The Practice of Family Therapy

by Hanna, Suzanne Midori; Brown, Joseph H.

• ISBN13: 9780534357689
• ISBN10: 0534357687
• Format: Hardcover
• Copyright: 1998-12-01
• Publisher: Brooks/Cole Pub Co

Summary

This helpful guide shows beginners how to move from the practice of individual therapy to the practice of family therapy, including discussions of both traditional and newer models in the field. In this how-to and practice-based book, the authors use an integrated approach that covers the major models of family therapy. The models are split into phases of assessment and treatment and provide direction for entry-level clinicians as they begin to practice. The book combines competency-based ideas and practical examples of how to begin and proceed through the stages of family therapy from the intake interview through termination.

For educators and supervisors alike, this thorough revision illustrates the fundamental skills necessary to family therapists, and it reviews family therapy as a process with discernible stages and specific interventions.

Table of Contents

Part One FROM THEORY TO PRACTICE	1	(122)
Chapter One FAMILY THERAPY: A FIELD OF DIVERSITY AND INTEGRATION	3	(31)
SAMPLE CASE: THE NELSONS	5	(3)
EARLY MODELS	8	(13)
Structural Family Therapy	8	(3)
Strategic Family Therapy	11	(3)
Intergenerational Family Therapy	14	(4)
Experiential Family Therapy	18	(3)
INTEGRATIVE MODELS	21	(10)
The Milan Systemic Approach	22	(3)
Narrative Approaches	25	(2)
Collaborative Approaches	27	(1)
Cognitive-Behavioral Family Therapy	28	(3)
SUMMARY	31	(3)
Chapter Two INTEGRATION OF THEORY: COMMON THEMES	34	(34)
GENDER	37	(4)
When to Focus on Gender	39	(1)
Implications for Treatment	40	(1)
RACE AND CULTURE	41	(4)
When to Focus on Race and Culture	44	(1)
Implications for Treatment	44	(1)
INTERGENERATIONAL RELATIONSHIPS	45	(3)
When to Focus on Intergenerational Relationships	47	(1)
Implications for Treatment	48	(1)
TRANSITIONS AND DEVELOPMENT	48	(8)
When to Focus on Transitions and Development	55	(1)
Implications for Treatment	56	(1)
FAMILY STRUCTURE	56	(3)
When to Focus on Family Structure	58	(1)
Implications for Treatment	58	(1)
INDIVIDUAL EXPERIENCE	59	(9)
When to Focus on Individual Experience	65	(1)
Implications for Treatment	65	(3)
Chapter Three INTEGRATION OF PRACTICE: COMMON ELEMENTS	68	(28)
KNOWLEDGE AND CONCEPTS	70	(9)
Naturalistic Change	71	(2)
Therapeutic Change	73	(2)
Perceptual, Behavioral, and Relational Change	75	(2)
The Therapeutic Relationship	77	(2)
PERCEPTIONS AND ATTITUDES	79	(4)
Perception of Client Competence	81	(1)
Therapist Flexibility	82	(1)
BEHAVIORS	83	(13)
Questions	85	(1)
Tracking Interactional Sequences	86	(1)
Reframing	87	(4)
Directives	91	(5)
Chapter Four PREPARING TO PRACTICE: SEQUENCES AND INTERACTIONS IN THE PROCESS	96	(27)
THE REFERRAL PROCESS	98	(2)
THE JOINING PROCESS	100	(3)
THE THERAPEUTIC CONTRACT	103	(4)
Levels of Communication	103	(1)
Intentions	103	(3)
Goals	106	(1)
DATA GATHERING	107	(3)
Content Versus Process	108	(1)
Past, Present, Future	109	(1)
HYPOTHESIZING	110	(2)
SPECIFIC INTERVENTIONS	112	(1)
EVALUATION	113	(2)
IN-SESSION STAGES OF FAMILY THERAPY	115	(8)
Negotiate Structure	118	(1)
Explore Client Experience	119	(1)
Address Relationships	119	(1)
Develop a Shared Direction	120	(3)
Part Two STRUCTURAL AND EXPERIENTIAL SKILLS	123	(80)
Chapter Five ORGANIZING THE INTAKE PROCESS	125	(14)
REFERRAL INFORMATION	126	(4)
CLINICAL INFORMATION	130	(1)
PREVIOUS THERAPY	131	(1)
FAMILY INFORMATION	132	(1)
