لایب سان

A particular client, Linda, is notorious among the staff of a local mental health clinic. Mere mention of her name elicits a collective groan. She is a single parent of three children, none of whom know their different fathers. Linda came from an abusive, alcoholic family and grew up in multiple foster homes. She has an extensive drug history, wildly fluctuating mood swings, and an explosive temper. She routinely calls in crisis, and members of the crisis team refer to her as a “frequent flyer.” Numerous clinic staff members are alarmed about her parenting and view her as a “help-rejecting, hos- tile borderline in denial.” After a recent incident in which Linda ended up screaming obscenities at her son’s therapist in the waiting room, the staff is debating whether to demand an apology for her behavior or ban her from the clinic.

Contents Introduction: Reflective Practice in Frenzied Times 1 Chapter 1. Working with Multi-Stressed Families: Recognizing the Importance of Relational Stance 15 Chapter 2. What We See Is What We Get: Reexamining Our Assessment Process 46 Chapter 3. Collaboration Is a Two-Way Street: Engaging Reluctant Families 87 Chapter 4. Developing a Proactive Vision to Guide Clinical Work: Collaborative Therapy Contracts 125 Chapter 5. Collaborative Inquiry: An Anthropological Approach to “Intervening” with Families 155 Chapter 6. Examining the Relationship between Clients and the Problems in Their Lives 187 Chapter 7. Helping Clients Shift Their Relationship to Problems and Develop Preferred Lives 215 Chapter 8. Developing Communities to Support New Lives 249 xi Chapter 9. Solidifying New Lives through Therapeutic Documents 284 Chapter 10. Sustaining a Collaborative Practice in the “Real” World 323 Appendix A. One Example of a Strength-Based Assessment Outline 354 Appendix B. Questions to Assess Externalized Problems Rather Than Families 356 Appendix C. Considerations in Collaborative Therapy Contracts 358 Appendix D. An Interview Outline to Consolidate Alternative Stories 360 Appendix E. Coauthoring Termination/Consolidation Summaries with Clients 362 References 364 Index 377

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