New Systemic Ideas from the Italian Mental Health Movement

By Laura Fruggeri; Anna Castellucci et al. | Go to book overview

CHAPTER THREE
The constructivist systemic approach and context analysis

Laura Fruggeri

F or some years now there has been debate and reflection on how to transfer psychotherapeutic methods originally developed in private practice into the realm of the public services. The issue concerns the differences between the two contexts, some of which are as follows. In private practice, the client chooses both the therapist and the treatment for which she/he pays; the therapist is one (individual or team), she/he can also choose whether to treat the client and has no institutional rules to respect besides those of the setting of her/his practice. In the public services the treatment is free of charge, the client and the therapist do not necessarily choose each other; therapists can even find themselves in the position of having to take responsibility for a compulsory treatment if necessary after a referral from the police, neighbours, family, etc. In the public sector the therapist works with

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This chapter is a synthesis of another publication: L. Fruggeri, I contesti della psicoterapia. In M. Malagoli U Telfner (Eds.) Togliatti, Dall'individuo al sistema. Boringhieri, Torino, in press.

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