Inside Family Therapy: A Case Study in Family Healing

Contents

1. The Foundation of Family Therapy

  • The Myth of the Hero
  • Psychotherapeutic Sanctuary
  • Family versus Individual Therapy
  • Psychology and Social Context
  • The Power of Family Therapy
  • Contemporary Cultural Influences
  • Thinking in Lines; Thinking in Circles
  • Recommended Readings
  • References

2. The Evolution of Family Therapy

  • The Undeclared War
  • Small Group Dynamics
  • The Child Guidance Movement
  • The Influence of Social Work
  • Research on Family Dynamics and the Etiology of Schizophrenia
    • Gregory Bateson — Palo Alto
    • Theodore Lidz — Yale
    • Lyman Wynne — National Institutes of Mental Health
    • Role Theorists
  • Marriage Counseling
  • From Research to Treatment: The Pioneers of Family Therapy
    • John Bell
    • Palo Alto
  • Murray Brown
  • Nathan Ackerman
  • Carl Whitaker
  • Ivan Boszormenyi-Nagy
  • Salvador Minuchin
  • Other Early Centers of Family Therapy
    • The Golden Age of Family Therapy
    • Summary
    • Recommended Readings
    • References

3. Early Models and Basic Technques: Group Process and Communication Analysis

  • Sketches of Leading Figures
  • Theoretical Formulations
  • Normal Development
  • Development of Behavior Disorders
  • Goals of Therapy
  • Conditions for Behavior Change
  • Techniques
  • Lessons from the Early Models
  • System’s Anxiety
  • The Stages of Family Therapy
    • The Initial Telephone Call
    • The First Interview
    • The Early Phase of Treatment
    • The Middle Phase of Treatment
    • Termination
  • Family Assessment
    • The Presenting Problem
    • Understanding the Referral Route
    • Identifying the Systemic Context
    • Stage of the Life Cycle
    • Family Structure
    • Communication
    • Drug and Alcohol Abuse
    • Domestic Violence and Sexual Abuse
    • Extramarital Involvements
    • Gender
    • Cultural Factors
    • The Ethical Dimension
  • Working with Manages Care
  • Recommended Readings
  • References

4. The Fundamental Concepts of Family Therapy

  • Systems Theory
    • History of Systems Thinking
  • Functionalism
  • Structuralism
  • The Legacy of Cybernetics and Structural-Functionalism
  • General Systems Theory
  • Satir’s Humanizing Influence
  • Bowen and Differentiation of Self
  • The Road Not Taken
    • Enduring Concepts and Methods
      • Interconnectedness
      • Sequences of Interaction
      • Triangles
      • Circular Causality
      • Indirect Communication
      • Family Structure
      • Function of the Symptom
      • Circumventing Resistance
      • Nonpathological View of People
      • Family of Origin
      • Family Life Cycle
      • Focusing on Strengths
      • Family Narratives
      • The Influence of Culture
      • The One-Way Mirror and Videotaping
    • Conclusions
    • Recommended Readings

5. Bowen Family Systems Therapy

  • Sketches of Leading Figures
  • Theoretical Formulations
    • Differentiation of Self
    • Triangles
    • Nuclear Family Emotional Process
    • Family Projection Process
  • Multigenerational Transmission Process
  • Sibling Position
  • Emotional Cutoff
  • Societal Emotional Process
  • Normal Family Development
  • Development of Behavior Disorders
  • Goals of Therapy
  • Conditions for Behavior Change
  • Techniques
    • Bowenian Therapy with Couples
    • Bowenian Therapy with One Person
  • Evaluating Therapy Theory and Results
  • Summary
  • Recommended Readings
  • References

6. Experiential Family Therapy

  • Sketches of Leading Figures
  • Theoretical Formulations
  • Normal Family Development
  • Development of Behavior Disorders
  • Goals of Therapy
  • Conditions for Behavior Change
  • Techniques
  • Evaluating Therapy Theory and Results
  • Summary
  • Recommended Readings
  • References

7. Psychoanalytical Family Therapy

  • Sketches of Leading Figures
  • Theoretical Formulations
    • Freudian Drive Psychology
    • Self Psychology
    • Object Relations Theory
  • Normal Family Development
  • Development of Behavior Disorders
  • Goals of Therapy
  • Conditions for Behavior Change
  • Techniques
  • Evaluating Therapy Theory and Results
  • Summary
  • Recommended Readings
  • References

8. Structural Family Therapy

  • Sketches of Leading Figures
  • Theoretical Formulations
  • Normal Family Development
  • Development of Behavior Disorders
  • Goals of Therapy
  • Conditions for Behavior Change
  • Techniques
    • Joining and Accommodating
    • Working with Interaction
    • Diagnosing
    • Highlighting and Modifying Interactions
    • Boundary Making
    • Unbalancing
    • Challenging Unproductive Assumptions
  • Evaluating Therapy Theory and Results
  • Summary
  • Recommended Readings
  • References

9. Cognitive-Behavioral Family Therapy

  • Sketches of Leading Figures
  • Theoretical Formulations
  • Normal Family Development
  • Development of Behavior Disorders
  • Goals of Therapy
  • Conditions for Behavior Change
  • Techniques
    • Behavioral Parent Training
    • Behavioral Couples Therapy
    • The Cognitive-Behavioral Approach to Family Therapy
    • Treatment of Sexual Dysfunction
  • Evaluating Therapy Theory and Results
  • Summary
  • Recommended Readings
  • References

10. Family Therapy Enters the Twenty-First Century

  • Erosion of Boundaries
  • Postmodernism
  • Constructivism
  • Collaborative, Conversational Approaches
  • The Hermeneutic Tradition
  • Social Constructionism
  • The Narrative Revolution
  • Family Therapy’s Answers to Managed Care: Solution-Focused Therapy
  • Feminism and Family Therapy
    • The Apolitical Machine
    • Mother Blaming
    • Looking through the Lens of Gender
  • Family Violence
  • Multiclturism
  • Race
  • Poverty and Social Class
  • Gay and Lesbian Issues
  • Spirituality
  • Tailoring Treatments to Populations and Problems
  • Empirically Based Treatment Programs
  • Medical Family Therapy and Psychoeducation
    • Psychoeducation and Schizophrenia
    • Medical Family Therapy
  • The Self in the System
  • Managed Care
  • Conclusions
  • Recommended Readings
  • References

11. From Strategic to Solution-Focused: The Evolution of Brief Therapy

  • The MRI, Strategic, and Milan Systemic Models
  • Sketches of Leading Figures
  • Theoretical Formulations
  • Normal Family Development
  • Development of Behavior Disorders
  • Goals of Therapy
  • Conditions for Behavior Change
  • Techniques
    • The MRI Approach
    • Haley and Madanes Approach
    • The Milan Model
    • Other Contributions
  • Evaluating Therapy Theory and Results
  • Summary
  • Solution-Focused Therapy
  • Sketches of Leading Figures
  • Theoretical Formulations
  • Normal Family Development
  • Development of Behavior Disorders
  • Goals of Therapy
  • Conditions for Behavior Change
  • Techniques
    • The Woman Who Was Stronger Than She Thought
  • Evaluating Therapy Theory and Result
  • Summary
  • Recommended Readings
  • References

12. Narrative Therapy

  • Sketches of Leading Figures
  • Theoretical Formulations
  • Normal Family Development
  • Development of Behavior Disorders
  • Goals of Therapy
  • Conditions for Behavior Change
  • Techniques
    • Beginning Therapy
    • Externalizing: The Person is Not the Problem
    • Who’s in Charge, the Person is Not the Problem?
    • Reading between the Lines of the Problem Story
    • Reauthoring the Whole Story
    • Reinforcing the New Story
    • Deconstructing Dominant Cultural Discourses
    • Enriching the Story —Telling and Retelling
    • A Case of Sneaky Poo
  • Evaluating Therapy Theory and Results
    • A Therapy of Social Justice
  • Summary
  • Recommended Readings
  • References

13. Integrative Models

  • Eclecticism
  • Selective Borrowing
  • Specially Designed Integrative Models
    • Models Designed to Increase Comprehensiveness
    • Models That Combine Two Distinct Approaches
    • Models Designed for Specific Clinical Problems
  • The Internal Family Systems Model
    • Subpersonalities or “Parts”
    • The Self as Healer
    • Identifying Parts and Using Parts Language
    • Reassuring the Rag Doll
  • Summary
  • Recommended Readings
  • References

14. Comparative Analysis

  • Theoretical Purity and Technical Eclecticism
  • Family Therapist—Artist or Scientist?
  • Theoretical Formulations
    • Families as Systems
    • Stability and Change
    • Past or Present
    • Communication
    • Process/Content
  • Monadic, Dyadic, or Triadic Model
  • The Nuclear Family in Context
  • The Personal as Political
  • Boundaries
  • Normal Family Development
  • Development of Behavior Disorders
    • Inflexible Systems
    • The Function of Symptoms
    • Underlying Dynamics
    • Pathological Triangles
  • Goals of Therapy
  • Conditions for Behavior Change
    • Action or Insight?
    • Change in the Session or Change at Home
    • Duration of Treatment
    • Resistance
    • Family-Therapist Relationship
  • Techniques
    • Who to Invite
    • Treatment Team
    • Entering the Family System
    • Assessment
    • Decisive Interventions
  • Context and Applicability if the Schools of Family Therapy
  • Selection of a Theoretical Position: Rational and Irrational Factors
  • Summary
  • Recommended Readings
  • References

15. Family Therapy Research: Science into Practice, Practice into Science

  • How Effective is Family Therapy?
    • Overall Efficacy of Family Therapy
    • Family Therapy for Adult Disorders
    • Family Therapy for Children’s Disorders
    • Family Therapy for Interpersonal Problems
  • What Makes Family Therapy Effective?
    • The Therapeutic Relationship
    • The Process of Change
    • Implications
  • Practice into Science
  • References