Intensive Structural Therapy

Basic Tenets of IST

1. Systemic postulate: Everything Is Connected.
2. The contemporary context maintains the problem.
3. Theory of Change: With Organized System of Care, presenting problem remits.
4. Multifaceted self. “I am large, I contain multitudes.” (Walt Whitman)
5. Assess system:
   • Structure/Developmental stage/History/Process
   • Law of Parsimony (Occam's Razor) "Simplest, effective explanation is best".
6. Essentiality of tracking grounded data.
7. Direct the therapy to transform the homeostatic maintainer (HM).
8. Ubiquitous triangles must be addressed.
9. Interventions: Family Therapy Techniques to transform the system.(Minuchin,Fishman)
10. Results Based Accountability: "If you can’t measure it, you can’t manage it"

© Charles Fishman, MD May, 2015