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There is a long history of literature concerning integrative practice and how a systemic practice can fit with other models of therapy Much of this literature has focused on establishing a space for systemic therapy within the dominant medical paradigm, and exploring how the medical model can be enhanced by systemic ideas. The outcome has been better practice, especially in child and adolescent mental health. Interestingly, however, there has been less discussion of the converse: the family therapy literature has rarely considered whether or not systemic practice itself can be enhanced by ideas from the dominant medical model. This article proposes that a biopsychosocial formulation can enhance systemic practice by: (I) holding clinicians accountable for their thinking; (2) facilitating a rigour and attention to detail that may prove useful when therapy falters; (3) opening up other possibilities for intervention; and (4) providing a way to engage with the dominant medical paradigm and support clients in negotiating their way through this system. Potential problems nevertheless arise when integrating a biopsychosocial formulation into a systemic framework. This article identifies these problems and presents ideas for how they can be managed in practice.  相似文献   
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The following essay responds to three main issues raised by Phelps and White (2018) in their critical commentary on our article (McDonald, Gough, Wearing & Deville, 2017). The first concerns the lack of precision in the conceptualisation of neoliberalism and the recent threats to it as we enter a potentially new phase of capitalism. While we share Phelps and White's concern, we argue that there is value in continuing to use neoliberalism as a concept for understanding some aspects of social behaviour. As to recent threats to neoliberalism, evidence indicates that it will continue to persist in the immediate future. To deal with neoliberalism's conceptual problems in social psychology, Phelps and White advance the potential theory of a ‘market‐derived logics’. We commend the authors for pursuing this endeavor, however, we caution that care needs to be taken in its conceptualisation. Lastly, we discuss Phelps and White's disciplinary reflections on social psychology.  相似文献   
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