ABSTRACT Enactment is primarily conceptualized as a phenomenon occurring in the therapeutic dyad. This paper presents a relational construct of enactment as it manifests in the individual, interpersonal and organizational matrix of a clinical system. System enactments are ubiquitous phenomena that emerge with clients and staff in the relational field of a system that involves multiple participants with mutual and intersecting subjectivities; yet, there is little information about this type of enactment in the literature. This phenomenon often occurs in the context of power struggles and ruptures in the alliance with the client, and difficulties in the working relationships between treatment staff, which if not engaged, can result in negative therapeutic outcomes. A fictionalized case example demonstrates how this construct guides systems-based clinical practice. Implications for social work education, practice and training, and suggestions for future research are discussed.

中文翻译：

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系统制定：个人、人际和组织的视角

摘要 制定主要被概念化为在治疗性二元组中发生的现象。本文提出了一个相关性的制定，因为它体现在临床系统的个体、人际关系和组织矩阵中。系统制定是普遍存在的现象，在涉及具有相互交叉主体性的多个参与者的系统关系领域中，随着客户和员工出现；然而，文献中关于此类颁布的信息很少。这种现象经常发生在权力斗争和与客户联盟破裂的背景下，以及治疗人员之间的工作关系出现困难，如果不参与，可能会导致负面的治疗结果。一个虚构的案例展示了这种结构如何指导基于系统的临床实践。讨论了对社会工作教育、实践和培训的影响，以及对未来研究的建议。