In which therapy model is the therapist very directive and influences change, particularly with resistant families?

The model that involves a therapist being very directive and actively influencing change, especially when working with resistant families, is Strategic Family Therapy. This approach is characterized by the therapist taking a hands-on role in guiding the therapy process, formulating specific interventions, and sometimes using confrontational tactics to provoke change within the family dynamic.

Strategic Family Therapy focuses on identifying and altering problematic interaction patterns and often employs techniques such as directives, paradoxes, and reframing, which are designed to disrupt existing roles and patterns that maintain the family's dysfunction. In cases where families exhibit resistance to traditional therapeutic approaches, a more directive stance can be particularly useful in facilitating engagement and motivating change.

In contrast, Milan Systemic Family Therapy emphasizes understanding the family as a system and often employs circular questioning to explore dynamics, rather than taking a directive role. General Systems Theory provides a broad framework for understanding systems but does not prescribe specific therapeutic techniques or directives. Double Bind Theory relates to communication patterns but does not necessarily involve a directive therapeutic approach. Each of these other options offers valuable insights into family dynamics, but they do not align with the directive approach outlined in the question.