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EP13 Keynote 02 - The Craft of Family Therapy - Salvador Minuchin, MD


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Topic Areas:
Family Therapy |  Keynotes |  Psychotherapy |  Systems Theory |  Therapist Development |  History of Psychotherapy
Categories:
Evolution of Psychotherapy |  Evolution of Psychotherapy 2013 |  Pioneers in Couples and Family Therapy
Faculty:
Salvador Minuchin, MD |  Jeffrey Zeig, PhD
Duration:
55 Minutes
Format:
Audio Only
Original Program Date:
Dec 11, 2013
License:
Never Expires.



Description

Description:

Dr. Minuchin will be interviewed by Dr. Zeig about key concepts in his approach to family therapy. We will compare and contrast approaches. We will discuss developments in family therapy.

Educational Objectives:

  1. Describe an enactment.
  2. Given a family, describe how you would initiate an interview.
  3. List three developments in contemporary family therapy.

*Sessions may be edited for content and to preserve confidentiality*

Outline:

 

Sal Minuchin's 92nd Birthday Celebration 

  • Event celebrates Minuchin’s 92nd birthday at a keynote hosted by Dr. Zeig

Sal Minuchin's Reflections and Decision to Attend the Conference

  • Initially declined invitation due to health, but later agreed, calling it his malkash (“last rain”)

  • Dr. Zeig recalls their early 1970s introduction and enduring professional bond

  • Borges quote used to frame therapy as a reflection on destiny and complexity

  • Sets up Minuchin’s reflections on adversity, identity, and transformation through therapy

Sal Minuchin's Journey and Therapeutic Philosophy

  • Describes shy childhood in Argentina and eventual shift to a confrontational therapeutic stance

  • Views therapy as a “polemic disguised as dialogue” designed to challenge certainty

  • Emphasizes empathy paired with disruption of rigid patterns

  • Highlights value of diverse therapeutic methods that inject uncertainty and complexity

The Concept of Self and Therapeutic Challenges

  • Defines self as layered, dynamic, and shaped by relationships and social contexts

  • Shares personal anecdotes illustrating evolving identities and disruptions of certainty

  • Recounts early work with juvenile delinquents and later shift to family systems

  • Notes formative influence of life in Israel and practice in the U.S.

Developing a Systemic Approach to Family Therapy

  • Early training involved observing families via one-way mirror at Wiltwig School for Boys

  • Describes evolution toward systemic therapy focusing on relational interconnectedness

  • Worked extensively with poor families and within constraining welfare systems

  • Advocated for including families in institutional child treatment; helped design supportive programs

The Role of the Therapist and Therapeutic Techniques

  • Sees therapist as a self-aware instrument maintaining a meta-position during sessions

  • Introduces metaphor of the “leprechaun on the left shoulder” as internal reflective guide

  • Emphasizes therapist proximity and influence—engaging families as co-participants

  • Uses humor, metaphors, and choreography to shift dynamics and promote change

Challenging Patterns and Creating Alternatives

  • Central aim: challenge symptom-maintaining patterns and systemic immobilization

  • Shares example with anorexic families to show role of control and rigidity

  • Recommends “repetitive infusions of uncertainty” to destabilize stuck systems

  • Stresses introducing alternatives and potential new relational pathways

The Evolution of Therapy and the Role of the Therapist

  • Reflects on 60 years of therapeutic evolution, rooted in being a clinician first

  • Seeks synthesis of therapeutic ideas into accessible, universal models

  • Notes difficulty of systemic work within rigid bureaucracies

  • Urges therapists to influence leadership and policy in social institutions

Final Reflections and Questions from the Audience

  • Asked about defining career moments and therapeutic triumphs—sees change as a continual process

  • Emphasizes importance of recognizing significant events retrospectively

  • Audience Q&A opened, but limited by time

  • Concludes by reaffirming therapy as a process of pattern disruption and uncertainty introduction

 

Credits



Faculty

Salvador Minuchin, MD's Profile

Salvador Minuchin, MD Related Seminars and Products


Salvador Minuchin, MD, developed Structural Family Therapy, which addresses problems within a family by charting the relationships between family members, or between subsets of family. He was Director of the Philadelphia Child Guidance Clinic. Although it was minimally staffed when he began, under his tutelage the Clinic grew to become one of the most modeled and respected child guidance facilities in the world.  In 1981, Minuchin began his own family therapy center in New York. After his retirement in 1996, the center was renamed the Minuchin Center. Dr. Minuchin is the author of many notable books, including many classics. His latest is Mastering Family Therapy: Journeys of Growth and Transformation. In 2007, a survey of 2,600 practitioners named Minuchin as one of the ten most influential therapists of the past quarter-century.


Jeffrey Zeig, PhD's Profile

Jeffrey Zeig, PhD Related Seminars and Products


Jeffrey K. Zeig, PhD, is the Founder and Director of the Milton H. Erickson Foundation and is president of Zeig, Tucker & Theisen, Inc., publishers in the behavioral sciences. He has edited, co-edited, authored or coauthored more than 20 books on psychotherapy that appear in twelve foreign languages. Dr. Zeig is a psychologist and marriage and family therapist in private practice in Phoenix, Arizona. 


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