NCJ Number
142201
Journal
Journal of Strategic and Systemic Therapies Volume: 8 Issue: 4 Dated: (Winter 1989) Pages: 44-51
Date Published
1989
Length
8 pages
Annotation
This paper profiles the systemic/strategic concepts and practices the authors have found useful in addressing denial in incestuous families.
Abstract
The authors' view of denial as protection is presented as a conceptual overlay that supports the use of interventions congruent with such a view. Denial is an effort to preserve family stability and avoid conflict at a time of crisis. Four types of denial presented in therapy are highlighted to indicate what behaviors constitute denial and what can be done to change this position; the four types of denial are denial of the facts, denial of awareness, denial of impact, and denial of responsibility. Systemic/strategic interventions such as the negative consequences of change (Haley, 1984; Fisch et al., 1982) positive connotation (Selvini-Palazzoli et al., 1978), and pretend/ordeal strategies (Selvini-Palazzoli et al., 1978; Madanes, 1981) are presented so as to help the clinician "work with" the denial rather than against it. Interventions that highlight other strategic concepts such as the use of metaphor (Haley, 1973, 1987) and client position (Fisch et al,. 1982) are also explored. These techniques help therapists approach denial respectfully, without the unnecessary victimization of family members that may occur with the use of confrontational traditional means. A section on general treatment guidelines is also included. This is geared toward maintaining some ongoing guidelines, such as therapist proximity, timing of interventions, and unit of attention. 15 references