摘要:

This article provides a family‐systems developmental framework for anticipatory loss in situations of physical illness, disability, and long‐term psychiatric disorders, and offers a conceptual base for theory building, clinical practice, and research. A family systems‐illness model that integrates psychosocial types and phases of illness with family variables, in particular, developmental patterns and beliefs systems, provides a foundation to rethink and expand our approaches to threatened

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00229.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This study examined the role of two perceptual variables in predicting the development of depressive symptoms in caregivers. The first, boundary ambiguity, refers to whether the dementia patient is perceived as psychologically in or out of the family system. The second, an orientation toward mastery, is related to how persons manage various stressful situations, including caring for a dementia patient. This study included 70 patients and their caregivers. Stepwise regression and path analytic techniques were used to compare the impact of variables related to the illness per se and of variables related to caregivers' perceptions of their situations. Results indicate that both perceptual variables, boundary ambiguity, and mastery, are significantly related to a caregiver's depression level whereas severity of the patient's dementia is not. In sum, the more a caregiver perceives a mate as psychologically absent, the less masterful and the more depressed she or he is.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00245.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The introduction of a constructivist orientation to family therapy has promoted a reconceptualization of the therapeutic use of self. The multiply‐engaged therapist is seen as positioned within rather than as acting upon a system. Such a therapist facilitates change through participation in, and active engagement with, each system member's perceptions and experience. Multiple engagement synthesizes the “instrumental” and “noninstrumental” perspectives through use of the idea of systemic influence, or systemic positioning. Multiple engagement stresses the relational perspective over the extremes of either pure interventionism or pure facilitation. Five specific therapeutic stances are introduced and are clinically illustrated; taken together, these stances articulate one model for a constructivist famil

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00255.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This article presents ideas and reflections emerging during a project on family therapy with drug abusers. Initially inspired by the writings of Stanton and Todd (26, 27) on the subject, the project developed into a recursive and self‐reflective process, characterized by increasing doubts about the usefulness of categorization of families, of pre‐planning therapy, and of the therapist as an “expert.” The limitations of approaches that emphasize the importance of understanding the family structure as the basis for changing it are discussed, particularly with respect to how they decrease therapist flexibility and may block the family's finding their own solution. Alternative approaches to practice and research are also discussed, bearing on ideas particularly formulated by theoreticians and practitioners inspired by second‐order cy

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00273.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

In this article, the author presents some technical aspects of a psychotherapeutic approach for treating chronic anorectic patients. Two basic principles underlie the approach. First, the main purpose of the treatment is to improve the patient's relational skills in order to enable her to cope with her family's “game.” Second, the therapeutic relationship is considered hierarchically subordinate to her relationships outside the therapeutic context. Mastering the model of families with anorectics is essential if the therapists is to be consistent with these principles. Specialized training in verbal and nonverbal communication is considered a useful t

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00289.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The investigation of imaginative literature has been one of psychotherapy's most useful tools for the explication of its theories and the general dissemination of psychotherapeutic concepts. Using this idea, I examine Luigi Pirandello's play Six Characters in Search of an Author from a constructivist, family therapy, point of view.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00297.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The debate over the usefulness of different family models continues. Recent attention has been paid to comparisons between the Olson Circumplex Model and the Beavers Systems Model. The present study seeks to contribute evidence that bears directly upon one of the most fundamental points of controversy surrounding the Olson model—the linear versus curvilinear nature of the cohesion and adaptability dimensions. A further contribution is an examination of the actual occurrence of the Circumplex Model's extreme types in a clinical populatio

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00309.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The present study explored the quality of engagement between mothers and adult daughters. Daughters of Holocaust survivors, European immigrants, and nonimmigrants were compared on mothers'protectiveness and care during their daughters' first 16 years, and on daughters' individuation from the family of origin. The survivor group perceived themselves as less individuated from both their parents than the other two groups. However, daughters in the three groups reported feeling equally intimate with their parents. There were no significant group differences found on intergenerational intimidation or competing loyalties. There was a tendency for mothers in the survivor group to be perceived as more indulgently protective. These findings suggest that the relationship between survivor mothers and their daughters may be characterized by a lower degree of individuation, though not at the cost of intimacy.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00325.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00341.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.0000i.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY