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Family Therapy Models and Practice
Published in Cathy Laver-Bradbury, Margaret J.J. Thompson, Christopher Gale, Christine M. Hooper, Child and Adolescent Mental Health, 2021
Monica Roman-Morales, Christine M. Hooper
This team were influenced by the work of Milton Erikson that emphasised a lifelong process of socialisation, adjustment and learning within families. Difficulties within families were identified as associated with transitional stages in the family life cycle, e.g. when children begin school, a new child is born, adolescents leave home, parents separate, bereavement. Over time, several important therapists, Jay Haley, Don Jackson, Gregory Bateson, John Weakland and Paul Watzlawick among them, worked with the team. Gregory Bateson introduced the idea of looking at a family as a ‘cybernetic’ system, governed by unwritten rules of interaction. These ideas became known as Strategic Family Therapy.
The Histrionic–Obsessive Couple
Published in Len Sperry, Katherine Helm, Jon Carlson, The Disordered Couple, 2019
Len Sperry, Michael P. Maniacci
After a working relationship between the couple and therapist is achieved, the second phase of treatment consists of establishing or restoring balance in the couple’s relationship. Rebalancing is typically needed in the areas of boundaries, power, and intimacy (Doherty et al., 1985) and represents the main systemic focus of change in couple therapy with histrionic–obsessive partners. Structural family techniques as well as strategic family therapy methods and techniques have been quite effective in accomplishing this rebalancing of boundaries and power. Issues of rebalancing the relationship of intimacy can be effectively addressed with communication or family-of-origin approaches.
100 MCQs from Dr. Guy Molyneaux and Colleagues
Published in David Browne, Selena Morgan Pillay, Guy Molyneaux, Brenda Wright, Bangaru Raju, Ijaz Hussein, Mohamed Ali Ahmed, Michael Reilly, MCQs for the New MRCPsych Paper A, 2017
Dr Pauline Devitt, Dr Angela Noonan, Dr Klaus Oliver Schubert, Prof Finian O’Brien
Salvador Minuchin is associated with the structural school of family therapy. He studied slum families, psychosomatic families and families with a member with an eating disorder. He developed the one-way screen. This is an active approach to family therapy in which dysfunctional alliances are challenged and therapeutic crises are deliberately incited. According to Minuchin, a family is functional or dysfunctional depending on its ability to adapt to different crises. Brief, solution-focused therapy emphasises the competencies of families and individuals. In strategic family therapy the therapist identifies solvable problems, sets goals, designs interventions to achieve these goals and examines the responses. Social constructionist approaches are based on awareness that the observed reality is a creation and the therapists’ perceptions are influenced by their own cultures and beliefs. Systemic family therapy was founded in Milan. (31, pp 557–8)
Models of recovery: influence of psychosocial factors on substance use recovery
Published in Journal of Substance Use, 2022
Antonio Molina Fernández, Jesús Saiz Galdós, María Luisa Cuenca Montesino, Francisco Gil Rodríguez
Several variables show that significant differences exist between the groups. Members of the alcohol recovery group had a higher age. A higher amount of individual leisure was the main risk and greater connection with social support seemed to be required to avoid the isolation of alcohol users. Families need to be trained as health agents (Becoña & Cortés, 2010) and should receive training in solution-focused programmes, such as Brief Strategic Family Therapy (Szapocznik et al., 2003). The cocaine recovery group has a greater number of men, and a higher amount of individual leisure acts as a protective factor. What seems to work best is to combine this with personal skills empowerment, especially training in social relations, as contingency management agents (Dekkers et al., 2019). Both models may include specific relapse prevention programmes to facilitate long-term recovery (Secades & Fernández, 2006).
A review of tribal best practices in substance abuse prevention
Published in Journal of Ethnicity in Substance Abuse, 2019
Allyson Kelley, Morgan Witzel, Bethany Fatupaito
The IHS query was limited to TBPs only (https://www.ihs.gov/). This resulted in five TBPs: Brief Strategic Family Therapy, Coordinated Approach to Child Health, Family Effectiveness Training, Community’s Systematic Review of Effective Population-Based Interventions for Physical Activity, and the CDC Community Guide for Vaccinations. The ages and sites varied, and best practice locations were nationwide as opposed to tribal specific or community specific. These TBPs were excluded from this review because they did not focus on substance use prevention in American Indian youth. However, it is possible that the IHS terminology is not consistent with NPREPP or SAMHSA TBP definitions, resulting in fewer TBPs listed. Table 3 highlights the characteristics of prevention TBPs included in the systematic review.
Multisystemic Therapy for Disruptive Behavior Problems in Youths with Autism Spectrum Disorder: Results from a Small Randomized Clinical Trial
Published in Evidence-Based Practice in Child and Adolescent Mental Health, 2019
David V. Wagner, Charles M. Borduin, Micah O. Mazurek, Stephen M. Kanne, Alex R. Dopp
MST. The MST interventions for youth antisocial behavior have been specified in a clinical volume (Henggeler & Borduin, 1990) and a treatment manual (Henggeler et al., 2009). The treatment emphases of MST fit closely with findings from studies of risk factors for disruptive behavior in youths, including youths with ASD. MST uses individualized interventions to target these risk factors across domains of the youth’s social ecology (i.e., individual, family, peer, school, and neighborhood). The interventions are empirically supported clinical techniques (e.g., from behavioral and cognitive-behavioral therapies and structural/strategic family therapy) that, although they typically focus on a limited aspect of the youth’s social ecology (e.g., individual youth, family), are integrated into a broad-based ecological framework.