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Systemic · 1959

Palo Alto school / MRI

The problem persists when the system keeps applying the very solutions that maintain the pattern they are meant to correct.

The Palo Alto school / MRI is one of the historical cores of systemic, communicational and strategic thinking applied to psychotherapy. At the Mental Research Institute in Palo Alto, Don D. Jackson, Paul Watzlawick, Janet Beavin Bavelas, John Weakland, Richard Fisch and other collaborators developed a way of understanding human problems as patterns of interaction and communication sustained by feedback loops, implicit relational rules and attempted solutions that, although logical and well-intentioned, perpetuate the very problem they seek to resolve. Inspired by cybernetics, General Systems Theory, Gregory Bateson's anthropology, the pragmatics of human communication and Milton H. Erickson's indirect style, the MRI shifted clinical attention away from the search for deep intrapsychic causes and towards the analysis of how the problem works in the present: who does what, to whom, in what sequence, with what response and with what maintaining effect. Its most characteristic contribution is the distinction between first-order change, understood as variation within the same framework, and second-order change, understood as transformation of the rule or framework that organises the problem. The intervention is formulated in a brief, strategic, focused and pragmatic way: define the problem in observable terms, identify the attempted solutions, interrupt the circular pattern and prescribe tasks or reframes capable of producing concrete differences in the relational system.

Theory of change

The system changes when it gives up the attempted solution that sustains the problem and introduces a concrete difference into the pattern of interaction.

Core ideas

  1. The clinical problem is defined as a pattern of interaction maintained in the present

    For the MRI, what is clinically relevant is an observable pattern of behaviours and communications that recurs in the present between members of a system. This definition does not reduce suffering to an individual label but locates it in the way some people's responses become conditions for other people's responses. An intervention is justified by its capacity to alter that pattern, not by its power to explain exhaustively the historical origin of the symptom. Reference: Watzlawick, Weakland & Fisch (1974), Change; Weakland, Fisch, Watzlawick & Bodin (1974), Brief Therapy: Focused Problem Resolution.

  2. The attempted solution is the main mechanism of maintenance

    The MRI's central thesis holds that many problems persist because the system applies logical, well-intentioned responses that produce immediate relief or a sense of control but that in the long run stabilise the problem. Controlling can increase concealment, reassuring can increase dependence, insisting can increase withdrawal and avoiding can increase fear. Change begins when those solutions stop being repeated as though they were external to the problem. Reference: Watzlawick, Weakland & Fisch (1974), Change; Fisch, Weakland & Segal (1982), The Tactics of Change.

  3. Clinical causality is circular, not linear

    The MRI holds that relational problems are sustained by feedback circuits in which each behaviour is at once response and stimulus. This view prevents the case from being pinned on a single culprit and makes it possible to look for leverage points within the cycle. The therapist asks how the repetition is organised, how the sequence is punctuated and which response maintains the system's next response. Reference: Watzlawick, Beavin & Jackson (1967), Pragmatics of Human Communication.

  4. All behaviour communicates and every message defines a relationship

    The pragmatics of human communication holds that even silence, withdrawal, passivity or avoidance function as communications within a system. Moreover, every message contains a content level and a relationship level that defines power, distance, alliance, threat or legitimacy. Many conflicts become chronic because the participants argue over the content while responding emotionally to the relationship level. Reference: Watzlawick, Beavin & Jackson (1967), Pragmatics of Human Communication.

  5. The clinical criterion is pragmatic: a formulation is worth what it enables in changing the pattern

    The MRI judges formulations by their usefulness in producing observable differences, not by their interpretive depth or their fit with a global theory of personality. A reframe, a task or a paradox has value when it reduces resistance, alters a sequence or interrupts an attempted solution. This pragmatic orientation turns therapy into applied research into which intervention changes how the system works. Reference: Watzlawick, Weakland & Fisch (1974), Change; Weakland, Fisch, Watzlawick & Bodin (1974), Brief Therapy: Focused Problem Resolution.

