Family Therapy: Concepts, Process and Practice, 2nd Edition

by Alan Carr (Univ. College Dublin and Clanwilliam Institute Dublin, Ireland )

• ISBN13: 9780470014554
• ISBN10: 0470014555
• Edition: 2nd
• Format: Paperback
• Copyright: 2007-07-01
• Publisher: Wiley-Interscience

Summary

"Alan Carr has once more demonstrated his unique ability to combine an encyclopaedic breadth of knowledge with clear pragmatic ideas about how to apply this knowledge in clinical practice. The 2 nd edition of this book is more than just an update with new sections on common factors in therapy and on integrative models of family therapy which are particularly welcome." -Ivan Eisler, Institute of Psychiatry, Kings College London, UK Editor, Journal of Family Therapy"Carr's style of comprehensively considering different theories and approaches in a practical manner and demonstrating their integrative and cohesive properties is exceptionally helpful and grounding for the reader. There is little doubt that this volume will well serve students, trainees and experienced practitioners for sometime to come." -Eddy Street, Former Editor of Journal of Family TherapyNow in its second edition, Family Therapy: Concepts, Process and Practice has been fully updated to cover recent advances in theory and practice. It offers a critical evaluation of the major schools of family therapy, provides an integrative model for the practice of marital and family therapy, and demonstrates how this model can be used in everyday practice with a range of common child-focused and adult-focused problems. It also provides a thorough, up-to-date review of research on the effectiveness of family therapy and outlines implications for evidence-based practice.This popular text now includes exercises that can be used by trainers and trainees to foster family therapy skills development. Other key features from the first edition are retained, including: Chapter plans at the start of each chapter and a helpful summary of key points at the end Suggestions for further reading Glossary of key terms in theoretical chapters Case examples Full details of resources for professionals, including useful web sites. Family Therapy: Concepts, Process and Practice is a must-have resource for all students and mental health professionals training in family therapy. It will also be of interest to experienced practitioners, and those who are involved in delivering training programmes.

Author Biography

Professor Alan Carr is the director of the Doctoral training programme in clinical psychology at University College Dublin and Consultant Martial and Family Therapist at the Clanwilliam Institute for Marital and Family Therapy in Dublin. He has published over a dozen books and 200 academic papers and conference presentations in the fi elds of family therapy and clinical psychology. His work has been translated into a number of languages including Korean, Polish and Chinese. He has extensive experience in family therapy and clinical psychology, having worked in the fi eld in the UK, Ireland and Canada.

Table of Contents

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