Clinical Manual of Couples and Family Therapy

The Clinical Manual of Couples and Family Therapypresents a conceptual framework for engaging families of psychiatric patients. It outlines practical, evidence-based family therapy skills that make it easier for clinicians to effectively integrate families into the treatment process. Moreover, it reestablishes the role of the psychiatrist as the leader of the team of professionals providing mental health care to patients in need.The underlying assumption in this concise manual is that most psychiatric symptoms or conditions evolve in a social context, and families can be useful in identifying the history, precipitants, and likely future obstacles to the management of presenting problems. The book clarifies the clinical decision-making process for establishing family involvement in patient care in different clinical settings, and it outlines distinct steps in family assessment and treatment within a biopsychosocial organizing framework that can be applied to all families, regardless of the patient's presenting problems. The book's approach is based on a broad model of family functioning, which provides a multidimensional description of families and has validated instruments to assess family functioning from both internal and external perspectives. Unique features and benefits of the manual include:• A focus on one consistent model of assessment and treatment that can be applied to a wide range of psychiatric conditions and clinical settings• Numerous case examples, tables, and charts throughout the text to further highlight the material• A summary of key concepts at the end of each chapter• A companion DVD, keyed to discussion in the text, that demonstrates how to perform a family assessment and treatmentAll psychiatrists should be proficient in assessing the social and familial context in which a patient's psychiatric illness evolves. The Clinical Manual of Couples and Family Therapyis a practical guide designed to facilitate a clinician's ability to evaluate and treat couples and families.

Gabor I. Keitner, M.D., is Professor of Psychiatry at The Warren Alpert School of Medicine and Brown University/Rhode Island Hospital in Providence, Rhode Island.

Alison Margaret Heru, M.D., is Associate Professor of Psychiatry at the University of Colorado in Denver, Colorado.

Ira D. Glick, M.D., is Professor of Psychiatry at Stanford University School of Medicine inStanford, California.

A Guide for Using the Text and DVD	p. ix
Acknowledgments	p. xiii
Introduction	p. 1
Current Psychiatric Practice	p. 3
Family-Oriented Patient Care	p. 5
Specific Family Assessment and Intervention Model	p. 7
Conclusion	p. 9
References	p. 10
Healthy Family Functioning	p. 11
Family Functions	p. 13
Historical Trends	p. 13
Dimensions of Family Functioning	p. 15
Marital and Family Life Cycle	p. 20
Family Resilience	p. 26
Conclusion	p. 28
References	p. 29
Family Research	p. 31
Relational Factors and Biological Systems	p. 32
Relational Factors and Medical Illnesses	p. 37
Relational Factors and Psychiatric Illnesses	p. 43
Conclusion	p. 54
References	p. 55
Family Assessment	p. 63
Connecting With the Family	p. 64
The Evaluation Process	p. 69
The Assessment Process	p. 71
Tools for Family Assessment	p. 79
DSM-IV Relational Diagnoses	p. 83
Conclusion	p. 86
References	p. 87
Appendix 4-1. Case Example	p. 88
Site-Specific Family Assessment	p. 93
Orientation	p. 94
Assessment	p. 94
Formulation	p. 95
Treatment Planning	p. 96
Case Examples	p. 96
Conclusion	p. 108
Reference	p. 108
Biopsychosocial Formulation	p. 109
Evidence for the Interaction of Biological, Psychological, and Social Factors	p. 112
How Is a BPS Assessment and Formulation Done?	p. 114
How Should Psychiatrists Practice BPS Psychiatry?	p. 116
Case Examples	p. 117
Conclusion	p. 128
References	p. 129
Diagnostic Reasoning and Clinical Decision-Making Process	p. 131
Putting the Biological Paradigm in Its Place	p. 132
Rationale for Involving Families in the Decision-Making Process	p. 134
Meaning of a Diagnosis	p. 135
Engaging Patient and Family in Decision Making	p. 139
Discussing Treatment Options	p. 142
Best Practice for Clinical Decision Making	p. 145
References	p. 145
Family/Couples Therapy: Models	p. 149
Insight Awareness Model	p. 150
Family-of-Origin Model	p. 151
Systemic Strategic Model	p. 154
Structural Model	p. 155
Cognitive-Behavioral Model	p. 156
Experiential Models	p. 158
Constructivist Model	p. 158
Psychoeducational Model	p. 160
Multifamily Group Therapy	p. 160
Conclusion	p. 161
References	p. 162
Suggested Readings	p. 163
Problem-Centered Systems Therapy of the Family	p. 165
Key Principles of PCSTF	p. 167
Stages of Treatment	p. 173
Conclusion	p. 193
References	p. 193
Appendix 9-1 Case Example	p. 194
Integrating Family Treatment into Biopsychosocial Care	p. 197
Evidence-Based Studies of Combined Treatment	p. 197
Case Examples	p. 208
Implementing Integrated Treatment	p. 211
Conclusion	p. 211
References	p. 212
Family Interventions with Specific Disorders	p. 215
Schizophrenia	p. 216
Bipolar Disorder	p. 223
Major Depression	p. 227
Alcoholism and Substance Abuse Disorders	p. 232
Anxiety Disorders	p. 236
Conclusion	p. 245
References	p. 245
Special Situations	p. 249
Therapeutic Alliance: Gender, Race, Culture, and Sexual Orientation	p. 249
Competing Value Systems	p. 253
Affairs	p. 254
Violence	p. 257
Divorce	p. 262
Legal Issues	p. 264
Conclusion	p. 264
References	p. 265
Training in Family Skills and Family Therapy	p. 269
Knowledge	p. 270
Skills	p. 271
Family Therapy Training	p. 276
Supervision	p. 278
Assessment of Trainees	p. 285
Conclusion	p. 286
References	p. 287
GAP Proposal for Specific Family Systems Competencies	p. 290
Assessment Forms for Family Therapy Trainees	p. 294
Conclusions and Future Directions	p. 297
Index	p. 303
Table of Contents provided by Ingram. All Rights Reserved.

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Clinical Manual of Couples and Family Therapy (Book with DVD)

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