摘要:

The authors report the results of a followup study of manic‐depressive and schizoaffective psychoses after systemic family therapy. They describe the development of inpatient relapse rates, familial interactional patterns, and prescriptions of medication in a sample of 30 cases treated with family therapy and followed up after a mean interval of 3 years. Finally, they assess the effectiveness of systemic family therapy with manic‐depressive and schizo‐affective psyc

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1991.00139.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Data from an ongoing research study have been used to identify a subgroup of families of severely ill, young adults who present formidable treatment challenges to the family therapist. The disconnected family is characterized by disturbances in attachment between one or both parents and the patient. In many cases, disturbances in attachment and caretaking in the family of origin are reported for the parents in these families. Disconnected families that also have intense emotional styles of relating are particularly difficult to treat. A treatment model that focuses on intergenerational attachment issues is described.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1991.00155.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This study, conducted within the framework of concepts of structural family therapy, examined the relationship of four family‐based, clinical dimensions to the adjustment of 45 adolescents during the first 18 months of parental separation. There were two samples of mother‐custody families: an Aided group that applied for treatment, and an Unaided group of paid volunteers. The inclusion of this variable addressed a major methodological deficit of previous studies. There was a significant association between perceived postseparation family structure and adolescent adjustment, demonstrating that individual adolescent adjustment is contingent on structural features of the contemporary postseparation family. Further, Aided families were perceived as more chaotic, disengaged, and enmeshed than Unaided families, while Aided adolescents were characterized by more behavior problems than Unaided adolescents. This suggests that divorce, as an unscheduled transition, might be within the realm of adaptation for many families and adolescents and is not necessarily “disast

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1991.00177.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Clinicians and researchers have a strong interest in understanding how families respond to stress. Often, they begin their analyses by attempts to estimate the seriousness or magnitude of the stressful events impinging on the families they observe. Until now, they have relied on two strategies. First, they attempt to develop objective or external indicators of the magnitude of the stress of the events. The problem here is that the family's own perceptions and experiences are not properly weighted. The second strategy depends heavily or exclusively on the family's perceptions of the events. However, these perceptions are often a product of the family's efforts to cope with the stress since the organization and perception of meaning in events is a fundamental part of family coping. Thus, this approach cannot disentangle the stress inherent in the events from the family's efforts to cope with it. This article explores a third alternative. The social community in which the family lives often provides a coherent frame of meanings for most events. It not only defines the magnitude of the event but it also defines how accountable the family is for producing the event in the first place. A method for assessing these community frameworks is presented. Initial results suggest that there is not only a coherent community framework attributing magnitude and family accountability to a large number of stressful events impinging the family but, also, that these community attributions are embedded in a community concept of family development.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1991.00193.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This case study illustrates the dilemmas of systemic practice when the presenting problem is relational infidelity (marital affairs). After several months of treatment with a structural therapist, the couple and therapist were at an impasse because of arguments over the husband's alleged sexual encounter 3 years previously. The introduction of a consultant and a story‐based therapy allowed the couple to reconcile their marital difficulties. The article ends with a discussion of the implications of systemic paradigms and personal moralit

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1991.00215.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

We update a theoretical framework for understanding priority setting for the management of family change, with special emphasis on developmental change. We propose that three core dimensions of family interaction—inclusion, control, and intimacy—constitute an optimal priority sequence for managing major family change stemming from life‐cycle transitions and other stressful experiences. In the next section of the article, we compare the Family FIRO Model and other models of family change. Finally, we suggest that therapists can benefit from an explicit, clinical decision‐making model for setting priorities in treatment: issues of inclusion take precedence over issues of control, which in turn take precedence over issues of i

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1991.00227.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This article describes the development of BRIEFER I and BRIEFER II, expert systems that advise the therapist on selecting, designing, and developing an intervention at the end of the first therapy session. The process of developing expert systems has aided us in describing what brief therapists do, in modeling the intervention design process, and in training brief therapists.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1991.00241.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This research focused on the analysis of a small segment (1 minute and 8 seconds) of conversation that occurred during a family therapy session. The participants were a mother, daughter, son, and the therapist. Through repeated listening and transcribing, a detailed transcript of the segment was first constructed. The conversational features within the transcript included the interruptions, pauses, overlaps, inflections, and turn shapes as structured by the participants. A sequential analysis of the conversation was rendered by describing the occurrence of the conversational features as well as interpreting the meanings of those features. The potential utility of conversation analysis to developing family theory and improving family therapy is also examined, as well as the limitations of the approach.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1991.00251.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1991.00265.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY