China
Africa
Explore chapters and articles related to this topic
Psychological treatments for depression
Published in Simon Lovestone, Robert Howard, Depression in Elderly People, 2020
Simon Lovestone, Robert Howard
Family problems may contribute to the development of a depressive illness, and the support of a patient’s family is most important in ensuring a successful outcome to treatment. Family dynamics change with ageing of the family unit and the aged family member moves from a position of dominance to a position of some dependence. This can invoke a variety of feelings in the younger members of the family ranging from pity to anger and sometimes feelings of sadism which may, obviously, be difficult to admit. Most of those who treat the elderly recognize that adult children can have a wide range of feelings towards their elderly, depressed and dependant parent, and that at times these feelings can perpetuate the depressive episode or at least hinder recovery. The aims of family therapy with the relatives of depressed patients are to relieve some of the feelings of frustration and despair that the illness may have provoked in them, and to remove attitudes and structures within the family that may be detrimental to recovery. Family therapy is usually given by trained therapists in hospital-based departments. Increasingly, old age psychiatrists are gaining experience in this field and all, even if not giving family therapy themselves, can usefully gain from the insights that this field has to offer.
Treatment of Psychological Disorders
Published in Mohamed Ahmed Abd El-Hay, Understanding Psychology for Medicine and Nursing, 2019
In family therapy, the family itself is the client, and treatment involves as many members as possible. It involves treatment of two or more individuals from the same family system, one of whom (often a troubled child or adolescent) is the initially identified client. The term family system highlights the idea that the problems displayed by one family member usually reflect problems in the functioning of the entire family (Cox & Paley, 2003; Nichols, 2007; Williams, 2005). In fact, the goal of family therapy is not just to manage the identified client’s problems but also to create greater harmony and balance within the family by helping each member understand the family’s interaction patterns (Blow & Timm, 2002). The basic premise of family therapy is that the problem shown by the patient is a sign that the family system is not operating properly. The difficulty may lie in poor communication among family members or in an alliance between some family members that excludes others, e.g., a mother whose relationship with her husband is unsatisfactory may focus all her attention on her son. As a result, the husband and daughter feel neglected, and the son develops problems in school, due to upset by his mother’s excessive attention and the resentment directed toward him by his father and sister. Although the boy’s school difficulties may be the reason for seeking treatment, it is clear that they are only a symptom of a more basic family problem.
Holding on to meaning
Published in Anne McFadyen, Special care babies and their developing relationships, 2019
Historically the origins of family therapy lie in at least two different arenas. On the one hand, family therapy's roots, particularly in the UK, lie in the world of psychoanalysis, and owe a particular debt to the object relations theorists. The application of a psychoanalytic perspective to systemic family therapy is described clearly by Dare (1979). He suggested that 'in order to have an understanding of a family in sufficient detail to generate sensible foci, aims and technique for treatment, three frames of reference are required' (Dare, 1979: 138). These frames of reference are: conceptualisations of the life cycle stage of the family; the historical, intergenerational structure of the family; and the current interactional qualities of family life. In the US, family therapy's origins lie in the work of the communication theorists. The resulting style of family therapy tended initially to be pragmatic, that is, action rather than meaning-focused, and has taken various forms and names, for example, structural family therapy (Minuchin, 1974) and strategic family therapy (Haley, 1976). Both groups have developed and expanded their ideas, and have been influenced in particular by the work of the 'Milan group' (Selvini-Palazzoli et aL, 1978, 1980). The influence of'Milan' and 'post-Milan' thinking on family therapy practice and research has been intrinsically linked to the philosophies of constructivists and social construction theorists, and the ideas emanating from the world of 'new science'.
Unsatisfied treatment needs of people with comorbid alcohol/drug use and gambling disorder
Published in Journal of Substance Use, 2023
Łukasz Wieczorek, Katarzyna Dąbrowska
In the opinion of the professionals, the patient’s family should be involved in their treatment process but only after some time, when the dependent person has already completed the first stage of treatment. Unfortunately, family therapy is not included in therapeutic programs, even though there is a great demand for it. The patient’s family have the opportunity to participate in the therapy of codependency in the form of psychoeducation group meetings with other codependent people, as well as participation in individual sessions with a therapist. There is a lack of therapy in which dependent people and their partners can work on their relationships during the therapeutic sessions: We conduct family therapy additionally, besides the program which is held in the facility. These sessions are not included in the basic treatment program and are not financed. Once, we had possibilities to conduct family sessions which were financed by the city hall. There is great demand among patients for these sessions. (TA2203FWRO)
The road to diagnosis and treatment in girls and boys with ADHD – gender differences in the diagnostic process
Published in Nordic Journal of Psychiatry, 2021
Ulrika Klefsjö, Anne K. Kantzer, Christopher Gillberg, Eva Billstedt
Psychotherapy, both prior to and after the diagnostic decision, was categorised according to five alternatives; 1) individual counselling, 2) family therapy, 3) parent counselling/training, either individually or in group, 4) combination of 1–3 above, 5) no psychotherapy at all. Families who received both family therapy and parent counselling were categorised into the ‘family therapy’ group. Follow-ups of prescribed medication by a nurse was not registered as individual counselling. Prescribed medication was categorised into 1) ADHD medication (e.g. methylphenidate, lisdexamfetamine, atomoxetine or guanfacine) or 2) non-ADHD medication (e.g. for anxiety, depression or sleep disorder). It was also recorded whether or not the medication had been prescribed prior to and/or after the diagnosis of ADHD.
How Do Families Represent the Functions of Deliberate Self-Harm? A Comparison between the Social Representations from Adolescents and Their Parents
Published in Archives of Suicide Research, 2020
Eva Duarte, Maria Gouveia-Pereira, Hugo S. Gomes, Daniel Sampaio
Family, specifically parents, have been recognized as an important factor within the context of deliberate self-harm (e.g., Arbuthnott & Lewis, 2015; Hasking, Rees, Martin, & Quigley, 2015; Mojtabai & Olfson, 2008; Santos, 2007). Family seems to occupy a central role in clinical intervention and research suggests that it is necessary to incorporate family therapy into treatments, particularly interventions that work towards strengthening communication and emotional support (Muehlenkamp, Brausch, Quigley, & Whitlock, 2013). In addition, a caring and affectionate family environment, where space for the discussion of these behaviors exist, can favor the adolescent's rehabilitation process (Arbuthnott & Lewis, 2015). Similarly, poor family functioning is related to the presence of deliberate self-harm (Crowell et al., 2008; Kelada, Hasking, & Melvin, 2016) while better family functioning is related to recovery (Kelada et al., 2016).