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Madanes was concerned with incongruous hierarchies, where a child uses symptoms to change the behavior of the parent.
Metaphorical versus literal sequences: The idea that a symptom may be a metaphor or the problems of another family member may lead the therapist to focus on resolving those other problems instead of focusing directly on the symptoms.
These family ego defenses are interpreted to the members and the goal of therapy is to effects emotional insight and working through of new defense patterns.
Journal of Marital and Family Therapy, 33 3291-292.
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The second stage is setting goals, followed by the next stage of designing interventions to achieve stated goals.
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These interventions have sometimes involved formal procedures or rituals, and often included the as well as non- members of the see for example.
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Have you ever felt stuck or like you're not living an optimal version of your life?
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This has the advantage of making differences between the ways family members perceive mutual relations as well as interaction patterns in the session apparent both for the therapist and the family.
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