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A 1.5-Order Therapy: Between knowing and not-knowing.

¹Consultant Systemic Psychotherapist, Private Practice, Liverpool, UK.

|August 3, 2023

Summary

Experienced family therapists evolve by integrating "knowing" and "not-knowing" stances, balancing collaborative and directive approaches. This personal journey enhances therapeutic progress through skillful challenge and strong relationships, leveraging expertise effectively.

Keywords:

expertise first-order power relationships second-order

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Area of Science:

Family Therapy
Psychotherapy Research

Background:

Therapist development involves navigating different theoretical paradigms.
The distinction between first- and second-order positions in therapy is crucial for practice.

Purpose of the Study:

To explore the personal evolution of a family therapist over 30 years.
To examine the integration of first- and second-order positions in therapeutic practice.
To discuss the balance between "knowing" and "not-knowing" in the therapy room.

Main Methods:

Reflective practice based on 30 years of family therapy experience.
Analysis of therapeutic techniques including challenging, questioning, and response patterns.
Exploration of the therapist's "knowing" and "not-knowing" stances.

Main Results:

Therapists' confidence and experience influence their ability to "know" and share knowledge.
Effective therapy balances collaborative and directive approaches.
Skillful challenges are well-received by families, and strong relationships are paramount.

Conclusions:

Embracing therapist expertise can be a valuable asset.
Therapeutic progress is facilitated by skillful challenge and strong relational dynamics.
Experienced therapists often employ similar practices, though these are rarely discussed openly.