The bottom-up approach in multigenerational family therapy: The child as the family guide.

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Publisher: Blackwell Country of Publication: United States NLM ID: 7904614 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1752-0606 (Electronic) Linking ISSN: 0194472X NLM ISO Abbreviation: J Marital Fam Ther Subsets: MEDLINE

Publication: <2007->: Malden, Mass. : Blackwell
Original Publication: Washington, D.C., American Assn. for Marriage and Family Therapy

In therapy, the child is mainly seen as a problem to be labeled or as a victim of various forms of abuse. The idea of the child as a therapeutic resource is the central point of my article where children's symptoms are quickly reframed and get a relational meaning in the family. Once the relational competence of the child is appreciated and his voice is heard, the child becomes a special guide to explore the emotional world of his family, and the genogram can provide a wonderful platform to start this therapeutic journey. Using a multigenerational lens, I describe how to explore family development with a "bottom-up approach." Intergenerational questions can be asked to the child and with his help relevant family events can emerge and broken bonds repaired. The therapeutic results I expect are the resolution of children's problems and family transformation.
(© 2024 American Association for Marriage and Family Therapy.)

Ackerman, N. W. (1958). The psychodynamics of family life. Basic Books.
Ackerman, N. W. (1966). Treating the troubled family. Basic Books.
Andolfi, M. (1994). The child as consultant. In M. Andolfi & R. Haber (Eds.), Please help me with this family. Taylor and Francis.
Andolfi, M. (1979a). Family therapy: An interactional approach. Plenum Press.
Andolfi, M. (1979b). Redefinition in family therapy. The American Journal of Family Therapy, 7(1), 5–15.
Andolfi, M. (2009). Come restituire voce e competenza al bambino attraverso la terapia familiare. Terapia Familiare, 91, 45–64.
Andolfi, M. (2016). How to give voices to children in family therapy. In M. Borcsa & P. Stratton (Eds.), Origin and originality in family therapy and systemic practices. EFTA Series. Springer.
Andolfi, M. (2017). Multigenerational family therapy, tools and resources for the therapist. Routledge.
Andolfi, M. (2022). The gift of truth. Academia Press.
Andolfi, M., Angelo, C., & D'Atena, P. (2001). La terapia narrata dalle famiglie. Milano: Cortina.
Andolfi, M., & Mascellani, A. (2013). Teen voices. Tales of family therapy. Wisdom Moon.
Andolfi, M., & Mascellani, A. (2021). Intergenerational couple therapy. Accademia Press.
Andolfi, M., & Zwerling, I. (Eds.). (1980). Dimensions of family therapy. Guilford Press.
Babinski, D. E., & Sibley, M. H. (2022). Family‐based treatments for attention‐deficit/hyperactivity disorder: A review of family functioning outcomes in randomized controlled trials from 2010 to 2019. Journal of Marital and Family Therapy, 48(1), 83–106.
De Bernart, R., & Senatore, I. (2016). Cinema e terapia familiare. Franco Angeli.
Boszormenyi‐Nagy, I., & Spark, G. (1973). Invisible loyalties. Harper & Row.
Bowen, M. (1978). Family therapy in clinical practice. Jason Aronson.
Bowlby, J. (1988). A secure base: Parent–child attachment and healthy human development. Routledge.
Byng‐Hall, J. (1995). Rewriting family scripts. Guilford Press.
Cade, B. (1992). A response by any other. Journal of Family Therapy 14,163–169.
Carr, A. (2000). Evidence‐based practice in family therapy and systemic consultation: Child‐focused problems. Journal of Family Therapy, 22, 29–60.
Carr, A. (2009). The effectiveness of family therapy and systemic interventions for child‐focused problems. Journal of Family Therapy, 31, 3–45.
