لایب سان

Author(s): Joseph A. Micucci PhD

Year: 2009

ISBN: 1606233300,9781606233306

xiii Contents 1 introduction 1 My Orientation and Influences 3 Diagnosis and Labeling 4 Biology, Medications, and Systems 5 The Paradox of Control 6 Harnessing the Power of Relationships 7 The ARCH 8 Adolescents Need Nurturance 9 The Plan of This Book 11 2 adolescent development 12 Developmental Issues of Adolescence: An Overview 13 Early Adolescence 16 Middle Adolescence 29 Late Adolescence 45 Summary 56 3 Basic Concepts 59 A Core Assumption 59 Family Systems and Family Therapy 60 The Symptomatic Cycle 62 Consequences of the Symptomatic Cycle 64 Common Patterns in Symptomatic Families 68 The Pattern Is the Problem 71 Summary and What’s Next 71 4 how to assess and Treat problems 73 General Principles Guiding Effective Intervention 74 How to Build an Alliance with the Family 80 How to Identify Symptomatic Cycles 82 Setting the Course for Treatment 87 Techniques for Changing Patterns 89 xiv Contents When to Conduct Individual Sessions 101 Benefits and Risks of Consultations 105 Summary 106 5 eating disorders 108 Perspectives on Eating Disorders 110 Principles of Treatment 115 Step 1: Negotiating a Treatment Contract 121 Step 2: Encouraging Parental Collaboration 125 Step 3: Addressing Unresolved Conflicts 127 Step 4: Handling Relapses 132 Step 5: Supporting Individual Development 136 Step 6: Supporting the Transformation 139 Pitfalls and Complications 141 Summary 145 6 depression and Suicide 146 The Role of Gender in Adolescent Depression 147 Assessment of Adolescent Depression 150 Treatments for Depression 151 The Role of Family Dynamics in Adolescent Depression 153 Common Family Patterns Associated with Adolescent Depression 154 Helping Suicidal Adolescents 162 Case Example: The Crying Father 172 Summary 183 7 anxiety 185 Anxiety and the Family 186 Cognitive Factors in Adolescent Anxiety 189 Anxiety and Abandonment 191 Freeing the Family from the Grip of Anxiety: A Detailed Case Example 198 Summary 216 8 defiant and disruptive Behavior 217 How Common Is Problem Behavior during Adolescence? 220 Developmental Perspectives 221 Factors Related to Adolescent Defiance 222 Assessing the Severity of the Problem 225 Interventions When the Problem Is Mild 228 Interventions for Moderately Severe Defiance 232 Interventions for Severe Defiance 238 Summary 253 9 psychosis 255 Theoretical Perspectives 255 Psychosis and Isolation 258

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