Articles

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.

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

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.

Perché drogarsi?

Psicologia Contemporanea,283,2021

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 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

Explaining symptoms in systemic therapy. Does triadic thinking come into play?

Frontiers, 11, 1-11, doi: 10.3389/fpsyg.2020.00597

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.

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

Tradire. Una mossa pericolosa per la coppia?

Psicologia contemporanea, 269, 41-45.

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

La voglia di liberta’ dei pazienti fobici

Psicologia contemporanea,266, 14-19,2018

L’A. non nega, come per altro riconosciuto dalla letteratura, che le persone con disturbo fobico siano dominate dalla paura e abbiano una percezione del mondo come pericoloso e di se stessi come fragili. Tuttavia sostiene che è il conflitto fra la paura di un mondo avvertito come pericoloso e il desiderio di essere liberi di esplorarlo da soli, svincolandosi da relazioni protettive, a caratterizzare i pazienti fobici. . Questo conflitto li distingue nettamente dalle persone inibite, che mantengono assetti di vita fondati sulla dipendenza. Trascurando questo conflitto risulta difficile capire le loro vite prima dell’esordio sintomatico. Molti dei pazienti fobici, soprattutto quelli claustrofobici, erano persone indipendenti, insofferenti dei vincoli…. Scarica l’abstract

A couple in love entangled in enigmatic episodes. A semantic analysis

Journal of Marital and Family Therapy,44,3,438-457, doi:10.1111/jmft.12321

The article presents a semantic analysis inspired by the theory of family semantic polarities developed by Ugazio (1998, 2013) applying two versions of a coding system, the Family Semantic Grid (FSG), to a couple session with Tom Andersen as a consultant. One version (FSG II) detects the narrated semantic polarities (NSPs) emerging during the session from the transcript, whereas the other (FSG III) identifies the interactive semantic polarities (ISPs) from the video recording. Both the NSPs and the ISPs are classified according to four sets of meaning called the semantic of freedom, goodness, power, and belonging. The analysis puts forward some hypothesis about the pattern that entangles the couple and high- lights Andersen’s contributions to overcome the problem troubling the couple.
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