Bipolar Disorder: A Family-Focused Treatment Approach / Edition 1

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Arguing that bipolar disorder strongly affects the functioning of families and marriages, and, in turn, that family functioning affects the course of bipolar disorder, this accessible book details a unique family-focused psychoeducational treatment approach. This 9-month outpatient program teaches patients and families to understand manic-depression and to communicate and solve practical problems related to the illness. The authors present a complete treatment manual, grounded in extensive research, that guides clinicians step-by-step from assessment to termination. Throughout, the book's utility is enhanced by clinical case material, session vignettes, and reproducible client handouts.

The book contains black-and-white illustrations.

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Editorial Reviews

From the Publisher

"This is an indispensable treatment guide for all clinicians dealing with bipolar patients. Infused with clinical wisdom, transmitted in illustrative clinical vignettes, it is a clearly written guide to a family-based program. In a managed care environment, this is a focused, flexible, and efficient treatment." --John F. Clarkin, PhD, Professor of Clinical Psychology in Psychiatry, Cornell University Medical College; Director of Psychology, The New York Hospital-Cornell Medical Center

"Greatly influenced by the late Michael Goldstein's innovative work on family intervention in schizophrenia, this book is the fruit of Miklowitz and Goldstein's collaboration in the application of similar approaches to the equally great challenge of ameliorating the course of manic-depressive illness through family intervention. In this book, David Miklowitz and, regrettably posthumously, Michael Goldstein bring the wisdom of their psychoeducational approach and the techniques for applying it to practicing clinicians. Whether such clinicians typically treat individuals, couples, or entire families, they will benefit enormously from the perspective offered here and find much to incorporate into their work with patients suffering from bipolar disorder." --Ellen Frank, PhD, Professor of Psychiatry and Psychology, University of Pittsburgh School of Medicine

"This book [presents] the first treatment approach for bipolar disorder that truly integrates the use of medication and family intervention....Miklowitz and Goldstein succeed brilliantly in not being bound to a Procrustean bed of limited therapeutic rules. Instead, their treatment guidelines continuously emphasize a 'psychotherapeutic attitude' in which the experience, stories, and special life circumstances of the family members are given attention....This volume should quickly become required reading in every family and marital therapy training program. In addition, it should be read as well by all professionals, especially psychiatrists, who need to learn more about how the effectiveness of the medications they prescribe can be substantially enhanced with family-focused treatment." --From the Foreword by Lyman C. Wynne

Extending hope to those with recurring bouts of bipolar disorder, Miklowitz (psychology, U. of Colorado) and Goldstein (psychology, UCLA) offer context on this frequently misdiagnosed affective disorder as well as a clinical guide to their pioneering outpatient treatment approach combining family intervention and medication. Contains reproducible Communication Enhancement Training client handouts. Annotation c. by Book News, Inc., Portland, Or.
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Product Details

  • ISBN-13: 9781572302839
  • Publisher: Guilford Publications, Inc.
  • Publication date: 9/12/1997
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 318
  • Product dimensions: 6.34 (w) x 9.24 (h) x 1.17 (d)

Meet the Author

David J. Miklowitz, PhD, is Associate Professor of Psychology at the University of Colorado, Boulder, where he has taught in the graduate Clinical Psychology program since 1989. Focusing on family environmental factors and family interventions in the major mental disorders, with particular emphasis on bipolar affective disorder, Dr. Miklowitz's work has been funded by the National Institute of Mental Health and the MacArthur Foundation, and recognized by awards from the International Congress on Schizophrenia Research and the National Association for Research on Schizophrenia and Depression. He is the author of 60 journal articles and book chapters.

Michael J. Goldstein, PhD (1930-1997), was a pioneer in research on family factors relevant to the onset and course of major psychiatric disorders, particularly schizophrenia. After receiving his doctorate from the University of Washington in 1957, he served as Professor of Psychology at the University of California, Los Angeles, for 40 years. The author of nearly 200 journal articles, books, and book chapters, Dr. Goldstein's honors included the Alexander Gralnick Award from the American Psychological Association, the Gerald Klerman Research Award from the Association for Clinical Psychosocial Research, and the Distinguished Contribution to Family Therapy Award from the American Family Therapy Association.

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Table of Contents

Foreword, Lyman C. Wynne, MD, PhD
I. Bipolar Disorder and Families: Clinical and Research Background
1. Bipolar Disorder: Why Family Treatment?
2. The Nature of Bipolar Disorder and Its Impact on the Family
3. Family and Social Factors in the Course of Bipolar Disorder
II. Conducting the Family-Focused Treatment
4. Planning the First Encounter
5. The Functional Assessment
6. Family Psychoeducation: The Initial Sessions
7. Family Psychoeducation: Etiology, Treatment, and Self-Management
8. Family Psychoeducation: Dealing with Resistances
9. Communication Enhancement Training: Rationale and Mechanics
10. Communication Enhancement Training: Clinical Issues
11. Dealing with Family Problems
12. Managing Crises in Family-Focused Treatment
13. Termination
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Sort by: Showing 1 Customer Reviews
  • Anonymous

    Posted March 18, 2003

    A prequel to the Bipolar Disorder Survival Guide?

    This book preceded Miklowitz's very popular 'Bipolar Disorder Survival Guide'. The question then arises: should you buy this book as well? I think the answer is yes. This book puts forth the family-focused treatment approach, and in doing so supplements the information in the 'Bipolar Disorder Survival Guide', which is more so directly about patients suffering from the disorder. Furthermore, this book is very well written and organized, and focuses upon a perhaps underappreciated means for treating the illness.

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