Child-Focused Family Therapy: Behavioural Family Therapy Versus Brief Family Therapy

We examined the effectiveness of behavioural family therapy (following the treatment agenda outlined in Fleischman, Horne and Arthur, 1983) and brief family therapy (following the procedures outlined in Fisch, Weakland and Segal, 1985), in the treatment of child psychological disorders. The parents of the 49 children referred to the outpatient unit of a children's hospital completed the Child Behavior Checklist (CBCL) (Achenbach and Edelbrock, 1983). Three scales of the CBCL were examined to assess the effectiveness of the two therapeutic approaches pre- to post-treatment. Significant pre- and post-treatment differences were found for behavioural family therapy on the Internalizing, Externalizing, and Sum T scales and for brief family therapy on the Internalizing and Sum T scales. Sum T scales represent the sum of scores across all sub-scales of the CBCL. Neither treatment was found to be more effective than the other.     

Structuring Home-Based Therapy: Four Phases to Effective Treatment

ABSTRACT

Home-based services are gaining more popularity than in years past. Therapists going into the home are exposed to various treatment issues that differ from those in a clinic or office setting. One of these issues is that of structuring the therapeutic process. Much has been written about the structure and stages of clinic-based therapy; however, little is known about the process of home-based therapy. This paper will delineate four phases of home-based therapy which the in-home therapist can use as a guide to provide faster and more effective services.     

Family Therapy: A Client-Centered Perspective

>This article first critiques therapist-directed approaches to family therapy in the light of research findings on therapist variables (empathy, warmth, genuineness) associated with positive outcomes in psychotherapy. Second, two polar opposite positions in family therapy — psychodynamic and family systems — are examined and found to have much in common. The two approaches are based on a pessimistic view of the family, which is seen as an intractable unit, resistant to its own growth. Third, an alternative, phenomenological view of the family is developed, which more optimistically assumes the family to be motivated for enhancement and growth. Finally, a client-centered approach to family therapy is described.     

Fathers in Family Therapy: A Survey of Family Therapists

Sixty family therapists were surveyed in an investigation of resistance by family members to family therapy. Consistent with other investigations, the father was viewed as the most resistant along a number of dimensions. Therapist behaviors that related to difficulties with the father, specifically, and to family therapy generally, were identified. The implication of these results and possible strategies to reduce the resistance of the father are discussed.     

Family Context Therapy: A Model for Family Change*

Starting where family group therapy fails, this article breaks new territory in family context therapy. Consolidating the past 14 years of his work, Dr. Bell sets forth a conceptual program and methods to meet problems that earlier forms of family therapy could not reach. Here he provides a model drawn from studies, theories, and personal experience of organizational patterns, interrelations, and change among community institutions that provide settings for family functioning. His new methods are designed to modify the family environment so as to solve family problems and promote beneficial family growth—a framework that may bring together a broad variety of existing family development approaches.     

Brief Family Therapy: A Metaphorical Task

This article presents a therapeutic procedure designed to prescribe, in metaphorical form, the family's troublesome behavior pattern. Particular attention is paid to using a compliment to precede delivering a task assignment as a method of increasing the likelihood that the family will perform the task, and thus change will be promoted. A case example is used to illustrate the use of this procedure to help make change less painful.     

The Intrusiveness of Home-Based Work on Family Life

This research is intended to ascertain factors related to intrusion of home-based work into the life of the family, and identify the relative impact of characteristics of the home-based worker, his or her family, and the business on intrusions. Logistic regression was used to examine three types of intrusions. Seeing clients at home more than once a week is almost exclusively a function of the characteristics of the work; receiving telephone calls daily and frequently sharing space are functions of the characteristics of the work and of the worker. Understanding the nature of intrusions can help advise families contemplating home-based work and help home-working families find a balance between family demands and work.     

Statutory Family Therapy A Family Therapy Team Approach in Child Protection Practice

This article outlines a team approach that has been created by the author to work therapeutically with families under statutory investigation for intrafamilial child abuse. It was devised for use by protective workers responsible for intervention with adolescents at risk and their families. This approach has been used successfully to combine the dual roles of child protection and family support in the context of statutory intervention.     

Supervision in Family Therapy: A Developmental Perspective

A group model of supervision of family therapy was implemented by a team of three supervisors with doctoral students in counseling psychology. It was believed that such an approach would provide students with more opportunity to work as therapists with families and to observe a greater variety of families, therapists, and therapeutic styles than in other models. Interchange in supervisory sessions focused on co-therapy issues, observation skills, family dynamics, differing therapeutic techniques and approaches, and planning and goal setting in therapy. This experience contributed to the professional and personal growth and development of students.     

Family Therapy: Out from Behind the Hero Narrative

Schools of family therapy have been highly selective in their presentation of the theory/practice nexus. Family therapy's method of teaching (the infamous workshop format) has hampered it's growth as a practice and academic discipline. An inadvertent, unhelpful legacy of Gregory Bateson has been that lesser scholars have aped his capacity to draw on other fields of knowledge without his rigour, or his propriety. Family therapy's cavalier dealings with bodies of knowledge and its reliance on miraculous case studies has resulted in the bypassing of individual suffering. The heroic narrative that has dominated family therapy has precluded other styles of stories for therapists, theorists and clients. Family therapy has been dominated by the myth of the hero, with its accompanying motif of the puer eternus (the eternal youth). Family therapy has been forever reinventing itself, forever the ‘new kid on the block’. This fascination with newness has interfered with family therapy's capacity, at times, to consolidate its genuine value as a therapeutic entity.     

