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American History
Assignment
Imagine yourself a student in the 1950s, 1960s, or 1970s.
Choose one of the movements that existed and tell why you
would be involved. Also, share its beliefs/philosophies and
criticisms. Trace the root of the movement and its demise. Also,
include a socially conscious song of the period and, without
giving all the lyrics, tell why you feel the song best describes
the movement.
Songs can include but are not limited to:
Say it Loud, I’ m Black and I’m Proud
I’m Coming Out
Respect
Move on Up
I am Woman
Blowing in the Wind
People Get Ready
Lift Every Voice
How I Got Over
If There’s a Hell Below
Mississippi God****
Strange Fruit
Fortunate Son
Yo Soy Chicano
Blackfire
Lift every voice
The song in its entirely does not need to be printed, only a verse
or stanza.
In your draft, address some of the following questions:
1. What lessons can contemporary civil rights groups learn?
2. What strategies worked best to promote civil rights?
3. Was violence or repression involved?
4. Was your movement a revolution or a social movement?
5. Papers should be no less than four pages with standard font
and margins. Remember this is research.
Family Therapy
ConCepts and Methods
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iii
Family Therapy
ConCepts and Methods
eLeVenth edItIon
Michael P. Nichols
College of William and Mary
with Sean D. Davis
Alliant International University
Boston Columbus Indianapolis New York San Francisco
Hoboken
Amsterdam Cape Town Dubai London Madrid Milan Munich
Paris Montréal Toronto
Delhi Mexico City São Paulo Sydney Hong Kong Seoul
Singapore Taipei Tokyo
A01_NICH6609_11_SE_FM.indd 3 10/1/15 6:58 PM
VP and Editorial Director: Jeffery W. Johnston
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Text Font: Times LT Pro 10/12 pts
Copyright © 2017, 2012, 2006, 2001 by Pearson Education, Inc.
All rights reserved. Manufactured in the United States
of America. This publication is protected by Copyright, and
permission should be obtained from the publisher prior
to any prohibited reproduction, storage in a retrieval system, or
transmission in any form or by any means, electronic,
mechanical, photocopying, recording, or likewise. To obtain
permission(s) to use material from this work, please submit
a written request to Pearson Education, Inc., Permissions
Department, 221 River Street, Hoboken, NJ 07030, or you may
fax your request to: 201-236-5625.
Many of the designations by manufacturers and sellers to
distinguish their products are claimed as trademarks. Where
those designations appear in this book, and the publisher was
aware of a trademark claim, the designations have been
printed in initial caps or all caps.
Between the time website information is gathered and then
published, it is not unusual for some sites to have closed. Also,
the transcription of URLs can result in typographical errors.
The publisher would appreciate notification where these
errors occur so that they may be corrected in subsequent
editions.
Library of Congress Cataloging-in-Publication Data
Nichols, Michael P., author.
Family therapy : concepts and methods / Michael P. Nichols,
College of William and Mary with Sean D. Davis,
Alliant International University. — Eleventh edition.
pages cm
Includes bibliographical references and index.
ISBN 978-0-13-382660-9 — ISBN 0-13-382660-0 1. Family
psychotherapy. I. Davis, Sean D., author. II. Title.
