The influence of the Milan approach: Five decades of intergenerational change. A conversation with Matteo Selvini

IF 0.7 4区 心理学 Q4 FAMILY STUDIES
Deisy Amorin-Woods, Matteo Selvini
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引用次数: 2

Abstract

The ‘Milan Approach’ made an enormous contribution to psychotherapy and psychiatry and has been viewed as a bedrock in the family therapy field. Mara Selvini-Palazzoli made a revolutionary shift in the early 1970’s to abandon individual therapy and adopt family therapy to treat anorexia in young women. The goal of the three systemic principles; hypothesising, circularity and neutrality, proposed by the Milan Team is to elicit a useful method to interview families which encourages the production of meaningful information.

The Milan group took special care of language. Rather than overly focusing on the label and referring to schizophrenia as a diagnosis, for instance, they used the term ‘families in schizophrenic transaction’. This perspective more realistically explored the origin of problems while looking at ways how to effectively generate change. In the early stages of its development, heavily influenced by the work of the MRI, the team adopted a pragmatic and strategic approach, however the focus gradually shifted towards semantics and the story of the system. While the ‘systemic identity’ was the principal guiding principle, the model was also influenced by social constructionism.

This paper is a distillation of a conversation held with Matteo Selvini, son of Mara Selvini Palazzoli. We discussed the four key influential figures who developed the ‘Milan approach’, Selvini Palazzoli, Boscolo, Cecchin and Prata. The focus of the conversation is on Mara and on her influence shaping the approach, its evolution through the years leading to the creation of the Scuola di Psicoterapia Mara Selvini Palazzoli.

Matteo also shares his own influence in the evolution of the school through the intervening years. He explains the adapted version of the Milan approach and the amalgam of the original and emerging therapeutic concepts. His key messages to therapists are the importance of working in teams and client follow-ups.

米兰风格的影响:五十年的代际变化。与马泰奥·塞尔维尼的对话
“米兰方法”对心理治疗和精神病学做出了巨大贡献,被视为家庭治疗领域的基石。玛拉·塞尔维尼-帕拉佐利在20世纪70年代早期进行了革命性的转变,放弃了个人治疗,采用家庭治疗来治疗年轻女性的厌食症。三个系统原则的目标;米兰团队提出的假设、循环性和中立性是为了引出一种有用的方法来采访家庭,从而鼓励产生有意义的信息。米兰小组特别注意语言。例如,他们没有过分关注标签,也没有将精神分裂症作为一种诊断,而是使用了“精神分裂症交易中的家庭”这一术语。这种观点更现实地探索了问题的根源,同时也在寻找如何有效地产生变化的方法。在其开发的早期阶段,受核磁共振成像工作的严重影响,团队采用了务实和战略的方法,但重点逐渐转向语义和系统的故事。虽然“系统认同”是主要的指导原则,但该模式也受到社会建构主义的影响。本文是我与玛拉·塞尔维尼·帕拉佐利之子马泰奥·塞尔维尼谈话的精华。我们讨论了发展“米兰方法”的四位关键人物,塞尔维尼·帕拉佐利、博斯科洛、切钦和普拉塔。对话的重点是玛拉,以及她对该方法的影响,以及多年来该方法的演变,最终导致了玛拉·塞尔维尼·帕拉佐利艺术学院的成立。Matteo还分享了他自己在学校发展过程中的影响。他解释了米兰方法的改编版本,以及原始和新兴治疗概念的融合。他给治疗师的关键信息是团队合作和客户跟进的重要性。
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来源期刊
CiteScore
1.60
自引率
14.30%
发文量
40
期刊介绍: The ANZJFT is reputed to be the most-stolen professional journal in Australia! It is read by clinicians as well as by academics, and each issue includes substantial papers reflecting original perspectives on theory and practice. A lively magazine section keeps its finger on the pulse of family therapy in Australia and New Zealand via local correspondents, and four Foreign Correspondents report on developments in the US and Europe.
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