Contributors and Associates | |
Preface | |
The Treatment Resistant Family | p. 1 |
The Concept of Resistance | p. 1 |
Varieties of Family Treatment Resistance | p. 3 |
The Impact of Resistance | p. 10 |
Early Therapy Termination: The Most Extreme Process Resistance | p. 11 |
Treatment Resistance and Family Crises | p. 15 |
Systems Intervention with Highly Resistant Families | p. 18 |
Families and Family Therapy | |
A Brief History and Current Status | p. 23 |
Historical Concepts of the Family and Family Therapy | p. 23 |
Contemporary "Family Problems" and the Rise of Family Therapies | p. 27 |
The History of Family Therapy: The Developmental Analogy | p. 29 |
The Future of Family Therapy: Dynamical Systems Theory | p. 44 |
Family Resistance, Stress, and Crises | p. 49 |
Resistance and Crisis Intervention | p. 49 |
Crises and Stressors | p. 50 |
Family Stress | p. 53 |
Typologies of Family Stressors | p. 54 |
Responses to Normative and Catastrophic Stressors | p. 55 |
Perceptual and Instrumental Stresses: An Alternative Formulation | p. 57 |
Perceptual Crises | p. 62 |
Instrumental Stress | p. 64 |
Perceptual Crises and Treatment Resistance: An Empirical Study | p. 68 |
Familial Differences in Stress Coping | p. 71 |
Hill's ABC X Model of Family Resiliency | p. 72 |
The Hill/McCubbin Model and Treatment Resistance: An Empirical Study | p. 73 |
Family Stress and Opponent Processes | p. 76 |
The Perception of Stress as a Critical Variable in Crisis-Proneness and Treatment Resistance | p. 80 |
Family-Oriented Crisis Intervention | p. 85 |
An Overview to a New Method of Defeating Resistance | p. 85 |
Family-Oriented Crisis Intervention: A Brief History | p. 87 |
Theoretical Rationale for Family Crisis Intervention | p. 88 |
Crisis Intervention with Treatment Resistant Families | p. 98 |
The Goal of Crisis Intervention with Resistant Families | p. 101 |
Dysfunctional Coping and Treatment Resistance | p. 103 |
Models of Family Crisis Intervention | p. 106 |
Crisis Intervention and Consultation Roles | p. 108 |
The Stages of Therapeutic/Consultational Intervention | p. 110 |
Conclusion: Summarizing a New Strategy to Undercut Resistance | p. 111 |
Assembling the Family During Crisis: The First Session | p. 113 |
Family Crisis Intervention: Who Should Be Seen? | p. 113 |
Who Should See Resistant Families? | p. 117 |
Location of the Crisis Session | p. 121 |
Timing and Length of Sessions and Crisis Intervention | p. 122 |
Handling Anger of the Resistant Family | p. 124 |
Communication Principles During Crisis Intervention | p. 125 |
Payment of Fees | p. 128 |
Hospitalization | p. 130 |
Crisis Defusion and Evaluation | p. 135 |
Crisis Defusion (D): Making the Crisis "Workable" | p. 135 |
Family Crisis Evaluation (E): The Framework for Empowerment | p. 149 |
Family Problem Solving: A Crisis Intervention/Consultation Approach | p. 167 |
Developing and Communicating Tentative Crisis Formulations: The First Step Toward Family Problem Solving | p. 167 |
Decision Avoidance: The Principal Obstacle to Family Problem Solving | p. 174 |
Problem-Focused Coping: The Family Generates Its Own Answers | p. 178 |
Ego-Lending: Making Decisions for the Family | p. 187 |
When the Family Decides Poorly: The Consultant Stance | p. 191 |
Translating Problem Solving into Specific Actions: Empowerment of the Resistant Family | p. 201 |
The Behavioral Contract | p. 202 |
Integrating Family Assessment into the Behavioral Contract | p. 205 |
Specifics of the Behavioral Contract: Interventions to Change Dysfunctional Coping | p. 209 |
Identification of Potential Compliance Problems | p. 219 |
Subsystems Therapy: Link Therapists and the Behavioral Contract | p. 225 |
The Decision for Future Therapy | p. 230 |
Terminating the Crisis Interview | p. 231 |
When All Else Fails: Reiterating Reality to the Resistant Family | p. 233 |
Beyond the Crisis Session: What to Do with the Resistant Family After ADEPT | p. 237 |
When the Resistant Family Is Incestuous | p. 243 |
General Principles | p. 244 |
Initial Intervention | p. 246 |
Family System Factors | p. 251 |
Individual Factors | p. 253 |
Family of Origin Factors | p. 255 |
Socio-Environmental Factors | p. 255 |
Precipitating Events | p. 256 |
Coping Mechanisms | |
Dimensions of Intervention | p. 257 |
Conclusion | p. 264 |
Delinquency and the Resistant Family | p. 267 |
The Efficacy of Family Therapy with Delinquents | p. 267 |
Family Factors and Delinquency | p. 270 |
Treating the Resistant Delinquent Family | p. 275 |
Conclusion | p. 281 |
Families of Brain-Compromised Individuals | p. 283 |
The Brain-Compromised: A Growing Population | p. 283 |
Traumatic Brain Injury | p. 285 |
Degenerative Dementia | p. 295 |
Final Words on Treatment Resistance | p. 303 |
References | p. 305 |
Index | p. 315 |
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