Marital and family therapy

목차 (Table of Contents)

• CONTENTS
• Contributors = xxix
• Forewords / by Herta A. Guttman, M.D. ; Peter Steinglass, M.D. = xxxiii
• Preface = xli
• Acknowledgments = xlv
• A Guide for Using the Text = xlvii
• SECTION 1 Family Therapy in Context
• CHAPTER 1 The Field of Marital and Family Therapy : Development and Definition = 5
• Objectives for the Reader = 5
• Introduction = 5
• Development of the Family Therapy Field = 6
• Definition of Marital and Family Therapy = 10
• Core Concepts = 12
• Differentiation of Family Therapy From Other Psychotherapies = 21
• Suggested Readings = 25
• References = 25
• CHAPTER 2 Family Life in Historical and Sociological Perspective / With Richard M. Patel, M.D. = 29
• Objectives for the Reader = 29
• Introduction = 29
• Historical and Current Trends in Structure and Function of the American Family = 30
• Other Changes in the Late 1900s = 37
• The Cycle of Marital Activity = 43
• The Change From a Traditional to a Companionate Marriage = 44
• Special Issues in the Marriages of Immigrants = 48
• Issues Unique to the Historical Development of African American Families = 48
• Summary and Relevance for the Family Therapist = 49
• Suggested Readings = 49
• References = 50
• SECTION 2 Functional and Dysfunctional Families
• CHAPTER 3 Understanding the Functional Family = 57
• Objectives for the Reader = 57
• Introduction = 57
• The Family as a System = 59
• The Marital and Family Life Cycle = 61
• Family Tasks = 75
• Family Belief Systems = 79
• Summary = 80
• Suggested Readings = 81
• References = 81
• CHAPTER 4 Understanding the Functional Family : Alternative Family Forms = 85
• Objectives for the Reader = 85
• Introduction = 85
• Serial Relationships = 86
• Cohabiting = 86
• Marital Separation = 87
• Divorce = 89
• The Functional Single-Parent Family = 90
• Binuclear Families = 94
• Remarriage and Remarried Families (Stepfamilies) / With John S. Visher, M.D., ; Emily B. Visher, Ph.D. = 95
• Grandparent-Headed Families = 100
• Gay and Lesbian Families = 100
• Family Vignettes = 102
• Suggested Readings = 103
• References = 104
• CHAPTER 5 Problems and Dysfunction From a Family Systems Perspective = 109
• Objectives for the Reader = 109
• Introduction : The Dysfunctional Family System = 109
• A Systems Approach to Problems and Dysfunction = 111
• Life Cycle Problems and Dysfunction = 127
• Task Performance in the Dysfunctional Family = 129
• Summary = 131
• Suggested Readings = 132
• References = 132
• SECTION 3 Family Evaluation
• CHAPTER 6 The Process of Evaluation = 139
• Objectives for the Reader = 139
• Introduction = 139
• Role of Historical Material = 140
• Whom to Include in the Family Evaluation = 142
• Progression of the Family Evaluation Interview = 143
• Role of Individual and Family Diagnoses = 145
• Suggested Readings = 147
• References = 147
• CHAPTER 7 The Content of Evaluation = 151
• Objectives for the Reader = 151
• Introduction = 151
• Dimensions of Family Function = 152
• Family Evaluation Outline = 152
• The Family Genogram = 159
• Final Note = 162
• Suggested Readings = 162
• References = 163
• CHAPTER 8 Formulating an Understanding of the Family Problem Areas = 167
• Objectives for the Reader = 167
• Introduction = 167
• Rating Important Dimensions of Family Functioning = 168
• Family Classification and Diagnosis = 171
• Planning the Therapeutic Approach and Establishing the Treatment Contract = 181
• Case Example Illustrating the Outline = 183
• Suggested Readings = 190
• References = 191
• CHAPTER 9 Tools for Evaluation, Including Rating Scales and Tests = 195
• Objectives for the Reader = 195