SCHEDULING INFORMATION	132	(3)
FORMULATING INITIAL HYPOTHESES	135	(4)
Chapter Six THE INITIAL INTERVIEW: PROVIDING STRUCTURE	139	(28)
JOINING	140	(3)
Methods of Joining	140	(2)
Identifying Family Strengths	142	(1)
EXPLORING THE REFERRAL PROCESS	143	(2)
DECIDING WHOM TO INVOLVE	145	(2)
DEFINING THE PROBLEM	147	(7)
Assessing Clients' Definitions of the Problem	147	(2)
Tracking Interactional Sequences	149	(4)
Enacting the Interactional Sequence	153	(1)
SETTING GOALS	154	(2)
DEVELOPING THERAPEUTIC CONTRACTS	156	(4)
Describing the Therapeutic Process	157	(2)
Finalizing the Contract	159	(1)
SUMMARY	160	(1)
QUESTIONS THAT BEGINNING CLINICIANS OFTEN ASK	160	(7)
1. How Should I Handle the Issue of Alcohol if I Suspect It Is a Part of the Problem?	160	(2)
2. How Should I Deal With a Suicide Threat?	162	(1)
3. What Should I Do if I Discover Family Violence?	163	(1)
4. How Should I Handle Family Secrets?	164	(3)
Chapter Seven THE ASSESSMENT: EXPLORING CLIENT EXPERIENCE	167	(36)
GENOGRAMS	168	(6)
CIRCULAR QUESTIONING: IN RELATIONSHIP TO WHAT?	174	(3)
TRACKING INTERACTIONAL SEQUENCES: FACTS VERSUS ASSUMPTIONS	177	(2)
TRACKING LONGITUDINAL SEQUENCES: NARRATIVES ABOUT CHANGES OVER TIME	179	(6)
Developing a Rationale for the Time Line	182	(1)
Creating a Sense of Movement	183	(1)
Summarizing Details	184	(1)
THE WILSONS	185	(18)
Part Three RELATIONAL AND DIRECTIONAL SKILLS	203	(107)
Chapter Eight FACILITATING RELATIONAL CHANGE	205	(33)
MANAGING IN-SESSION PROCESS	206	(7)
Focusing	206	(2)
Increasing Intensity	208	(1)
Boundary Marking	209	(1)
Unbalancing	210	(1)
Making the Covert Overt	211	(2)
RECONSTRUCTING BELIEF SYSTEMS	213	(9)
Identifying Current Belief Systems	213	(2)
Reframing the Meaning of Symptoms	215	(1)
Stressing Complementarity	216	(2)
Emphasizing Strengths	219	(2)
Using Metaphors	219	(2)
Introducing Paradox	221	(1)
EXPLORING NEW BEHAVIORS	222	(13)
Generating Alternative Solutions	222	(1)
Finding Exceptions As Solutions	223	(1)
Resolving Conflict	224	(2)
Coaching Communication	226	(5)
Assigning Tasks	231	(2)
Developing Rituals	233	(2)
ADDRESSING CLIENT RESISTANCE	235	(3)
Chapter Nine DEVELOPING A SHARED DIRECTION	238	(21)
DEVELOPING GOALS	239	(7)
Prioritizing Areas of Change	240	(2)
Making Goals Concrete and Specific	242	(2)
Developing Goals From Family Strengths	244	(1)
Building on Existing Strengths	245	(1)
INVOLVING FAMILY MEMBERS	246	(4)
Overcoming Initial Resistances	247	(2)
Connecting With Family Members	249	(1)
INVOLVING THE NETWORK	250	(6)
Interview Strategies	250	(2)
Developing a Collaboration Team	252	(1)
Guidelines for the Collaboration Team Interview	253	(2)
Obstacles to Collaboration	255	(1)
CHOOSING INTERVENTIONS	256	(3)
Chapter Ten MAINTAINING DIRECTION: EVALUATIONS, TERMINATIONS, AND FOLLOW-UPS	259	(25)
EVALUATING FAMILY PROCESS	260	(3)
EVALUATING THERAPEUTIC PROCESS	263	(6)
Family Perceptions	264	(2)
Therapist Perceptions	266	(2)
Periodic Evaluations of the Process	268	(1)
EVALUATING OUTCOMES OF FAMILY THERAPY	269	(8)
Measuring Behavioral Changes	269	(4)
Goal Attainment Scales	273	(3)
Self-Reports	276	(1)
EVALUATIONS FOR TERMINATION AND FOLLOW-UP	277	(3)
Conducting Follow-Up Evaluations	279	(1)
EVALUATIONS IN TRAINING	280	(1)
EVALUATIONS AS CLINICAL RESEARCH	281	(1)
SUMMARY	282	(2)
Chapter Eleven INTEGRATING TREATMENT THROUGH CASE REVIEWS	284	(26)
THE BURNS FAMILY	285	(11)
JEAN AND DAN	296	(12)
COMPONENTS OF FAMILY THERAPY	308	(2)
REFERENCES	310	(13)
APPENDIX A: AAMFT CODE OF ETHICS	323	(10)
NAME INDEX	333	(4)
SUBJECT INDEX	337