Changing teams/changing families

A therapist's view of the nature of change and the processes of changing directly influences what the therapist does clinically. This essay describes how we have moved our clinical practice closer to our epistemological premises about the processes of change. For us, one key element in initiating the processes of therapeutic change is the introduction of randomness into the system. In our view, the system under consideration is the family-system plus the therapist (team)-system, and the random can be introduced anywhere in that suprasystem. Therefore, changing the therapy team can promote changing the family's problematic pattern.