  6. Second-order change transforms the rule of the relational game

    First-order change introduces variations within the same framework; second-order change alters the rule that defines the problem. When the system has spent a long time doing more of the same at varying degrees of intensity, an effective intervention needs to change the logic of the response, not merely its quantity. This is why the MRI resorts to reframes, reversals, prescriptions and restraints that change the framework from which the system acts. Reference: Watzlawick, Weakland & Fisch (1974), Change.

  7. Resistance is understood as a property of the pattern and worked with strategically

    Resistance is interpreted neither as a moral defect nor as an individual trait, but as an effect of how the system is organised and of the function the attempted solution serves. When direct advice threatens the equilibrium, intensifies the struggle for control or reinforces the symptom, the therapist may use indirect manoeuvres, restraints on change or paradoxical prescriptions in order to reduce opposition and produce movement from within the system. Reference: Watzlawick, Weakland & Fisch (1974), Change; Fisch, Weakland & Segal (1982), The Tactics of Change.

  8. Brevity comes from focus, not from superficiality

    MRI brief therapy does not set out to resolve a whole life story or transform every aspect of the system, but to identify the circuit that maintains the current problem and produce a difference sufficient to disrupt it. Brevity arises from formulating a clear target, working with attempted solutions and using tasks that act directly in everyday life. A small intervention can have wide effects if it is aimed at the point that maintains the loop. Reference: Weakland, Fisch, Watzlawick & Bodin (1974), Brief Therapy: Focused Problem Resolution.

  9. The therapist operates as a strategic consultant to the client system

    The MRI therapist does not take the position of judge of the family or of deep interpreter of a hidden truth, but that of a consultant who helps to define the problem, observe the pattern and design a useful manoeuvre. Their neutrality is pragmatic: they avoid stable coalitions, reduce blame, keep the focus on sequences and adjust their intervention according to the system's response. Reference: Fisch, Weakland & Segal (1982), The Tactics of Change; Watzlawick, Weakland & Fisch (1974), Change.

  10. The between-session task makes everyday life the laboratory of change

    The MRI holds that the session serves for formulating and designing, but that clinical change is tested in the context where the problem occurs. Between-session tasks make it possible to introduce real differences into the pattern, observe how the system responds and adjust the strategy. Effectiveness is measured by changes in everyday interaction: less repetition, less escalation, more flexibility and the progressive abandonment of ineffective attempted solutions. Reference: Weakland, Fisch, Watzlawick & Bodin (1974), Brief Therapy: Focused Problem Resolution; Fisch, Weakland & Segal (1982), The Tactics of Change.

Influences

  • General Systems Theory
  • Cybernetics
  • The pragmatics of human communication
  • Gregory Bateson
  • Milton H. Erickson
  • Information theory
  • The anthropology of communication
  • Strategic psychiatry

Key references

  • Bateson, G., Jackson, D. D., Haley, J., & Weakland, J. (1956). Toward a Theory of Schizophrenia. Behavioral Science, 1(4), 251–264.
  • Jackson, D. D. (1957). The Question of Family Homeostasis. Psychiatric Quarterly Supplement, 31, 79–90.
  • Watzlawick, P., Beavin, J. H., & Jackson, D. D. (1967). Pragmatics of Human Communication: A Study of Interactional Patterns, Pathologies, and Paradoxes. Norton.
  • Watzlawick, P., Weakland, J. H., & Fisch, R. (1974). Change: Principles of Problem Formation and Problem Resolution. Norton.
  • Weakland, J. H., Fisch, R., Watzlawick, P., & Bodin, A. M. (1974). Brief Therapy: Focused Problem Resolution. Family Process, 13(2), 141–168.
  • Fisch, R., Weakland, J. H., & Segal, L. (1982). The Tactics of Change: Doing Therapy Briefly. Jossey-Bass.