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Updated: Nov 29, 2025

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The Milan Approach, History, and Evolution.

Pietro Barbetta1, Umberta Telfener1

  • 1Milan Center for Family Therapy, Milan, Italy.

Family Process
|November 21, 2020
PubMed
Summary

This study explores the Milan Approach

Area of Science:

  • Family Therapy
  • Systemic Therapy
  • Psychotherapy

Background:

  • The Milan Approach evolved after a split from Selvini Palazzoli and Prata.
  • The teachings of Luigi Boscolo and Gianfranco Cecchin from 1978 to the present are examined.
  • Key stages in the therapeutic work up to the masters' deaths are discussed.

Purpose of the Study:

  • To highlight continuities and discontinuities within the Milan Approach.
  • To introduce two major new aspects: the corporeal turn and the role of epistemology and ontology.
  • To emphasize the therapist's need to address presuppositions and social realities.

Main Methods:

  • Analysis of the Milan Approach's theoretical and practical evolution.
  • Exploration of embodied experience and its connection to social issues.
Keywords:
Clinical theoryFamily therapyMilan approachTerapia sistémica de Milánteoría clínicaterapia familiar临床医学理论家庭治疗米兰法

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  • Discussion of epistemological and ontological stances in therapy.

    • Main Results:

    • The corporeal turn emphasizes embodied experience as foundational to conceptualization.
    • Epistemology and ontology are presented as complementary, requiring therapists to acknowledge their biases.
    • Therapeutic practice must engage with social ontologies and historical contexts.

    Conclusions:

    • The Milan Approach has evolved, incorporating embodied experience and critical ontological awareness.
    • Therapists must be mindful of their own presuppositions and the social realities influencing clients.
    • Understanding the interplay between body, social context, and therapeutic intervention is crucial.