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Practical application[edit]

Systemic therapy approaches problems practically rather than analytically. It seeks to identify stagnant patterns of behavior within a living system - a group of people, such as a family. It then addresses those patterns directly, without analysing their cause. Systemic therapy does not attempt to determine past causes, such as subconscious impulses or childhood trauma, or to diagnose. Thus, it differs from psychoanalytic and psychodynamic forms of family therapy (for example, the work of Horst-Eberhard Richter).

Although systemic therapy does not attempt to determine past causes, it is important to recognize that Systemic Therapy is used in family therapy also known as "Systemic Family Therapy"[1]. These practices can often be seen and used in families or children that abuse drugs, have behavior problems, chronic illness, and many other uses (Cottrell & Boston, 2002)[2] These are some way Systemic Therapy has been utilized in our mental health institutions, and continues to be practiced on patients.

A key point of this postmodern perspective is not a denial of absolutes. Instead, the therapist recognizes that they do not hold the capacity to change people or systems. Their role is to introduce creative "nudges" which help systems to change themselves:

An interesting study by Eugene K. Epstein[3] supports the idea that a therapist does not hold the capacity to change people or systems. Epstein argues that although we can't change systems, we can influence them. Part of Postmodernism relies on our self-agency, our cultures, practices, etc. (Epstein, 2016) Therefore these views and cultural biases affect and influence the approach of therapy, in this instance systemic Therapy. Therapists and those practicing Systemic Therapy can analyze and see patterns of emotions. Many times people can feel constrained on what they feel or be confused about what they are feeling, when you can clarify and understand what emotions you are feeling it can lead to a positive change (Bertrando & Arcelloni, 2014). This means Systemic Therapy also helps exercise emotional interpretation

There are various forms of techniques that involve systemic therapy. One form of therapy used is structural family therapy. This consists of  Structural family therapists interfering to form the ideal family structures that are known. As for families who have complex family dynamics. A few techniques that are advised to put into practice is to confront the complex family boundaries. As well as, reestablishing the family structure by shifting the families composure and forming family relatives in pairs opposed to one another. These are a few procedures that are believed to restore position scales (Asen, E. 2002)[4].

An additional, overview that best helps to comprehend this approach is the outcome of this form of therapy is to gather family individuals closer to the model. Therefore the proper approach is to use guidance and recommendations. The therapists believe this is one of the most effective techniques. The therapist addresses this form of technique by implementing an oral form of communication. For instance, the therapist will begin by asking a series of questions. The questions involve demonstrating characteristics of authority. The individual who discusses new indications establishes to a situation or set of routines. Then the therapist will provide the individuals with a certain scenario that will help them better navigate an upcoming conflict that may arise. This will allow family individuals to engage in discussion and offer possible resolutions.  (Cottrell, D., & Boston, P. 2002)[5]

Also, there is additional information that provides insight into the positive outcome of systemic interference in families of children with distinct difficulties. This refers to family therapy or additional family-orientated techniques. For instance, family-orientated interceptions have demonstrated positive results regarding infants' sleeping issues.

There is a brief discussion of the positive impact that family-orientated approaches are a proper remedy for establishing wakening issues. These are the most common issues presented during the infancy stage. In these forms of techniques, parents are advised on how to minimize their infant's afternoon naps. And constructing effective nighttime practices. As well as, eliminating parent-infant interaction during the nighttime sleeping cycle. There was also a sleeping agenda that helped minimize the sudden awakening of infants.

The final result indicated that the systemic approach helped reduce the awakening in infants and had a positive resultion on their sleeping issues (Carr, A. 2014).[6]

Another technique that involves systemic therapy is conceptualization, which allows the therapist to gather the patient's symptoms in context and looks into how the patient experiences creating a pattern with other individuals or family (Gibbons, R. 2021). [7] These forms of systemic therapy help people of any age group resolve their issues. Issues including anger management, addictions to substances, relationship problems, mood disorders, and more. Human interactions are connected to their emotions and in terms can branch out to their social, or cultural interventions. Evidence supports how systemic interventions have a positive effect on infants and certain emotional problems they may have such as behavior issues (Carr, A. 2008). [8]

Systemic therapy neither attempts a 'treatment of causes' nor of symptoms; rather it gives living systems nudges that help them to develop new patterns together, taking on a new organizational structure that allows growth.[9]

While family systems therapy only addresses families, systemic therapy in a similar fashion to Systemic hypothesising addresses other systems. The systemic approach is increasingly used in business, education, politics, psychiatry, social work, and family medicine.[10]

  1. ^ Bertrando, Paolo (July 24, 2014). "Emotions in the Practice of Systemic Therapy".
  2. ^ Cottrell, David (May 28, 2002). "Practitioner Review: The effectiveness of systemic family therapy for children and adolescents".
  3. ^ K. Epstein, Eugene. "The Narrative Turn: Postmodern Theory and Systemic Therapy" (PDF). The Narrative Turn: Postmodern Theory and Systemic Therapy: 10.
  4. ^ Carr, Alan (2014). "The evidence base for family therapy and systemic interventions for child‐focused problems". Journal of Family Therapy. 36 (2): 107–157. doi:10.1111/1467-6427.12032. ISSN 0163-4445.
  5. ^ Cottrell, David; Boston, Paula (2002). "Practitioner Review: The effectiveness of systemic family therapy for children and adolescents". Journal of Child Psychology and Psychiatry. 43 (5): 573–586. doi:10.1111/1469-7610.00047. ISSN 0021-9630.
  6. ^ Carr, Alan (2014-04). "The evidence base for family therapy and systemic interventions for child‐focused problems". Journal of Family Therapy. 36 (2): 107–157. doi:10.1111/1467-6427.12032. ISSN 0163-4445. {{cite journal}}: Check date values in: |date= (help)
  7. ^ Gibbons, Rachel; O'Reilly, Jo (2021-06-10). Seminars in the Psychotherapies. Cambridge University Press. ISBN 978-1-108-58323-7.
  8. ^ Carr, Alan (2009-02). "The effectiveness of family therapy and systemic interventions for child‐focused problems". Journal of Family Therapy. 31 (1): 3–45. doi:10.1111/j.1467-6427.2008.00451.x. ISSN 0163-4445. {{cite journal}}: Check date values in: |date= (help)
  9. ^ Arist von Schlippe and Jochen Schweitzer, Lehrbuch der Systemischen Therapie und Beratung (Göttingen: Vandenhoeck & Ruprecht) 1998, p 93.
  10. ^ Arist von Schlippe and Jochen Schweitzer, Lehrbuch der Systemischen Therapie und Beratung (Göttingen: Vandenhoeck & Ruprecht) 1998, pp 245-261. For the field of family medicine see also Susan H. McDaniel, et al. Medical Family Therapy: A Biopychosocial Approach to Families with Health Problems (New York: Basic Books) 1992 pp 26-35