The
first model of Brief Strategic Therapy (BST) was formulated by the
famous group of scientists of the Mental Research Institute in Palo
Alto, California. This work has represented a Copernican revolution in
the field of psychotherapy. This group of researchers composed of
Bateson, Weakland, Jackson and Watzlawick has proved that although
human problems and sufferings can be extremely persistent and
complicated, they do not necessarily require equally long and
complicated solutions.
The
strategic approach is based on communication theory, which was
developed by the anthropologist Gregory Bateson; on the
constructivist developments of cybernetic epistemology carried out
by Heinz von Foerster and Ernst von Glasersfeld; and on Milton
Erickson' s studies on hypnotic suggestion.
The theory and application of communication, in its pragmatic
and therapeutic aspects, have been further developed and systematized
by Paul Watzlawick and the Mental Research Institute in Palo Alto.
Since
the 1970's, brief therapy has spread almost epidemically despite some
resistances by authors attached to traditional clinical theories and
orthodoxical practice.
Many researchers and therapists have made this
approach to human problems and their solutions well known
internationally (Watzlawick, Weakland and Fisch, 1974; Weakland et al.,
1974; De Shazer, 1982, 1984, 1985, 1988; Haley, 1963, 1976; Madanes,
1990, 1995; Nardone, 1991, 1993, 1995, 2004; Nardone and Watzlawick,
1990; Zeig and Gilligan, 1990; Cade, O’Hanlon, 1993; Bloom, 1995;
Watzlawick, Nardone, 1997; Nardone, 2000; Nardone, Rocchi, Giannotti,
2001; Nardone, Watzlawick, 2004).
Giorgio Nardone and Paul Watzlawick made further innovations and
contributions in "The
Art of Change" (1990). This book, which has been
translated in several languages, clearly explains the most updated
model of brief strategic therapy and presents, for the first
time, specific treatment protocols.
In
his next work, " Brief
Strategic Solution-oriented Therapy of Phobic and Obsessive Disorders"
(1993),
translated in a lot of languages, Giorgio Nardone again introduces
original protocols, developed through clinical experiments, for
strategic interventions on specific clinical problems (phobias,
obsessions,fear, panic attack and hypochondria). These strategies have
led to an innovative change of these types of problems.
In later years the same empirical and experimental research procedure
has also been applied to eating disorders such as anorexia,
bulimia and vomiting. The result has been the development of effective,
specific protocols for the treatment of these pathologies, as shown in
"Le
prigioni del cibo - Vomiting, Anoressia, Bulimia- la
terapia in tempi brevi"
(1999)- English Edition, 2004, The
Prisons of Food: Strategic Solution-oriented Research and Treatment of
Eating Disorders,
Karnac
Publishing, London .
The clinical research and practice carried out by the C.T.S. of Arezzo
has produced a significant increase in the efficiency and
effectiveness of therapeutic interventions. The C.T.S. has garnered
international scientific awards. In 1997 Paul Watzlawick and Giorgio
Nardone edited an anthology on brief advanced therapy, "Terapia
Breve Strategica" with the contributions of the
most important authors all over the world. In this work, published in
a lot of languages, the theory and the most advanced models of
strategic treatment for the most important types of psychologic
pathologies are presented.
The objective of the on-going research carried out by the Centro di
Terapia Strategica in Arezzo is the development of ever more
effective, repeatable, and trasmittable models of brief psychotherapy.
In 2005 Giorgio Nardone has published two important texts in english
language, one with Paul Watzlawick, "Brief
Strategic Therapy: Philosophy, Techniques and Research",
(Jason
Aronson, U.S.A.), and another together with Claudette Portelli,
"Knowing through Changing: The Evolution of Brief Strategic
Therapy" (Crown Publishers, UK) that show all the
works and researches carried out at C.T.S. in Arezzo (Italy) during
the last ten years. The readers can have an exhaustive look on the
advanced model of Brief Strategic Therapy developed according to the
Palo Alto tradition; important and unique is the rigorous research
work and the result shown about 3482 treated cases (88% of cases
solved; average lenght of treatment: 7 sessions) regarding a large
range of psychopathologies, with some peaks of efficacy on specific
disorders as panic and phobias, obsessive-compulsive and eating
disorders. These
empirical and experimental data show undisputibily how effective and
advanced are the protocols set up by C.T.S. team for the treatment of
specific pathologies.
Brief
strategic therapy has undergone continuous growth and enhancement from
its very origins, made possible by ongoing research and evaluation of
the obtained results followed by subsequent modifications.
After
the initial historical, almost “artistic” phase, in the sense that
it was mainly founded on the genius‑like intuitions of a few
great therapists, brief therapy has thus become a rigorous model,
based on continuous technical advancements developed from empirical
clinical practice, action research, and the most advanced theoretical
and epistemological formulations.
Our
constant struggle is to work toward finding better means—in our
strategies, communication, and therapeutic relationship—that take us
beyond what has been achieved so far, and this can be done exclusively
through systemic research on everyday practice. We are in accordance
with Abrahamson’s (2001) notion that practitioners should engage in
a continuous search for evolved models that give equal weight to
scientific rigor (i.e. treatment efficacy) and clinical utility (i.e.
treatment effectiveness). That is our everyday “mission”.
Our
“mission” is to go beyond our present limits, and we are aware
that this can be done through an always more appropriate integration
of research and practice. We are conscious of the fact that we should
not rest on our past achievements, but continuously look into and
evaluate what has been achieved, to see a better future. As Eugene
Delacroix (1961) says, “What moves men of genius, or rather
what inspires their work, is not new ideas but their obsession with
the idea that what had already been said is still not enough.”