RC488.5.N53 2016
616.89’156—dc23
2015032118
10 9 8 7 6 5 4 3 2 1
Student Edition
ISBN 10: 0-13-382660-0
ISBN 13: 978-0-13-382660-9
eText
ISBN 10: 0-13-382681-3
ISBN 13: 978-0-13-382681-4
Package
ISBN 10: 0-13-430074-2
ISBN 13: 978-0-13-430074-0
A01_NICH6609_11_SE_FM.indd 4 10/1/15 9:54 PM
v
The Stages of the Family Life Cycle xiii
Major Events in the History of Family Therapy xv
Foreword xxi
Preface xxiii
PART One THE CONTEXT OF FAMILY THERAPY
Introduction The Foundations of Family Therapy 1
The Myth of the Hero 3
Psychotherapeutic Sanctuary 4
Family versus Individual Therapy 5
Thinking in Lines, Thinking in Circles 6
The Power of Family Therapy 6
1 The Evolution of Family Therapy 8
The Undeclared War 8
Small Group Dynamics 9
The Child Guidance Movement 11
Marriage Counseling 12
Research on Family Dynamics and the Etiology of
Schizophrenia 13
Gregory Bateson—Palo Alto 13
Theodore Lidz—Yale 15
Lyman Wynne—National Institute of Mental Health 15
Role Theorists 16
From Research to Treatment: The Pioneers of Family Therapy
16
John Bell 16
Palo Alto 17
Murray Bowen 19
Nathan Ackerman 21
Carl Whitaker 21
Ivan Boszormenyi-Nagy 22
Salvador Minuchin 22
Other Early Centers of Family Therapy 23
The Golden Age of Family Therapy 24
SUMMARY 25
ConTEnTS
A01_NICH6609_11_SE_FM.indd 5 10/1/15 6:58 PM
vi Contents
2 Basic Techniques of Family Therapy 27
Getting Started 27
The Initial Telephone Call 27
The First Interview 28
The Early Phase of Treatment 30
The Middle Phase of Treatment 32
Termination 33
Termination Checklist 34
Family Assessment 34
The Presenting Problem 34
Understanding the Referral Route 35
Identifying the Systemic Context 35
Stage of the Life Cycle 36
Family Structure 36
Communication 36
Drug and Alcohol Abuse 37
Domestic Violence and Sexual Abuse 37
Extramarital Affairs 37
Gender 38
Culture 38
The Ethical Dimension 39
The Marriage and Family Therapy License 42
Family Therapy with Specific Presenting Problems 42
Marital Violence 42
Sexual Abuse of Children 45
Working with Managed Care 46
Fee-for-Service Private Practice 48
SUMMARY 49
3 The Fundamental Concepts of Family Therapy 50
Cybernetics 51
Systems Theory 54
General Systems Theory 55
Social Constructionism 55
Constructivism 56
The Social Construction of Reality 56
Attachment Theory 57
The Working Concepts of Family Therapy 60
Interpersonal Context 60
Complementarity 60
Circular Causality 60
Triangles 61
Process/Content 62
Family Structure 62
Family Life Cycle 63
A01_NICH6609_11_SE_FM.indd 6 10/1/15 6:58 PM
Contents vii
Family Narratives 64
Gender 65
Culture 66
SUMMARY 67
PART TWO THE CLASSIC SCHOOLS OF FAMILY
THERAPY
4 Bowen Family Systems Therapy 69
Sketches of Leading Figures 70
Theoretical Formulations 70
Differentiation of Self 71
Emotional Triangles 71
Multigenerational Emotional Processes 72
Emotional Cutoff 72
Societal Emotional Process 73
Family Dynamics 73
Normal Family Functioning 73
Development of Behavior Disorders 74
Mechanisms of Change 76
Goals of Therapy 76
Conditions for Behavior Change 77
Therapy 77
Assessment 77
Therapeutic Techniques 80
Evaluating Therapy Theory and Results 85
SUMMARY 87
5 Strategic Family Therapy 89
Sketches of Leading Figures 89
Theoretical Formulations 91
Family Dynamics 93
Normal Family Functioning 93
Development of Behavior Disorders 93
Mechanisms of Change 94
Goals of Therapy 95
Conditions for Behavior Change 95
Therapy 95
Assessment 95
Therapeutic Techniques 97
Evaluating Therapy Theory and Results 107
SUMMARY 109
6 Structural Family Therapy 111
Sketches of Leading Figures 112
Theoretical Formulations 112
A01_NICH6609_11_SE_FM.indd 7 10/1/15 6:58 PM
viii Contents
Family Dynamics 115
Normal Family Functioning 115
Development of Behavior Disorders 116
Mechanisms of Change 118
Goals of Therapy 118
Conditions for Behavior Change 118
Therapy 119
Assessment 119
Therapeutic Techniques 121
Evaluating Therapy Theory and Results 127
SUMMARY 129
7 Experiential Family Therapy 131
Sketches of Leading Figures 132
Theoretical Formulations 132
Family Dynamics 133
Normal Family Functioning 133
Development of Behavior Disorders 133
Mechanisms of Change 134
Goals of Therapy 134
Conditions for Behavior Change 135
Therapy 135
Assessment 135
Therapeutic Techniques 136
Evaluating Therapy Theory and Results 146
SUMMARY 147
8 Psychoanalytic Family Therapy 149
