How problems evolve and dissolve: integrating narrative and strategic concepts

Fam Process. 1993 Sep;32(3):291-309. doi: 10.1111/j.1545-5300.1993.00291.x.

Abstract

This article presents an approach to therapy that links narrative and strategic concepts. The term "strategic" is used not in the prescriptive, impositional sense that has come to be associated with the method, but in terms of having a clear therapeutic direction in promoting change. The authors outline an approach to therapy that expands upon the fundamental principles of the MRI (Mental Research Institute) Brief Therapy model, elaborating more upon its constructivist premises than its prescriptive practices. They propose that by mapping how ordinary life events affect a person's preferred view, the therapist can locate the key narrative elements that shape the course of the problem and direct its solution. The authors suggest a framework for how problems evolve and dissolve. When new events are construed as contradicting family members' preferred narrative accounts, problems evolve. Problems dissolve when family members see the event, and the ideas and actions of others, as consonant with their preferred ways of being and acting.

MeSH terms

  • Activities of Daily Living / psychology
  • Adult
  • Aged
  • Cerebrovascular Disorders / psychology
  • Depressive Disorder / psychology
  • Depressive Disorder / therapy
  • Family / psychology
  • Family Therapy / methods*
  • Female
  • Humans
  • Life Change Events
  • Male
  • Middle Aged
  • Problem Solving
  • Sick Role