Promoting parenting skills and childhood mental health. Reflections on the meaning of manualization toward the implementation of ef-fective health policies

Author/s Mauro Mariotti
Publishing Year 2022 Issue 2022/56
Language Italian Pages 26 P. 5-30 File size 247 KB
DOI 10.3280/PR2022-056001
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This paper argues that systemic therapies are well built to remedi-ate damages in systems such as individual, couples, families, and groups by using many different kinds of interventions. However, many of these interventions can come across as too driven by adherence to very specific epistemological position for one to believe they are scientifically based. In this paper, we present the challenges that have emerged regarding manualising the approaches that the field has produced. We explore how more reductionistic therapies have increasingly been recognized as the gold standard due to their simplified manual-ization, while family and systems therapy has missed opportunities for policy influence and government approval due to the reluctance to ad-dress the challenges of manualization. We contend that for systemic therapies to survive, we must find ways to articulate what we do in therapy, training and research in ways that foster both the creativity and the rigor needed to be effective. We present the program EFTIFS and the project DAN that shows how, through the use of processes ra-ther than procedures, one can produce manuals that allow therapists to be as complex and artistic as they wish but still maintain the focus on the scientific method that will enable them to be approved as evidence-based psychotherapies.

Keywords: manuals, systemic approach, process, creativity, rigour, evidence, EFTIFS, DAN.

  1. Aos S., Barnowski R. (2003). Washington State’s drug courts for adult defendants: Outcome evaluation and cost-benefit analysis. Olympia: Washington State Institute for Public Policy.
  2. Asen E. (2002). Outcome research in family therapy. Advances in Psychiatric Treatment, 8: 230-238.
  3. Bateson G. (1977). Verso un’ecologia della mente. Milano: Adelphi.
  4. Bowen M. (1979). Dalla famiglia all’individuo. La differenziazione del sé nel sistema familiare. Roma: Astrolabio.
  5. Carr A. (2009a). The effectiveness of family therapy and systemic interventions for child-focused problems. Journal of Family Therapy, 31: 3-45.
  6. Carr A. (2009b). The effectiveness of family therapy and systemic interventions for adult-focused problems. Journal of Family Therapy, 31: 45-74.
  7. Carr A. (2011). Thematic review of family therapy journals, Journal of Family Therapy, 33: 429-447.
  8. Crane R.D. (2011). Individual and Family Therapy in Managed Care: Comparing the Costs of Treatments by the Mental Health Professions. Journal of Marital and Family Therapy, 37: 273-289.
  9.  Epston D., White M. (1992). Experience, Contradiction, Narrative and Imagination: Selected papers, 1989-1991. Adelaide, South Australia: Dulwich Centre Publications. 
  10. Fisher L., Ransom D.C., Terry H.E., Lipkin Jr. M. , Weiss R. (1992). The California Family Health Project: I. Introduction and a Description of Adult Health. Family Process, 31: 231-250.
  11. Fisher L., Ransom D.C., Terry H.E. (1993). The California family health project: VI. Multidomain analyses. Family Process, 32: 49-68.
  12. Haley J. (1978). Terapie non comuni. Roma: Astrolabio.
  13. Garcia J.L., Heckman J.J., Leaf D.E., Prados M.J. (2017). Quantifying the life cycle benefit of a prototypical early childhood program. NBER Working paper, No.23479.
  14. Mariotti M., Bassoli F., Frison R. (2000). Manuale di psicoterapia sistemica e relazionale. Roma: Sapere Edizioni.
  15. Mariotti M. (2004). Un modello teorico clinico di psicoterapia sistemico e relazionale. In Mariotti M., Bassoli F., Frison R. (a cura di), Manuale di Psicoterapia sistemica e relazionale (pp. 49-110). Padova: Edizioni Sapere.
  16. Mariotti M., Cigoli V. (2007). Il medico, la famiglia, la comunità. Milano: Franco Angeli.
  17. Mariotti. M. (2013). European Family Therapy improving family systems- European project EFTIFS, Proposal reference FP7-613172. Progetto presentato a Commission Europeenne, office COV2 07/72.
  18. Mariotti M., Langella A., Scaltriti N., Muratori G. (2022). Research and manualisation at Iscra Institute. In Mariotti M., Stratton P., Saba G. (eds.), Handbook of systemic approaches to psychotherapy manuals, Integrating research, practice and training. Berlino: Springer.
  19. Mariotti M., Miazzi S. (2022). Il genogramma tridimensionale (geno3d) e il suo uso con la famiglia, la coppia, l’individuo. In Daure I., Borcsa M. (a cura di), Il genogramma nella pratica sistemica contemporanea. Milano: Franco Angeli.
  20. Mariotti M., Stratton P., Saba G. (2022). Handbook of systemic approaches to psychotherapy manuals, Integrating research, practice and training. Berlino: Springer.
  21. Maturana H. (2002). Autopoiesis, Structural Coupling and Cognition: A history of these and other notions in the biology of cognition. Cybernetics & Human Knowing, 9: 5-34.
  22. Penn P. (1985). Feed-Forward: Future Questions, Future Maps. Family Process, 24: 200-310.
  23. Sanders M., Kirby. J., Tellegen C., Jamin J. (2014): The Triple P-Positive Parenting Program: A systematic review and meta-analysis of a multi-level system of parenting support. Clinical Psychology Review, 34: 337-357.
  24. Selvini Palazzoli M., Boscolo L., Cecchin G., Prata G. (1977). Ipotizzazione, circolarità, neutralità: tre direttive per la conduzione della seduta. Terapia Familiare, 2: 5-13.
  25. Sexton T.L., Alexander J.L., Mease A.L. (2004). Levels of Evidence for the Models and Mechanisms of Therapeutic Change in Family and Couple Therapy. In Lambert M.J. (ed.), Bergin and Garfield’s Handbook of Psychotherapy and Behavioral Change. N.J.: Wiley&Sons.
  26. Sluzki C. (1992). A better formed story. In Mariotti M., Bassoli F., Onnis L. (a cura di), L’adolescente e i suoi sistemi. Roma: Kappa.
  27. Sluzki C. (1999). Qualitative and quantitative research. Therapie Familiale, 19: 255-263.
  28. Stratton P. (2005). Report on the evidence base of systemic family therapy. AFT.
  29. Stratton P., Bland J., Janes E., Lask J. (2010). Developing a practicable outcome measure for systemic family therapy: The SCORE. Journal of Family Therapy, 32: 232-258.
  30. Stratton P., Reibstein J., Lask J., Singh R., Asen E. (2011). Competences and occupational standards for systemic family and couples therapy. Journal of Family Therapy, 33: 123-143.
  31. Tomm K. (1985). The Process of Change. Family Process, 24: 281-296.
  32. White M., Epston D. (1990), Narrative Means to Therapeutic Ends. N.Y.: W.W. Norton.
  33. World Health Organization (2014): Social determinants of mental health. Geneva: WHO document Production Service.

Mauro Mariotti, Promozione della genitorialità e della salute mentale dell’infanzia. Riflessioni sul significato delle manualizzazioni per l’attuazione di politiche sanitarie efficaci in "RIVISTA DI PSICOTERAPIA RELAZIONALE " 56/2022, pp 5-30, DOI: 10.3280/PR2022-056001