How do we treat our clients in the relational framework? 4．

 Slide 11.  Is radical “structural change” sine qua non for a therapeutic action to take place?

In fact, modification of the UAN does not imply the total change of the network, but just its partial change as shown in the diagram below.

Slide 12. the conclusion of　Gabbard’s paper (p.837)

Ｈere, I quote some of his statements.

“There is no single path to, or target of, therapeutic change”.

“Any time we are tempted to propose a single formula for change, we should take this as a clue that we are trying to reduce our anxiety about uncertainty by reducing something very complex to something very simple”.

“Various goals of treatment and techniques useful for facilitating therapeutic change might not be free of elements that are conflicting or at cross purposes.”

 Gabbard then said (p.826) ;  Fonagy and Target (1996) characterize this process as expanding psychic reality by mentalizing, or developing reflective function. A principal mode of therapeutic action involves the patient’s increasing ability to perceive himself in the analyst’s mind while simultaneously developing a greater sense of the separate subjectivity of the analyst. (Fonagy P, Target M (1996). Playing with reality, I: Theory of mind and the normal development of psychic reality. Int J Psychoanal 77: 217–33.)

I basically agree with Gabbard and consider mentalization based treatment as a basic method that we can use in order to prowl forward in our analytic treatment.