The Milan Model was formed in Milan, Italy in 1979 this model was used to change behaviors within families who had members that opposed counseling into a positive ideology based on the strengths represented with in the family. This approach has been revised several times resulting in several different techniques and interventions established within the confines of the initial model. Milan Family Model Theoretical Intervention Paper The article “Family Therapy and Beyond: Where is the Milan Systemic Approach Today? is an article that provides a historical understanding of the foundations of the Milan Model and the basis for the findings of the model. This model starts a little over thirty years ago in Milan, Italy.
The model was based on creating an intervention within the family counseling session that sought to portray vividly the strengths of the family member that displayed negative characteristics in behavioral patterns. This model is used regularly in hospitals, clinics, schools and nursing homes. Founders of the Milan Model
The Milan Theory was developed by a four member group of psychologist and psychoanalysts those being; Selvini- Palazzoli, Boscolo, Cechin and Prata. The idea was to approach the problems of communications and behavior problems within families through an aggressive intervention. The approach was introduced in a paper format in 1980. Derived from the paper were techniques and interventions that set the Milan Model apart from the other models used in family counseling clinics throughout Britain. Changes within the Milan Model In the mid 80’s the Milan Model was challenged and changed as a result of ocial constructionist.
The change was a result of therapist not dealing with the “truth” of their problem but instead dealing with interventions that allowed the truth to be somewhat suppressed and focused on the truths derived from conversations with family members. As a result it gave the therapist a thwarted assessment of families during counseling sessions. As a result of the challenges posed towards the initial methodology of the Milan Theory therapeutic techniques are used to offer the therapist a different approach which involves the therapist within the family structure.
Can there be Neutrality within the Milan Model Neutrality is considered “a bad word”; in the family therapy field. As a therapist remaining neutral in some instances could be a sign of acceptance or agreement for incorrect or impulsive behavior. This would then result in complications and conflicts with the therapy since the therapist has become of the family system seeking counseling. As depicted in the article an example would be child abuse or domestic abuse, the therapist is knowledgeable about the abuse but chooses to remain in a neutral state.
In this case would be an indicator to the victim that the therapist is in agreement with the abuser. Systemic Thinking The latest dated impact of the Milan Model was its reach beyond the family counseling realm into that of individuals, communities, and organizations. As a result of the cross- referencing the coined term is now called the “Post Milan” therapy approach. Through changing the term from Milan Model to Post Milan Model it allows clinicians and therapist to work across a lot of different arenas without being considered a family therapist.
The Milan Model has proven to effective and efficient in counseling and therapy sessions across all areas and therapist have found that it should not be limited solely to family counseling however it is most beneficial to family counseling. Case Analysis Dwight, Marta and Allina are seeking counseling as result of the family’s inability to communicate and to come together across cultural lines. The family was referred to the agency by the school social worker who thought that the family could benefit from a group therapy as a whole to address the issues they are currently facing.
These issues are causing what a good marriage to turn sour. The family’s concerns are: * Dwight is the only one working * Expenses are slightly higher in the new county as oppose to where they lived before. * Allina is adjusting to living with mom and stepfather * Conflict between Allina and Dwight * Allina exhibiting Behavioral Issues at school The important issues at this time are to bring cohesion back to the strength in the family. At this point the strong part of the family is Dwight.
Based on his history he is accustomed to carrying for and taking care of family. As a child he help raise his younger brother and sisters. The stress caused can be eliminated if Marta will allow Dwight to take care of the family and not stress to him the importance of more income coming into the household. Dwight is actually allowing Marta the freedom to be a stay at home mother so that she can focus on the issues that Allina is facing in the classroom as it relates to adjustment to change and her erratic behaviors.
So the first part of the intervention is for each family member to write their concerns on a sheet of paper that they will keep with them during the course of the therapy sessions. On this piece of paper each family member writes the most severe problem of the family and the best asset of the family. These will be used as what will be called “Points of Power”. These will points serve as the road map in assisting the family in piecing their family together minus the problems.
Secondly, is to focus heavily on Dwight and Allina, the reason is these two people are the center of the problem in which the family is seeking counseling. Dwight needs to work on being more vocal with Marta and less intimidating to Allina. This will first break down the wall of defense that Allina has towards Dwight. Marta and Dwight have to work on communicating effectively as husband and wife. Interventions for the two will be several group sessions that involve nothing but communicating without the presence of Allina or the therapist and the fear of and repercussions of things said during the therapy session.
The whole idea is to communicate without getting angry and supporting each other through listening and not downplaying feelings. Finally, the last part of the therapy will be to work on the relationship between Dwight and Allina. The Milan Model calls for aggressive actions; the only way to approach this is to make the two of them spend sessions alone working on the issues that are of concern to them as they are observed by the therapist.
The therapist then makes suggestions and alters situations during the therapeutic sessions to push them closer to reaching their goals. The whole idea of the Milan Model is not to hold hands through the therapy but instead to be a coach on the sidelines constantly pushing them through the uncomfortable situations to address the touchy areas and bringing it all to close so that the family can once again work together as a unit and not against each other.