CHAPTER 6: The Family Crisis:

No abstract available for this article.     

Family Therapy: A Phenomenological and Active Directive Approach

Because the most popular forms of family therapy, psychodynamic and systems-oriented therapy, appreciably fail to consider family members as individuals in their own right, a phenomenological-humanistic view of families who come for therapy would serve to correct this oversight. The particular phenomenological view espoused by those who do client-centered family therapy, however, is too passive and neglects some of the realities of human disturbance. A "third force" in family therapy is therefore outlined in this paper, which combines a phenomenological-humanistic approach with a highly active-directive attempt to help family members surrender their misperceptions of themselves and others and to make profound philosophic changes in their intrapersonal and interpersonal attitudes and behaviors. As an example of this kind of phenomenological and active-directive approach, some of the principles and practices of rational-emotive therapy (RET) are outlined and applied to family counseling.     

Family Therapy Process in a Family Therapy Seminar

The interaction between leaders and members in a year-long family therapy seminar is systematically compared to the process that unfolds between therapist and family during the course of family therapy. A five stage developmental process common to both is postulated and described: (1) Battle for Structure, (2) Naive Enthusiasm, (3) Conflictual Frustration, (4) Task Orientation, and (5) Mutuality. The dynamic elements of each stage are analyzed and factors affecting their development are identified. It is concluded that this five stage process occurs in all similar groups, but that the content of each stage may vary widely from group to group.     

Cognitive-Behavioral Family Therapy with a Family in High-Conflict Divorce: A Case Study

Children who live in families with high-conflict divorce situations are increasingly coming to the attention of clinicians. This paper explains the nature of the impasse of high-conflict divorce. It presents a brief theoretical overview of cognitive-behavioral family therapy as an effective approach to treatment for high-conflict divorce families. A case study that successfully utilized a cognitive-behavioral approach to family therapy is presented. Specific techniques such as parent training, communication and empathy skills, problem-solving skills, assertiveness training, role-modeling on the part of the therapist and application of the concept of reciprocal inhibition were included in the cognitive-behavioral family treatment. An N=1 research design is graphically illustrated for evaluation purposes.     

超越单一家庭与结构范式:青少年家庭治疗综述

通过回顾2009年至2019年间国内外发表的文章,发现这些文章基于元分析、系统文献综述或对照试验的研究方法,证实了各种家庭治疗或基于家庭的干预方式在帮助困难青少年家庭方面的有效,揭示了青少年家庭治疗正在从单一家庭与结构范式逐步向多元支持与综合范式过渡的发展趋势。运用系统回顾的方法,聚焦于回顾国内外研究中有关青少年的外显问题如情绪问题、行为问题及意志障碍,并期望通过探究家庭治疗在解决不同问题上的有效性,为我国青少年家庭治疗提供实践证据和前瞻性指导。     

Family Work Trends and Practices:1971 to 1991

Families are allocating their time in an increasingly market-oriented fashion, with a decreasing proportion of labor hours being devoted to unpaid work. This article analyzes two aspects of the changing allocation of time. First, using longitudinal data from 1971 to 1991, the nature of the changes in how the families have changed their allocation of time between market and non-market alternatives is examined. Next, how family types have changed their allocations over the same period are examined. The Panel Study of Income Dynamics is used for this analysis.Results of this research indicate that the proportion of time spent on household labor among men has increased over individual men's life cycles and between cross-sectional cohorts. However, women continue to devote more hours to household labor than men. The number of hours women spend in the labor force are increasing, but the number of hours women spend in the labor force is still less than the number of hours men spend in the labor force. While the families in the longitudinal analysis have been able to maintain fairly stable work and income patterns, the cross-sectional data indicate that families need to devote an increasing number of hours to the labor market to maintain economic stability.     

Engagement: A Critical Aspect of Family Therapy Practice*

Engagement must be appreciated as an integral ongoing aspect of therapy. It can provide therapists with a wealth of information about the structure and functioning of the family. Engagement/counter-engagement, assessment and interventions are essential, interdependent processes which occur throughout treatment. Ways of enhancing the engagement process are discussed.     

Brief Family Therapy: A Critique of Kinston and Bentovim

There has been a growing interest in the use of brief family therapy with children. Despite this increased interest, research into the effectiveness of this approach appears to have lagged behind clinical practice. The present paper critically reviews a study by Kinston and Bentovim (1978) which could be viewed as typical in the area of brief family therapy. Analysis of Kinston and Bentovim's investigation revealed serious methodological deficiencies and raised some important clinical issues in brief family therapy studies. These include the importance of training in family therapy, the use of a consistent theoretical framework, and flexibility in the application of techniques. On the basis of this review, recommendations are made that future investigations of brief family therapy follow the guidelines necessary for valid psychotherapy research.