لایب سان

Author(s): JoEllen Patterson et al.

Publisher: The Guilford Press, Year: 2018

ISBN: 1462533434, 9781462533435

xv CHAPTER 1. The Beginning Family Therapist: 1 Taking On the Challenge Getting Started 4 Managing Anxiety and Issues of Confidence 4 Stages of Therapist Development 6 Obsessing about Clinical Work 9 Dealing with Burnout 9 Conclusion 11 CHAPTER 2. Before the Initial Interview 12 Dealing with Families’ Expectations and Anxieties about Therapy 12 Suggestions for Initial Contact with the Client 14 What Information Should Be Obtained? 16 Who Should Come to Therapy? 17 Initial Hypothesizing 21 Conclusion 22 CHAPTER 3. The Initial Interview 24 Stages of the Initial Interview 24 Developing a Connection: How to Join with Clients 25 Handling Administrative Issues 27 Defining Client Expectations for Therapy 33 Assessing and Building Motivation 37 Contents xvi Contents Establishing Credibility 40 Conclusion: The First Session and Beyond 42 CHAPTER 4. Guidelines for Conducting Assessment 43 Initial Assessment 45 Potential Issues of Harm 47 Assessing for Substance Abuse 58 Assessing for Biological and Neurological Factors 60 Psychological Assessment 64 Social Assessment 66 Spiritual Assessment 72 Assessing Social Systems Outside the Family 73 Assessing Larger Systems: Context, Gender, and Culture 74 Conclusion 77 CHAPTER 5. Developing a Treatment Focus 78 and Treatment Plan Four Obstacles to Developing a Treatment Focus 79 Building a Conceptual Map Using Theory and Research 81 Components of a Treatment Plan 86 Evaluating the Effectiveness of Treatment 99 Conclusion 100 CHAPTER 6. Basic Treatment Skills and Interventions 102 The Rush to Intervention versus Developing a Relationship 102 Basic Counseling Skills 105 Skills Unique to the Systemic/ Relational Therapist 114 Becoming More Sophisticated in Using Interventions 122 Conclusion 123 CHAPTER 7. Working with Families and Children 125 Assessment of Children and Adolescents 126 Emerging Resources for Treating Children and Adolescents 128 The Family Life Cycle Revisited 130 Variations in Family Development 149 Conclusion 156 Contents xvii CHAPTER 8. Working with Older Adults 157 and Their Caregivers Assessment and Treatment of Older Adults 158 Family Caregiving 165 Conclusion 175 CHAPTER 9. Working with Couples 176 Keys to Providing Solid Couple Therapy 177 Special Topics 191 When Couple Therapy Might Not Work 205 Conclusion 206 CHAPTER 10. When a Family Member Has a Mental Illness 207 Individual and Family Concepts 208 Individual Diagnosis in a Family Context 212 Depression 217 Anxiety 222 Alcoholism and Drug Abuse 226 Impulse Disorders and Neurodevelopmental Disorders 231 Conclusion 234 CHAPTER 11. Getting Unstuck in Therapy 235 Understanding Clients’ Ambivalence about Change 236 Therapist–Client Agenda and Timing Mismatch 238 Matching Level of Directness to the Client 239 The Therapist’s Reluctance to Intervene 239 Therapists’ Lack of Conceptual Clarity 240 Change and Acceptance 241 Countertransference: How Therapist Issues Interfere 242 Dealing with Cancellations and No-Shows 245 Difficulty Getting Other Family Members to Therapy 247 Handling Secrets 248 Dealing with Clients We Dislike 249 How Agencies Contribute to Being Stuck 251 Supervision 254 Self-Supervision Questions 256 Getting Unstuck Using Research and Literature 256 Conclusion 261 xviii Contents CHAPTER 12. Termination 262 Mutual Terminations 263 Therapist Terminations 269 Client Terminations 271 Conclusion 274 CHAPTER 13. Family Therapy in the Future 275 Pertinent Issues for Beginning Clinicians 276 Healthcare Reform: Implications for You and Your Clients 277 Emerging Trends in Treatment 282 Benefits and Liabilities of Being a Therapist 290 The Personal and Professional Journey of Being a Therapist 290 Conclusion 292 APPENDIX. Screening Instruments 293 Mood Disorders 293 Anxiety Disorders 293 Impulse Control Disorders 293 Addictive Behaviors 294 Eating Disorders 294 Trauma 294 Psychosis 294 Family Measures 295 Couple Measures 295 Somatization 295 Personality Disorders 295 Spirituality 295 References 297 Index 319

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