Abstract
Working with systems, families, and multidisciplinary teams requires a different mindset from the conventional practice of medicine. The systemic therapist deals with a great deal of information, and there is a steady demand to respond in the moment. I have come to think of my interactions as a performance, but it is a performance grounded in professional responsibility. This is an approach that has been echoed in the writings of family therapists such as Salvador Minuchin, who has talked about the need to be less traditionally “supportive” and to rely more on challenging families to do it “differently” (Miller, 2011). Or to take another example, Bradford Keeney (2009, p. 2) tells us to “move creatively with our clients or our sessions will go nowhere.” He adds: “We must learn to go beyond the guidance initiated by previous clinical trainings. No matter what therapeutic orientation one practices, it must breathe and circulate creativity in order for sessions to come alive.”
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