Structural and strategic approaches to psychosomatic families

Patterns of relatedness characteristic of psychosomatic families are discussed. A step-wise intervention procedure based on structural and strategic approaches is presented. The goals of the procedure are to establish symptomatic relief and modify concurrently the patterns of relatedness. The procedure is applied to a sample of families in which a child presents with psychogenic abdominal pain. This paper is intended as a detailed and practical guide to working with such families; a degree of generalization is possible, as well.