Sketches of Leading Figures 150
Theoretical Formulations 150
Freudian Drive Psychology 151
Self Psychology 152
Object Relations Theory 152
Family Dynamics 154
Normal Family Functioning 155
Development of Behavior Disorders 156
Mechanisms of Change 158
Goals of Therapy 158
Conditions for Behavior Change 159
Therapy 159
Assessment 159
Therapeutic Techniques 160
Evaluating Therapy Theory and Results 165
SUMMARY 166
A01_NICH6609_11_SE_FM.indd 8 10/1/15 6:58 PM
Contents ix
9 Cognitive-Behavioral Family Therapy 167
Sketches of Leading Figures 167
Theoretical Formulations 169
Family Dynamics 169
Normal Family Functioning 169
Development of Behavior Disorders 170
Mechanisms of Change 172
Goals of Therapy 172
Conditions for Behavior Change 172
Therapy 173
Behavioral Parent Training 173
Behavioral Couples Therapy 177
The Cognitive-Behavioral Approach to Family Therapy 180
Treatment of Sexual Dysfunction 184
Evaluating Therapy Theory and Results 185
SUMMARY 187
PART THRee RECENT DEVELOPMENTS IN FAMILY
THERAPY
10 Family Therapy in the Twenty-First Century 189
Challenges to Traditional Family Systems Models 189
Erosion of Boundaries 189
Postmodernism 190
The Feminist Critique 190
Feminist Family Therapy 191
Social Constructionism and the Narrative Revolution 194
Multiculturalism 195
Race 195
Poverty and Social Class 196
Gay and Lesbian Rights 197
New Frontiers 198
Advances in Neuroscience 198
Sex and the Internet 199
Spirituality and Religion 203
Tailoring Treatment to Populations and Problems 204
Single-Parent Families 205
African American Families 207
Gay and Lesbian Families 209
Home-Based Services 212
Psychoeducation and Schizophrenia 213
Medical Family Therapy 215
Relationship Enrichment Programs 215
SUMMARY 216
A01_NICH6609_11_SE_FM.indd 9 10/1/15 6:58 PM
x Contents
11
Solution
-Focused Therapy 219
Sketches of Leading Figures 219
Theoretical Formulations 220
Family Dynamics 221
Normal Family Development 221
Development of Behavior Disorders 221
Mechanisms of Change 221
Goals of Therapy 222
Conditions for Behavior Change 222
Therapy 222
Assessment 222
Therapeutic Techniques 224
Taking a Break and Giving Feedback 232
Later Sessions 233
Interviewing Children 235
Evaluating Therapy Theory and Results 236
SUMMARY 237
12 narrative Therapy 239
Sketches of Leading Figures 240
Theoretical Formulations 240
Family Dynamics 242
Normal Family Development 242
Development of Behavior Disorders 242
Mechanisms of Change 243
Goals of Therapy 243
Conditions for Behavior Change 244
Therapy 245
Assessment 245
Therapeutic Techniques 246
Evaluating Therapy Theory and Results 254
SUMMARY 255
PART FOUR THE EVALUATION OF FAMILY THERAPY
13 Comparative Analysis 257
Theoretical Formulations 257
Families as Systems 257
Stability and Change 258
Process/Content 259
Monadic, Dyadic, and Triadic Models 259
Boundaries 260
Family Dynamics 261
Normal Family Development 261
A01_NICH6609_11_SE_FM.indd 10 10/1/15 6:58 PM
Contents xi
Development of Behavior Disorders 262
Inflexible Systems 262
Pathologic Triangles 263
Therapy 264
Assessment 264
Decisive Interventions 264
Integrative Models 268
Eclecticism 268
Selective Borrowing 268
Specially Designed Integrative Models 269
Integrative Problem-Centered Metaframeworks (IPCM) Therapy
269
The Narrative

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American HistoryAssignmentImagine yourself a student in the .docx

  • 1. American History Assignment Imagine yourself a student in the 1950s, 1960s, or 1970s. Choose one of the movements that existed and tell why you would be involved. Also, share its beliefs/philosophies and criticisms. Trace the root of the movement and its demise. Also, include a socially conscious song of the period and, without giving all the lyrics, tell why you feel the song best describes the movement. Songs can include but are not limited to: Say it Loud, I’ m Black and I’m Proud I’m Coming Out Respect Move on Up I am Woman Blowing in the Wind People Get Ready Lift Every Voice How I Got Over If There’s a Hell Below Mississippi God**** Strange Fruit Fortunate Son Yo Soy Chicano Blackfire Lift every voice The song in its entirely does not need to be printed, only a verse or stanza. In your draft, address some of the following questions: 1. What lessons can contemporary civil rights groups learn?
