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At least 19 recordsLinked to original sources

Professional politics and the concepts of family therapy, family consultation, and systems consultation.

At a time when an increasing number of professionals are calling themselves "family therapists," many teachers and theorists in this field are troubled that the term "family therapy" no longer adequately characterizes the concepts or activities of the field. Recently, clinical, political, and economic circumstances have emerged that suggest the need for alternatives to the role of "family therapist." By adding the roles of family consultant and systems consultant, we can open up new options for ourselves and our clients. During initial contacts with families, agencies, and other professionals, we can heighten our therapeutic potential by proceeding with consultative stocktaking, not starting with therapy. Family consultation also can assist in redirecting therapy when a new problem or an impasse develops, in focusing on competency rather than on pathology, and in engaging constructively with families that have a physically or mentally ill member.

Adolescent↗

Comparison of family therapy and family group psychoeducation in adolescents with anorexia nervosa.

OBJECTIVE: To compare the effects of 4 months of 2 family-oriented treatments, family therapy and family psychoeducation, on female adolescents with newly diagnosed restrictive eating disorders. METHOD: Twenty-five female adolescents requiring hospitalization were randomized into either family therapy or family group psychoeducation. Outcome measures included medical (body weight) and psychosocial (specific and nonspecific eating disorder psychopathology) variables at baseline and after 4 months of treatments every 2 weeks. RESULTS: A significant time effect was found in both treatment groups for the restoration of body weight (percentage of ideal body weight, P < 0.00001). The group averages ranged from 75% to 77% ideal body weight before treatment to 91% to 96% after it. A time effect was also seen on the Family Assessment Measure (P < 0.018), in that the patients of both groups acknowledged more family psychopathology at the end of treatment. No significant group differences were found on any of the self-report measures of specific and nonspecific eating disorder pathology. CONCLUSIONS: Weight restoration was achieved following the 4-month period of treatment in both the family therapy and family psychoeducation groups, but no significant change was reported in psychological functioning by either adolescents or parents. Family group psychoeducation, the less expensive form of treatment, is an equally effective method of providing family-oriented treatment to newly diagnosed, medically compromised anorexia nervosa patients and their families.

Adolescent↗

A psychosocial kinship model for family therapy.

Family therapy has traditionally centered on the nuclear family and thus has been typically oriented toward urban white middle-class families. A variety of modifications in therapeutic technique has evolved for work with the many modern families whose structure consists of a functional psychosocial family kinship. The authors have developed a formal theoretical framework and model for family therapy that encompasses the total psychosocial network, i.e., the extended kinships of the nuclear family and the functional kin such as friends, neighbors, and associates.

Family↗

Families and individual development: provocations from the field of family therapy.

Family therapy suggests a reformulation of concept and method in studying the family and individual development: to regard the family as an organized system and the individual as a contributing member, part of the process that creates and maintains the patterns that regulate behavior. In this review, the theories and clinical experiences of family therapists are regarded as a resource for developmental psychology, and particular attention is paid to those aspects that challenge traditional formulations in the developmental field. The review focuses on systems theory as the paradigm underlying family therapy and considers the implications of this framework for conceptions of the individual, the study of parent-child interaction, and new research formulations and areas of study. It also considers trends in the developmental field that move toward such formulations.

Adaptation, Psychological↗

Family therapy in family practice: a solution to psychosocial problems?

The family physician can make advances toward helping parents and children with emotional or behavioral problems quickly and effectively in an office setting by gaining competence in family therapy. After learning to recognize several clinical presentations of families with behavioral and emotional problems, the physician can implement an abridged version of family therapy. This study suggest that a two-hour workshop on family therapy can increase physician awareness of the need to interact with dysfunctional families who present a child as the symptom bearer. The results also demonstrate that the actual clinical application of the therapeutic method may vary with physician's years in practice.

Attitude of Health Personnel↗

Self psychology and family therapy.

Family systems that are characterized by narcissistic deficits are difficult to treat in systemically oriented therapy. Self psychology can help to understand these "narcissistic systems," identify the shortcomings of family therapy when applied to them, and develop methods for treating them. In narcissistic systems, each member uses the others as a selfobject, in a nonreciprocal, i.e., pathological manner. There are characteristic boundary formations, power relationships, expectations of others, and subjective experiences among the members. Narcissistic systems present for treatment in identifiable ways. Because of their narcissistic deficits, these systems have difficulty complying with the demands of family therapy. To treat these families the therapist must become a selfobject to the family. However, functioning as a selfobject is risky for the therapist and the family. In successful therapy, the family is able to modulate its rage and shame, develop realistic goals, and participate in more insight-oriented or directive therapy.

Adolescent↗

Family therapy by family doctors.

The experiences of a group of general practitioners learning and attempting family therapy are described. Three principles for working with whole families - facilitation, formulation and focussing - are illustrated by case histories. Family therapy in general practice can be effective for patients and worthwhile for family doctors.

Family Practice↗

The integration of individual therapy and family therapy in the treatment of child and adolescent psychiatric disorders.

Children influence families and families influence children. Individuals create a family, and a family is more than a sum of its individuals. These dialectic views are at the heart of the clinical application of the integration of individual and family therapy. Any attempt to treat the mental disorders of children and adolescents must consider both views and their treatment implications. The use of combined therapeutic modalities can offer more flexibility, specificity, and precision for the treatment process.

Adolescent↗

One-person family therapy: a modality of brief strategic family therapy.

The One-Person Family Therapy approach to the treatment of drug abuse described here is based on the Brief Strategic Family Therapy conceptual framework. It represents an innovative integration of family therapy techniques that have proven effective in working with entire families and techniques specifically designed for use with one family member. OPFT appears to be as effective as conjoint family therapy with adolescent drug abusers and their families. It thus provides skilled family therapists (generally master's-level social workers and psychologists with training and experience in structural family therapy) with a novel and useful tool for carrying out family therapy, while minimizing the problem of retaining entire families in therapy. Further work should concentrate on improving our ability to engage families of drug-abusing adolescents in the therapy process, generalizing results to other types of samples, learning more about using an OP who is not also the identified patient, exploring the possibility of switching OPs, exploring the use of spaced followup therapy, and integrating OPFT and CFT sessions more fully. However, it is clear that OPFT is a practical, cost-effective, field-oriented intervention for use with drug-abusing adolescents.

Adolescent↗

[The role of family therapy in the treatment of extremely severe anorexia nervosa].

The authors present the case of a fifteen-year-old anorectic girl. Her lowest body weight was after admission 16.5 kg, with a height of 139 cm-s (body mass index: 8.54 kg/m2). After five-year long unsuccessful individual therapy family therapy was administered, which caused remission, ascertained by a five-year follow-up. The authors stress that in the treatment of a subgroup of anorectic patients the family therapy could be a crucial therapeutical modality.

Adolescent↗

The use of theory in family therapy research: a content analysis of family therapy journals.

Ninety-five studies from Family Process and Journal of Marital and Family Therapy were evaluated with regard to their use of theory. While a majority of the articles were judged to use theory in either an explicit or an implicit manner, 42% did not appear to draw on theory in either the introductory or discussion sections. Studies that used qualitative methods appeared to use theory more frequently and explicitly than those using quantitative methods alone. Systems theory was found to be the most common conceptual framework, followed by feminism. We conclude that the link between theory and research in family therapy needs strengthening and suggest that the role of theory in family therapy be reexamined.

Family Therapy↗