17 Integration
Three approaches to
integration:
Eclecticism
Selective borrowing
Specially designed
Nichols & Schwartz, 2006
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 Holding
May lead to lack of focus – a little
of this, a little of that
model
Can lead to clinical inconsistency
a core from one particular
 Best
done in a way that fits the
assumptions or paradigm of the core
approach
May not need to switch horses
midstream
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17 Integration
 Metaframeworks
MacKune-Karrer)
(Breunlin, Schwartz,
 Pinsof
(1999)
 Uses a variety of family and individual
approaches in seqence
 Strategic, experiential, biological,
intergenerational, in-depth individual
 Six
core domains of functioning:
intrapsychic (internal systems),
organization, sequences,
development, culture, and gender
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

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Combining approaches:
Narrative Solutions (Eron & Lund, 1996)
Integrative Couples Therapy (Jacobson &
Christensen, 1996)
Emotionally Focused Therapy (Johnson, 2005)
 Intimate
Other
 Community
violence (e.g., Goldner,
Walker, Sheinberg, & Penn, 1990)
Multisystemic (Henggler & Bourduin, 1990)
Multidimensional Family Therapy (Liddle, Dakoff, &
Diamond, 1991)
family therapy (Rojano)
 Psychoeducation
Carol Anderson)
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(e.g., Schizophrenia;
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17 Integration


Pinsof focuses on constraints (social
organizational, biological, meaning,
transgenerational, object relations, self or
narcissistic) that maintain the problem
Fraenkel focuses on the “therapeutic palette,”
which assumes that all perspectives have
importance – each ‘color’ contributes to the
whole picture, with therapists have
preferences
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