Family Therapy: Concepts and Methods - Original PDF

دانلود کتاب Family Therapy: Concepts and Methods - Original PDF

Author: Michael P. Nichols; Sean Davis

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Long considered the standard of excellence—the best introduction and guide to the practice of family therapy available—this accessible resource explores the rich history and contemporary practice of the entire field. Thorough, thoughtful, fair, and balanced, Family Therapy by Michael P. Nichols presents ideas and techniques that give readers a clear focus on clinical practice. While exploring the history, the classic schools, and the latest developments, this new edition puts an increased, pragmatic focus on clinical practice, which includes discussions of the author's observations of actual sessions with leading practitioners, as well as the best case studies of several invited master therapists. Included are video links, interactive chapter quizzes, new case studies, a new section on the impact of the Affordable Care Act, and many more content changes that bring the reader up to date on the latest and most critical issues in the field of family therapy today. The Enhanced Pearson eText features embedded videos and assessments.

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T here wasn’t much information on the intake sheet. Just a name, Holly Roberts, the fact that she was a senior in college, and her presenting complaint: “trouble making decisions.” The first thing Holly said when she sat down was, “I’m not sure I need to be here. You prob- ably have a lot of people who need help more than I do.” Then she started to cry. It was springtime. The tulips were up, the trees were turning leafy green, and purple clumps of lilacs perfumed the air. Life and all its possibilities stretched out before her, but Holly was naggingly, unaccountably depressed. The decision Holly was having trouble making was what to do after graduation. The more she tried to figure it out, the less able she was to concentrate. She started sleeping late, missing classes. Finally, her roommate talked her into going to the counseling center. “I wouldn’t have come,” Holly said. “I can take care of my own problems.” I was into cathartic therapy back then. Most people have stories to tell and tears to shed. Some of the stories, I suspected, were dramatized to elicit sympathy. We seem to give ourselves permission to cry only with some very accept- able excuse. Of all the human emotions we’re ashamed of, feeling sorry for yourself tops the list. I didn’t know what was behind Holly’s depres- sion, but I was sure I could help. I felt comforta- ble with depression. Ever since my senior year in high school when my friend Alex died, I’d been a little depressed myself

چکیده فارسی

 

در اینجا اطلاعات زیادی در برگه ورودی وجود نداشت. فقط یک نام، هالی رابرتز، این واقعیت که او یک دانشجوی ارشد در کالج بود، و شکایت او: "مشکل در تصمیم گیری". اولین چیزی که هالی هنگام نشستن گفت این بود: «مطمئن نیستم که باید اینجا باشم. شما احتمالاً افراد زیادی دارید که بیشتر از من به کمک نیاز دارند.» بعد شروع کرد به گریه کردن. بهار بود لاله‌ها بالا رفته بودند، درخت‌ها سبز شده بودند و توده‌های بنفش یاس بنفش هوا را معطر می‌کرد. زندگی و همه احتمالاتش در برابر او گسترده شده بود، اما هالی به طرز آزاردهنده ای افسرده بود. تصمیمی که هالی در گرفتن آن با مشکل مواجه بود این بود که پس از فارغ التحصیلی چه باید کرد. هر چه بیشتر سعی می کرد آن را بفهمد، کمتر می توانست تمرکز کند. او شروع به خوابیدن دیر کرد، کلاس را از دست داد. در نهایت هم اتاقی اش از او خواست که به مرکز مشاوره برود. هالی گفت: من نمی‌آمدم. "من می توانم به مشکلاتم رسیدگی کنم." من در آن زمان تحت درمان کاتارتیک بودم. بیشتر مردم داستان هایی برای گفتن دارند و اشک هایی برای ریختن. به گمان من، برخی از داستان ها برای برانگیختن همدردی دراماتیزه شده بودند. به نظر می رسد فقط با بهانه ای بسیار قابل قبول به خود اجازه گریه می دهیم. از بین تمام احساسات انسانی که از آنها شرمنده ایم، احساس تاسف برای خودتان در صدر فهرست قرار دارد. نمی دانستم پشت افسردگی هالی چیست، اما مطمئن بودم که می توانم کمک کنم. با افسردگی احساس راحتی می کردم. از سال آخر دبیرستان که دوستم الکس فوت کرد، خودم کمی افسرده بودم

 

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Author(s): Michael P. Nichols; Sean Davis

