مؤسسة الشرق الأوسط للنشر العلمي
عادةً ما يتم الرد في غضون خمس دقائق
Background: Systemic therapy conceptualizes couple distress as circular patterns sustained by paradoxes and feedback loops. Despite frequent reference to Mony Elkaïm’s Programme Officiel (PO) and Construction du Monde (CM), few case reports operationalize this split on interaction data in Arab contexts. Objective: To produce a transcript-proximal PO/CM map for a Lebanese couple, identify reciprocal double binds, and derive culturally sensitive micro-interventions. Methods: Explanatory single-case study nested within a larger mixed-methods project (surveyed 72 couples). Data comprised three conjoint and two individual sessions. Analysis extracted each partner’s PO (explicit requests), inferred CM (implicit beliefs from family-of-origin narratives and meaning patterns), modeled demand–withdraw circularity, and specified leverage points. Descriptive Dyadic Adjustment indicators were used for triangulation. Findings: The partners’ explicit contracts collided with implicit worlds: the husband’s PO emphasized appreciation and provision while his CM centered on “never enough”; the wife’s PO emphasized emotional priority while her CM anticipated abandonment. Two recurrent sequences emerged: (a) protest for presence → withdrawal/defensiveness → abandonment confirmation; (b) provision/absence to elicit appreciation → critique/protest → failure confirmation. Micro-interventions proved feasible in-session: time-bound reassurance bids, pre-scheduled micro-presence rituals, therapist-mediated summaries that keep requests specific, and genogram-informed reframes. Early session markers suggested reduced escalation and greater clarity of requests. Conclusions: A PO/CM-guided map can make reciprocal double binds visible and actionable in Lebanese practice, aligning systemic theory with culturally responsive dyadic routines. The contribution is analytic generalization (theory-building); broader testing across multiple cases is warranted.