Different levels of psychotherapeutic competence

Fruggeri, Laura

doi:10.1111/j.1467-6427.2011.00564.x

Cited by 22 publications

(11 citation statements)

References 8 publications

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“…In the systemic psychotherapy field, particularly in work on the therapeutic relationship, and the therapeutic alliance, there has been continued debate about how therapists can most ethically and effectively position themselves in relation to power issues arising. The emphasis has been on therapists being reflexive about their positioning and prejudices to achieve this (Burnham, ; Donovan, ; Fruggeri, ; Krause, ; Malik and Mandin, ). Zimmerman (, p. 221) argues that therapists ‘ought to acknowledge power rather than to ignore it or to conceal their power simply by calling their therapy collaborative’.…”

Section: Discussionmentioning

confidence: 99%

Jointly created authority: a conversation analysis of how power is managed by parents and systemic psychotherapists in children’s social care

Watson¹

2018

Journal of Family Therapy

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Social care settings provide a complex landscape for systemic psychotherapists, particularly in relation to issues of power that are particularly pervasive. Conversation Analysis (CA) was used as a research method to understand the detail of how systemic psychotherapists and parents work together in the safeguarding context. The study aimed to examine the power issues arising, and how they were being managed. CA literature, seen as a reminder of the centrality of ‘talk as action’, is used as a lens through which to present the findings, and the concept of authority as joint action is introduced. The findings of the study showed how systemic approaches, put to use through systemic techniques, can uniquely contribute to safeguarding work in contexts where issues of power prevail, with a particular emphasis on the importance of the concept of self‐reflexivity. Practitioner points Notice and work with the complex circular ways that power issues arise in relationships in social care settings Use the concept of Jointly Created Authority to provide a relational frame for managing issues of power Revisit the concept of self‐reflexivity which is of primary importance to effective working in this context Develop understanding of how, using reflexive practice, adjusting responses in the moment can invite agency in clients

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Section: Discussionmentioning

confidence: 99%

Jointly created authority: a conversation analysis of how power is managed by parents and systemic psychotherapists in children’s social care

Watson¹

2018

Journal of Family Therapy

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“…By accepting that what is in play is an interaction of people and the multiplicity of relevant contexts in which they are actors, and that all of their competencies are relevant for consideration we join Derrida (2005) and Foucault (2009) in more post-structuralist positions. They suggest that the self is constituted and reconstituted in relationship, language, and communication (Fruggeri, 2012;Kinsella, 2005). This gradually brings us towards a more social constructionist approach that redefines ethical decision making as an interactive and dialogic rather than an intra-psychic process.…”

Section: Meta-perspectivesmentioning

confidence: 98%

Ethical Decision Making: Social Metaphors Towards Ethical Action

Vivian-Byrne¹,

Hunt²

2014

Journal of Systemic Therapies

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The idea that ethical practice lays within the individual has tended to hold predominance in the fields of social, education, and health care (Hugman, 2005;Kinsella, 2005;Shaw, 2011). A more contextual-based understanding of ethical decision making is presented. Central to understanding how practitioners might begin to approach their practice ethically is the idea that decision making is a social meaning-making activity, and takes place within context. We propose that in constructing ethics with others through a heightened recognition of contextual complexity, we have the potential to develop ethically aware practice that begins to address the inevitable uncertainties in complex situations. Four interrelated metaphors, Map, Moment, Meta, and Mind, which emerge from systemic principles and can be represented as poles of two spectra, are presented. These are considered as part of a practice model and a useful way of relating to the process of ethical decision-making.We propose that ethics, although difficult to put into words is always within and around us and as such, we are in one sense, always at sea. No action is free of ethical relevance and is integral to being-we co-create ethics because we are less than who we are, if we are without it (Larner, 2008;Lévinas, 1985). It was Levinas whose more phenomenological philosophy saw that our responsibility to the Other is primordial and it is upon this that our subjectivity rests and not the other way around. What is most Us comes from our relationships with others places ethics at the heart of the matter. We believe, therefore, to develop ethically aware practice, recognition of the contextual complexity and immanence of a more systemic and relational mind is demanded (Bateson, 1972(Bateson, /2000. Swimming in this ethical sea seems to us unavoidable, as ethics is the intricate matrix of comprehension and communication we humans co-construct. "We can no more avoid facing moral

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“…So much of what we have come to mean by family therapy or family intervention appears to be erased in the article's technique-oriented account of MBT-F. What about the therapeutic relationship for example, that is so integral to contemporary systemic thinking but also central to the psychoanalytic mentalization-based perspective in terms of thinking about the transference relationship? Something odd would appear to be happening and I am reminded of Laura Fruggeri's (2012) observation that manuals can both help and limit therapeutic action. They are, on her account, very appropriate when describing technical competence and strategizing but inappropriate for capturing that second-order dimension that she conceptualizes in terms of the therapist's 'relational competence':…”

Section: Mentalization and The Empiricist Traditionmentioning

confidence: 99%

Systemic psychotherapy for ‘harder to reach’ families; mentalization‐based therapeutic interventions for families and the politics of empiricism

Donovan¹

2014

Journal of Family Therapy

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In this article I explore the relationship between systemic psychotherapy and the model of mentalization‐based therapeutic interventions for families (MBT‐F) presented by Eia Asen and Peter Fonagy. I consider two important contextual elements in MBT‐F; firstly, the influence of the empiricist tradition in which it is anchored and secondly, the political context of this work. Both elements need disentangling from theoretical and clinical concerns to facilitate greater clarity in debates about mentalization and in wider therapeutic discourse. In essence, I conclude that dialogue between systemic and mentalization perspectives can extend well beyond the empiricist framing of MBT‐F in directions that are more broadly consistent with systemic concerns and interests, not least of which is the ongoing challenge to engage ‘harder to reach’ families in innovative systemic psychotherapy. Practitioner points A focus on mentalization draws us towards the common ground between the different therapies and their shared challenges. Thinking about mentalization has the potential to enhance the systemic practitioner's engagement with ‘harder to reach families’. Thinking systemically has much to offer the mentalization debate. Creative dialogue between systemic and mentalization perspectives can take many pathways beyond the empiricist framing of the MBT‐F model.

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Different levels of psychotherapeutic competence

Cited by 22 publications

References 8 publications

Jointly created authority: a conversation analysis of how power is managed by parents and systemic psychotherapists in children’s social care

Jointly created authority: a conversation analysis of how power is managed by parents and systemic psychotherapists in children’s social care

Ethical Decision Making: Social Metaphors Towards Ethical Action

Systemic psychotherapy for ‘harder to reach’ families; mentalization‐based therapeutic interventions for families and the politics of empiricism

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