Abstract
This article describes how family members and the staff of a pediatric unit were organized in a “too richly cross-joined system.” In this type of organization, the therapeutic sub-system lost its effectiveness, was unable to maintain a meta-level from that of the family and was caught in a symmetrical game. The presentation of case exemplifies how, through a consultation, the interpersonal matrix of support of a symptom in a larger context of social interaction than that of the family was disrupted.
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