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Talicia’s multipart, multistep treatment illustrates a common reality in child cases. The child’s symptoms are the outcome of many interacting systems that sustain them; their interlocking can arrest forward momentum and make progress almost impossible. In this chapter, we address the central role of parents, recognizing that, as in Talicia’s case, other systems, such as school and possibly a nanny, are also implicated. Nonetheless, it is usually true that parents, in addition to their role as important ancillary sources of information, are the chief therapeutic collaborators in child therapy. Because they are an intrinsic part of children’s mental lives, parents figure into their conflicts and can most directly help their children through their own commitment to change.
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