A wide range of different Dis-integrativeProcesses are encountered, operating in different DOMAINS and LEVELS of dis-integration - in this case the family and wider systemic context.

Some examples are given here, but this is in no way an exhaustive list: plotting the processes at work for a patient, using the grid below, is an important exercise for Keyworker and Team to practice.

At a Conceptual Level a family may locate the cause of the problem within their child, whilst onlookers would instead see parental Domestic violence, or drug abuse, as the core problem (for which the child's behaviour could be interpreted as acting as 'cry for help'.)

At a Practical and Skills Level a family may manage differences and conflict with high Expressed Emotion, demonstrating a high frequency of denial, blame, and intrusiveness.

At the pragmatic Service Delivery Level a family may demonstrate ambivalent engagement in the project of seeking and accepting help, failing to support their child to engage with his or her Keyworker.

These are just a few examples and others can be found. See also Dis-integrativeProcesses.

See the Dis-integration grid