• Introduction = 195
• Medical Examinations = 196
• Home Visits = 196
• Structured Family Tasks = 197
• Family Rating Scales = 198
• Summary = 202
• Suggested Readings = 202
• References = 203
• SECTION 4 Family Treatment
• CHAPTER 10 Major Schools of Family Therapy = 209
• Objectives for the Reader = 209
• Introduction = 209
• Insight-Awareness Model = 210
• Family of Origin Model = 213
• Systemic-Strategic Model = 214
• Cognitive-Behavioral Model = 216
• Experiential Model = 217
• Narrative Model = 218
• Conclusion = 220
• Suggested Readings = 221
• References = 221
• CHAPTER 11 Goals = 225
• Objectives for the Reader = 225
• Introduction = 225
• Mediating and Final Goals As They Relate to Schools = 226
• Individualizing Goals With the Family = 229
• Goals and Their Relation to Process and Content Issues = 231
• Mediating Goals and Their Related Strategies = 233
• Goals and Related Strategies Common to All Family Therapy Schools = 233
• Conclusion = 235
• Suggested Readings = 236
• References = 236
• CHAPTER 12 Family Treatment : Strategies and Techniques = 239
• Objectives for the Reader = 239
• Introduction = 239
• General Elements of Psychotherapy and Their Relationship to Family Therapy = 240
• Basic Strategies of Family Intervention = 241
• Techniques for a More Effective Construction of Family Reality = 259
• Treatment Packages = 259
• Indications for Differential Use of the Basic Strategies = 260
• Conclusion : Beyond Techniques = 262
• Suggested Readings = 262
• References = 263
• CHAPTER 13 The Course of Family Treatment = 267
• Objectives for the Reader = 267
• Introduction = 267
• Early Phase = 267
• Middle Phase = 274
• Termination Phase = 277
• Final Note = 278
• Suggested Readings = 278
• CHAPTER 14 Promoting Change in Family Treatment : Issues of Alliance and Resistance = 281
• Objectives for the Reader = 281
• Introduction = 281
• The Therapeutic Alliance = 282
• Models for Dealing With Families That Have Trouble Forming an Alliance = 284
• Problems in Creating Change : Resistance and Disconnection = 286
• Techniques to Deal With Resistances or Stalled Therapy = 295
• Final Note = 297
• Suggested Readings = 298
• References = 298
• CHAPTER 15 Family Therapy : General Considerations = 301
• Objectives for the Reader = 301
• Introduction = 302
• Family Participants = 302
• Including Children and Adolescents in Family Therapy / With James Lock, M.D., Ph.D. = 306
• Therapist Combinations = 312
• Setting = 314
• Time, Scheduling, and Fees = 315
• Keeping a Record of Treatment = 316
• Family Therapy in Combination With Other Psychosocial Therapies = 317
• Family Therapy in Combination With Pharmacotherapy = 319
• Family Therapy in Combination With Other Helping Agencies = 323
• Comparison of Therapy Formats and Strategies = 323
• Final Note = 324
• Suggested Readings = 325
• References = 325
• CHAPTER 16 Brief Family Therapy : Treatment As It Is Influenced by Time Constraints = 329
• Objectives for the Reader = 329
• Introduction = 329
• Indications for Brief Family Intervention = 330
• Course of Treatment = 331
• Techniques = 332
• The Problem-Oriented School of Brief Therapy = 336
• Crisis Intervention = 337
• Suggested Readings = 338
• References = 338
• CHAPTER 17 Treatment As It Is Influenced by Issues of Ethnicity, Race, Gender, and Class = 341
• Objectives for the Reader = 341
• Introduction = 341
• Culture and Ethnicity = 342
• Race = 347
• Gender = 349
• Class = 350
• Cultural Norms and Therapy = 355
• Therapist-Family Fit = 355
• Suggested Readings = 356
• References = 357
• CHAPTER 18 Treatment As It Is Influenced by Issues Specific to African American Families / With Marlene F. Watson, Ph.D. = 361
