لایب سان

The book retains all of the features of the first edition that have made it popular among postgraduates and experienced clinicians alike. Family Therapy: Concepts, Process and Practice was written both as a textbook for use in marital and family therapy professional postgraduate training programmes and as a sourcebook for experienced clinicians. The book of- fers a critical evaluation of the major schools of family therapy, an integra- tive model for the practice of marital and family therapy, and examples of how this model may be used with a range of common child-focused and adult-focused problems. Findings from research on the effectiveness of family therapy are reviewed and the implications of these for evidence- based practice outlined. The first part of this volume contains a critical evaluation of the major schools of family therapy. The major traditions are grouped together in terms of their central focus of therapeutic concern, and in particular with respect to their emphasis on (1) problem-maintaining behaviour patterns; (2) problem-related belief systems and narratives; and (3) historical, con- textual and constitutional predisposing factors

CONTENTS About the Author . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Foreword Alan S. Gurman . . . . . . . . . . . . . . . xiii Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxi Endorsements of the first edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxiii PART I CENTRAL CONCEPTS IN FAMILY THERAPY Chapter 1 Goals of Family Therapy Across the Lifecycle. . . . . . . . . . . . . 3 The family lifecycle . . . . . . . . . . . . . . . 5 Lifecycle stages associated with separation and divorce . . . . . 29 The individual lifecycle . . . . . . . . . . . 35 Sex-role development . . . . . . . . . . . . . 41 Gay and lesbian lifecycles . . . . . . . . . 43 Class, creed and colour . . . . . . . . . . . . 45 Summary . . . . . . . . . . . . . . . . . . . . . . . 45 Further reading . . . . . . . . . . . . . . . . . . 47 Chapter 2 Origins of Family Therapy . . . . . . . . . 48 Movements: Child guidance, marriage counselling and sex therapy . . . . . 49 Disciplines: Social work, psychiatry and clinical psychology . . . . . . . . . 50 Group therapy: Group analysis, encounter groups, psychodrama and Gestalt therapy . . . . . . . . . . . . . 52 Research traditions: Work groups, role theory and schizophrenia . . . . 53 Gregory Bateson . . . . . . . . . . . . . . . . . 56 Three organising themes: Behaviour patterns, beliefs and contexts . . . . 68 Summary . . . . . . . . . . . . . . . . . . . . . . . 70 Glossary . . . . . . . . . . . . . . . . . . . . . . . . 71 Further reading . . . . . . . . . . . . . . . . . . 73 vi CONTENTS Chapter 3 Theories that Focus on Behaviour Patterns . . . . . . . . . . . . . . . . . . . . . . . 76 MRI brief therapy . . . . . . . . . . . . . . . . 76 Strategic family therapy . . . . . . . . . . . 85 Structural family therapy . . . . . . . . . . 90 Cognitive-behavioural marital and family therapy . . . . . . . . . . . . . . . . . 93 Functional family therapy . . . . . . . . . 96 Closing comments . . . . . . . . . . . . . . . . 99 Glossary . . . . . . . . . . . . . . . . . . . . . . . . 100 Further reading . . . . . . . . . . . . . . . . . . 106 Chapter 4 Theories that Focus on Belief Systems . . . . . . . . . . . . . . . . . . . . . . . 110 Epistemology: Positivism, constructivism, social constructionism, modernism and postmodernism . . . . . . . . . . . . . . . . 110 A constructivist approach to family therapy . . . . . . . . . . . . . . . . . 119 Milan systemic family therapy . . . . . 