Fusion, compression, diversion, and the workings of paradox: a theory of therapeutic/systemic change

This paper describes a geodynamic balance theory of family process. It attempts to synthesize temporal/spatial patterning, movement, interpersonal structure, and the family developmental process. The family system is portrayed in terms of the pattern of interpersonal orbits among its members and the interface between these and "external" systems such as friendship networks, neighborhoods, and therapists. It is proposed that therapeutic/systemic change can be induced through either of two interventional mechanisms: diversion (e.g., behavioral techniques, restructuring, differentiating) or compression (e.g., paradoxical technique, returning home, grief work). Such processes share a number of similarities with analogues from the physical sciences. These formulations may assist clinicians in determining the most appropriate operations and directions for treatment.