  • 2. 2. What strategies worked best to promote civil rights? 3. Was violence or repression involved? 4. Was your movement a revolution or a social movement? 5. Papers should be no less than four pages with standard font and margins. Remember this is research. Family Therapy ConCepts and Methods A01_NICH6609_11_SE_FM.indd 1 10/1/15 6:58 PM A01_NICH6609_11_SE_FM.indd 2 10/1/15 6:58 PM This page intentionally left blank iii Family Therapy ConCepts and Methods eLeVenth edItIon Michael P. Nichols College of William and Mary with Sean D. Davis Alliant International University
  • 3. Boston Columbus Indianapolis New York San Francisco Hoboken Amsterdam Cape Town Dubai London Madrid Milan Munich Paris Montréal Toronto Delhi Mexico City São Paulo Sydney Hong Kong Seoul Singapore Taipei Tokyo A01_NICH6609_11_SE_FM.indd 3 10/1/15 6:58 PM VP and Editorial Director: Jeffery W. Johnston Executive Editor: Julie Peters Program Manager: Megan Moffo Editorial Assistant: Pamela DiBerardino Executive Product Marketing Manager: Christopher Barry Executive Field Marketing Manager: Krista Clark Team Lead Project Management: Bryan Pirrmann Team Lead Program Management: Laura Weaver Procurement Specialist: Deidra Skahill Art Director: Diane Lorenzo Art Director Cover: Diane Lorenzo Cover Art: Miriamrb/Fotolia Media Project Manager: Michael Goncalves Editorial Production and Composition Services: Lumina Datamatics, Inc. Full-Service Project Manager: Saraswathi Muralidhar Printer/Binder: Edwards Brothers Malloy Cover Printer: Phoenix Color/Hagerstown Text Font: Times LT Pro 10/12 pts
  • 4. Copyright © 2017, 2012, 2006, 2001 by Pearson Education, Inc. All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright, and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means, electronic, mechanical, photocopying, recording, or likewise. To obtain permission(s) to use material from this work, please submit a written request to Pearson Education, Inc., Permissions Department, 221 River Street, Hoboken, NJ 07030, or you may fax your request to: 201-236-5625. Many of the designations by manufacturers and sellers to distinguish their products are claimed as trademarks. Where those designations appear in this book, and the publisher was aware of a trademark claim, the designations have been printed in initial caps or all caps. Between the time website information is gathered and then published, it is not unusual for some sites to have closed. Also, the transcription of URLs can result in typographical errors. The publisher would appreciate notification where these errors occur so that they may be corrected in subsequent editions. Library of Congress Cataloging-in-Publication Data Nichols, Michael P., author. Family therapy : concepts and methods / Michael P. Nichols, College of William and Mary with Sean D. Davis, Alliant International University. — Eleventh edition. pages cm Includes bibliographical references and index. ISBN 978-0-13-382660-9 — ISBN 0-13-382660-0 1. Family psychotherapy. I. Davis, Sean D., author. II. Title. RC488.5.N53 2016 616.89’156—dc23
  • 5. 2015032118 10 9 8 7 6 5 4 3 2 1 Student Edition ISBN 10: 0-13-382660-0 ISBN 13: 978-0-13-382660-9 eText ISBN 10: 0-13-382681-3 ISBN 13: 978-0-13-382681-4 Package ISBN 10: 0-13-430074-2 ISBN 13: 978-0-13-430074-0 A01_NICH6609_11_SE_FM.indd 4 10/1/15 9:54 PM v The Stages of the Family Life Cycle xiii Major Events in the History of Family Therapy xv Foreword xxi Preface xxiii PART One THE CONTEXT OF FAMILY THERAPY Introduction The Foundations of Family Therapy 1 The Myth of the Hero 3 Psychotherapeutic Sanctuary 4 Family versus Individual Therapy 5 Thinking in Lines, Thinking in Circles 6 The Power of Family Therapy 6
