ABSTRACT
This chapter begins with four levels of intervention which represents a multidimensional approach to the complexity inherent in the work. The levels of work are: 'Me and you' Therapeutic relationship; 'Doing stuff' psycho-educational input; 'Making sense' Reflection and narrative; 'The bigger picture' The professional system. The nature of the therapeutic work constantly challenges the boundaries of the therapist-client relationship. The psycho-educational intervention which was part of a multidimensional therapeutic approach that did not include pharmacological intervention. Anger management relationship skills and specific parenting skills are several interventions used as part of a psycho-educational approach that benefitted the parents. Some parents clearly had the ability to be reflective but because of underlying psychological difficulties and other impediments were unable to use the skill; for them reflection had long been associated with uncovering painful feelings or memories. An essential element is the parent's explanation and reflective account of the professional's child protection concerns, which is of central importance in the case.
