لایب سان

Author(s): Gehart, Diane R

Publisher: Brooks;Cole, Year: 2010

ISBN: 9780495597247,0495597244

Detailed Table of Contents Dedication xv Acknowledgments xvii Foreword by Ronald J. Chenail, Ph.D. xix About the Author xxiii Author’s Introduction: On Saying “Yes” and Falling in Love xxv PART I Marriage and Family Therapy Competencies 1 CHAPTER 1 Competency in Family Therapy 1 The Secret to Competent Therapy 1 Mapping a Successful Therapeutic Journey 1 From Trainee to Seasoned Therapist 2 On Becoming Competent 3 The Marriage and Family Therapy Core Competencies 3 CACREP Competency-Based Standards 4 The New Educational Paradigm: Learning-Centered Pedagogy 4 Implications for Students 5 Implications for Instructors 5 Core Competencies in This Book 6 Online Resources 6 References 6 The Family Therapy Core Competencies 7 CHAPTER 2 Case Conceptualization 17 Step 1: Mapping the Territory 17 Case Conceptualization and the Art of Viewing 18 Overview of Case Conceptualization 18 Introduction to Client 18 Presenting Concern 19 Background Information 20 Systemic Assessment 20 Client and Relational Strengths 21 Family Structure and Interaction Patterns 24 Intergenerational Patterns 34 Previous Solutions and Unique Outcomes 34 Narratives and Social Discourses 35 viii Detailed Table of Contents The Genogram 36 Client Perspectives 37 Case Conceptualization, Diversity, and Sameness 38 Ethical Considerations 39 Online Resources 40 References 40 Case Conceptualization Form 42 Case Conceptualization Scoring Rubric 47 CHAPTER 3 Clinical Assessment 53 Step 2: Identifying Oases and Obstacles 53 Clinical Assessment Overview 53 Benefi ts of Clinical Assessment and Diagnosis 54 Potential Dangers of Clinical Assessment and Diagnosis 54 Understanding Diagnostic Labels 55 Systemic Perspectives on Diagnosis 55 Postmodern Perspectives on Diagnosis 55 A General Family Therapy Approach to Diagnosis 56 Parity and Nonparity Diagnoses 56 The Recovery Model and Diagnosis 57 Family Therapy Approach to Clinical Assessment 58 Diagnostic Interview and Mental Status Exam 58 Family Therapy Approaches to Clinical Assessment 58 Written Assessment Options 61 Example of a Clinical Assessment Form 63 Completing a Clinical Assessment 67 Communicating with Other Professionals 73 DSM-ese 73 Mental Status Terms 74 Online Resources 76 References 77 Sample Client Information Form 78 Clinical Assessment Scoring Rubric 82 CHAPTER 4 Treatment Planning 87 Treatment + Plan = ??? 87 Step 3: Selecting a Path 87 A Brief History of Mental Health Treatment Planning 88 Symptom-Based Treatment Plans 88 Theory-Based Treatment Plans 88 Clinical Treatment Plans 89 Writing Useful Therapeutic Tasks 92 Initial Phase 92 Working Phase 92 Closing Phase 93 Writing Useful Client Goals 93 The Basic Steps 93 The Goal-Writing Process 94 Writing Useful Interventions 96 Client Perspectives 96 Do Plans Make a Difference? 97 Online Resources 97 References 97 Treatment Plan Scoring Rubric 98 Detailed Table of Contents ix CHAPTER 5 Evaluating Progress in Therapy 105 Step 4: Evaluating Progress 105 Nonstandardized Evaluations 105 Pros and Cons 106 Strategies 106 Standardized Evaluations 107 Pros and Cons 107 Effects on the Therapeutic Relationship 107 Real-World Options for Standardized Evaluations of Progress 108 Guidelines for Standardized Measures in Everyday Practice 108 Ultra-Brief Measures 108 Brief Measures 110 Final Thoughts on Outcome 113 Online Resources 113 References 113 CHAPTER 6 Document It: Progress Notes 115 Step 5: Documenting It: A Profession Behind Closed Doors 115 Two Different Animals: Progress Notes Versus Psychotherapy Notes 116 Progress Notes 116 Progress Note Ingredients 117 Progress Note Options 117 The All-Purpose HIPAA Form for Progress Notes 118 Completing a Progress Notes Form 119 A Time and Place for Progress Notes 121 Final Note on Notes 122 Online Resources 122 References 122 Progress Note Scoring Rubric 122 PART II Marriage and Family Therapy Theories 127 CHAPTER 7 Understanding the Role of Theory in Therapy 127 Eeny-Meeney-Miney-Moe and Other Strategies for Choosing a Theory 127 Common Factors 127 Lambert’s Common Factors Model 128 Wampold’s Common Factors Model 129 Client Factors 129 Therapeutic Relationship 130 Therapeutic Model: Theory-Specific Factors 130 Hope and the Placebo Effect: Expectancy 130 Diversity and the Common Factors 131 Do We Still Need Theory? 