La thérapie familiale en francophonie (serveur d'exploration)

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GERALD H. ZUK. Family Therapy: A Triadic-Based Approach. Pp. vii, 239. New York: Behavioral, 1971. $12.95

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GERALD H. ZUK. Family Therapy: A Triadic-Based Approach. Pp. vii, 239. New York: Behavioral, 1971. $12.95

Auteurs : Robert Fishman

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DOI: 10.1177/000271627340500180

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<meta-value>226 Book DepartmentGERALD H. ZUK. Family Therapy: A Triadic-Based Approach. Pp. vii, 239. New York: Behavioral, 1971. $12.95 SAGE Publications, Inc.1973DOI: 10.1177/000271627340500180 Robert Fishman Resources for Human Development Wynnewood Pennsylvania There is a consistent trend in this book on family therapy regarding the role of therapist, and therefore the nature of therapy, which can perhaps best be stated by quoting the author: "The concept of therapeutic power will mean the capacity of the therapist to define the therapist- patient relationship and to initiate actions to increase control of the relationship in ways he believes to be in the best interest of the patient." Implied in this quote is the belief that a sick person needs a knowing healer who will act upon him. Let us juxtapose this with a current trend in thought proposing that reality can never be fully defined-that we know that we will never absolutely know. Living with this thought, one needs to become more humble as we realize our inability to adequately define a human being, control his relationships or know his best interest. Implied, in relation to therapy, is the belief that the troubled person needs another human being with technical-or "how to" -knowledge to struggle with him. The two trends clearly have their effect on how family therapy will be conducted. Much of the tenor of Gerald Zuk's book reflects the fact that we have not yet laid aside a tradition which implies the ability for a person to be outside a system, diagnose its pathological components absolutely enough and determine someone's best interest for them. This kind of thought is inherent in the tradition which grows out of the doctor-patient or illness model. Many therapists use this model in their work. As long as we hold on to it we get trapped in the extreme importance given to the doctor in this doctor-patient relationship, and both we and the consumer of our services pay the price. In our culture when people are conceived of as ill in a physical sense, they are in need of a healer-a doctor or therapist- who will act upon them while they remain in an essentially passive position. Patients checked into hospitals for operative procedures often feel as though they are reduced to the status of bodies being acted upon with no will of their own and little explanation. Although there is a recognized need for change in the medical system itself, those psychological services which follow that model visit the same ills upon the people who use their services. The wise teacher knows that education is an internal process which must be supported, but basically is determined by the student. The student must be an active participant for the process to have its desired effect. A "teacher-student" or "consultant-consultee" model are increasingly accepted as viable alternatives to the patient-doctor model of earlier therapeutic concepts. Those who are experimenting with this approach place the therapist as a student along with those coming for help. The therapist has knowledge specifically in how to seek some answers; he does not have these answers in hand. It is the process which allows growth in a person who wants to change that can be imparted, and no more than that. Those who have moved toward such approaches have recently been interested in the "systems and network" approaches to human interaction. Zuk himself is interested in the contributions these fields have to offer. And he contributes to our understanding of the dynamics occurring in family therapy when he describes the "tri- adic" or triangular relationships, which clearly put the therapist in the system in which family members or outside agencies take different sides. There is also some provocatively interest- 239227 ing material in his studies of silence and laughter, again the author studies this behavior as it serves a function for people who are communicating with one another. Laughter and silence, even as they become extreme, serve not only an intrapersonal but also an interpersonal function, as they are used in a family trying to communicate about issues such as anxiety and control. For those involved in the currently developing systems approach to family therapy, this is certainly a provocative and interesting book to read.</meta-value>
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