The power dynamic within the therapy with anorexia and bulimia: from constrain to resource?
Terapia Familiare, 128, 31-54.
This article presents the alternating pathways, a systemic therapeutic strategy for adolescent anorexia and bulimia developed by Ugazio (2010, 2013, 2019). It is a planned therapeutic path, articulated in four phases, which alternate family formats with individual sessions with the patient. This approach is based on the family semantic polarities theory (Ugazio, 1998, 2012, 2018), according to which the semantic of power prevails in the conversation of and with these families. Through the discussion of a clinical case, we illustrate how this strategy helps to overcome the dilemmas, related to the dynamics of power, so characteristic of psychotherapies with eating disorders and also maximize the therapeutic alliance with the family and especially with the patient.
Ugazio, V., Guarnieri, S., Anselmi, P., Castelli,D. e Pandolfi.M.
La relazione terapeutica con i pazienti con disturbi fobici, ossessivo-compulsivi, alimentari e depressivi: quali significati prevalgono?
Rivista italiana di Costruttivismo, 9,1, 19-4619-19-46 2021
I pazienti con disturbi fobici, ossessivo-compulsivi, alimentari e depressivi interagiscono con il loro terapeuta utilizzando modalità interattive rispettivamente riconducibili ai significati caratteristici della semantica della libertà, della bontà, del potere e dell’appartenenza? E il terapeuta a sua volta si posiziona nella semantica dominante dei clienti? Questa ricerca si propone di rispondere a queste domande per verificare l’ipotesi, sostenuta dalla teoria delle polarità semantiche familiari (TPSF; 1998, 2012, 2018), che non esiste… scarica l’abstract
L’articolo anticipa il risultato più interessante di una ricerca recentemente condotta, entro il framework della teoria delle polarità semantiche di Ugazio (1998, 2012, 2018), su 30 tossicodipendenti impegnati in un percorso riabilitativo. I risultati confermano l’ipotesi che ciascuno attribuisce alla droga significati e funzioni diversi a seconda dei significati con i quali costruisce il proprio mondo. In tutti i … vedi abstract
The “Arab spring” within an intercultural couple. Does the unmentioned ‘racial difference’ matter?
Journal of Family Therapy
Can the meaning- making within an intercultural cou- ple, and between this couple and their therapist, help us to understand the couple’s bitter conflict and the difficul- ties of dealing with it in therapy? This single case study answers this question, presenting a semantic analysis inspired by Ugazio’s model of family semantic polari- ties. The analysis was carried out by applying the family semantic grid II to 140 min from three video- recorded and transcribed sessions with the couple. The result sug- gests that the misunderstandings and disappointments that fed the couple’s conflict were connected with the lack of semantic cohesion within the couple. They con- structed meanings during the therapeutic conversation using two different semantic worlds: the semantics of power and of freedom. The analysis also suggests some possible strategies to overcome the couple’s conflict, and raises some questions about how to address racial differ- ences during therapy.
Ugazio, V., Pennacchio R., & Fellin, L., Guarnieri S, Anselmi, P. (2020)
Explaining symptoms in systemic therapy. Does triadic thinking come into play?
The main aim of this study is to explore the breadth of the inference field and the type of etiopathogenetic contents of symptom explanations provided by the client and therapist in the first two psychotherapy sessions conducted using a systemic approach. Does the therapist use triadic explanations of psychopathology as suggested by her approach? And do clients resort almost exclusively to monadic and dyadic explanations as did the university students in our previous study? What kind of explanations do they propose? The coding system “1 to 3: from the monad to the triad” was applied to the transcripts of 25 individual systemic therapies conducted by the same therapist. This manual allows coding of the inference field of symptom explanations according to three categories: monadic, dyadic, and triadic. These three broad categories are also used to analyze the etiopathogenetic content of each explanation: traumatic, intrapersonal, and interpersonal. Our findings showed that clients and their therapist actually used different inference fields: clients resorted almost exclusively to monadic and dyadic explanations, whereas their therapist included the triadic explanatory level. Moreover, the therapist provided more interpersonal explanations than her clients. Hence, the dissonance between client and therapist about the inference fields – a crucial premise of one of the most accepted ideas of therapeutic change according to systemic therapies – is proven, at least among our participants. Thanks to this dissonance, clients and therapists can create a new story, potentially able to change clients’ feelings, without disconfirming their emotions.
Ugazio, V., Guarnieri, S., Anselmi, P., Castelli,D. e Pandolfi.M.
The therapeutic relationship with clients with phobic, obsessive-compulsive, eating and depressive disorders: Which meanings prevail?
Journal of Constructivist Psychology, 16 October, 2020
Do clients with phobic, obsessive–compulsive, eating, and depressive disorders interact with their therapist using ways of relating whose respective meanings are characteristic of the semantics of freedom, goodness, power, or belonging? And does the therapist take a pos- ition in tune with clients’ dominant semantic? This study aims to answer these questions to verify the hypothesis…. download the abstract
L’Autrice presenta quattro modi diversi di sentire e vivere il tradimento sia perpetrato che subito, espressione di semantiche diverse. Nella semantica della libertà, tipica di chi sviluppa disturbi fobici, il tradimento è come un viaggio: per quanto affascinate dall’esplorazione, queste persone sanno che torneranno a casa; anzi, quando il viaggio si prolunga troppo, non vedono l’ora di tornare dal partner portando… scarica l’abstract
Anorexic girls and their families: how can we deal with their semantic and its dilemmas?
Psychotherapy Section Review,63, pp. 10- 23.
L’articolo fornisce un’interpretazione dell’anoressia e dei contesti familiari in cui si sviluppa basata sulla teoria delle polarità semantiche di Ugazio (1998; 2012, 2018). L’autrice sottolinea come questa prospettiva sia coerente con la tradizione sistemico-relazionale ma implica uno spostamento del focus dalla pragmatica alla semantica. E’ uno spostamento che tra l’altro spiega alcune caratteristiche pragmatiche download the abstract
Rivista italiana di costruttivismo, 6(2), pp.23-43 2018.
L’articolo avanza l’ipotesi che il coraggio vari profondamente in rapporto ai significati che dominano la costruzione del mondo delle persone. Basandosi sul modello delle polarità semantiche familiari di Ugazio (1998; 2012/13), gli Autori identificano differenti forme di coraggio entro le semantiche della libertà, bontà, potere e appartenenza e le illustrano e discutono fornendo esempi tratti dalla propria pratica clinica e dalla letteratura. Gli obiettivi che le persone perseguono quando agiscono coraggiosamente, le minacce che sentono, gli ostacoli che si frappongono sono diversi… Scarica l’abstract
The Family Semantic Grid (FSG) III. Interactive semantic polarities in couples and families
TPM. Testing, Psychometrics and Methodology in Applied Psychology, 25(3),327, 2018 doi: 104473/TPM25.3.2
Inspired by Ugazio’s (1998, 2013) family semantic polarities model, the FSG III allows a semantic analysis of therapeutic sessions and other video-recorded conversations, such as films. It focuses on the lived story enacted by couples or other family members interacting with each other and with the thera- pist. This coding system identifies the interactive semantic polarities (ISPs) — that is, the semantic op- positions inferred by how the family members position themselves in the here and now — and classi- fies them according to the grids of the semantics of freedom, goodness, power, and belonging. The grids show the ISPs which mainly characterize the four semantics, and provide an operational defini- tion, along with cues and nonverbal indicators, for each of these ISPs. The FSG III is a reliable research instrument which can be used by both clinical researchers and psychotherapists.