Carter, E. A., & McGoldrick, M. (Eds.). (1980). The family life cycle. Framework for family therapy. Gardner.
Combrinck‐Graham, L. (Ed.). (1989). Children in family context. Guilford Press.
Elkaim, M. (1990). If you love me, don't love me. Basic Books.
Erickson, E. H. (1959). Identity of the life cycle. International University Press.
Erickson, M. H., Rossi, E. L., & Rossi, S. I. (1976). Hypnotic realities. Wiley.
Everett Bailey, C. (Ed.). (2000). Children in therapy. Norton.
Flaskas, C. (1992). A reframe by any other name: On the process of refraining in strategic, Milan and analytic therapy. Journal of Family Therapy, 14, 145–161.
Forougue, M. (2018). Emotions focused therapy with children and caregivers. Routledge.
Fourie, D. P. (2010). Asking about ambivalence: A different kind of therapist neutrality. The American Journal of Family Therapy, 38, 374–382.
Framo, J. (1992). Family of origin therapy: An intergenerational approach. Routledge.
Frances, A. (2013). Saving normal: An insider's revolt against out‐of‐control psychiatric diagnosis, DSM‐5, Big Pharma and the medicalization of ordinary life. Mariner Books.
Gil, E. (2016). Play family therapy. Guilford.
Kaminski, J. W., Robinson, L. R., Hutchins, H. J., Newsome, K. B., & Barry, C. M. (2022). Evidence base review of couple‐ and family‐based psychosocial interventions to promote infant and early childhood mental health, 2010–2019. Journal of Marital and Family Therapy, 48, 23–55.
Keeney, B. P. (1983). The aesthetic of change. Guilford Press.
Lee, W. Y. (2019). Working trans‐generationally: A clinical discussion on family dynamics and treatment. Journal of Family Therapy, 42(2), 1–19.
Mate', G. (2022). The myth of normal: Trauma, illness & healing in a toxic culture. Penguin Random.
McGoldrick, M., & Gerson, L. (1985). Genograms in family assessment. Norton.
Minuchin, S. (1974). Families and family therapy. Harvard University Press.
Minuchin, S. (2009). Key note speech at the evolution of psychotherapy conference. Anaheim.
Minuchin, S. (2017). Salvador Minuchin at 95 reflects on his life. The Psychotherapy Networker, 1, 1–4.
Napier, A. Y., & Whitaker, C. A. (1977). The family crucible. Harper‐Collings.
Omer, H. (2003). Non‐violent resistance. Cambridge University Press.
Satir, V. (1967). Conjoint family therapy. A guide to theory and techniques. Science e Behavioral Books.
Selvini Palazzoli, M., Boscolo, L., Cecchin, G., & Prata, G. (1985). Paradox and counterparadox. Jason Aronson.
De Shazer, S. (1985). Keys to solution in brief therapy. Norton.
Sheidow, A. J., McCart, M. R., & Drazdowski, T. K. (2022). Family‐based treatments for disruptive behavior problems in children and adolescents: An updated review of rigorous studies (2014–April 2020). Journal of Marital and Family Therapy, 48(1), 56–82.
Sluzki, C. E. (1992). Transformations: A blue print for narrative changes in therapy. Family Process, 31, 217–230.
Sori, C. F. (2006). Engaging children in family therapy. Routledge.
Sprenkle, D. H., Davis, S. D., & Lebow, J. (2009). Common factors in couple and family therapy: the overlooked foundation for effective practice. Guilford Press.
Tronick, E., & Gold, C. M. (2020). The power of discord. Little Brown.
Walsh, F. (1982). Normal family processes. Guilford Press.
Whitaker, C. (1989). Midnight musings. Norton.
White, M., & Epston, D. (1989). Literary means to therapeutic ends. Dulwich Centre Publisher.
Williamson, D. S. (1991). The intimate paradox. Guilford Press.
Zappella, M. (2021). Bambini con l'etichetta. Feltrinelli.

Keywords: alliance; betrayal; bottom‐up approach; child; multigenerational family therapy; respect

Date Created: 20240726 Latest Revision: 20240726

20240726

10.1111/jmft.12730

39054670