124 Social constructionist developments . . . . . . . . . . . . . . . . . . 128 Solution-focused therapy . . . . . . . . . . 132 Narrative therapy . . . . . . . . . . . . . . . . 135 Closing comments . . . . . . . . . . . . . . . . 138 Glossary . . . . . . . . . . . . . . . . . . . . . . . . 140 Further reading . . . . . . . . . . . . . . . . . . 148 Chapter 5 Theories that Focus on Contexts . . . . 154 Transgenerational family therapy . . . 154 Psychoanalytic family therapy . . . . . 164 Attachment-based therapies . . . . . . . 167 Experiential family therapy . . . . . . . . 173 Multisystemic family therapy . . . . . . 180 Psychoeducational family therapy . . 182 Closing comments . . . . . . . . . . . . . . . . 183 Glossary . . . . . . . . . . . . . . . . . . . . . . . . 185 Further reading . . . . . . . . . . . . . . . . . . 193 Chapter 6 Integrative Models . . . . . . . . . . . . . . . 199 Metaframeworks . . . . . . . . . . . . . . . . . 199 Integrative problem-centred therapy . . . . . . . . . . . . . . . . . . . . . . . 202 Brief integrative marital therapy. . . . 205 Pluralistic couples therapy. . . . . . . . . 207 CONTENTS vii Integrative applications within specific professions . . . . . . . . . . . . . 209 Closing comments . . . . . . . . . . . . . . . . 210 Glossary . . . . . . . . . . . . . . . . . . . . . . . . 211 Further reading . . . . . . . . . . . . . . . . . . 211 PART II PROCESSES IN FAMILY THERAPY Chapter 7 The Stages of Family Therapy . . . . . . 215 Stage 1 – Planning . . . . . . . . . . . . . . . . 215 Stage 2 – Assessment . . . . . . . . . . . . . 219 Stage 3 – Treatment . . . . . . . . . . . . . . . 235 Stage 4 – Disengaging or recontracting . . . . . . . . . . . . . . . . . . 242 Summary . . . . . . . . . . . . . . . . . . . . . . . 247 Further reading . . . . . . . . . . . . . . . . . . 248 Chapter 8 Formulating Problems and Exceptions . . . . . . . . . . . . . . . . . . . . 249 The three-column problem formulation model . . . . . . . . . . . . . 253 The three-column exception formulation model . . . . . . . . . . . . . 260 Questions to ask when constructing three-column formulations . . . . . . 264 Recursive reformulation . . . . . . . . . . . 270 Summary . . . . . . . . . . . . . . . . . . . . . . . 272 Further reading . . . . . . . . . . . . . . . . . . 272 Chapter 9 Interventions for Behaviour, Beliefs and Contexts . . . . . . . . . . . . . . . . . . . . 273 Criteria for selecting interventions . . 273 Behaviour-focused interventions . . . 276 Interventions focusing on belief systems . . . . . . . . . . . . . . . . . . . . . . . 291 Interventions that focus on historical, contextual and constitutional factors . . . . . . . . . . . . . . . . . . . . . . . . 299 Summary . . . . . . . . . . . . . . . . . . . . . . . 312 Further reading . . . . . . . . . . . . . . . . . . 313 PART III FAMILY THERAPY PRACTICE WITH CHILD- AND ADOLESCENT-FOCUSED PROBLEMS Chapter 10 Physical Child Abuse . . . . . . . . . . . . . 317 Systemic model of physical child abuse . . . . . . . . . . . . . . . . . . . . . . . . . 317 viii CONTENTS Family therapy for physical child abuse . . . . . . . . . . . . . . . . . . . . . . . . . 326 Summary . . . . . . . . . . . . . . . . . . . . . . . 337 Further reading . . . . . . . . . . . . . . . . . . 338 Chapter 11 Sexual Abuse . . . . . . . . . . . . . . . . . . . . 339 Systemic model of child sexual abuse . . . . . . . . . . . . . . . . . . . . . . . . . 339 Family therapy for child sexual abuse . . . . . . . . . . . . . . . . . . . . . . . . . 347 Summary . . . . . . . . . . . . . . . . . . . . . . . 360 Further reading . . . . . . . . . . . . . . . . . . 