley, Whitaker, Berg, Milano, Andersen… ........................174
9 Postmodernistisk konstruktivism – arvet efter Bateson........................................................ 177
9.1. Milanomodellens tre inkarnationer .......................................................................................................178
9.2. MRI – fjärde inkarnationen: radikal konstruktivism ...........................................................................183
9.3. Galvestons språksystem – Goolishian, Anderson och Dell.................................................................184
9.4. Reflekterande processer – Andra ordningens cybernetik....................................................................186
9.5. Narrativ externalisering – Michael White och David Epston .............................................................189
9.6. Maturanas biologiska cybernetik ..........................................................................................................197
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