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Revista Brasileira de Psicanálise

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CAMPOS, Maria Angélica de  and  MACHADO, Rebeca Nonato. Indication of treatment in family psychotherapy: a report of a clinical experience. Rev. bras. psicanál [online]. 2018, vol.52, n.3, pp. 181-196. ISSN 0486-641X.

The purpose of this paper is to investigate the preliminary interviews with families in a clinical school. We attempt to examine which factors may contribute towards the formulation of the indication for family psychotherapy. Our intention is to evaluate the parameters of this indication and which indicators, among those that are present in the patient's initial complaint, should be considered. To this end, we present a clinical vignette from a case treated in the clinical school of a private university, i.e., an eight-month treatment with a weekly supervision. We have noticed that in families whose members are entangled, the indication of family psychotherapy is fundamental. In such situations, the psychic boundaries remain poorly defined, so that they produce rigid unconscious alliances that hinder the family members' emotional development. In addition, refined listening skills of an experienced professional has been shown to be a distinguishing characteristic to achieve a better understanding of an intersubjective demand and the type of therapeutic referral.

Keywords : family; indication of treatment; initial evaluation; listening; complaint.

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