萨提尔家庭治疗模式评析

萨提尔家庭治疗模式是建立在经验人本理论基础之上的。她认为人类本身具有成长改变的能量,症状行为是对误入歧途的适应性努力,而不是人的固有的个性特征。为此,她逐渐拓展了自我价值、家庭系统的内涵,形成了沟通姿态、转化历程等核心理念,并开发出一系列生动实用的干预技术。萨提尔家庭治疗模式具有独特的优越性。     

Satir's Therapeutically Oriented Educational Process: A Critical Appreciation

Virginia Satir, one of the most influential of the early family therapists, reached millions of people throughout the world through her writings, videotapes, workshops, and personal appearances. Yet the Satir model has never been fully accepted by the mainstream of the family therapy movement. This article introduces Satir and her work, and outlines the conceptual foundations of the model, organized in terms of presuppositions, basic constructs, therapeutic process, and methods, and offers some reasons for this lack of acceptance. The relation of theory to method and practice is the least developed aspect of the Satir model.     

Family therapy in Macau: development,challenges and opportunities

Family therapy in Macau is in its early stages of development. The Satir model and structural family therapy were the first two therapies introduced. Later on, solution‐focused brief therapy and narrative therapy were also introduced. Macau has been undergoing dramatic socioeconomic changes since the relaxation of the gambling licenses. In sociocultural terms this has led to significant changes: the so‐called ‘dealer's complex’, gambling, drug abuse and youth deviance have become more prevalent. To address complicated family problems, various counselling institutes and training centres were established to conduct family therapy. However, there are still some limitations and challenges that must be addressed in order to have a thriving family therapy profession in Macau.     

The Family Reconstruction Process and Its Evolution to Date: Virginia Satir's Transformational Process

This article presents the evolution of one of Satir's processes, namely family reconstruction, a psychodramatic reenactment of significant events in three generations of family life. Both the sameness and the differentness of the classical version as developed by Satir and the current shorter version are explored. The Satir model is a growth oriented approach based on the belief that people have the inner resources to resolve problem situations. Within this model, which focuses on what people can become, the therapist and the individual or family members join forces to move from a symptomatic base to wellness.     

Transformations in Therapeutic Practice

In her training of therapists, Virginia Satir sought to change the way her trainees perceived themselves, their clients, and the therapeutic endeavor. The change she sought was a movement from hierarchical models of therapy where clients were diagnosed in terms of paradigms of how they ought to be to an organic model where the therapist attempts to understand the client by entering the client's internal context. Contemporary training in the Satir model attempts to bring about the same change. Research indicates that the trainers are succeeding.     

SOCIAL CONSTRUCTION THEORY AND THE SATIR MODEL: TOWARD A SYNTHESIS

Abstract

This article synthesizes social construction theory and the Satir approach to family therapy in terms of therapy as a process of cocreation of reality, the use of language and narrative, and the therapist's role as a participant-facilitator. Social constructionism has a tremendous impact on the present ideological shift in family therapy. The Satir model is a powerful approach to family therapy and has had a wide influence on generations of therapists. Although existing literature has well documented the influence of social construction theory on the postmodern school of thinking in family therapy, there is no literature exploring the compatibility of the Satir model with social construction theory. This research presents a theory-building process of the Satir approach to family therapy.     

Youth Suicide Intervention Using the Satir Model

Youth suicide is a social issue that needs serious consideration among families, therapists and helping professionals. This article presents an actual case of a youth who completed suicide, and discussion of the hypothetical Satir model treatment of this youth while alive. The Satir model has numerous interventions that have current applications toward dealing with suicidal youth in a humanist and hopeful way, fostering youths' desire to live and to become more positively involved in their lives. In the past, Satir focused on coping stances in communication, and now the coping stances give a deeper understanding into the internal world.     

Family Reconstruction

Family reconstruction, as described by Virginia Satir, is important for its transformative possibilities. This therapeutic tool can integrate a person into the historical and psychological matrix of his or her family of origin. This article describes how a reconstruction can be accomplished in three hours by using certain steps and principles. A case study is provided illustrating these steps and principles, including the personal reflections of the participant group.     

The Satir Model with Female Adult Survivors of Childhood Sexual Abuse

Child sexual abuse is a recognized problem in the United States and Canada. There are several approaches to therapy with adult survivors of childhood sexual abuse. This article discusses Virginia Satir's model of therapy as it applies to sexual abuse. The emphasis of the Satir model is on transforming the impact of the abuse, no matter how the client chooses to process her relationship with the abuse, and is illustrated through a case study.     

The Satir Model and Cultural Sensitivity: A Hong Kong Reflection

This paper addresses cultural sensitivity in applying the Satir model in the Hong Kong Chinese cultural setting, focusing on congruent communication. The authors contend that Satir was sensitive to the demands of culture. Her focus on individuality, equality, and freedom responds aptly to the egalitarian individualist ethos of the United States. In Hong Kong the family is generally dominated by hierarchical collectivist values. Applying the Satir model as it is being practiced in the United States totally ignores prevailing cultural conditions. Following the spirit of Satir, the authors propose the adoption of an emic approach, drawing inspiration and resource from traditional Chinese culture and maintaining continuity with hierarchical collectivism while protecting individual quests for equality, freedom, and independence.     

