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Functional Dialectic System
(FDS) Approach to Therapy:
The symptom id not a sign but
a means to an end
Prof. Moshe Almagor Tikotzki
Department of Psychology
University of Haifa, Haifa, Israel
malmagor@psy.haifa.ac.il1
References
Almagor, M. (2011). Functional Dialectic System
Approach to Therapy with Individuals, couples, and
Families. Minneapolis, MN: University of Minnesota
Press.
Almagor, M., & Ben-Porath, D. D. (2013). Functional
dialectic system (FDS) treatment: Integrating family
system theory with dialectic thinking. Journal of
Psychotherapy Integration, 23, 397-
405. http://dx.doi.org/10.1037/a0034364
2
FDS
 FDS is a short-term, relationship-based, solution
focused approach to therapy.
 FDS is an approach founded on a system-dialectic
view of the world.
 FDS postulates that:
A. A person lives and function within a social system.
B. Behavior is goal directed and functional.
 FDS helps the person regain control over disabling
life situations and represents an optimistic view of
behavior.
3
The social context -
Fundamental axioms
A person lives and functions in a
social context.
The social context provides the
individual’s basic needs for safety,
order, belongingness and identity.
The individual is prepared to pay a
price for the provision of these
needs.
4
The System
 A system consists of two basic elements:
 Structure – Relatively static and stable.
 Developmental process and goal (Dialectics and
functionality) – Dynamic.
5
The Structure of the System
Boundaries
Hierarchy
Roles
Rules
6
 The System is more important then its
members
 Contract
 Scapegoating
 Triangles
 Rituals
 Intergenerational processes
 Emotional distance regulating
mechanisms
7
How the system protects
and preserves itself?
Dynamics and
development - Dialectics
 In FDS, the process and development of the system is
based on western dialectics (as opposed to the
eastern, Zen Buddhism).
8
Dynamics and
development: Dialectics
 http://www.youtube.com/watch?feature=player_detailp
age&v=MfeSSw69cC4
The whole consists of opposites
(Master-slave, health-pathlogy).
 There is a tension between the
opposites (thesis and antithesis).
This conflict is inevitable,
inherent and essential. It is not
learned or acquired. It cannot
and need not be resolved.
9
Dynamics and
development: Dialectics
The tension necessitates a
resolution (a synthesis). The new
position creates a new dialectic.
The change is ideographical and
temporary.
Change is constant and no-
change is impossible.
10
Evolution
 Robert Wilson (2002) claims that our development is
powered by the selfish-altruistic dialectics. There is a
within-group conflict (in favor of egotism) and
between-group conflict (in favor of altruism). The
dynamic of this conflict explains the way we are. This
conflict is ever present, unchanging).
 Carl Marx and the materialistic dialectics argues that
social classes and the conflict between them is ever
present, leading inevitably to struggle and revolution.
11
Dynamics and
development - Dialectics
Structure and process are
dialectically related.
Common dialectics:
Closeness-Distance
Individuation – Union
Routine – Excitement
Control – Loss of control
Childhood - Maturity
12
Dynamics and
development - Dialectics
 Dialectics is not only a philosophy, but
also a method (Socrates):
 Look for the opposite.
 Look for the different.
 Look for what is not there.
13
Behavior is Functional
 Behavior is meaningful in light of the basic
needs.
 Behavior is functional in light of the basic
needs.
 Abnormal behavior is, thus, is both functional
and meaningful..
 It’s functional meaning is uncovered
dialectically.
 The problem is the solution!!
 The problem represents the best coping
strategy the client uses under the
circumstances
14
Symptom
 The symptom is a communication means:
 It tells us about the status of the client
 It sends a message internally and externally
 It represents the solution, not the problem
 It is the best coping alternative available to the client
under the circumstances
 It is a sign for an underlying problem; most of the time it
involves other people
 It can take the form of a psychiatric, psychological,
medical, etc.
 Its origin may be genetic, traumatic, learned, or
acquired, but is likely to have an emotional overlay
15
Symptoms
Anxiety is about fear of loss of
control. The anxious person
controls life through the
symptom.
Depression is about , weakness,
helplessness, withdrawal and loss
of interest . The depressed
person may attracts help and
the weakness represents power.
16
Therapeutic dialectics
 Loss of control and Control
 (Anxiety Disorders)
 Weakness and Strength
 (Mood Disorders, Family problems)
 Anger and Caring
 (Couple’s difficulties)
 Closeness and Distance
 (Intimacy, Emotional distance regulating mechanisms))
17
Therapeutic dialectics
Power struggles
Dominance and submission -
mutual enhancement
winning and losing - belonging
and differentiating
18
Structure and Development
Structure and development
are dialectic; Stability and
Change.
Growth and Development;
Stability vs. Excitement.
19
Treatment
FDS relates to both functional and
dysfunctional aspects of behavior.
Seeing both aspects of behavior
reduces the stressful and
pathological aspects of it.
Joining is crucial for FDS to used
effectively.
FDS is a highly optimistic approach
based on love and respect for the
client and his/her suffering.
20
Stages in Therapy
 Intake
 Joining
 Problem definition and re-definition
 Contract
 Elaboration and problem solving
 Exploration of the newly defined problem.
 Devising ways of dealing with the problem.
 Working through the problem.
 Termination
 Follow-up
21
FDS: An exercise
 The goal of the exercise is to train in dialectical-
functional thinking.
 Remember that a dialectic pole is subjective and is
multi-meaning.
 In this exercise you will be given pathological terms
and concepts and your role is to look for their
functional dialectic meaning.
 Anxiety, Depression, Obsession, Jealousy, Fights
(domestic), Extra-marital-affair
22
FDS: An exercise
Anxiety
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
_____________
23
FDS: An exercise-Function
Obsession
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
_____________
24
FDS: An exercise-Function
Depression
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
_____________
25
FDS: An exercise-Function
Extra marital affair
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
_____________
26
FDS: An exercise-Function
Jealousy
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
_____________
27
FDS: An exercise
Fights (Domestic)
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
_____________
28

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Fds the symptom is not a sign but a means to an end