  • 6. 1 The Evolution of Family Therapy 8 The Undeclared War 8 Small Group Dynamics 9 The Child Guidance Movement 11 Marriage Counseling 12 Research on Family Dynamics and the Etiology of Schizophrenia 13 Gregory Bateson—Palo Alto 13 Theodore Lidz—Yale 15 Lyman Wynne—National Institute of Mental Health 15 Role Theorists 16 From Research to Treatment: The Pioneers of Family Therapy 16 John Bell 16 Palo Alto 17 Murray Bowen 19 Nathan Ackerman 21 Carl Whitaker 21 Ivan Boszormenyi-Nagy 22 Salvador Minuchin 22 Other Early Centers of Family Therapy 23 The Golden Age of Family Therapy 24 SUMMARY 25 ConTEnTS A01_NICH6609_11_SE_FM.indd 5 10/1/15 6:58 PM vi Contents
  • 7. 2 Basic Techniques of Family Therapy 27 Getting Started 27 The Initial Telephone Call 27 The First Interview 28 The Early Phase of Treatment 30 The Middle Phase of Treatment 32 Termination 33 Termination Checklist 34 Family Assessment 34 The Presenting Problem 34 Understanding the Referral Route 35 Identifying the Systemic Context 35 Stage of the Life Cycle 36 Family Structure 36 Communication 36 Drug and Alcohol Abuse 37 Domestic Violence and Sexual Abuse 37 Extramarital Affairs 37 Gender 38 Culture 38 The Ethical Dimension 39 The Marriage and Family Therapy License 42 Family Therapy with Specific Presenting Problems 42 Marital Violence 42 Sexual Abuse of Children 45 Working with Managed Care 46 Fee-for-Service Private Practice 48 SUMMARY 49
  • 8. 3 The Fundamental Concepts of Family Therapy 50 Cybernetics 51 Systems Theory 54 General Systems Theory 55 Social Constructionism 55 Constructivism 56 The Social Construction of Reality 56 Attachment Theory 57 The Working Concepts of Family Therapy 60 Interpersonal Context 60 Complementarity 60 Circular Causality 60 Triangles 61 Process/Content 62 Family Structure 62 Family Life Cycle 63 A01_NICH6609_11_SE_FM.indd 6 10/1/15 6:58 PM Contents vii Family Narratives 64 Gender 65 Culture 66 SUMMARY 67 PART TWO THE CLASSIC SCHOOLS OF FAMILY THERAPY
  • 9. 4 Bowen Family Systems Therapy 69 Sketches of Leading Figures 70 Theoretical Formulations 70 Differentiation of Self 71 Emotional Triangles 71 Multigenerational Emotional Processes 72 Emotional Cutoff 72 Societal Emotional Process 73 Family Dynamics 73 Normal Family Functioning 73 Development of Behavior Disorders 74 Mechanisms of Change 76 Goals of Therapy 76 Conditions for Behavior Change 77 Therapy 77 Assessment 77 Therapeutic Techniques 80 Evaluating Therapy Theory and Results 85 SUMMARY 87 5 Strategic Family Therapy 89 Sketches of Leading Figures 89 Theoretical Formulations 91 Family Dynamics 93 Normal Family Functioning 93 Development of Behavior Disorders 93 Mechanisms of Change 94 Goals of Therapy 95 Conditions for Behavior Change 95
  • 10. Therapy 95 Assessment 95 Therapeutic Techniques 97 Evaluating Therapy Theory and Results 107 SUMMARY 109 6 Structural Family Therapy 111 Sketches of Leading Figures 112 Theoretical Formulations 112 A01_NICH6609_11_SE_FM.indd 7 10/1/15 6:58 PM viii Contents Family Dynamics 115 Normal Family Functioning 115 Development of Behavior Disorders 116 Mechanisms of Change 118 Goals of Therapy 118 Conditions for Behavior Change 118 Therapy 119 Assessment 119 Therapeutic Techniques 121 Evaluating Therapy Theory and Results 127 SUMMARY 129 7 Experiential Family Therapy 131 Sketches of Leading Figures 132 Theoretical Formulations 132
