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Sculpting Present and Future: A Systemic Intervention Model Applied to Psychosomatic Families
Authors:LUIGI ONNIS  MD  ANGELO DI GENNARO  PhD  GIULIA CESPA  PhD  BARBARA AGOSTINI  PhD  ANA CHOUHY  MD  ROSA CELESTE DENTALE  PhD  PAOLO QUINZI  MD
Institution:Professor, Department of Psychiatry, "La Sapienza" University of Rome;Training Director, "Istituto Europeo di Formazione e Consulenza Sistemica (IEFCOS), Piazza Buenos Aires 5, 00161 Rome, Italy. Send reprint requests to Dr. Onnis at Viale Ionio 389, 00141 Rome, Italy.;The co-authors are psychologists or medical doctors working in the Family Therapy Service of the Department of Psychiatry, "La Sapienza" University of Rome.
Abstract:We present a therapeutic intervention model for use with psychosomatic families. This method, the result of our extensive research on various psychosomatic disorders, uses family sculptures of the "present" and "future": each family member is requested to represent the family as it now "is," and how it "will be" in the future. We discuss the theoretical reasons for our choice of this method: (a) the opportunity to use a therapeutic language that is similar to the nonverbal language of the psychosomatic symptom, and (b) the usefulness of reinserting temporal dimensions into family systems that seem to have lost their evolutionary potential and to be in a sort of "time lock." Two clinical cases are discussed (a child with chronic asthma and an anorexic adolescent); the use of sculptures in both cases revealed the underlying problems and made positive therapeutic interventions possible. Finally, we point out how the use of sculpture as a therapeutic technique enables therapists to deal with multiple systemic levels.
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