Culturally Competent Family Therapy: A General Model

By Shlomo Ariel | Go to book overview

12
Planning the Therapy: Strategies, Tactics and Techniques

WHAT IS A STRATEGY?

Strategies for the whole therapy can be constructed on the basis of the overall diagnostic assessment. It is not implied that the therapist necessarily shares his diagnostic theory with the family. The therapist's decisions as to what to say to the family or what to do with it will be influenced by his therapeutic goals, by the nature of the therapeutic alliance and by characteristics of the family's culture. Such decisions will be included in the strategy and tactics.

The concept "strategy," as it is used in this text, refers to the general approach to solving therapeutic problems. In other words, it is a general plan for removing or weakening the culture-bound bugs in the family system's information-processing programs that breed the presenting problems, so that these problems are likely to be solved or disappear, spontaneously. Bugs will be eliminated if the conditions that brought them into being and are nourishing and protecting them are changed.

A good strategy specifies the shortest, simplest and least costly way of removing or weakening bugs. When the therapist designs a strategy he or she should ask the following questions: (1) What are the alternative approaches for changing the bug inducers? and (2) How costly is each alternative in terms of obstacles, resources required and possible complications? Then she will choose the best alternative, that is, the one that is the least costly. A preferable strategy is one whereby the intervention will not be met with unbending, insurmountable resistance and will not require excessive efforts, complicated operations, time and financial resources. Furthermore, with such a strategy, changes effected by the intervention sow the seeds for

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Culturally Competent Family Therapy: A General Model
Table of contents

Table of contents

  • Title Page iii
  • Contents v
  • Foreword vii
  • Acknowledgments ix
  • Introduction xi
  • Part I - Culture and Family Therapy: an Overview 1
  • 1 - The Necessity to Incorporate Culture into the Theory and Practice of Family Therapy 3
  • Summary 17
  • 2 - The General Model of Culturally Competent Family Therapy: a Brief Outline 19
  • Summary 30
  • Part II - Family-Cultural Concepts Relevant to Diagnosis and Treatment 33
  • 3 - The Family's Conceptualization of Its Environment 35
  • Summary 43
  • 4 - The Family's Cultural Identity 45
  • Summary 65
  • 5 - The Family's Functioning and Lifestyle 67
  • Summary 74
  • 6 - The Family's Coping with Problems and Difficulties 77
  • Summary 82
  • Part III - The Information-Processing Framework 83
  • 7 - The Family as an Information-Processing System 85
  • Summary 100
  • 8 - Culturally Determined Family Dysfunction 103
  • Summary 116
  • Part IV - Culturally Competent Family Diagnosis 119
  • 9 - Data-Collection Instruments and Procedures 121
  • Summary 130
  • 10 - Analysis of Diagnostic Data 131
  • Summary 150
  • Part V - Therapy 153
  • 11 - The Therapeutic Alliance in Culturally Competent Family Therapy 155
  • Summary 163
  • 12 - Planning the Therapy: Strategies, Tactics and Techniques 165
  • Summary 193
  • 13 - The Therapeutic Process 195
  • Summary 212
  • Epilogue 213
  • Appendix - A Classified List of References 215
  • References 229
  • Index 249
  • About the Author 255
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