360 Chapter 12 Conduct Problems . . . . . . . . . . . . . . . . 361 Systemic model of conduct problems 363 Family therapy for conduct problems . . . . . . . . . . . . . . . . . . . . . . 371 Summary . . . . . . . . . . . . . . . . . . . . . . . 383 Further reading . . . . . . . . . . . . . . . . . . 384 Further reading for parents . . . . . . . . 384 Chapter 13 Drug Abuse in Adolescence . . . . . . . . 386 Systemic model of drug abuse in adolescence. . . . . . . . . . . . . . . . . . . . 386 Family therapy for drug abuse in adolescence. . . . . . . . . . . . . . . . . . . . 394 Summary . . . . . . . . . . . . . . . . . . . . . . . 401 Further reading . . . . . . . . . . . . . . . . . . 402 PART IV FAMILY THERAPY PRACTICE WITH ADULT-FOCUSED PROBLEMS Chapter 14 Distressed Couples . . . . . . . . . . . . . . . 405 Systemic model of distressing intimate relationships . . . . . . . . . . . . . . . . . . . 409 Couples therapy . . . . . . . . . . . . . . . . . 413 Summary . . . . . . . . . . . . . . . . . . . . . . . 429 Further reading . . . . . . . . . . . . . . . . . . 429 Further reading for clients . . . . . . . . . 430 Chapter 15 Depression and Anxiety . . . . . . . . . . . 431 Depression . . . . . . . . . . . . . . . . . . . . . . 431 Anxiety . . . . . . . . . . . . . . . . . . . . . . . . . 432 Systemic model of anxiety and depression . . . . . . . . . . . . . . . . . . . . 435 Couples therapy for anxiety and depression . . . . . . . . . . . . . . . . . . . . 440 Summary . . . . . . . . . . . . . . . . . . . . . . . 454 Further reading . . . . . . . . . . . . . . . . . . 455 CONTENTS ix Chapter 16 Alcohol Problems in Adulthood . . . . 456 Systemic model of alcohol problems in adulthood . . . . . . . . . . . . . . . . . . . 456 Couples therapy for alcohol problems in adulthood . . . . . . . . . . . . . . . . . . . 465 Summary . . . . . . . . . . . . . . . . . . . . . . . 475 Further reading . . . . . . . . . . . . . . . . . . 476 Chapter 17 Schizophrenia. . . . . . . . . . . . . . . . . . . . 478 Systemic model of schizophrenia . . . 479 Couples and family therapy for schizophrenia . . . . . . . . . . . . . . . . . . 484 Summary . . . . . . . . . . . . . . . . . . . . . . . 495 Further reading . . . . . . . . . . . . . . . . . . 496 PART V RESEARCH AND RESOURCES Chapter 18 Evidence-based Practice in Marital and Family Therapy . . . . . . . . . . . . 499 Child-focused problems . . . . . . . . . . . 500 Adult-focused problems. . . . . . . . . . . 518 Common factors . . . . . . . . . . . . . . . . . 532 Closing comments . . . . . . . . . . . . . . . . 533 Glossary . . . . . . . . . . . . . . . . . . . . . . . . 535 Further reading . . . . . . . . . . . . . . . . . . 536 Chapter 19 Professional Resources . . . . . . . . . . . . 537 Family therapy associations . . . . . . . 537 Training and supervision . . . . . . . . . . 538 Ethics . . . . . . . . . . . . . . . . . . . . . . . . . . . 538 Assessment instruments. . . . . . . . . . . 539 Training videotapes. . . . . . . . . . . . . . . 543 Web resources . . . . . . . . . . . . . . . . . . . 544 Journals . . . . . . . . . . . . . . . . . . . . . . . . . 545 Institutes, associations and websites for specific types of family therapy and systemic interventions . . . . . . 546 Written communication in therapy . . . . . . . . . . . . . . . . . . . . . . . 549 Training exercises . . . . . . . . . . . . . . . . 555 Conclusion . . . . . . . . . . . . . . . . . . . . . . 580 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 581 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 617

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