Therapy on the Cutting Edge podcast

Working Systemically with One or More Parts of the System Using Problem Solving Brief Therapy from the Mental Research Institute (MRI)

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In this workshop, Karin discussed her career where she trained in Argentina, then came to Palo Alto to learn at the Mental Research Institute forty years ago. She discussed the place the MRI has in the history of developing family and systemic therapy. She worked with Paul Watzlawick, Dick Fisch, and John Weakland, and eventually became the Director of the Brief Therapy Center, a title she still holds. In 1966, the group was interested in seeing what type of changes they could help create within 10 sessions (hence the term brief), which was very different from the prevailing psychoanalytic approach during the time. She discussed how the approach based in systems theory, but is a minimalistic family therapy/systems therapy way of promoting change, where they don’t need the whole system to be present in the office for change to occur. Interactions are always in the clinician’s mind, understanding who is this effecting, how is someone reacting to this, which allows you to intervene with the person who is the most motivated for change in the system. She explained that they’re not necessarily trying to achieve perfection, but instead help the person in pain and asking for help at the time to get out of a hole. She shared the quote by John Weakland that “when you have a problem, life is the same damn thing over and over again, and when you no longer have a problem, life is one damn thing after another”. Karin discussed identifying whom to focus on in the therapy by identifying who is most in pain and therefore is most motivated to work with the therapist to promote a positive change. If working with a family, the therapist might not put all of their energy into the child since they have the least power in the system, and the most motivated one in the family might be the parent, so they will be the one you need to engage to make change. She also pointed out that they go straight into the problem that brought clients in, and stay in the here and now, and try not to “open doors” to the past, which is what allows the work to be so brief. We discussed how the approach postulates that the attempted solution is what has become the problem, keeping the system stuck, so instead, having the individual, couple or family do the 180 degree opposite of that, even if it goes against common sense, then observing what happens and discussing in the following session. As opposed to many other models of systemic and family therapy, the Brief Therapy Center works with fewer people and change happens outside of the session. She pointed out that they were able to make significant change in a matter of ten sessions, with the average amount of sessions being six. Karin explained that there have been many different models and techniques developed over the years, although the simplicity of the Brief Therapy approach still stands as an effective treatment and could be the key to reduce the mental health crisis in the U.S. currently. Karin Schlanger, LMFT was the Director of the Brief Therapy Center in MRI since 2008 until the sale of the building in 2019. She continues to be the director of the BTC currently. She has worked as a psychologist, supervisor in the Brief Therapy Model and professor at several universities internationally. She studied Psychology in the Universidad of Buenos Aires – Argentina and graduated in 1982. She arrived at the MRI in 1983 having heard of the work of John Weakland, Dick Fisch and Paul Wazlawick and worked with them until the end of their days. In 1990, she opened the Centro Latino de Terapia Breve to do research on how this pure American model of Problem solving can be applied in other cultures. This project continues today, working with low income Spanish-speaking families, who are at the worse end of society’s inequality. In 2012, she founded a NGO, Room to Talk, to offer psychological services to students, families and school staff at the school. She was the Executive Director. She has been a professor in several local Universities — University of San Francisco, Stanford University, School of Psychiatry and Behavioral Sciences, College of Notre Dame de Namur, and other Universities of Spain — Valencia International University, Universidad de Abat Oliva, Institute Systemic de Barcelona. She is a supervisor in the Hospital of San Pau, in Barcelona. Karin is the author of a book that has been translated to 5 languages, and the author of many articles and chapters of lots of books throughout the years. Also, in 2012, she has started the Grupo Palo Alto Internacional, which was officially launched in Mexico, January – 2016. Currently, Karin trains and supervises therapists internationally as well as locally through county mental health programming. She provides trainings through the https://www.brieftherapycenter.org/

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