Bipolar Disorder A Family-Focused Treatment Approach
, by Miklowitz, David J.- ISBN: 9781606236451 | 1606236458
- Cover: Paperback
- Copyright: 2/8/2010
David J. Miklowitz, PhD, is Professor of Psychiatry at the University of California, Los Angeles Semel Institute, David Geffen School of Medicine, and Senior Clinical Research Fellow in the Department of Psychiatry at Oxford University. He was Professor in the Department of Psychology at the University of Colorado at Boulder from 1989 to 2009. His current research focuses on family psychoeducational treatments for childhood-onset bipolar disorder. Dr. Miklowitz has received a number of awards for his research, including, most recently, the Distinguished Investigator Award from the National Alliance for Research on Schizophrenia and Depression, the Mogens Schou Award for Research from the International Society for Bipolar Disorders, and the Monica Fooks lectureship from Oxford University. Dr. Miklowitz has published more than 200 research articles and book chapters and five books on bipolar disorder and schizophrenia. The first edition of Bipolar Disorder: A Family-Focused Treatment Approach won the Outstanding Research Publication Award from the American Association for Marriage and Family Therapy.
Bipolar Disorder and Families: Clinical and Research Background | |
Bipolar Disorder: Why Family Treatment? | p. 3 |
How Is Bipolar Disorder a Family Problem? | p. 5 |
Why FFT? | p. 6 |
The Six Objectives of FFT | p. 7 |
The Core Assumptions and Structure of FFT | p. 12 |
Is FFT Helpful? | p. 13 |
The Organization of This Book | p. 18 |
For Whom Is This Book Intended? | p. 19 |
A Word about Terminology | p. 20 |
The Nature of Bipolar Disorder and Its Impact on the Family | p. 21 |
Chapter Overview | p. 22 |
What Is Bipolar Disorder? | p. 23 |
The Impact of the Disorder on Family Members | p. 26 |
The Topography of Manic and Depressive Episodes | p. 27 |
The Role of the Family in Differential Diagnosis | p. 31 |
The Variable Life Courses of Bipolar Disorder | p. 32 |
Developmental Precursors to Bipolar Disorder | p. 35 |
The Interface between Drug Treatment and FFT | p. 41 |
Concluding Comments | p. 47 |
Family and Social Factors in the Course of Bipolar Disorder | p. 48 |
Chapter Overview | p. 49 |
The Vulnerability-Stress Model | p. 49 |
Family Environmental Factors in Bipolar Disorder | p. 50 |
Life Events Stress | p. 60 |
The Vulnerability-Stress Model Revisited | p. 63 |
Concluding Comments | p. 64 |
Conducting Family-Focused Treatment | |
Planning the First Encounter | p. 69 |
Chapter Overview | p. 70 |
For Whom Is FFT Appropriate? | p. 70 |
The Mechanics of FFT | p. 73 |
Getting Started: The Initial Contacts | p. 76 |
Concluding Comments | p. 83 |
The Functional Assessment | p. 84 |
Chapter Overview | p. 84 |
Assessing the History of the Patient's Disorder | p. 85 |
Assessing Family Interactions | p. 92 |
Concluding Comments | p. 97 |
Family Psychoeducation: The Initial Sessions | p. 98 |
Overview of the Psychoeducation Module | p. 99 |
A Word about Terminology | p. 100 |
The Therapeutic Stance | p. 100 |
"Setting the Stage" for the Psychoeducation Module | p. 101 |
Introducing the Treatment Program | p. 102 |
Presenting the Didactic Material: Reviewing the Index Episode | p. 109 |
Events Leading Up to the Episode: The life Events Survey | p. 117 |
Discussing the Hospitalization Experience | p. 122 |
The Expected Course of Bipolar Disorder | p. 125 |
Concluding Comments | p. 127 |
Family Psychoeducation: Etiology, Treatment, and Self-Management | p. 128 |
Chapter Overview | p. 128 |
The Etiology of Bipolar Disorder | p. 129 |
Treatment of the Disorder within the Vulnerability-Stress Model | p. 143 |
How the Family Can Help | p. 150 |
The Self-Management of Bipolar Disorder | p. 155 |
The Relapse Drill | p. 157 |
Addressing Unanswered Questions | p. 161 |
Concluding Comments | p. 162 |
Family Psychoeducation: Dealing with Resistances | p. 163 |
Chapter Overview | p. 164 |
Manifestations of Denial and Resistance | p. 165 |
Anticipating and Preempting Denial and Resistance | p. 167 |
The Meaning of Bipolar Disorder within the Family Context | p. 170 |
Differing Perceptions of the Disorder as a Source of Family Conflict | p. 175 |
The Stigma of Bipolar Disorder within the larger Society | p. 188 |
Medication Nonadherence: Its Management within the Family Context | p. 190 |
Concluding Comments | p. 201 |
Communication Enhancement Training; Rationale and Mechanics | p. 203 |
Chapter Overview | p. 203 |
Objectives of CET | p. 204 |
Why Introduce Communication Exercise at This Point in Treatment? | p. 205 |
CET: Getting Storied | p. 206 |
Teaching the Four Basic Communication Skill | p. 211 |
Concluding Comments | p. 233 |
Communication Enhancement Training: Clinical Issues | p. 234 |
Chapter Overview | p. 235 |
The Clinical Handling of Communication Enhancement Exercises | p. 235 |
Problems in the Generalization of Skills | p. 238 |
Using CET to Modify Family Dynamics | p. 243 |
Concluding Comments | p. 254 |
Dealing with Family Problems | p. 255 |
Chapter Overview | p. 256 |
Problem Solving: Why at This Point in Treatment? | p. 256 |
What Kinds of Problems Do the Families of Bipolar Patients Have? | p. 258 |
Conducting Problem Solving | p. 259 |
Dealing with Resistance | p. 267 |
The Problems of the Families of Bipolar patients-Are There Good Solutions? | p. 273 |
Concluding Comments | p. 279 |
Managing Crises in Family-Focused Treatment | p. 280 |
Chapter Overview | p. 281 |
General Principles for Managing Crises within FFT | p. 282 |
The Clinical Handling of Crisis Management Sessions | p. 284 |
Manic Relapses and Hospitalization | p. 285 |
Depressive Relapses | p. 291 |
The Suicidal Crisis | p. 292 |
Alcohol and Substance Abuse | p. 299 |
Other Psychiatric Crises | p. 306 |
Concluding Comments | p. 307 |
Termination | |
Chapter Overview | p. 309 |
Terminating FIT: Two Examples | p. 309 |
Tim Structure of Termination Sessions | p. 313 |
Reviewing the Course of Treatment | p. 313 |
Anticipating Future Problems | p. 315 |
Evaluating Future Treatment Needs | p. 316 |
Arranging for Follow-Up Visits | p. 321 |
Concluding Comments | p. 322 |
References | p. 323 |
Index | p. 335 |
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