Publisher: Pearson, Year: 2016

ISBN: 0133826600,9780133826609

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v The Stages of the Family Life Cycle xiii Major Events in the History of Family Therapy xv Foreword xxi Preface xxiii PART One THE CONTEXT OF FAMILY THERAPY Introduction The Foundations of Family Therapy 1 The Myth of the Hero 3 Psychotherapeutic Sanctuary 4 Family versus Individual Therapy 5 Thinking in Lines, Thinking in Circles 6 The Power of Family Therapy 6 1 The Evolution of Family Therapy 8 The Undeclared War 8 Small Group Dynamics 9 The Child Guidance Movement 11 Marriage Counseling 12 Research on Family Dynamics and the Etiology of Schizophrenia 13 Gregory Bateson—Palo Alto 13 Theodore Lidz—Yale 15 Lyman Wynne—National Institute of Mental Health 15 Role Theorists 16 From Research to Treatment: The Pioneers of Family Therapy 16 John Bell 16 Palo Alto 17 Murray Bowen 19 Nathan Ackerman 21 Carl Whitaker 21 Ivan Boszormenyi-Nagy 22 Salvador Minuchin 22 Other Early Centers of Family Therapy 23 The Golden Age of Family Therapy 24 SUMMARY 25 ConTEnTS vi Contents 2 Basic Techniques of Family Therapy 27 Getting Started 27 The Initial Telephone Call 27 The First Interview 28 The Early Phase of Treatment 30 The Middle Phase of Treatment 32 Termination 33 Termination Checklist 34 Family Assessment 34 The Presenting Problem 34 Understanding the Referral Route 35 Identifying the Systemic Context 35 Stage of the Life Cycle 36 Family Structure 36 Communication 36 Drug and Alcohol Abuse 37 Domestic Violence and Sexual Abuse 37 Extramarital Affairs 37 Gender 38 Culture 38 The Ethical Dimension 39 The Marriage and Family Therapy License 42 Family Therapy with Specific Presenting Problems 42 Marital Violence 42 Sexual Abuse of Children 45 Working with Managed Care 46 Fee-for-Service Private Practice 48 SUMMARY 49 3 The Fundamental Concepts of Family Therapy 50 Cybernetics 51 Systems Theory 54 General Systems Theory 55 Social Constructionism 55 Constructivism 56 The Social Construction of Reality 56 Attachment Theory 57 The Working Concepts of Family Therapy 60 Interpersonal Context 60 Complementarity 60 Circular Causality 60 Triangles 61 Process/Content 62 Family Structure 62 Family Life Cycle 63 Contents vii Family Narratives 64 Gender 65 Culture 66 SUMMARY 67 PART TWO THE CLASSIC SCHOOLS OF FAMILY THERAPY 4 Bowen Family Systems Therapy 69 Sketches of Leading Figures 70 Theoretical Formulations 70 Differentiation of Self 71 Emotional Triangles 71 Multigenerational Emotional Processes 72 Emotional Cutoff 72 Societal Emotional Process 73 Family Dynamics 73 Normal Family Functioning 73 Development of Behavior Disorders 74 Mechanisms of Change 76 Goals of Therapy 76 Conditions for Behavior Change 77 Therapy 77 Assessment 77 Therapeutic Techniques 80 Evaluating Therapy Theory and Results 85 SUMMARY 87 5 Strategic Family Therapy 89 Sketches of Leading Figures 89 Theoretical Formulations 91 Family Dynamics 93 Normal Family Functioning 93 Development of Behavior Disorders 93 Mechanisms of Change 94 Goals of Therapy 95 Conditions for Behavior Change 95 Therapy 95 Assessment 95 Therapeutic Techniques 97 Evaluating Therapy Theory and Results 107 SUMMARY 109 6 Structural Family Therapy 111 Sketches of Leading Figures 112 Theoretical Formulations 112 viii Contents Family Dynamics 115 Normal Family Functioning 115 Development of Behavior Disorders 116 Mechanisms of Change 118 Goals of Therapy 118 Conditions for Behavior Change 118 Therapy 119 Assessment 119 Therapeutic Techniques 121 Evaluating Therapy Theory and Results 127 SUMMARY 129 7 Experiential Family Therapy 131 Sketches of Leading Figures 132 Theoretical Formulations 132 Family Dynamics 133 Normal Family Functioning 133 Development of Behavior Disorders 133 Mechanisms of Change 134 Goals of Therapy 134 Conditions for Behavior Change 135 Therapy 135 Assessment 135 Therapeutic Techniques 136 Evaluating Therapy Theory and Results 146 SUMMARY 147 8 Psychoanalytic Family Therapy 149 Sketches