Clinical Practice with Families: Supporting

Instead of exploring these ideas in the abstract, Clinical Practice wi th Families illustrates them with in-depth case examples that include detailed studies of the client familyFs history and traditions, extens ive analyses of the family system, and actual dialogue from sessions, along with the therapistFs comments on shifting alliances and other un spoken occurrences. No other technique could better demonstrate the pr actical integration of therapeutic skills and concepts to meet the cli entsF needs.

Michael Rothery, PhD, MSW, is a Professor on the faculty of social work at the University of Calgary in Western Canada George Enns, MSW, is coordinator of the Youth and Family Team for a district mental health service, and was honored, in 1987, to receive a Distinguished Service Award from his provincial government's Mental Health Services Branch

Foreword

xi

Dorothy S. Becvar

Acknowledgments

xv

Introduction: Creativity and Frameworks

1

(1)

Our Purpose

1

(1)

Clinical Theory and the Ecological Perspective

2

(3)

Clinical Theory: An Embarrassment of Riches

5

(1)

Case Example: The Doyles

6

(1)

Creativity

7

(2)

Frameworks

9

(12)

PART I ESSENTIAL THEMES---A FRAMEWORK FOR UNDERSTANDING

Boundaries

21

(30)

The Nature of Boundaries

22

(8)

Qualities and Functions of Boundaries

30

(7)

The Rhythm of Contact and Withdrawal

37

(4)

A Boundary Dynamic

41

(4)

The Boundary Negotiation Process

45

(1)

Boundaries and Identity

46

(4)

Boundaries in Context

50

(1)

Traditions

51

(22)

Traditions Defined

52

(1)

Sources of Traditions

53

(3)

The Advantages of the Concept

56

(1)

Our Relationship to Traditions

57

(13)

Rebecca and Daniel's Crisis Revisited

70

(3)

Development of Individuals in Families: Themes and Variations

73

(50)

The Advantages of a Cevelopmental View

74

(1)

A Perspective on Development

75

(3)

The New Couple

78

(4)

Boundaries with the Couple's Extended Family and Other Systems

82

(6)

Bearing and Caring for Children

88

(6)

Caring for Adolescents

94

(8)

Launching the Young Adult

102

(6)

Attachment and Disengagement in Later Life

108

(5)

Further Variations

113

(5)

The Therapist's Developmental Issues

118

(5)

PART II FACILITATING CHANGE

Understanding Change

123

(24)

Theories of Explanation and Theories of Change

123

(1)

Relationship As a Precondition for Change

124

(3)

Boundaries and the Helping Relationship

127

(2)

Traditions and the Helping Relationship

129

(6)

Change and the Boundary Dynamic

135

(2)

Summary: Generalizations About Change

137

(2)

Example: Ideas About Change in Action

139

(6)

Final Note: Technique and Creativity

145

(2)

Setting Goals, Discovering Solutions

147

(18)

Defining Problems and Discovering Solutions

148

(8)

Traditions and the Search for Solutions

156

(5)

Integrating Different Agendas

161

(1)

Goals and Stages in the Process of Change

162

(3)

Clarifying Boundaries: Boundaries As a Framework for Theraphy

165

(46)

Clarifying Boundaries: A New Example

167

(1)

The Generational Boundary

168

(18)

Clarifying Boundaries: An Extended Example

186

(25)

Helping Vulnerable Families

211

(20)

The Concept of Vulnerability

211

(4)

Vulnerability and Clinical Intervention

215

(3)

Vulnerability and Boundaries

218

(1)

Vulnerability and Traditions

219

(1)

Case Example: The McDougalls

220

(2)

Expanding Our Understanding: The Ecomap A Focus on Strenghts

222

(1)

A Focus on Strengths

222

(4)

Implications for Service

226

(5)

Epilogue: Future Creative Challenges

231

(8)

References

239

(8)

Index

247

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Clinical Practice with Families: Supporting Creativity and Competence

Summary

Author Biography

Table of Contents

Supplemental Materials