The Practical Practice of Marriage and Family Therapy

, by Odell, Mark; Campbell, Charles F.; Hecker, Lorna L., Ph.D.

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ISBN: 9780789004314 | 0789004313
Cover: Paperback
Copyright: 2/1/1998

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The Practical Practice of Marriage and Family Therapy: Things My Training Supervisor Never Told Me is a useful daily guide for graduate students and beginning marriage and family therapists that eases the transition from learner to practicing professional in the clinical domain. Written in a refreshing and unpretentious style, much the way a caring seasoned professional would mentor a novice practitioner, The Practical Practice of Marriage and Family Therapy covers the major areas that typical graduate programs don't have time to address

Foreword	p. xiii
Acknowledgments	p. xv
Introduction	p. 1
Before You Get Started ...	p. 5
So You Want to Be a Marriage and Family Therapist ...	p. 7
What Do You Tell Others?	p. 9
I Want to Be a Family Therapist Because: My Motives	p. 10
What Do You Tell Yourself?	p. 11
I Want to Be a Family Therapist Because: My Agenda	p. 11
Should You Be a Marriage and Family Therapist?	p. 15
It Ain't Like the University Clinic	p. 21
Traditional and Contemporary Practice Issues versus Systems Training	p. 22
Doing Systemic Therapy with Linear Clients, Colleagues, and Settings	p. 24
Beginnings	p. 35
Securing a Place to Practice	p. 37
Supervision for Licensing and Credentialing	p. 39
Continuing Education	p. 40
Professional Malpractice Insurance	p. 41
Setting Up a Good Supervisory Relationship	p. 43
Supervisory Goals in Building Therapeutic Competencies	p. 46
Integrating Systemic Assessment and Traditional Clinic Intake Protocols, or How to Diagnose Clients Who Have Families, Part I	p. 53
The Traditional Individual Approach to an Intake Session	p. 54
The Systemic Approach to an Intake Session	p. 56
Integrating Systemic and Individual Approaches	p. 58
Writing Up the Intake	p. 65
Integrating Systemic Assessment and Traditional Clinic Intake Protocols, or How to Diagnose Clients Who Have Families, Part II: Case Examples	p. 67
An "Individual" Problem	p. 67
A "Relational" Problem	p. 76
Case Formulation: So What Do I Do After the Intake?	p. 87
Ideal versus Practical Treatment Goals: Doable Therapy	p. 89
Assessment Never Ends: Constructing and Reconstructing Strategies	p. 93
Ways to Engage the Family in Therapy ("Why Do You Want Me to Bring Her/Him/Them In?")	p. 101
Obstacles to Other Family Members' Inclusion	p. 102
Strategies for Getting Reluctant Family Members to Participate	p. 106
Couples Therapy with Reluctant Partners	p. 114
Referrals and the Use of Nonsystemic Tools	p. 117
Psychological Testing	p. 117
Psychiatric Evaluations for Psychotropic Medication	p. 120
Psychiatric Evaluations for Psychiatric Hospitalizations	p. 124
Referral and Consultation with Other Physicians	p. 126
Referral and Consultation with Nonmedical Service Providers	p. 128
Documentation and Case Management: The Job Ain't Done Till ...	p. 131
Documentation	p. 132
Insurance Information	p. 133
Consent Forms	p. 134
Diagnosis, Treatment Planning, and Treatment Summaries	p. 135
Documenting Individual Therapy Sessions	p. 136
Documenting Collateral Communications	p. 138
Therapist Accessibility	p. 139
Dealing with Money Issues Impacting Treatment: Insurance, Managed Care, and Fees	p. 143
Insurance: What It Used to Be, What It Is, and Where It Is Going	p. 144
Working Effectively Under Managed Care	p. 147
Fees: The Real and Symbolic Values	p. 150
Along the Way	p. 153
Values Conflicts: Who Knows What Is Best for Whom?	p. 155
Identifying Your Own Values and Value Biases	p. 160
Identifying Institutional and Professional Values	p. 163
Listening for Clients' Values	p. 164
Mental Health Values, Religious Values, Your Clients, and You	p. 166
Adopting Moral Positions in Therapy	p. 171
Inevitable Dual-Relationship Issues	p. 173
Professional Therapists vs. Social Therapists	p. 175
Nonclients Requesting Professional Therapy	p. 177
Clients Requesting Social Therapy or Relationships	p. 178
Collegial Relationships	p. 180
Supervisor-Supervisee Relationships	p. 181
Treatment Impasses: Revitalizing Stalled Therapy	p. 185
How Do You Know When Therapy Is Stalled?	p. 186
Sooner or Later You Will Know You Are Stuck When	p. 188
Some Strategies for Revitalizing Therapy	p. 192
Terminating When It Is Time	p. 199
Preparing Clients for Termination	p. 200
Wrapping Up the Successful Case	p. 203
Firing Clients: Yes, You Can (and May Have to) Do It	p. 206
Here Comes the Judge ... and Attorneys: Some Pragmatic Advice for Typical Situations Involving the Legal System	p. 211
Clients Looking for Professional Therapist Courtroom "Muscle"	p. 213
Attorneys Seeking an Expert: "How'd Ya Like to Be on Our Side?"	p. 215
Vouching for Your Clients	p. 218
Dealing with Legal Threats	p. 220
Avoiding Clinical Burnout	p. 223
Clinical Burnout 101: Blurring Boundaries	p. 224
Clinical Burnout 201: Ego, Role, Identity, and Confusion	p. 226
Clinical Burnout 301: Facing the Inevitable--Failures, Impasses, and Tragedies	p. 228
Mental Health 101: Family, Friends, Hobbies, and Humor	p. 230
Mental Health 201: Collegial Support and Supervision	p. 233
Mental Health 301: Personal Therapy	p. 234
Changing Focus: Jobs, Settings, Populations, Careers	p. 237
Realities of the Job Market and Paying Your Dues	p. 237
Mental Health Services: Settings and Client Populations	p. 239
Changing Careers ... But What About This One I Am Just Starting?	p. 243
Becoming the "Master Therapist" You Always Wanted to Be	p. 245
Observing Master Therapists Can Be Hazardous to Your Health	p. 246
Becoming a Solid Generalist	p. 248
Developing a Specialty: One Workshop Does Not an Expert Make	p. 250
Excellence and Humility: Two Sides of the Same Coin	p. 251
Experience and Supervision: Therapy for the Therapist	p. 252
References	p. 255
Index	p. 263
Table of Contents provided by Syndetics. All Rights Reserved.

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The Practical Practice of Marriage and Family Therapy

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