131 Show Me Proof: Evidence-Based Therapies 131 Empirically Supported Treatments and Their Kin 132 Evidence-Based Practice (EBP) 133 Research in Perspective 134 How to Choose: Dating Versus Marrying 134 Defi ning Your Philosophy 134 Modernism 135 x Detailed Table of Contents Humanism 136 Systemic Therapy 137 Postmodern Therapy 138 Dancing with Others Once You Marry 139 Online Resources 140 References 140 CHAPTER 8 Philosophical Foundations of Family Therapy Theories 143 Lay of the Land 143 Systemic Foundations 143 Rumor Has It: The People and Their Stories 143 Systemic Assumptions 145 Social Constructionist Foundations 150 Systems Theory and Social Constructionism: Similarities and Differences 150 Social Constructionist and Related Theorists 151 Postmodern Assumptions 152 Social Constructionism, Postmodernism, and Diversity 153 Philosophical Wrap-Up 154 Online Resources 154 References 154 CHAPTER 9 Systemic and Strategic Therapies 157 Lay of the Land 157 In a Nutshell: The Least You Need to Know 158 The Juice: Significant Contributions to the Field 158 Rumor Has It: The People and Their Stories 160 The Big Picture: Overview of Treatment 162 Making Connection: The Therapeutic Relationship 163 The Viewing: Case Conceptualization and Assessment 165 Targeting Change: Goal Setting 168 The Doing: Language-Based Interventions 170 The Doing: Action-Oriented Interventions 172 Snapshot: Research and the Evidence Base 176 Clinical Spotlight: Multisystemic Therapy 176 Goals 176 Case Conceptualization 176 Principles of Intervention 177 Snapshot: Working with Diverse Populations 178 Online Resources 178 References 178 Systemic Case Study 180 CHAPTER 10 Structural Therapy 199 Lay of the Land 199 In a Nutshell: The Least You Need to Know 199 The Juice: Significant Contributions to the Field 200 Rumor Has It: The People and Their Stories 202 The Big Picture: Overview of Treatment 203 Making Connection: The Therapeutic Relationship 203 The Viewing: Case Conceptualization and Assessment 205 Targeting Change: Goal Setting 207 The Doing: Interventions 207 Detailed Table of Contents xi Snapshot: Research and the Evidence Base 210 Clinical Spotlight: Brief Strategic Family Therapy 210 Goals 210 Case Conceptualization 210 Principles of Intervention 211 Clinical Spotlight: Ecosystemic Structural Family Therapy 211 Case Conceptualization 212 Goals 212 Interventions 212 Snapshot: Working with Diverse Populations 213 Online Resources 213 References 213 Structural Case Study 214 CHAPTER 11 Experiential Family Therapies 233 Lay of the Land 233 Common Assumptions and Practices 233 The Satir Growth Model 234 In a Nutshell: The Least You Need to Know 234 The Juice: Signifi cant Contributions to the Field 234 Rumor Has It: The People and Their Stories 237 The Big Picture: Overview of Treatment 237 Making Connection: The Therapeutic Relationship 238 The Viewing: Case Conceptualization and Assessment 240 Targeting Change: Goal Setting 243 The Doing: Interventions 243 Interventions for Special Populations 246 Symbolic-Experiential Therapy 247 In a Nutshell: The Least You Need to Know 247 The Juice: Signifi cant Contributions to the Field 247 Rumor Has It: The People and Their Stories 248 The Big Picture: Overview of Treatment 248 Making Connection: The Therapeutic Relationship 249 The Viewing: Case Conceptualization and Assessment 250 Targeting Change: Goal Setting 252 The Doing: Interventions 253 Emotionally Focused Therapy 255 In a Nutshell: The Least You Need to Know 255 The Juice: Signifi cant Contributions to the Field 255 Rumor Has It: The People and Their Stories 256 The Big Picture: Overview of Treatment 256 Making Connection: The Therapeutic Relationship 257 The Viewing: Case Conceptualization and Assessment 258 Targeting Change: Goal Setting 259 The Doing: Interventions 259 Snapshot: Research and the Evidence Base 261 Research on Humanistic Principles 261 Research on EFT Effectiveness 261 Snapshot: Working with Diverse Populations 261 Online Resources 262 References 263 Experiential Case Study 264 xii Detailed Table of Contents CHAPTER 12 Intergenerational and Psychoanalytic Family Therapies 283 Lay of the Land 283 Bowen Intergenerational Therapy 283 In a Nutshell: The Least You Need to Know 283 The Juice: Significant Contributions to the Field 284 Rumor Has It: The People and Their Stories 285 The Big Picture: Overview of Treatment 286 Making Connection: The Therapeutic Relationship 286 The Viewing: Case Conceptualization and Assessment 287 Targeting Change: Goal Setting 290 The Doing: Interventions 291 Interventions for Special Populations 293 Psychoanalytic Family Therapies 293 In a Nutshell: The Least You Need to Know 293 The Juice: Significant Contributions to the Field 293 Rumor Has It: The People and Their Stories 294 The Big Picture: Overview of Treatment 294 Making Connection: The Therapeutic Relationship 295 The Viewing: Case Conceptualization and Assessment 295 Targeting Change: Goal Setting 298 The Doing: Interventions 298 Interventions for Special Populations 299 Snapshot: Research and the Evidence Base 299 Snapshot: Working with Diverse Populations 300 Online Resources 301 References 301 Intergenerational Case Study 302 CHAPTER 13 Behavioral and Cognitive-Behavioral Couple and Family Therapies 321 Lay of the Land 321 Behavioral and Cognitive-Behavioral Family Therapies 322 In a Nutshell: The Least You Need to Know 322 The Juice: Significant Contributions to the Field 322 Rumor Has It: The People and Their Stories 323 The Big Picture: Overview of Treatment 324 Making Connection: The Therapeutic Relationship 324 The Viewing: Case Conceptualization and Assessment 325 Targeting Change: Goal Setting 329 The Doing: Interventions 329 Gottman Method Couples Therapy Approach 335 In a Nutshell: The Least You Need to Know 335 Debunking Marital Myths 335 The Big Picture: Overview of Treatment 336 Making Connection: The Therapeutic Relationship 336 The Viewing: Case Conceptualization and Assessment 336 The Doing: Interventions 339 Clinical Spotlight: Functional Family Therapy 340 Early Phase: Engagement and Motivation 341 Middle Phase: Behavioral Change 341 Late Phase: Generalization 341 Snapshot: Research and the Evidence Base 341 Snapshot: Working with Diverse Populations 342 Detailed Table of Contents xiii Online Resources 342 References 343 Cognitive-Behavioral Case Study 344 CHAPTER 14 Solution-Based Therapies 363 Lay of the Land 363 Solution-Based Therapies 364 In a Nutshell: The Least You Need to Know 364 Common Solution-Based Therapy Myths 364 The Juice: Signifi cant Contributions to the Field 365 Rumor Has It: The People and Their Stories 365 The Big Picture: Overview of Treatment 367 Making Connection: The Therapeutic Relationship 368 The Viewing: Case Conceptualization and Assessment 369 Targeting Change: Goal Setting 371 The Doing: Interventions 373 Interventions for Specific Problems 376 Solution-Oriented Ericksonian Hypnosis 378 Difference from Traditional Hypnosis 378 The Big Picture: Overview of Treatment 378 The Doing: Interventions 378 Snapshot: Research and the Evidence Base 379 Snapshot: Working with Diverse Populations 380 Online Resources 380 References 380 Solution-Based Therapy Case Study 382 CHAPTER 15 Collaborative and Narrative Therapies 403 Lay of the Land 403 Collaborative Therapy and Reflecting Teams 404 In a Nutshell: The Least You Need to Know 404 The Juice: Signifi cant Contributions to the Field 405 Rumor Has It: The People and Their Stories 405 The Big Picture: Overview of Treatment 407 Making Connection: The Therapeutic Relationship 408 The Viewing: Case Conceptualization and Assessment 410 Targeting Change: Goal Setting 412 The Doing: Interventions and Ways of Promoting Change 413 Reflecting Teams and the Reflecting Process 416 Clinical Spotlight: Open Dialogue, an Evidence-Based Approach to Psychosis 418 Outside the Therapy Room 419 Narrative Therapy 420 In a Nutshell: The Least You Need to Know 420 The Juice: Signifi cant Contributions to the Field 420 Rumor Has It: The People and Their Stories 421 The Big Picture: Overview of Treatment 421 Making Connection: The Therapeutic Relationship 422 The Viewing: Case Conceptualization and Assessment 423 Targeting Change: Goal Setting 424 The Doing: Interventions 425 Externalizing Questions 428 Interventions for Specific Problems 434 Snapshot: Research and the Evidence Base 435 Snapshot: Working with Diverse Populations 436 Online Resources 436 References 437 Postmodern Collaborative Case Study 439 CHAPTER 16 Group Therapy with Couples and Families 459 Lay of the Land 459 Brief Overview of Types of Groups 459 Psychoeducational Groups or “Classes” 460 Process Groups 460 Combined Groups 460 General Group Guidelines 461 Number of People 461 Open Versus Closed Groups 461 Group Selection: Who’s in Your Group? 462 Group Rules 462 Evidence-Based Couple and Family Groups 462 Psychoeducational Multifamily Groups for Severe Mental Illness 462 Groups for Partner Abuse 464 Relationship Enhancement Programs 466 Parent Training 468 Summary 468 Online Resources 469 References 469 CHAPTER 17 Closing Thoughts: Where to Go from Here? 471 Getting Started: Working with a Supervisor 471 Realistic Expectations 471 Asking for What You Need 472 Seeking Advanced Training 472 Belonging: Professional Organizations 472 Self-Supervision 473 Last Words 473 APPENDIX A CACREP Competency-Based Standards 475 Marriage, Couple, and Family Counseling 475 Foundations 475 Counseling, Prevention, and Intervention 476 Diversity and Advocacy 476 Assessment 477 Research and Evaluation 477 Index 479 xiv Detailed Table of Contents

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