© Copyright 2005 - 2014 Cynthia Good Mojab
All rights reserved
LifeCircle Counseling and Consulting, LLC
Cynthia Good Mojab, MS, LMHCA, IBCLC, RLC, CATSM
Licensed Mental Health Counselor Associate  │ International Board Certified Lactation Consultant  │ Registered Lactation Consultant  
Certified in Acute Traumatic Stress Management



behavior actually came first? It doesn't really matter! The observation gives us two points of intervention: 1) we can decrease the nagging to decrease
the withdrawal or 2) we can decrease the withdrawal to decrease the nagging. Either way, the family functions more satisfactorily for all members. The
observation of cyclic patterns of behavior also helps us get out of the trap of laying blame. Ineffective and unsatisfactory patterns of interaction often
develop so slowly over time that we can never know "who started it." Fortunately, we don't have to know "who started it" in order for change to occur.
Intervention at any point in the cycle can result in change. And, once one person in a family system makes a change, more change is likely to made by
other people in the family system—even if they are not in therapy (Fisch, Weakland & Segal 1982). Change begets change.

Systemic therapy has been shown to be effective for the treatment of a wide range of challenges, including mood disorders (Asen 2002).


Asen, E. Outcome research in family therapy. Advances in Psychiatric Treatment 2002; 8: 230-238. Full text

Berg, I. Family Based Services: A Solution-Focused Approach. New York: W. W. Norton & Company, Inc. 1994.

Fisch, R., Weakland, J., and Segal, L.
The Tactics of Change: Doing Therapy Briefly. San Francisco: Jossey-Bass Publishers 1982.