Abstract

Building upon prior research on clinical judgment, the present study contains a description of a meta-theoretical model of problem definition in systems therapy. Qualitative analysis yielded an exemplar that illustrated the use of therapist-specific, interactional, and situational factors, the therapist's influence in the therapeutic conversation along three positioning dimensions, and a continuum of implicit to explicit construction of the presenting problem. The current description of clinical judgment addresses correctives proposed in the existing literature and advances the study of clinical judgment in couple and family therapy.

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