Information was also sought about employment status; compliance of the family and the person with schizophrenia both with the family interventions and medication; mental state; moderation of family burden; and expressed emotion in the home. At the end of 1-year follow-up, the group of patients as a whole showed modest symptomatic improvements. Strategic therapists argue that once some changes are achieved in relation to the presenting symptom, a domino effect sets in, affecting other interactions and behaviours in the whole family and the larger system. Following an overview of the theoretical foundations undergirding this therapeutic approach, a case study is used to illustrate the use of numerous NFT techniques. One study  was judged as very high quality since the risks of bias were low across all domains. Data curation, Stata 15.1  statistical software for meta-analyses was used to analyze data for the seven remaining included studies. The selection of studies was conducted in three stages . About 85% of studies reported maternal education, it ranged from elementary school to college education with nearly all of mothers having at least a high school education. 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