  • 11. Family Dynamics 133 Normal Family Functioning 133 Development of Behavior Disorders 133 Mechanisms of Change 134 Goals of Therapy 134 Conditions for Behavior Change 135 Therapy 135 Assessment 135 Therapeutic Techniques 136 Evaluating Therapy Theory and Results 146 SUMMARY 147 8 Psychoanalytic Family Therapy 149 Sketches of Leading Figures 150 Theoretical Formulations 150 Freudian Drive Psychology 151 Self Psychology 152 Object Relations Theory 152 Family Dynamics 154 Normal Family Functioning 155 Development of Behavior Disorders 156 Mechanisms of Change 158 Goals of Therapy 158 Conditions for Behavior Change 159 Therapy 159 Assessment 159 Therapeutic Techniques 160
  • 12. Evaluating Therapy Theory and Results 165 SUMMARY 166 A01_NICH6609_11_SE_FM.indd 8 10/1/15 6:58 PM Contents ix 9 Cognitive-Behavioral Family Therapy 167 Sketches of Leading Figures 167 Theoretical Formulations 169 Family Dynamics 169 Normal Family Functioning 169 Development of Behavior Disorders 170 Mechanisms of Change 172 Goals of Therapy 172 Conditions for Behavior Change 172 Therapy 173 Behavioral Parent Training 173 Behavioral Couples Therapy 177 The Cognitive-Behavioral Approach to Family Therapy 180 Treatment of Sexual Dysfunction 184 Evaluating Therapy Theory and Results 185 SUMMARY 187 PART THRee RECENT DEVELOPMENTS IN FAMILY THERAPY 10 Family Therapy in the Twenty-First Century 189 Challenges to Traditional Family Systems Models 189
  • 13. Erosion of Boundaries 189 Postmodernism 190 The Feminist Critique 190 Feminist Family Therapy 191 Social Constructionism and the Narrative Revolution 194 Multiculturalism 195 Race 195 Poverty and Social Class 196 Gay and Lesbian Rights 197 New Frontiers 198 Advances in Neuroscience 198 Sex and the Internet 199 Spirituality and Religion 203 Tailoring Treatment to Populations and Problems 204 Single-Parent Families 205 African American Families 207 Gay and Lesbian Families 209 Home-Based Services 212 Psychoeducation and Schizophrenia 213 Medical Family Therapy 215 Relationship Enrichment Programs 215 SUMMARY 216 A01_NICH6609_11_SE_FM.indd 9 10/1/15 6:58 PM x Contents 11
  • 14. Solution -Focused Therapy 219 Sketches of Leading Figures 219 Theoretical Formulations 220 Family Dynamics 221 Normal Family Development 221 Development of Behavior Disorders 221 Mechanisms of Change 221 Goals of Therapy 222 Conditions for Behavior Change 222 Therapy 222 Assessment 222 Therapeutic Techniques 224 Taking a Break and Giving Feedback 232 Later Sessions 233 Interviewing Children 235 Evaluating Therapy Theory and Results 236 SUMMARY 237
  • 15. 12 narrative Therapy 239 Sketches of Leading Figures 240 Theoretical Formulations 240 Family Dynamics 242 Normal Family Development 242 Development of Behavior Disorders 242 Mechanisms of Change 243 Goals of Therapy 243 Conditions for Behavior Change 244 Therapy 245 Assessment 245 Therapeutic Techniques 246 Evaluating Therapy Theory and Results 254 SUMMARY 255 PART FOUR THE EVALUATION OF FAMILY THERAPY 13 Comparative Analysis 257 Theoretical Formulations 257
  • 16. Families as Systems 257 Stability and Change 258 Process/Content 259 Monadic, Dyadic, and Triadic Models 259 Boundaries 260 Family Dynamics 261 Normal Family Development 261 A01_NICH6609_11_SE_FM.indd 10 10/1/15 6:58 PM Contents xi Development of Behavior Disorders 262 Inflexible Systems 262 Pathologic Triangles 263 Therapy 264 Assessment 264 Decisive Interventions 264 Integrative Models 268 Eclecticism 268
  • 17. Selective Borrowing 268 Specially Designed Integrative Models 269 Integrative Problem-Centered Metaframeworks (IPCM) Therapy 269 The Narrative