The Systemic Therapy Between Science and Intuition - Krakow version
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Transcript of The Systemic Therapy Between Science and Intuition - Krakow version
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
The Systemic Psychotherapy between Science and Intuition
in this presentation I return – with several modifications -to issues I already treated and aslo recently
this new version has been prepared for the Conference “The Anatomy of (un)reason” held in Krakòw, Poland, October 10 – 12° 2014.
the presentation has to be followed by Massimo Giuliani’s presentation “Beyond Medicine – Beyond Psychology – Beyond Post-Modernism: The Milan Approach to Systemic Psychotherapy”
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
http://prezi.com/2lgk1ozulcx7/the-milan-approach-to-systemic-psychotherapy/
the aim of this presentation is to contribute to answer to a question that psychotherapists conforming to different schools of thought know very well
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
“what am I REALLY doing when I lead a therapy session?”
despite therapists may try to remain faithful to their refernce theories and to the narratives by which they describe their approach to psychotherapy, there is always a gap between what they actually do and waht they tell that they do – included the theoretical explanations and modelizations of what they do
my claim is that this is an unavoidable and even positive phenomenon
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
in trying to answer to the question I’ll draw from my own experience as a Systemic Psychotherapist and a Teacher of the so called “Milan Approach” to Systemic Psychotherapy
in other words, I will not proceed from a generic or “neutral” point of view
in the meantime I assume that the conclusions I will reach can be shared, in many cases, with professionals conforming to different theoretical frames
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
the main features and basic assumptions of the “Milan Approach” to Systemic Psychotherapy founded by Luigi Boscolo and Gianfranco Cecchin at the end of the seventies will be outlined in the next presentation led by my colleague and friend Massimo Giuliani
the reason why we decided that I should present the first will be clear at the end of my talk
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
anyway it will be useful to remark that in the “roaring years” of the Systemic Psychotherapy (approx. 1970 – 1990)
practicioners were stunned by the elegance both of conceptual models and of related practices
it all looked so easy and simply beautiful
on a regular basis the students fell in love with it, beginning to imitate what the Masters used to do
small surprise if the results were many often clumsy, not beautiful at all
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
with time, we learned that what we usually were doing in therapy
not rarely was different from what we were taught
and also from what we in turn were teaching to younger professionals
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
in the field of systemic psychotherapy many scholars introduced new ideas trying to explain why systemic therapies seemed to be so extraordinary
radical constructivism, conversationalism, social constructionism, narrativism … and so on
this accelerated a flux of continuous changes in practice
the mind-boggling thing was that practice kept being different from all models that tried to explain it
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
in 1989 Gianfranco Cecchin gave a talk at the English Association of Family Therapy whose title was
“OLD WINE IN NEW BOTTLES”
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
“We are forced to repeat things very well known already, but it is still necessary that we keep talking about therapy and explain what we do … If old concepts are still good – if wine is still good – so why not to change the bottle, in other words why not to change the way in which concepts are described? Actually we have no other choice … as you can see, the story of family therapy, or the story of family theory is in turn a narrative structure. Just like the therapeutic process: once you arrive to a certain point, contradictions and unavoidable dissonances force you to look for a different explanation, a new story about what you are doing”
I’m persuaded that Cecchin was serious and deeply rooted in his own therapeutic identity when he claimed that
“actually we have no other choice”
my claim, in turn, is that effective therapists are always in advance in respect of their reference model
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
I also claim that this occurrence can be explained and it has strictly to do with the nature of a therapeutic process itself
during the session the therapist is connected with “something in advance” in respect of the words he uses
scholars probing the realm of consciousness can help us to understand why
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
Henri Bergson, mathematician, philosopher, Nobel Prize
David Bohm, physicist and science philosopher
Montague Ullmann, psychiatrist, researcher and psychoanalyst
Efstratios Manousakis, quantum physicist at Florida University
they seem to have some basic ideas in common about consciousness, though the language they use and some philosophical implications can be different
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
7 concepts they share
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
consciousness is not “produced” by the brain
consciousness is the basic ontological reality
individual “substreams of consciousness” are part of a “global stream of consciousness” which comprehends all that exists and existed
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
1
2
3
important parts of consciousness, both individual and global, are in a “potential state” that can be actualized by the operations of the mind
intuition works without the help of memory
both the production of theories and the perception of “matter” are operations implying memory and comparison
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
4
5
6
intuition and action are in a close relationship
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
7
once a therapist becomes aware of what a patient “remembers/knows” about being in a certain state, the therapist can make an idea of what is allowed and forbidden to do with that patient
this implies what the practice of Milan Approach shows since decades
theories and related techniques much more than the sole “empathy” are not only useful, they are necessary to join a system and let the therapeutic relationship take place
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
but once the therapist joined the system, change will occur only by
forgetting theories, de-reifying narratives, relational patterns, roles and so on
in other words
the use of techniques paves the road to intuition
which, in turn, has
affective qualities that can be represented through metaphors
which eventually, in Ullman’s words are
“the stuff of reality”
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
though different for what concerns the setting, in its ultimate roots the process is not quite different from that of creation in narrative
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
Ernest Hemingway used to say about narrative process:
“… I always try to write on the principle of the iceberg. There is seven-eighths of it underwater for every part that shows. Anything you know you can eliminate and it only strengthens your iceberg. It is the part that doesn’t show.
If a writer omits something because he does not know it then there is a hole in the story.”
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
about 40 years ago in Italy many of us fell in love with a song composed by a weird couple of guys, the songwriter Giorgio Gaber and the painter Sandro Luporini
the song was called
“Reality is a Bird ”
“a strange bird fascinates me
it has no past nor remains the same
I must anticipate it I must go after it
otherwise I’ll die for normality”
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
it’s up to you to wonder
where it’s going to …“
“reality
is a no-memory bird
in the most crucial moments of a session, a psychotherapist is abducted by a peaceful feeling of nothingness whence gush those
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
intuitions
metaphors
actions
that decide the destiny of a psychotherapy
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
now Massimo Giuliani will introduce you to what we pretend the “Milan Approach” should look like
it will be evident that the great value of its epistemological, theoretical and technical framework resides mainly in what the approach allows and forbids to do during therapy sessions
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
that is, opening the gates
to the unpredictable
to the new
to what will never be liable to a complete description
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center
Thank You!
Massimo Schinco, Italy Co-director at
Milan Center of Family Therapy’s
School and Clinical Center