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The Strategic Dialogue is a strategy by which one can achieve
maximum results with minimum effort. It was developed through a
natural evolutionary process from previous treatments for
particular pathologies, and is composed of therapeutic stratagems
and specific sequences of ad hoc maneuvers constructed for
different types of problems. This book represents both the starting
and finishing line of all of the research, clinical practice, and
managerial consulting performed by professors Giorgio Nardone and
Paul Watzlawick over a fifteen year period at the Centro di Terapia
Strategica of Arezzo (Strategic Therapy Center). It is the result
of the combined efforts and contributions of not only the authors
of this book, but also of other colleagues, collaborators, scholars
and patients from all over the world, many of whom were often
unaware of the help they provided. This work can be referred to as
the finishing line because the Strategic Dialogue, an advanced
therapeutic method of conducting a therapy session and inducing
radical changes rapidly in the patient, represents the culmination
of all that has been achieved so far in the field.While reading
through the full transcriptions of the cases presented, the reader
will immerse oneself fully in Giorgio Nardone's style of work, to
be fascinated by the articulate dialogue, carried out through the
use of precise strategic plans that are adaptable both to the
structure of the problem and also to the peculiar reality of the
patient. Moreover the reader will be astonished to discover how,
through the use of subtle communicative maneuvers and creative
stratagems, patients are lead to rapid and effective therapeutic
change.
This important new book details a strategic and systemic model for
short-term therapy with adolescent sufferers of anorexia nervosa, a
psychopathology that seduces patients into starvation as doctors
and family look on with increasing desperation. Supported by the
successful treatment of hundreds of cases over the past 30 years,
the book is the culmination of a long-term intervention programme
developed at the Strategic Therapy Centre of Arezzo, Italy. It
begins by outlining the range of different eating disorders, before
identifying the specific characteristics that adolescents with
anorexia present. The variations of the pathology are then
discussed. Not all patients present with the same symptoms; some
sufferers over-exercise while others binge eat or self-harm.
Substance abuse is also common, either with diuretics or chemicals;
others self-induce vomiting. The therapeutic strategy will, of
course, differ for each patient. Accessibly written throughout, the
book concludes with two cases studies - complete with full
transcripts - which illustrate the therapeutic process that allowed
the patient to change their patterns of thinking, and the
accompanying behaviours. An insightful and invaluable work on this
vital topic, the book will be essential reading for any
professional working with adolescents presenting with anorexia, as
well as the families of sufferers.
This text presents a picture of contemporary family patterns that
might produce problems of social and psychopathologic deviance in
adolescents. It is the outcome of the teamwork of 32 researchers
and therapists, members of the Centre of Strategic Therapy in
Arezzo. This work was put together over a period of five years,
where the research-intervention group met on a monthly basis under
the author's personal supervision, to put together the data
gathered from thousands of cases of disturbed adolescents with the
aim of better the application of specific strategic interventions
in parent-child problematics. The purpose of this book is to point
out clearly how some problems of contemporary adolescents can be
triggered off and how they can be prevented or solved. It is meant
to be a training text for specialists but it is also
reader-friendly and can be appreciated both by parents and children
so that both can come to avoid the traps hidden in relationships
and their dysfunctional aspects. In other words, the aim is to
'correct' "the best intentions that produce the worst effects".
This book puts forward a complete picture of Brief Strategic
Therapy while defining the theoretical and practical features that
distinguish this method from other psychotherapies. The authors
present a comprehensive explanation of non-ordinary Mathematical
Logic, which underlies brief strategic therapy techniques, to
reveal how apparently simple techniques come to solve complex,
seemly untreatable problems. This book provides the reader with a
detailed description of the techniques applied throughout the
treatment, and also explains the strategies, tactics, and
techniques employed in reframing people's perceptions, behavior and
opinions. This rigorous work is one of Nardone's most important and
creative contributions to the evolution of Brief Therapy. It
presents the advanced techniques set up for specific pathologies
through long-term experimental-empirical research carried out at
the Centro di Terapia Strategica of Arezzo, Italy. Case studies are
introduced for a better understanding of this approach, followed by
a thorough evaluation of the results obtained through on-going
experimental-empirical research.