• Objectives for the Reader = 361
• Introduction = 361
• Race As It Affects Individual Development in the Family = 362
• Gender Dynamics in African American Families = 366
• Social Status and Class = 367
• Intermarried Couples and Multiracial Children = 369
• Treatment Considerations With African American Families = 369
• Conclusion = 370
• Suggested Readings = 371
• References = 371
• SECTION 5 Couples Therapy
• CHAPTER 19 Dysfunctional Couples and Couples Therapy = 377
• Objectives for the Reader = 377
• Introduction = 377
• Marriage in Its Historical Context = 377
• Marital Difficulties, Problems, and Dysfunction = 378
• Couples Therapy = 383
• Summary = 391
• Suggested Readings = 391
• References = 393
• CHAPTER 20 Sex, Marriage, and Marital and Sex Therapy = 397
• Objectives for the Reader = 397
• Introduction = 397
• Diagnosis-Systems Issues = 398
• Gender Issues in Sexuality = 399
• Some Parameters of Sexual Function = 400
• Assessment of Sexual Disorder = 401
• Treatment = 405
• Other Issues Related to Sexuality and Marriage = 408
• Conclusion = 412
• Suggested Readings = 412
• References = 412
• CHAPTER 21 Separation and Divorce / With Richard M. Patel, M.D. = 417
• Objectives for the Reader = 417
• Introduction = 417
• Separation = 417
• Separation Leading to Divorce = 419
• Divorce and Postdivorce Treatment = 424
• Single-Parent and Binuclear Families = 426
• Stepfamilies / With John S. Visher, M.D., ; Emily B. Visher, Ph.D. = 427
• Cohabiting Couples = 433
• Serial Relationships = 434
• Suggested Readings = 435
• References = 435
• CHAPTER 22 The Couple and Reproductive Issues = 439
• Objectives for the Reader = 439
• Introduction = 439
• The Wish for a Child = 440
• Pregnancy and Childbirth = 441
• Miscarriage, Fetal Death, and Stillbirth = 444
• Abortion = 445
• Infertility = 445
• Assisted Reproductive Technology and Collaborative Reproduction = 447
• Adoption = 447
• Conclusion = 449
• Suggested Readings = 449
• References = 449
• CHAPTER 23 Lesbian and Gay Couples / With Laura Markowitz, B.A., ; John T. Patten, M.D. = 453
• Objectives for the Reader = 453
• Introduction = 453
• Coming Out and Coupling : Stressors and Challenges = 454
• Myths About Same-Sex Couples = 456
• issues in Therapy With Same-Sex Couples = 463
• AIDS and the Gay Community = 465
• Suggested Readings = 467
• References = 467
• SECTION 6 Family Treatment When One Member Has a Psychiatric Disorder or Other Special Problem
• CHAPTER 24 Family Treatment in the Context of Individual Psychiatric Disorders = 473
• Objectives for the Reader = 473
• Introduction = 473
• The Family Model and Individual Diagnosis = 474
• Schizophrenia / With Lisa Dixon, M.D., M.P.H. = 476
• Bipolar Disorder = 484
• Dysthymia and Major Depressive Disorder = 490
• Borderline Personality Disorder = 496
• Anxiety Disorders = 498
• Delirium, Dementia, Amnesia and Other Cognitive Disorders = 501
• Eating Disorders = 502
• Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence = 505
• Substance-Related Disorders / With Robert A. Matano, Ph.D., ; Amy Bronstone, Ph.D., ; Diana M. Doumas, Ph.D. = 509
• Conclusion = 520
• Suggested Readings = 521
• References = 522
• CHAPTER 25 Family Treatment in the Context of Other Special Problems-Violence to Self and Others = 529
• Objectives for the Reader = 529
• Introduction = 530
• The Family Model and Violence / With Amy Bronstone, Ph.D., ; Robert A. Matano, Ph.D., ; Diana M. Doumas, Ph.D. = 530
• Intrafamilial Child Sexual Abuse / With James Lock, M.D., Ph.D. = 544
• The Family Model and Child Abuse / With Harvey S. Kaplan, M.D. = 549
