Abstract
This chapter is based on a doctoral research project aiming to identify a comprehensive and detailed outline of the systemic therapist competences in child and adolescent mental health in Norway. Because of the growing demands to offer specialized services within child and adolescent mental health, I intended the identified competences to target the psychosocial difficulties that are categorized as associated abnormal psychosocial situations (Axis 5) in the multiaxial diagnostic system (WHO, Multiaxial Classification of Child and Adolescent Psychiatric Disorders. The ICD-10 Classification of Mental and Behavioral Disorders in Children and Adolescents. Cambridge University Press, Cambridge, 1996). Five overarching competences were identified through the analysis: (1) the therapists’ stance, (2) ethical and contextual awareness, (3) session-specific features, (4) the systemic “toolbox”, and (5) child-oriented therapy. The detailed outline of systemic therapist competences is intended to offer a framework for delivering flexible yet specialized systemic therapy in the context of child and adolescent mental health care. This outline is called a map of competence, instead of a manual. Manuals tend to be written for use by trained therapists, based on the knowledge that therapists should already have. Competences, on the other hand, refer to documentation and descriptions of specific skills that are expected to be mastered by systemic therapists.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Anderson, H. (2005). Myths about “not-knowing”. Family Process, 44(4), 497–504. https://doi.org/10.1111/j.1545-5300.2005.00074.x
Asen, E. (2002). Outcome research in family therapy. Advances in Psychiatric Treatment, 8(3), 230–238.
Bertrando, P. (2009). Surviving in psychiatry as a systemic family therapist. Australian and New Zealand Journal of Family Therapy, 3(30), 160–172. https://doi.org/10.1375/anft.30.3.160
Brinkmann, S., & Petersen, A. (2015). Diagnoser: perpektiver, kritik og discussion [Diagnosis: Perspectives, critique and discussion]. Aarhus: Forlaget Klim.
Charmaz, K. (2014). Constructing Grounded Theory (2nd ed.). Sage Publishing.
Davidsen, B. I. (2004). ‘Kritisk realisme og økonomisk-vitenskapelig arbeid’ [Critical realism and financial and scientific work]. Norsk Økonomisk Tidsskrift, 118, 62–76.
Esposito, L., & Perez, F. M. (2014). Neoliberalism and the commodification of mental health. Human & Society, 38(4), 414–442.
Figley, C. E., & Nelson, T. S. (1989). Basic family therapy skills, conceptualization and initial findings. Journal of Marital and Family Therapy, 15(4), 349–365.
Lorås, L. (2016a). The map of competences in systemic therapy. A qualitative study of the systemic competences in child and adolescent mental health that target ICD 10 Axis 5 associated abnormal psychosocial situations. Doctorate thesis of Systemic Psychotherapy awarded by the University of East London in conjunction with the Tavistock Clinic.
Lorås, L. (2016b). Systemisk familieterapi og helsedirektoratets krav innen barne og ungdomspsykiatrien i Norge [Systemic family therapy and the Norwegian child and adolescent mental health demands]. Fokus På Familien, 02(2), 93–112.
Lorås, L. (2016c). Paolo Bertrando: “To some extent” an interview with the Italian systemic family therapist. Fokus På Familien, 2(1), 8–26. https://doi.org/10.18261/issn.08077487-2016-01-03
Lorås, L. (2018). Systemic family therapy competences in child and adolescent mental health care. Contemporary Family Therapy, 40(1), 1–9. https://doi.org/10.1007/s10591-017-9440-z
Lorås, L., & Sundelin, J. (2018). The multi-epistemological systemic therapists. Australian and New Zealand Journal of Family Therapy, 39(4), 408–420. https://doi.org/10.1002/anzf.1335
Manassis, K. (2009). Cognitive behavioural therapy with children: A guide for the community practitioner. Routledge.
McLeod, J., & Sundet, R. (2015). Integrative and eclectic approach and pluralism. In M. Cooper & W. Dryden (Eds.), The handbook of pluralistic counselling and psychotherapy (pp. 158–170). Sage.
Northey, W. F. (2011). Competency, common ground, and challenges: Response to the development of systemic therapy competencies for the UK. Journal of Family Therapy, 33(2), 144–152.
Norwegian Directorate of Health. (2008). Psychological health care for children and adolescents – Guide for outpatient clinics. The Norwegian Health Directorate.
Pocock, D. (2015). A philosophy of practice for systemic psychotherapy: The case for critical realism. Journal of Family Therapy, 37, 167–183.
Pote, H., Stratton, P., Cottrell, D., Boston, P., Shapiro, D., & Hanks, H. (2000). The Leeds systemic family therapy manual. Leeds Family Therapy Research Centre.
Pote, H., Stratton, P., Cottrell, D., Shapiro, D., & Boston, P. (2003). Systemic family therapy can be manualized: Research process and findings. Journal of Family Therapy, 25(3), 236–262.
Rimehaug, T., & Helmersberg, I. (1995). Barnepsykiatrisk utredning: Fra produkt til prosess. Veien mot rollen som med-ekspert [Child psychiatric diagnostic assessment: From product to process]. Fokus På Familien, 23(2), 145–156.
Rønnestad, M. H., & Orlinsky, D. E. (2006). ‘Terapeutisk arbeid og profesjonell utvikling: En internasjonal studie’ [Therapist practice and development: An international study]. Tidsskrift for Norsk Psykologforening, 11(1), 6–24.
Silverman, W. H. (1996). Cookbooks, manuals, and paint-by-numbers: Psychotherapy in the 90’s’. Psychotherapy, 33(2), 207–215.
Stratton, P., Pote, H., Cottrell, D., Boston, P., Shapiro, D., & Hanks, H. (2009). Systemic family therapy manual therapist adherence protocol training edition. University of Leeds.
Stratton, P., Reibstein, J., Lask, J., Singh, R., & Asen, E. (2011). Competences and occupational standards for systemic family and couples’ therapy’. Journal of Family Therapy, 33(2), 123–143.
Sundet, R. (2015). Kunnskap i evidensens tid [Knowledge, in the time of evidence]. Fokus På Familien, 43(1), 6–24.
Sundelin, J. (2013). Karta eller tvångstrøja? En klinikers møte med 4 familjeterapeutiska manualer’ [Map or straightjacket? A clinicians meeting with 4 family therapy manuals]. Fokus På Familien, 41(3), 216–235.
Tomm, K. M., & Wright, L. M. (1979). Training in family therapy: Perceptual, conceptual and executive skills. Family Process, 18(3), 227–250.
Wampold, B., & Imel, Z. E. (2015). The great psychotherapy debate. The evidence for what makes psychotherapy work. Taylor & Francis.
White, M. (2007). Maps of narrative practice. W.W. Norton.
World Health Organization. (1996). Multiaxial classification of child and adolescent psychiatric disorders. The ICD-10 classification of mental and behavioral disorders in children and adolescents. Cambridge University Press.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Lorås, L. (2021). The Map of Competences in Systemic Therapy: Targeting Associated Abnormal Psychosocial Situations in Axis 5. In: Mariotti, M., Saba, G., Stratton, P. (eds) Handbook of Systemic Approaches to Psychotherapy Manuals. European Family Therapy Association Series. Springer, Cham. https://doi.org/10.1007/978-3-030-73640-8_10
Download citation
DOI: https://doi.org/10.1007/978-3-030-73640-8_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-73639-2
Online ISBN: 978-3-030-73640-8
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)