ABSTRACT
Therapy with behavior problems focuses on partial shifts in behavioral sequences, and will often result in the experience of solutions as “partial” by the family and/or therapist. Simply applying general concepts of Structural-Strategic therapy, without considering the specific problem or circumstance of the family is conceptually too simple to be effective most of the time. Many families may respond better to less forceful therapeutic approaches, while others may best respond to greater intensity. Failure to consider the importance of family information can lead to unnecessarily conflicted relationships with the family, what has been termed therapeutic bullying by some. Failure to consider the family-extra-familial interface, family subsystems, developmental, social, or other pertinent contextual and circumstance influences can result in muted and unsustained impact. These guidelines and pitfalls are not intended to be all encompassing but merely highlight considerations the conscientious therapist should consider.