of Leading Figures 150 Theoretical Formulations 150 Freudian Drive Psychology 151 Self Psychology 152 Object Relations Theory 152 Family Dynamics 154 Normal Family Functioning 155 Development of Behavior Disorders 156 Mechanisms of Change 158 Goals of Therapy 158 Conditions for Behavior Change 159 Therapy 159 Assessment 159 Therapeutic Techniques 160 Evaluating Therapy Theory and Results 165 SUMMARY 166 Contents ix 9 Cognitive-Behavioral Family Therapy 167 Sketches of Leading Figures 167 Theoretical Formulations 169 Family Dynamics 169 Normal Family Functioning 169 Development of Behavior Disorders 170 Mechanisms of Change 172 Goals of Therapy 172 Conditions for Behavior Change 172 Therapy 173 Behavioral Parent Training 173 Behavioral Couples Therapy 177 The Cognitive-Behavioral Approach to Family Therapy 180 Treatment of Sexual Dysfunction 184 Evaluating Therapy Theory and Results 185 SUMMARY 187 PART THRee RECENT DEVELOPMENTS IN FAMILY THERAPY 10 Family Therapy in the Twenty-First Century 189 Challenges to Traditional Family Systems Models 189 Erosion of Boundaries 189 Postmodernism 190 The Feminist Critique 190 Feminist Family Therapy 191 Social Constructionism and the Narrative Revolution 194 Multiculturalism 195 Race 195 Poverty and Social Class 196 Gay and Lesbian Rights 197 New Frontiers 198 Advances in Neuroscience 198 Sex and the Internet 199 Spirituality and Religion 203 Tailoring Treatment to Populations and Problems 204 Single-Parent Families 205 African American Families 207 Gay and Lesbian Families 209 Home-Based Services 212 Psychoeducation and Schizophrenia 213 Medical Family Therapy 215 Relationship Enrichment Programs 215 SUMMARY 216 x Contents 11 Solution-Focused Therapy 219 Sketches of Leading Figures 219 Theoretical Formulations 220 Family Dynamics 221 Normal Family Development 221 Development of Behavior Disorders 221 Mechanisms of Change 221 Goals of Therapy 222 Conditions for Behavior Change 222 Therapy 222 Assessment 222 Therapeutic Techniques 224 Taking a Break and Giving Feedback 232 Later Sessions 233 Interviewing Children 235 Evaluating Therapy Theory and Results 236 SUMMARY 237 12 narrative Therapy 239 Sketches of Leading Figures 240 Theoretical Formulations 240 Family Dynamics 242 Normal Family Development 242 Development of Behavior Disorders 242 Mechanisms of Change 243 Goals of Therapy 243 Conditions for Behavior Change 244 Therapy 245 Assessment 245 Therapeutic Techniques 246 Evaluating Therapy Theory and Results 254 SUMMARY 255 PART FOUR THE EVALUATION OF FAMILY THERAPY 13 Comparative Analysis 257 Theoretical Formulations 257 Families as Systems 257 Stability and Change 258 Process/Content 259 Monadic, Dyadic, and Triadic Models 259 Boundaries 260 Family Dynamics 261 Normal Family Development 261 Contents xi Development of Behavior Disorders 262 Inflexible Systems 262 Pathologic Triangles 263 Therapy 264 Assessment 264 Decisive Interventions 264 Integrative Models 268 Eclecticism 268 Selective Borrowing 268 Specially Designed Integrative Models 269 Integrative Problem-Centered Metaframeworks (IPCM) Therapy 269 The Narrative Solutions Approach 270 Integrative Couples Therapy 271 Dialectical Behaviorism 272 Other Integrative Models 273 Community Family Therapy 274 SUMMARY 275 14 Research on Family Intervention 276 Research and Practice: Worlds Apart 276 Methodological Issues in Studying the Effectiveness of Family Therapy 277 Research Findings on the Effectiveness of Family-Focused Interventions 279 Family Interventions for Childhood Problems 279 Family Interventions for Adult Disorders 281 Family Interventions for Relationship Difficulties 283 Family Therapy Process Research 284 Common Factors 285 The Therapeutic Alliance 285 Critical Change Events in Family Therapy 286 Future Directions 288 Appendix A Chapter-by-Chapter Recommended Readings 290 Appendix B Selected Readings in Family Therapy 296 Appendix C Glossary 298 References 305 Index 342

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