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Outcomes of Systemic/Strategic Team Consultation: II. Three‐Year Followup and a Theory of “Emergent Design”
Author(s) -
GREEN ROBERTJAY,
HERGET MARY
Publication year - 1989
Publication title -
family process
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.011
H-Index - 74
eISSN - 1545-5300
pISSN - 0014-7370
DOI - 10.1111/j.1545-5300.1989.00419.x
Subject(s) - systemic therapy , psychology , medicine , interrupted time series , family medicine , physical therapy , nursing , cancer , breast cancer , psychological intervention
This is the second in a series of articles on an experimental, small‐sample study of systemic/strategic team consultations. It presents the 3‐year outcomes of clients whose 1‐month progress was described in an earlier report (12). The 8 therapists in the current study originally were asked to select two ongoing cases matched for difficulty ( n = 16 ). While all cases continued their regular therapy sessions, one of each therapist's two cases were selected at random to participate in a “Milan‐in formed,” five‐part team consultation. At 3‐year followup, clients who participated in team consultations had maintained significantly higher levels of goal attainment than nonteam clients (p < .05). For interpreting these results, we propose a developmental theory (“emergent design”) to explain therapy impasses, team effects, the impact of termination, and long‐range outcomes of therapy.