In fact, all psychotherapies use re framing. Patients, whether individuals or families, come
with their own views as to the cause of their problems views that usually haven’t helped
them solve the problems and the therapist offers them a new and potentially more con-
instructive view of these same problems. What makes structural family therapy unique is that
it uses enactments within therapy sessions to make the re framing happen. This is the sine
qua non of structural family therapy: observing and modifying the structure of family transactions in the immediate context of the session. Structural therapists work with what
they see going on in the session, not what family members describe. Action in the session,
family dynamics in process, is what structural family therapists deal with.