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Basic Family Therapy / Edition 6

Basic Family Therapy / Edition 6

by Philip Barker, Jeff Chang

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ISBN-10: 1119945054

ISBN-13: 9781119945055

Pub. Date: 09/03/2013

Publisher: Wiley

Despite the advances that have occurred since the first edition of this book appeared in 1981, the aims of Basic Family Therapy remain the same. These are to provide a clear, easily read and readily understandable introduction to family therapy, and to guide the reader to sources of further information by providing a comprehensive list of references. No prior


Despite the advances that have occurred since the first edition of this book appeared in 1981, the aims of Basic Family Therapy remain the same. These are to provide a clear, easily read and readily understandable introduction to family therapy, and to guide the reader to sources of further information by providing a comprehensive list of references. No prior knowledge of family therapy has been assumed and it is hoped that the book will be useful not only to those who are new to family therapy but also to those in the early phases of their training.

The fifth edition of this established text provides an unbiased, readable and up-to-date introduction to the field of family therapy. It recognises the various forms of dysfunction which may occur within individual families, often coloured by the culture of the society to which the family belongs. Against this complex backdrop and the various schools of thought in family therapy, the book synthesises the basic principles that apply to family therapy generally.

About the Author:
Philip Barker, MB, BS, FRCPsych, FRCP(C), is Professor Emeritus of Psychiatry at the University of Calgary, Canada

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Table of Contents

Dedication     viii
Introduction     ix
The Development of Family Therapy     1
The early years of family therapy     2
The 1960s     6
The 1970s     9
The 1980s     12
The 1990s and the early years of the new millennium     13
Summary     16
Healthy Families and their Development     17
'Normal' family functioning     17
Ethnic variations     19
The functions of families     19
Family development     20
The clinical importance of family developmental stages     21
Optimal family functioning     22
Summary     24
Some Basic Theoretical Concepts     25
Theories derived from individual and group psychotherapy     25
Other theories that have been used in therapy with families     27
Some other concepts and terms     40
Summary     44
Choosing an Assessment and Treatment Model     45
The role of the therapist     46
Changing therapeutic attitudes     47
What approach should the novice family therapist take?     49
Summary     50
Models for theAssessment of Families     51
Task accomplishment and problem solving     52
Roles     52
Communication     53
Affective involvement     54
Control     55
Values and norms     55
The structural approach to assessing families     56
The triaxial scheme of Tseng and McDermott (1979)     56
The Circumplex Model     56
The Beavers Model     57
The Darlington Family Assessment Systems (DFAS)     57
Summary     58
The Family Diagnostic Interview     59
The initial contact     59
Joining the family and establishing rapport     60
Defining the desired outcome     64
Reviewing the family's history, determining its developmental stage and constructing a genogram     64
Assessing the current functioning of the family     68
Developing a diagnostic formulation     72
Offering the family feedback and recommendations     74
Discussing and arranging the next step     74
Feedback to referring professionals     75
Summary     76
Establishing Treatment Goals     77
Defining the desired state      78
Intermediate and final goals     81
Motivating families to consider and set objectives     81
Summary     83
When Should We Use Family Therapy?     84
Basic criteria for employing family therapy     85
Differing views on the place of family therapy     86
Some views on indications     87
The 'decision tree'     90
Contra-indications for family therapy     93
Summary     95
Practical Points in the Treatment of Families     97
Involving reluctant family members     97
Maintaining a therapeutic alliance     102
Involving children in family sessions     104
The therapist's use of self     107
Transference issues     107
Contracts     108
The spacing of sessions     109
Confidentiality     109
Observers     111
Co-therapy     112
Summary     115
Common Family Problems and their Treatment     116
Task accomplishment problems     116
Communication problems     119
Poorly defined and dysfunctional role patterns     123
Behaviour control problems      127
Poorly functioning subsystems and boundary problems     128
Suprasystem problems     129
Delivering direct injunctions     129
Summary     130
Complex Problems and Second-order Change     132
The systemic viewpoint     133
Strategic methods of therapy     134
Reframing and positive connotation     136
The use of metaphor     137
The use of paradox     139
Rituals and tasks     144
Declaring therapeutic impotence     148
Prescribing interminable therapy     149
The use of humour     149
The 'Greek chorus'     150
The debate     151
Externalizing problems     151
A storied approach     152
Non-traditional approaches to the treatment of complex family problems     154
What approach should the novice family therapist take?     155
Summary     156
Other Therapeutic Approaches     157
Family sculpting     157
Role playing     158
Videotape replay     158
Network therapy     159
Multiple family therapy     161
Vector therapy      162
Multiple impact therapy     162
Interventive interviewing     163
Social construction theory     164
Behavioural approaches     165
Family therapy and schizophrenia     169
Summary     172
A Method of Therapy     174
The relationship between assessment and treatment     175
Treatment by stages     176
Direct treatment approaches     178
Assigning tasks     181
Reframing and strategic therapy     184
The therapeutic use of reframing     135
Other therapeutic strategies     185
Working with a team     185
Summary     186
Marital and Sex Therapies     187
The development of marital/couple therapy     187
Current approaches to marital/couple therapy     189
Behavioural couple therapy     190
Skill deficits and performance deficits     191
Further developments in couple therapy     194
Other approaches to couple therapy     195
Divorce therapy and mediation     196
Sex therapy     198
Summary     200
Terminating Treatment and Dealing with Treatment Interruptions Treatment contracts     202
Open contracts     203
Indications for ending treatment     204
How to terminate treatment     207
Termination tasks and rituals     209
Emotional and psychological aspects of termination     209
Follow-up     210
Dealing with treatment interruptions     211
Summary     212
Teaching and Learning Family Therapy     214
Who learns family therapy?     215
The different possible learning experiences     216
Methods of learning family therapy     216
Audiovisual aids     218
Objectives     220
Learning family therapy skills     220
The content of training     222
Supervision     222
Learning to supervise     224
Consultation     225
Summary     227
Research in Family Therapy     229
The need for family therapy research     230
The need for clear thinking     230
Approaches to family therapy research     232
Assessing and classifying families     233
Research on the process of family therapy     236
Outcome research      237
Enrichment programmes     242
Evidence-based marriage and family therapy     242
Integrating research and clinical training     243
Summary     244
Ethics and Family Therapy     246
Informed consent     247
Therapists' values     248
Confidentiality     249
Ethical decision making     251
Keeping informed and up to date     253
Ethical issues in family therapy research     254
Summary     254
References     255
Appendix A     273
Index of Authors     276
Subject Index     282

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