This groundbreaking volume concentrates on solution-oriented
treatment of some of the most difficult pathologies - anorexia,
bulimia and vomiting (as a separate category introduced by Nardone
et al). The logic and apparent simplicity of the way these complex
conditions are treated is truly outstanding. As opposed to a
long-drawn psychotherapy, Nardone and his colleagues offer a
relatively short period of treatment, consisting of dialogue
between the patient and the therapist, and sometimes the patient's
family. The patient is also given some "homework" to do in-between
the sessions. Rather than looking at the "why" of the situation,
this approach looks at "how" the problem manifests itself and what
can be done about it.The book starts by outlining the pathologies
and the logic behind this type of brief therapy. It then moves on
to examine particular case studies and the reader gets immersed in
the fascinating dialogue between the therapist and the client. The
approach recognises the different needs of each individual but
offers some more general and useful practical advice to think
about, and to be adapted to each case. There are clarifying
comments and subheadings in-between the lines to point out to the
reader what the therapist is trying to achieve at that point."In
order to solve a problem, we need to understand how the system of
perception and reaction towards reality functions in the person s
here and now. In other words, we must try to understand how the
problem functions, not why it exists. In that sense, we leave
behind the search for knowledge based on 'why' for a search of
knowledge based on 'how' - going from a search for the causes of a
problem to a search for its modes of persistence. This allows the
resolving process to evolve from slow, gradual solutions to rapid
and effective interventions." -- From the Introduction"
The International Dictionary of Psychotherapy is a systematized
compendium of the numerous psychotherapies that have evolved over
the past 30 years. With contributions from over 350 experts in the
field, it highlights the diverse schools of psychotherapy, tracing
their histories and traditions, while underlining their specific
strengths in dealing with human behaviours, feelings and
perceptions in the contemporary world. The book traces eight
principal paradigms: psychodynamic, behavioural,
existential-humanistic, body-expression, systemic-relational,
cognitive, interactional-strategic and eclectic. It presents to the
expert and non-expert reader an array of models that grew from a
specific paradigm, sharing the same fundamental epistemology and
therapeutic strategies. This is accomplished through a
reader-friendly approach that presents clear definitions of the key
constructs of each paradigm, and transversal concepts that are
common to the diverse practices of psychotherapy. The International
Dictionary of Psychotherapy provides a clear picture of the
numerous types of psychotherapeutic treatments and their
applications, while offering a close examination of the efficacy
and evaluative methods developed as a result of numerous debates
and research carried out within the psychotherapeutic community. It
represents an essential resource for psychotherapeutic and
psychoanalytic practitioners and students, regardless of background
or creed.
This important new book details a strategic and systemic model for
short-term therapy with adolescent sufferers of anorexia nervosa, a
psychopathology that seduces patients into starvation as doctors
and family look on with increasing desperation. Supported by the
successful treatment of hundreds of cases over the past 30 years,
the book is the culmination of a long-term intervention programme
developed at the Strategic Therapy Centre of Arezzo, Italy. It
begins by outlining the range of different eating disorders, before
identifying the specific characteristics that adolescents with
anorexia present. The variations of the pathology are then
discussed. Not all patients present with the same symptoms; some
sufferers over-exercise while others binge eat or self-harm.
Substance abuse is also common, either with diuretics or chemicals;
others self-induce vomiting. The therapeutic strategy will, of
course, differ for each patient. Accessibly written throughout, the
book concludes with two cases studies - complete with full
transcripts - which illustrate the therapeutic process that allowed
the patient to change their patterns of thinking, and the
accompanying behaviours. An insightful and invaluable work on this
vital topic, the book will be essential reading for any
professional working with adolescents presenting with anorexia, as
well as the families of sufferers.
