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Dysfunctional new


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Dysfunctional new

  1. 1. MILAN THEORY The Milan Model - Palazzoli was a prominent Italian psychoanalyst. She andher team of 8 other analysts read the works of Bateson, Hale and did lots of research. In 1980,they split, with ½ continuing research and the other doing training believe that families shouldhave clear generational boundaries. A ndrew, (2011) The main therapist that influencedLuigi Boscolo, Gianfranco Cecchin, Maria Palazzoli Giuliana Prata. The Milan also try tokeep resistance low and motivation high. They also try to find the "customer" or the mostmotivated family member and work with them. The original model was very strategic. Familieswere treated by a male and female co-therapist team; therapy were observed by other membersof the team; families were seen once a month for only 10 sessions. Therapy were supposed tobe neutral and distant. The work of the early Milan Systemic group represented an expansion ofStrategic Therapy (first order therapy) that included hypothesizing about the function of thesymptom, positive connotation of the problem and restraint from changing too quickly.Remarkably, Luigi Boscolo and Gianfranco Cecchin, two members of the original team,initiated a paradigm shift when they broke away from the group in the early 1980s. Theyimplemented the philosophical ideas of Gregory Bateson and moved into a “second order”therapy position. Bateson’s idea that information is defined as “news of difference” was thebasis of their revision of the Milan Systemic therapy. An important development in thetherapeutic approach originated in Milan on the original work of Selvini Palazzoli and hercolleagues. Since its early days there have been several changes in the group, and the originalfour workers have subsequently parted, with members following different developments.Significantly, the original workers were psychoanalysts, which led to a particular blend oftherapeutic abstinence with regard to directing the client about future behavior, while alsointegrating elements of their own forms of ot trhe indirect directiveness, influenced by a greateremphasis on therapist activity.2., The Milan therapist focus these techniques CircularQuestioning, Neutrality, Counter-paradox the sessions epistemology of the Milan group will bebased on the broad principles of the original supposed to be neutral and distant.therapy would return to deliver the intervention. There are several interventions usually used.Positive connotation - re-frame the problem but in a way that the family members are notblamed or labeled as bad. b. rituals were directives to engage the whole family in some behavior
  2. 2. MILAN THEORYtherapy which has 5 parts the hypoth1.precession - tentative hypothesis are made 2.session -thesisare tested and refined 3 .intersession - 4.intervention. Families were treated by a male and femaleco-therapist team; therapy were observed by other members of the team; families were seen once amonth for only 10 sessions. Therapy were supposed to be neutral and distant. There are severalinterventions usually used a positive connotation- re-frame the problem but in a way that the familymembers are not blamed or labeled as bad rituals were directives to engage the whole family insome behavior that exaggerated or broke rules and family myths. post-session - the team wouldanalyze the familys reaction and plan for the next session. Tucker, (1994) These steps are notalways successful because of the family unit that is embedded in a homeostasis environment .Homeostasis means that the family system seeks to maintain its customary organization andfunctioning over time, and it tends to resist change. Similar are cultures that have not assimilated tothe dominate cultural an do not want to change if this is the problem than the therapist must be ableto deal with the hierarchy wither it be maternal or paternal within the family. Families can varyfrom two people living in the same house to large extended families living in different households.From families we learn the basis of gender identification and role expectations. Therapist are taughtthe finer points of social interaction that involve values and expectations such as reciprocity,mutuality, sensitivity, boundaries, and unwritten rules of communication where language canbecome a barrier for the therapist and the family. The United States of America is comprised of aheterogeneous mix of individuals and families and is expected to become increasingly diverse interms of race. People may differ in a number of culturally important ways: race, education,socioeconomic status, language, religion, sexual orientation, ethnicity, and citizen status, to name afew . Trimbl 2003 Focus has been turned toward the largest population of immigrants, cominginto the United States from Mexico and Central America , Asian and Chinese immigrants. Therapists
  3. 3. MILAN THEORYpresent their own life experiences, and occasionally their own gen o-grams, as a window into thelives of those not from the dominant culture in the United States. Families can vary from two peopleliving in the same house to large extended families living in different households. From families welearn the basis of gender identification and role expectations. We are taught the finer points of socialinteraction that involve values and expectations such as reciprocity, mutuality, sensitivity,boundaries, of unwritten rules of communication. Conducting family therapy with clients ofmulticultural backgrounds requires knowledge of the specific experiences and therapeutic issues ofclients. The emphasis on the family is consistent with most minority culturally defined values thatgive family a pivotal role in human development. Miermont, (1995 ) Interventions, or culturallysensitive therapy based on a comprehensive assessment of cultural factors, personality dynamics,family dynamics, and health or medical conditions determine how the session will develop therapistmust develop methods of approach. The need for therapists to be culturally sensitive in workingwith individuals and families who are culturally different from them has been increasinglyrecognized and has been suggested that the better "fit" there is between a therapist and client, thebetter the treatment outcomes will be that treatment is more effective when therapists receive ethnicand cultural diversity training Cultural sensitivity and cultural competence in the selection ofculturally sensitive treatments is a requisite for effective counseling practice in working with diverseclients and their families, particularly when clients present with health issues or medical problems.Sperry, L(2010). The clinical theorists are addressing the multi-layerd systems associated withfamily therapy and cultural diversity, the issues of how to define the reality with which one isworking, and how to know about it, become even more complicated. Therapists cannot be totallyunderstanding of every culture and must decide what ethnic material is relevant to therapy. sounderstanding cultural competence, it is important to grasp the full meaning of the word culture
  4. 4. MILAN THEORYfirst. , culture represents "the values, norms, and traditions that affect how individuals of a particulargroup perceive, think, interact, behave, and make judgments about their world. So No family modelis inherently normal or abnormal, functional or dysfunctional. A familys differentiation isidiosyncratic, related to its own composition, developmental stage, and subculture, and any model isworkable. But every model has inherent weaknesses, and these may be the parts that give way whenthe familys coping capacity becomes exhausted.So in applying this theory to my life growing up my family which was encoded in me since birthMy family cultural game from my grandparents who passed it down to their children and so on.Some of the tradition that are inherited were the Holidays and foods and the behaviors thataccompanied them. Likewise was the dress code that followed and Sunday services. When myparents divorced the tradition changed as did the roles in the family( changed to adapt.) Now as anadult and been married twice the traditions have been passed down, but the roles are different. Theyoung ones grow up and have families and traditions are either continued on or changes byreplacement traditions. The Family traditions become less and less as important as it was growing
  5. 5. MILAN THEORYup. Memories sight, sounds and smell are now the new traditions the we reminisce about and newplaces and states becomes the