• The Suicidal Patient and the Family / With Gretchen L. Haas, Ph.D. = 551
• Conclusion = 556
• Suggested Readings = 557
• References = 557
• CHAPTER 26 The Family and Treatment of Acute and Chronic Psychiatric Illness = 563
• Objectives for the Reader = 563
• Introduction = 563
• Background = 564
• The Function of the Acute Team for the Family = 566
• Family Responses to Mental Illness of a Family Member = 567
• Rationale for Acute Treatment of Families = 569
• Process of Family Treatment in Acute Care = 570
• Common Goals of Acute Family Intervention = 572
• Particular Decisions in Acute Care and Family Intervention = 576
• Family Techniques = 577
• A Working Model of Acute Family Intervention = 578
• Empirical Studies = 582
• Families of the Chronically Ⅲ / With John A. Talbott, M.D. = 583
• Community-Based Support Groups = 586
• Controversies in Treatment = 587
• Suggested Readings = 589
• References = 589
• SECTION 7 Results of and Guidelines for Recommending Family Therapy
• CHAPTER 27 Indications for and the Sequence of Family Therapy Evaluation and Treatment = 597
• Objectives for the Reader = 597
• Introduction = 597
• Sequence of Evaluation and Treatment Planning = 598
• Step 1 : Is Family Evaluation Indicated? = 598
• Step 2 : Is Family Treatment Indicated? = 601
• Step 3 : What Shall Be the Duration and Intensity of Family Therapy? = 607
• Step 4 : What Model of Family Intervention Is Indicated? = 610
• Summary = 610
• Suggested Readings = 611
• References = 611
• CHAPTER 28 Controversies, Relative Contraindications, and the Use and Misuse of Marital and Family Therapy
• Objectives for the Reader = 615
• Introduction = 615
• Marital Therapy = 616
• The Child as the Identified Patient = 618
• The Adolescent as the Identified Patient = 620
• Other Intimate Interpersonal Systems Situations in Which Family Therapy Is = 621
• Difficult and Perhaps Contraindicated Skills and Attributes of the Therapist As = 622
• They Affect Family Work = 624
• Conclusion = 625
• References = 625
• CHAPTER 29 Results : The Outcome of Family Therapy = 629
• Objectives for the Reader = 629
• Introduction = 629
• Overview of Psychotherapy Outcome Research = 630
• Overview of Family Therapy Outcome Research = 634
• Role of the Therapist in Treatment Outcome = 639
• Prediction of Process and Outcome = 640
• Limitations of Family Therapy = 640
• Negative Effects of Family Therapy = 642
• Inability to Engage and Premature Termination of Family Therapy = 645
• Patient and Family Satisfaction = 645
• Clinical Implications of Data From Family Therapy Outcome Studies = 646
• Criteria for Scientific Investigation of Psychotherapies = 648
• Conclusion = 649
• Suggested Readings = 650
• References = 650
• SECTION 8 Family Systems Medicine and Ethical, Professional, and Training Issues
• CHAPTER 30 Treating the Medically Ⅲ Patient : A Family Systems Medicine Perspective = 657
• Objectives for the Reader = 657
• Introduction = 657
• Premises for a Family Systems Approach = 658
• Dimensions of Family Adaptation = 660
• Consultation and Intervention = 667
• The Family System and the Primary Care Physician / With Sanford R Weimer, M.D., M.P.H. = 673
• Suggested Readings = 678
• References = 678
• CHAPTER 31 Ethical and Professional Issues in Family Therapy = 683
• Objectives for the Reader = 683
• Introduction = 683
• Ethical Issues Inherent in Family Therapy = 684
• Ethics in a Managed Care World = 689
• Informed Consent = 690
• Financial Issues = 690
• Professional Issues = 691
• Training Issues / With Vernon Sharp, M.D. = 694
• Suggested Readings = 698
• References = 698
• Subject Index = 703
• Author Index = 733