Essential Skills in Family Therapy: From the First Interview to Termination

by Patterson, JoEllen; Williams, Lee; Edwards, Todd M.; Chamow, Larry; Grauf-Grounds, Claudia; Sprenkle, Douglas H.

• ISBN13: 9781606233054
• ISBN10: 160623305X
• Edition: 2nd
• Format: Hardcover
• Copyright: 2009-07-21
• Publisher: The Guilford Press

Summary

Readable and concise yet immensely informative, this bestselling text prepares students and new therapists to work confidently and effectively in real-world clinical practice with families. The authors offer wise and compassionate guidance on everything from intake and assessment to treatment planning, the nuts and bolts of specific interventions, the nuances of establishing therapeutic relationships, and how to troubleshoot when treatment gets "stuck." They help the novice clinician navigate typical dilemmas and concerns, and spell out the basics of therapist self-care. Vivid case examples, sample forms, and quick-reference tables enhance the utility of the text. New to This Edition *Updated throughout to reflect current clinical findings and practices. *Many new or revised case examples. *Now more integrative - shows how to flexibly draw on multiple theories and techniques. *New topics, including "Dealing with Clients We Dislike."

Author Biography

JoEllen Patterson, PhD, is Professor of Marital and Family Therapy at the University of San Diego and Associate Clinical Professor in the Department of Family and Preventive Medicine and the Department of Psychiatry at the University of California, San Diego.

 

Lee Williams, PhD, is Professor of Marital and Family Therapy at the University of San Diego and does couple therapy with veterans at the VA San Diego Medical Center.

 

Todd M. Edwards, PhD, is Associate Professor and Director of the Marital and Family Therapy Program at the University of San Diego and Assistant Clinical Professor in the Department of Family and Preventive Medicine at the University of California, San Diego.

 

Larry Chamow, PhD, is Clinical Professor of Marital and Family Therapy at the University of San Diego and is in full-time private practice at the Pacific Family Institute in Carlsbad, California.

 

Claudia Grauf-Grounds, PhD, is Professor and Chair of Marriage and Family Therapy at Seattle Pacific University and a clinical faculty member at the University of Washington School of Medicine.

Table of Contents

The Beginning Family Therapist: Taking On the Challenge	p. 1
Getting Started	p. 4
Managing Anxiety and Issues of Confidence	p. 4
Stages of Therapist Development	p. 6
Obsessing about Clinical Work	p. 9
Dealing with Burnout	p. 9
The Big Picture	p. 11
Conclusion	p. 11
Before the Initial Interview	p. 13
Dealing with Families' Expectations and Anxieties about Therapy	p. 13
Suggestions for Initial Contact with the Client	p. 15
What Information Should Be Obtained?	p. 17
Who Should Come to Therapy?	p. 18
Initial Hypothesizing	p. 21
Conclusion	p. 23
The Initial Interview	p. 24
Stages of the Initial Interview	p. 24
Developing a Connection: How to Join with Clients	p. 25
Handling Administrative Issues	p. 27
Defining Client Expectations for Therapy	p. 31
Building Motivation	p. 36
Establishing Credibility	p. 38
Conclusion: The First Session and Beyond	p. 41
Guidelines for Conducting Assessment	p. 42
Initial Assessment	p. 43
Potential Issues of Harm	p. 46
Assessing for Substance Abuse	p. 55
Assessing for Biological and Neurological Factors	p. 58
General Psychosocial Assessment	p. 63
Conclusion	p. 76
Developing a Treatment Focus	p. 77
Developing a Treatment Plan	p. 78
A Sample Treatment Plan	p. 100
Variables That Impact Treatment	p. 103
Conclusion	p. 104
Basic Treatment Skills and Interventions	p. 105
The Rush to Intervention versus Developing a Relationship	p. 105
Basic Counseling Skills	p. 108
Interventions Unique to the Systemic Family Therapist	p. 119
Becoming More Sophisticated in Using Interventions	p. 122
Conclusion	p. 123
Working with Families and Children	p. 125
Assessment of Child and Adolescent Disorders	p. 126
Family Interventions When Children Are the Clients	p. 128
The Family Life Cycle Revisited	p. 134
Variations in Family Development	p. 151
Conclusion	p. 159
Working with Couples	p. 160
Keys to Providing Solid Couple Therapy	p. 161
Special Topics	p. 173
When Couple Therapy Might Not Work	p. 182
Conclusion	p. 183
When a Family Member Has a Mental Illness	p. 184
Individual and Family Concepts	p. 184
Individual Diagnosis in a Family Context	p. 187
Depression	p. 192
Anxiety	p. 199
Alcoholism and Drug Abuse	p. 204
Impulse Control Disorders	p. 209
Conclusion	p. 216
Getting Unstuck in Therapy	p. 217
Understanding Clients' Ambivalence about Change	p. 218
The Therapist's Reluctance to Intervene	p. 219
Therapist-Client Agenda and Timing Mismatch	p. 220
Therapists' Lack of Theoretical Clarity	p. 222
Supervision	p. 223
Self-Supervision Questions	p. 225
Doing a Literature Search	p. 226
Dealing with Cancellations and No-Shows	p. 229
Difficulty Getting Other Family Members to Therapy	p. 231
Handling Secrets	p. 232
How Agencies Contribute to Being Stuck	p. 233
Countertransference: How Therapist Issues Interfere	p. 236
Dealing with Clients We Dislike	p. 238
Conclusion: A Final Reminder	p. 240
Termination	p. 241
Mutual Terminations	p. 242
Therapist Terminations	p. 246
Client Terminations	p. 249
Conclusion	p. 250
Family Therapy in the Future: Pertinent Issues for Beginning Clinicians	p. 251
Healthcare Reform: Implications for You and Your Clients	p. 252
Emerging Trends in Treatment	p. 256
The Personal and Professional Journey of Being a Therapist	p. 262
Conclusion	p. 264
References	p. 265
Index	p. 279
Table of Contents provided by Ingram. All Rights Reserved.

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