RESUMEN
The authors have tried to describe the different levels of understanding or "rationales" of the adolescence crisis: individual rationale of the adolescent going through a period of psychic disruption, individual rationale of the parents who must face the "parental crisis", and rationale of the family system whose relational organization must be changed. In adolescents, symptoms often occur as a result of the confrontation of these different, contradictory rationales. The point at issue is to find out whether the main obstacles to change are at the individual level or in the family system. The authors give some guidelines for selecting the most appropriate therapy and for determining the value of familial therapy in adolescence.
Asunto(s)
Psiquiatría del Adolescente/métodos , Terapia Familiar , Adolescente , Familia , Humanos , Psicología del AdolescenteRESUMEN
The new theoretical models propounded for understanding family relationship dynamics are very useful in psychiatric hospital care. In our paper two clinical observations exemplify how a systematic understanding of psychiatric disorders, which replaces the symptom within the family system, and an individual psychodynamic understanding can be combined, and how interviews with the whole family group can help in setting up a therapeutic program which the patient perceives clearly. We believe that, with this method, the patient's and his family's abilities for change and care are best availed of.