Marital Therapy Concepts and Skills for Effective Practice

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ISBN: 9780534527327 | 0534527329
Cover: Paperback
Copyright: 7/24/2001

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This book is designed to help entry-level marital therapists learn the concepts and skills necessary for effective practice. The authors emphasize the concepts and skills necessary for effective practice and focus on the current trends toward accountability and the requirements of mental health care brought about by the managed care environment. Stressing the relational perspective, the book helps readers to learn how to develop multiple views of the problem and select appropriate skills.

I FOUNDATIONS OF MARITAL THERAPY

(72)

Dimensions of Marriage

(27)

Chapter Objectives

(1)

Introduction

(1)

The Couple System

(1)

Gender Differences

(3)

The Effects of Race and Culture

(2)

The Life Cycle of a Family

(2)

Psychological Tasks of Marriage

(15)

Conclusion

(1)

Key Points

(1)

Marital Skills Inventory

(1)

References

(2)

Models of Marital Therapy

(43)

Chapter Objectives

(1)

Introduction

(1)

Structural Model

(1)

Therapeutic Process

(5)

Strategic Model

(7)

Behavioral Marital Model

(9)

Transgenerational Model

(12)

Solution-Focused Marital Therapy Model

(5)

Conclusion

(1)

Key Points

(1)

Marital Skills Inventory

(1)

References

(3)

II ASSESSMENT, CONCEPTS, AND SKILLS

(52)

Processing the Referral and Structuring the Initial Interview

(16)

Chapter Objectives

(1)

Introduction

(1)

Couple Information

(2)

Statement of the Problem

(1)

Prior Interventions

(1)

Other Pertinent Information

(1)

Setting Up Appointments

(2)

Setting the Stage for Therapy

(1)

Conducting the Initial Interview

(1)

Joining

(1)

Identifying What Is ``Right'' in the Relationship

(2)

Beginning Therapy

(1)

Developing an Operational Definition of ``The Problem''

(1)

Assessing Who Owns the Problem

(2)

Conclusion

(1)

Key Points

(1)

Marital Skills Inventory

(1)

References

(1)

Assessing the Problem for Treatment Planning

(20)

Chapter Objectives

(1)

Introduction

(1)

Assessing Relationship History

(2)

Assessing Interactions Through the Interview

(1)

Objective Assessment of Marital Interaction

(6)

Enacting the Interactional Patterns

100

(1)

Assessing Support Systems

101

(1)

Assessing for Comorbidity

101

(2)

Deciding on Couple Therapy Versus Individual Therapy

103

(2)

Creating an Atmosphere for Change

105

(1)

Establishing Goals

106

(1)

Obtaining the Couple's Commitment

107

(1)

Formulating the Contract

107

(1)

Conclusion

108

(1)

Key Points

109

(1)

Marital Skills Inventory

109

(2)

References

111

(1)

Developing Treatment Recommendations

111

(14)

Chapter Objectives

111

(1)

Introduction

111

(1)

Constructing Goals

112

(1)

Starting Treatment

113

(1)

Operationalizing Goals

114

(2)

Utilizing Partner Strengths in Developing Goals

116

(4)

Overcoming Reluctance to Attend Therapy

120

(1)

Choosing the Best Intervention

121

(2)

Conclusion

123

(1)

Key Points

123

(1)

Marital Skills Inventory

124

(1)

References

124

(1)

III TREATMENT CONCEPTS AND SKILLS

125

(76)

Developing Rules for Negotiating Conflict

127

(17)

Chapter Objectives

127

(1)

Introduction

127

(1)

Common Conflicted Interactions

128

(1)

Gender Differences

129

(1)

Marital Conflict Styles

130

(2)

Four Horsemen of the Apocalypse

132

(2)

Conflict That Turns to Violence

134

(3)

Managing Conflict

137

(4)

Conclusion

141

(1)

Key Points

142

(1)

Marital Skills Inventory

142

(1)

References

143

(1)

Enhancing Communication and Problem-Solving

144

(16)

Chapter Objectives

144

(1)

Introduction

144

(1)

Cultural Issues

145

(1)

Gender Issues

146

(2)

Coaching Communication

148

(4)

Rules for Effective Communication

152

(3)

Obstacles to Effective Communication

155

(1)

Conclusion

156

(1)

Key Points

157

(1)

Marital Skills Inventory

157

(1)

References

158

(2)

Building Trust and Intimacy

160

(13)

Chapter Objectives

160

(1)

Introduction

160

(1)

Trust

160

(1)

Building Trust

161

(2)

Intimacy

163

(2)

Enhancing Intimacy

165

(4)

Barriers to Intimacy

169

(2)

Conclusion

171

(1)

Key Points

171

(1)

Marital Skills Inventory

172

(1)

References

172

(1)

Handling Unresolvable Problems

173

(13)

Chapter Objectives

173

(1)

Introduction

173

(1)

Unchangeable Problems

174

(2)

Acceptance

176

(1)

Promoting Acceptance

176

(8)

Conclusion

184

(1)

Key Points

184

(1)

Marital Skills Inventory

185

(1)

References

185

(1)

Building Support for Marriage

186

(15)

Chapter Objectives

186

(1)

Introduction

186

(1)

Need for Support

187

(1)

Sources of Support

188

(2)

Assessing Areas of Interest

190

(1)

Developing Rituals

190

(2)

Developing Shared Beliefs

192

(1)

Strategies for Identifying Sources of Support

192

(2)

Specifying Obstacles to Getting Support

194

(2)

Conclusion

196

(1)

Key Points

196

(1)

Marital Skills Inventory

197

(1)

References

198

(3)

IV EVALUATION OF TREATMENT OUTCOME

201

(20)

Evaluating for Termination and Follow-Up

203

(18)

Chapter Objectives

203

(1)

Introduction

203

(1)

Evaluative Data in Marital Therapy

204

(1)

Evaluating Progress in Therapy

204

(11)

Deciding When to Terminate Therapy if Goals Have not Been Achieved

215

(1)

Deciding whether to See Partners Individually

216

(1)

Conclusion

217

(1)

Key Points

217

(1)

Marital Skills Inventory

218

(1)

References

219

(2)

V TECHNIQUES IN PRACTICE

221

(53)

Case Studies of Special Populations

223

(51)

Chapter Objectives

223

(1)

Introduction

223

(1)

Marital Infidelity---The Case of Al and Wanda

224

(10)

Divorce---The Case of Elana and Mike

234

(6)

Remarriage---The Case of Janet and Steve

240

(6)

Lesbian and Gay Couples---The Case of Lauren and Lucy

246

(6)

Addiction---The Case of Roger and Mindy

252

(4)

Chronic Illness---The Case of Judy and Ted

256

(9)

Dual Carrer Couples---The Case of Larry and Susan

265

(6)

Conclusion

271

(1)

Key Points

272

(1)

References

272

(2)

Appendix A Code of Ethics and Standards of Practice of the American Counseling Association

274

(23)

Appendix B Code of Ethics of the American Association of Marriage and Family Therapy

297

(7)

Index

304

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Marital Therapy Concepts and Skills for Effective Practice

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