Theory and Practice of Couples and Family Counseling. James Robert Bitter

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into therapeutic practice. It is from Erickson that Haley learned the value of indirect interventions to bypass resistance. Again, it was Haley’s gift for writing that made him the perfect person to bring Erickson’s ideas to counseling in general and to family interventions in particular. Haley and Weakland would observe, interview, and record many other important therapists, including Don Jackson, Joseph Wolpe, and Frieda Fromm-Reichmann.

      In 1959, Don Jackson formed MRI, and Jay was named director of research. In 1962, Ackerman and Jackson launched the very first journal of family therapy, Family Process, and Jay would be the editor-in-chief for a decade. His first wife, Elizabeth, aided Jay in editing the journal. Haley (1963) published Strategies of Psychotherapy in the early 1960s. He also met and collaborated with Lynn Hoffman while at MRI, and together they would publish Techniques of Family Therapy (Haley & Hoffman, 1967), a set of conversations with family counselors and therapists about their initial sessions with families.

      In 1967, Haley left MRI to join Salvador Minuchin at the Philadelphia Child Guidance Clinic. It was Jay who insisted on live supervision at the clinic and who developed a training model complete with a map for individual sessions.

      Jay and Cloe Madanes, his second wife, were both at the Philadelphia Child Guidance Clinic until 1976, when they left to form the Family Therapy Institute of Washington, DC. What is perhaps Haley’s best work came from this period (see Haley, 1976, 1980, 1984) with his emphasis on problem-solving and family developmental processes. This is also when Cloe Madanes came into her own as a scholar-practitioner (see Madanes, 1981, 1984, 1990), bringing a humanistic-spiritual aspect to strategic interventions. The endpoint in strategic family therapy is always behavior change, the solving of family problems. Both Haley and Madanes embraced the belief that the problem was the problem—and when the problem was solved, counseling was over.

      The Milan Model

      Another strategic family center was located in Milan, Italy. The initial counseling team included Mara Selvini Palazzoli, Luigi Boscolo, Gianfranco Cecchin, and Guiliana Prata (1978). This team was influenced by the writings of Gregory Bateson and the training methods of Jay Haley. Using a team approach similar to the Haley-Madanes model, one of the therapists would conduct an extended interview with a troubled family. The interviewer would rely primarily on circular or relational questions: for example, “When you initiated a fight with your mother, who in the family was most upset by it?” or “Who is closer to your father, your daughter or your son?” Observing team members would watch family processes for games, rituals, and family transactions that seemed to present themselves in counseling paradoxically; that is, the family came to change, but everything they did seemed to be aimed at keeping family processes just as they were. The job of the observing team members was to prescribe a counterparadoxical intervention aimed at changing family process by telling family members to stay just the same. In addition to counterparadoxes, the Milan group would use hypothesizing and reframing through positive connotations to move the family along in the change process.

      The original team separated in 1980. Boscolo and Cecchin would stick with their original model and spend the next quarter century refining the process. Selvini Palazzoli and Prata formed a separate group and for a couple of years experimented with what they would call the invariant prescription. The invariant prescription was given to all families that were seen: “We would like the two of you as a couple to go out for the evening, not tell your children where you are going or when you will be back, and leave them to handle life themselves while you have a good time.” This directive to the family had the clear goal of strengthening the bond between the parents and breaking up the parent-child coalitions that were responsible for maintaining the family’s games. By 1982, however, Selvini Palazzoli lost interest in the invariant prescription, and she and Prata also split up. Selvini Palazzoli would spend the last decade of her career working with clients in long-term, insight-oriented counseling.

      Solution-Focused/Solution-Oriented Models

      The bridge between the era of structural-strategic family processes and postmodern approaches to family counseling starts with the work of Steve de Shazer and his partner Insoo Kim Berg. John Weakland had introduced Steve to Insoo when Steve was studying at MRI. In 1978, Steve and Insoo moved to Milwaukee, Wisconsin, with the intent of reinventing MRI in the Midwest. Initially they joined with colleagues at a community mental health agency in Milwaukee in an effort to achieve this goal, but when the constraints of that agency got in the way, they left to start their own Brief Family Therapy Center. They took a number of colleagues with them, including Jim Derks and Eve Lipchik, and the center opened in 1979. The center had a training program that attracted students who would become second-generation leaders of solution-focused therapy: Michele Weiner-Davis, Yvonne Dolan, Scott Miller, John Walter, and Jane Peller.

      The techniques developed in this model of assessment are some of the most innovative in the field. They include the Miracle Question, scaling questions, exceptions, coping questions, and compliments. These interventions make possible the construction of solutions from the life experiences of the person or the family (de Shazer & Berg, 1993). Insoo Kim Berg would team up with Scott Miller to apply solution-focused therapy to the treatment of alcoholism—and by extension to other forms of substance abuse (Berg & Miller, 1992). Her work also focused on couples counseling and family counseling with the poor. Eve Lipchik (2002) too was involved in the development of the model from the beginning, and her focus on emotions and the therapeutic relationship is one of the more significant contributions to the model.

      From their base in Chicago, John Walter and Jane Peller (1992, 2000) focused on exception questions and wrote two of the more compelling process books for solution-focused therapy. Similarly, Yvonne Dolan, a leader of the Solution-Focused Brief Therapy Association, worked closely with Steve de Shazer over the years; applied the model to those who had experienced trauma or abuse; and coauthored Steve’s last book, which was published posthumously (de Shazer & Dolan,

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