Satir Model of Family Therapy and Spiritual Direction

To consider a connection between the therapy model named under Virginia Satir and the practice of spiritual direction may arouse suspicion. This paper, however, attempts to show that the link between the two is natural, sensible, and inspiring, particularly for the part of spiritual direction. The first section of the paper first addresses the fact that spiritual direction, with its unique focus, is not to be confused with psychotherapy, then, discusses the recognized need to seek a psychologically sound model of spiritual direction. The second section describes some of the useful concepts in the Satir model and then relates them to the various aspects of spiritual direction. It is believed that the Satir model of therapy can enrich the practice of spiritual direction in a number of ways. Ekman P. C. Tam is the Spiritual Director of Tao Fong Shan Christian Centre, Hong Kong.     

The Present State and Future of Symbolic-Experiential Family Therapy: A Post-Modern Analysis

Symbolic-experiential family therapy (SEFT) is facing an important phase in its development. With the death of Carl Whitaker, it is not certain in which direction SEFT will be headed. This paper describes some of the challenges that SEFT presently faces and what can be done to surmount them. It is proposed that SEFT theorists and therapists concentrate on the post-modern components of the theory. By moving in a post-modern, constructionist direction, SEFT will be developing with a current trend in family therapy, allowing SEFT to continue as an important family therapy model.     

The application of the satir model of family therapy to the families in Hong Kong: A personal reflection

Practitioners in Hong Kong have shown an increasing interest in various family therapy approaches since the 1980s. This paper offers a critique of the major concepts and techniques of the Satir model applied to families in Hong Kong. Cultural considerations are examined in relation to the family structure and hierarchy, the Chinese self and self-esteem, communication patterns, and family rules. Implications for the application of the Satir model of family therapy in Hong Kong are discussed.     

Virginia Satir: An Integrated, Humanistic Approach

This article traces professional and personal influences that helped Virginia Satir to shape her worldview. She was an integrative humanist who included body, mind, emotional, and spiritual processes to transform systems ranging from the molecular to the cosmic. Her theories and techniques offered a wellspring of hope and possibility to individuals as well as large assemblies. The presentation of a case with young, abused children demonstrates her use of self (through physical touch) by sensitively reframing the cycle of violence as an opportunity for safe, cooperative contact.     

Bilateral Art: Integrating Art Therapy,Family Therapy,and Neuroscience

This paper describes the systemic use of a neurologically-based art therapy modality—bilateral art—that engages both dominant and non-dominant hands in the process of creating images in response to opposing cognitions or feelings. It describes both neuroscience and family therapy perspectives that argue for the use of bilateral art. A specific protocol for bilateral art therapy is provided along with a case study demonstrating integration of the protocol into the systemic treatment of a young family. Carole M. McNamee, PhD, is Research Professor and Clinical Associate, Director of the Arts in Healthcare Project, The Family Therapy Center, Department of Human Development, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061 (cmcnamee@vt.edu).     

Differences in Dropout Rates Among Individual, Couple, and Family Therapy Clients

The premature dropout of clients from therapy is an inefficient expenditure of mental health resources. This study examined differences in dropout rates among individual, couple, and family therapy clients. Data came from archived records at a marriage and family therapy clinic at a university in the United States. Results indicated that there were no significant differences in dropout rates, despite the use of multiple measures of dropout. Thus, from a mental health services perspective, administrators and clinicians can expect that dropout rates will remain fairly consistent across treatment modalities.     

Family therapy ‘lite’? How family counsellors conceptualise their primary care family work

A number of current developments in the field potentially provide opportunities for preventative relationship and family interventions to be integrated into primary care. In this context, it is important to understand what family counselling is and how it might differ from family therapy. Thus, this paper investigates how the service of one low-intensity family counselling provider, Relate, is conceptualised and practised by counsellors on the ground. Questions about practice were posed to five focus groups of family counsellors and these were analysed using thematic analysis. The findings suggest that Relate family counselling is seen as ‘family therapy lite’, with a flexible, eclectic and integrative use of concepts and techniques within a systemic framework. Implications of this conceptualisation of family counselling for training, practice and research are discussed.     

焦虑障碍的系统式家庭治疗

焦虑障碍是最常见的心理障碍之一.其具有症状重、病程慢、复发率高、社会功能明显缺损等特点,给个人、家庭和社会造成了巨大的负担.家庭环境因素在焦虑障碍的发病、转归和预后方面都起到重要作用.本文介绍了国内外关于焦虑障碍患者家庭特点和家庭互动模式的研究结果.系统式家庭治疗作为一种家庭治疗模式,具有其独特的治疗理念和方法,国内外研究结果表明系统式家庭治疗用于焦虑障碍具有良好疗效.今后,还应该运用更加多元化的研究方法探讨中国焦虑症家庭动力学特点和家庭功能,并采用更加严格的随机对照设计,进一步证实系统式家庭治疗对焦虑障碍的治疗效果.     

Using the Michigan State University Family Therapy Questionnaire for Training

The development of the Michigan State University Family Therapy Questionnaire (MSU/FTQ) is described and a case example given of its use as a training tool. The MSU/FTQ is a relatively exhaustive list of 74 generic, structural, strategic, brief, and trans-generational family therapy interventions culled from the literature and translated into layperson's language. The marital and family therapy client uses it to provide feedback about the effectiveness of therapy by assessing those things theorists consider important about behavior maintenance and systemic change, indicating whether or not specific interventions occurred and their importance.