i “This is a uniquely fascinating book. The first edition presented the prac- tical and poetic wisdom of Salvador Minuchin with the counterpoint voices of his trainees. Their lessons learned and their personal growth are a signifi- cant addition to the training literature. This second edition enlarges the prism by incorporating the incisive views of the trainee’s teachers, family therapy Professors Michael D. Reiter and Charmaine Borda. A must read for any clin- ician interested in enhancing their craft.” – H. Charles Fishman, MD, clinical professor of psychiatry, University of Hawaii, John A. Burns School of Medicine “In his final book, Minuchin gives us an in-depth master class in family therapy as developed over a 60-year career. Having worked with him, these classes speak true to his teachings throughout his career, breaking down the key skills of viewing families systemically. Minuchin gives voice to his key insights into the dynamics of the family dance that has made him one of the most influential figures in our field. Every family therapy student will appre- ciate the second part of the book which demonstrates the struggle and growth that student therapists have in becoming professional family therapists. The third part of the book fondly pays tribute to Minuchin’s masterful voice and how it continues to impact family therapists into the future.” – Cloe Madanes, president, Madanes Institute, author of Changing Relationships ii iii The Craft of Family Therapy This cutting-e dge second edition of The Craft of Family Therapy revisits some of Salvador Minuchin’s most famous cases, guiding trainee therapists through basic techniques and ideas while illuminating the unique voice of Minuchin as the founder of Structural Family Therapy. The book begins by teaching readers the fundamentals of family therapy through the lens of rich commentary from Salvador Minuchin on some of his most interesting cases. It then moves on to three detailed supervision transcripts from Minuchin’s former students, illustrating the struggles, fears, and insecurities that new family therapists face and how they can overcome them. In a new, ground- breaking third section, Reiter and Borda share their own lessons from Minuchin as well as expand his influential ideas, empha- sizing a strength- based family therapy approach. Written in an accessible, practical style, The Craft of Family Therapy, 2nd edition draws on a wealth of fascinating case examples to bring Minuchin’s theory and experience to today’s family therapists and psychotherapists in practice and training. Salvador Minuchin, MD, was a family therapist, author, and teacher. He was the developer of Structural Family Therapy and is considered one of the founders of family therapy. Michael D. Reiter, PhD, LMFT, is a professor of family therapy at Nova Southeastern University. He is the author of ten previous books, including Systems Theories for Psychotherapists and Family Therapy: An Introduction to Process, Practice, and Theory. Charmaine Borda, PhD, LMFT, LMHC, is the founder and director of The Blue Couch, Inc., a private practice in Plantation, Florida. iv v The Craft of Family Therapy Challenging Certainties 2nd Edition Salvador Minuchin, Michael D. Reiter, and Charmaine Borda vi Second edition published 2021 by Routledge 52 Vanderbilt Avenue, New York, NY 10017 and by Routledge 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN Routledge is an imprint of the Taylor & Francis Group, an informa business © 2021 Salvador Minuchin, Michael D. Reiter, and Charmaine Borda The right of Salvador Minuchin, Michael D. Reiter, and Charmaine Borda to be identified as authors of this work has been asserted by them in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. First edition published by Routledge in 2013 Library of Congress Cataloging- in- Publication Data Names: Minuchin, Salvador, author. | Reiter, Michael D., author. | Borda, Charmaine, author. Title: The craft of family therapy: challenging certainties / Salvador Minuchin, Michael D. Reiter, and Charmaine Borda. Description: Second edition. | New York, NY: Routledge, 2021. | Includes bibliographical references and index. | Summary: “This cutting- edge second edition of The Craft of Family Therapy revisits some of Salvador Minuchin’s most famous cases, guiding trainee therapists through basic techniques and ideas while illuminating the unique voice of Minuchin as the founder of Structural Family Therapy. Written in an accessible, practical style, the text draws on a wealth of fascinating case examples to bring Minuchin’s theory and experience to today’s family therapists and psychotherapists in practice and training”– Provided by publisher. Identifiers: LCCN 2020048077 (print) | LCCN 2020048078 (ebook) | ISBN 9780367622459 (hbk) | ISBN 9780367628338 (pbk) | ISBN 9781003110996 (ebk) Subjects: LCSH: Family psychotherapy. Classification: LCC RC488.5 .M543 2021 (print) | LCC RC488.5 (ebook) | DDC 616.89/ 156– dc23 LC record available at lccn.loc.gov/2 020048077 LC ebook record available at lccn.loc.gov/2 020048078 ISBN: 978- 0- 367- 62245- 9 (hbk) ISBN: 978- 0- 367- 62833- 8 (pbk) ISBN: 978- 1- 003- 11099- 6 (ebk) Typeset in Goudy by Newgen Publishing UK vii This book is dedicated to Pat and Sal Minuchin, forever grateful for your guidance and friendship. viii ix Contents Prologue xi Acknowledgments xvi PART I Concepts and Practice of the Craft 1 1 The Craft of Family Therapy 3 2 Symptoms: Challenge to the Concept that the Symptom is Located in One Family Member 12 3 Unwrapping Family Member Identities 32 4 Deconstructing Family Organization: Exploring Subsystems 56 5 The Therapist’s Style 74 6 Utilizing the Family Therapist’s Pouch 81 PART II Teaching and Learning the Craft 119 7 Angela and the Way to Ask Questions 123 8 Olivia and Becoming a Supernanny 145 9 Learning from My Mistakes 151 SARAH A. WALKER