The International Dictionary of Psychotherapy is a systematized
compendium of the numerous psychotherapies that have evolved over
the past 30 years. With contributions from over 350 experts in the
field, it highlights the diverse schools of psychotherapy, tracing
their histories and traditions, while underlining their specific
strengths in dealing with human behaviours, feelings and
perceptions in the contemporary world. The book traces eight
principal paradigms: psychodynamic, behavioural,
existential-humanistic, body-expression, systemic-relational,
cognitive, interactional-strategic and eclectic. It presents to the
expert and non-expert reader an array of models that grew from a
specific paradigm, sharing the same fundamental epistemology and
therapeutic strategies. This is accomplished through a
reader-friendly approach that presents clear definitions of the key
constructs of each paradigm, and transversal concepts that are
common to the diverse practices of psychotherapy. The International
Dictionary of Psychotherapy provides a clear picture of the
numerous types of psychotherapeutic treatments and their
applications, while offering a close examination of the efficacy
and evaluative methods developed as a result of numerous debates
and research carried out within the psychotherapeutic community. It
represents an essential resource for psychotherapeutic and
psychoanalytic practitioners and students, regardless of background
or creed.
This book is about psychological disorders based on irrational
fears - those apparently unmotivated, paralyzing, panic-filled,
gutwrenching fears whose multiplicity and diversity are barely
contained in the diagnoses phobias and obsessional disorders. The
author, worldrenowned therapist Giorgio Nardone, offers a brief
(usually less than 20 session) treatment method that leads to a
change in the interpersonal, cognitive, and emotional organizations
underlying these painful and all too-common problems. Therapists
using a strategic framework focus on reframing patients'
representations of self and other, and on changing the relational
patterns that sustain fearful perceptions. Based on extensive
research and illustrated with in-depth clinical examples, this book
offers hope to those whose lives have been unnecessarily limited by
their phobias and obsessions. Strategic brief therapy, as developed
by John H. Weakland, Paul Watzlawick, and Richard Fisch, is based
on a very simple idea problems are accidentally maintained by our
repeated, failed attempts at solving them. In this book, Giorgio
Nardone uses the strategic brief therapy lens to focus on how
particular troubles are accidentally maintained and how therapist
and client can overcome them. The follow- up (79 percent resolved
and 7 percent much improved) certainly points to the efficacy of
Nardone's approach. Giorgio Nardone's strategic psychotherapy model
shows specific originality and an innovative quality compared to
other brief therapy models. Phobic and obsessive disorders are
difficult to treat. Nardone's model achieves rapid symptom
remission even in severe forms of panic, fear, and phobia. This
book is a very practical manual for professionals because it guides
the reader clearly through the different stages of therapy and
presents treatment protocol as well as concrete examples of
results. A study of two clinical cases, complete with a transcript
of therapy, not only enhances comprehension of the model but
underscores the brilliance of the
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La Mente Herida
Giorgio Nardone; As told to Roberta Milanese
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This book is the result of fifteen years of clinical-research work
carried out at the Brief Strategic Centre of Arezzo, Italy, for the
development of a continuously improving, efficient and effective
treatment of various human problems. The authors put forward a
simple yet comprehensive description of the epistemology and
genealogy of Brief Strategic Therapy, while emphasizing the most
evolved therapeutic interventions for each of the various disorders
studied, acquired from the experimental-empirical research carried
out in everyday clinical practice. All the phases of the advanced
model of Brief Strategic Therapy are covered, revealing the
corresponding objectives, strategies and language used in the
treatment of various psychological problems. Importance is given to
the first treatment session and the use of the Strategic Dialogue.
For a better understanding of the model and its application, the
book contains specific case examples of the treatment of phobic
disorders, obsessive-compulsive disorders, eating disorders,
depression, child problems, presumed psychosis and others. In this
section, the authors put forward the underlying logic of each
specific disorder and its variants, the attempted solutions that
maintain and worsen the problem and a step-by-step description of
effective therapy. The final part of the book discusses a very
controversial issue: the bridging of research and practice. The
authors put forward a critical report of the different research
approaches used in the study of psychotherapy, followed by a
detailed account of the action intervention-research used at the
various centres and institutes around the globe that apply the
Advanced Brief Strategic Model, together with a description of the
future prospects for Brief Strategic Therapy.
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