摘要:

In this essay I attempt to map the dimensions of my own move away from a cybernetic‐biologic analogy for “family‐systems” therapy. Central to this shift has been social construction theory augmented by two other lenses: a second‐order view, and a sensitivity to gender. These conceptual tools have helped me to distance myself from my previous therapeutic stance and to envision a very different model, one that is less strategic and instrumental, and more collaborative and un

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00001.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Using detailed case examples, we contrast first‐ and second‐order cybernetics approaches to family problems involving somatic symptoms in a family member. A second‐order cybernetics approach views the reality of the problem as linguistically shaped by those interacting around it, including the therapist and observing team members. This co‐constructed reality, the story of the problem, inadvertently contributes to the problem's endurance by narrowing the choice of more effective solutions. In our approach, the therapist elicits from each person his or her story about the illness in the family. The therapist then facilitates a therapeutic conversation that provides a context for new linguistic distinctions to be drawn, including the way mind and body may interact to generate the symptoms. Shifts in beliefs and behaviors follow, and more innovative solutions to the problem can then emerge. Unlike the approach in our previously published work based upon ecosystemic patterns as “system diagnoses,” this approach uses only descriptions and explanations of the problem as are collaboratively constructed within this therapeutic c

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00013.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This study presents the results of an evaluation of two cohorts of trainees who had completed a 2‐year training program in family therapy. The 15 trainees were assessed in the areas of perceptual/conceptual, intervention/executive skills and personal development both pre‐ and post‐training. Although the group results showed skill acquisition in all areas assessed, the individual results revealed a complexity in performance glossed over by the group analysis. Trainees' learning commenced from different baselines, advanced at different rates, and there was a marked discrepancy between self‐reports of improvements (or otherwise) and the results of the observer‐rated measures. We recommend that increasing attention be paid to individual differences in learning styles in training and in e

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00029.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This study was designed to evaluate the effects of training on family therapy outcome and to validate measures of cognitive/perceptual and executive skills. Followup data on family satisfaction were obtained from 176 individuals (73 families) treated by 12 trainee family therapists in their first or second year of training. The prediction that clients' scores on a scale of family satisfaction with therapy (FSS) would increase with training was not confirmed. Instead, there was a tendency for FSS scores to decrease with training. However, trainees' ratings of outcome did increase significantly as training progressed. Cognitive/perceptual and executive skill measures were not validated by the FSS, but negative associations indicated a tendency for trainees with high course‐skills to receive poor FSS scores. The results suggest that trainees became more confident as they acquired technical skills, but that they put aside their nonspecific therapist skills as training progressed, to the dissatisfaction of familie

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00045.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The clinical and theoretical applications of contextual therapy for the treatment of drug abuse are presented. A case study illustrates intervention strategies, the therapy process, and a contextual‐intergenerational view of drug addiction. Contextual concepts of intergenerational processes, loyalty, fairness, accountability, and trust are defined and applied. Four stages of brief contextual therapy are presented, and the process is examined using examples from transcribed transactions of the therapy sessions. It is suggested that contextual therapy offers conceptual and methodological tools for working with complex situations often involved in drug abuse case

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00059.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

During the past 30 years, the prescription of neuroleptic medication has made a major impact on the treatment of symptoms in patients with schizophrenia. Nonetheless, for many patients, symptom remission and social functioning remain less than optimal. Consequently, clinicians have employed a combined approach of drugs, psychosocial therapies, and psychiatric rehabilitation to treat the range of deficits presented by individuals suffering with this illness. In this article, we describe Focal Family Therapy, a model of family therapy developed for working with families and patients who are struggling with schizophrenia. Using the example of a particular case, we illustrate the following: (a) the identification and formulation of the Focal Issue; (b) the targeting of behavior and attitudes that will constitute the Focal Change; and (c) the techniques of Focal Family Therapy.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00073.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Data from an early study of alcoholism among half‐siblings of alcoholic probands (17) was reanalyzed using log‐linear analysis. The original study, which used chi‐square analysis, identified genetic factors but found no environmental effects that contributed to the prediction of alcoholism. Log‐linear analysis, however, reveals that being reared with a proband is associated with a reduced incidence of alcoholism in half‐siblings. The results do not disconfirm the presence of genetic factors, but they do indicate that family dynamics make an independent and statistically significant contribution to the development of alcoholism not heretofore demonstrated. Similarities between these results and the results from studies of identical twins are

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00087.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Research on earlier versions of the Family Adaptability and Cohesion Evaluation Scales (FACES) has ostensibly shown that the scales lack discriminant and convergent validity (23). However, these studies have defined convergence as agreement between family members or as agreement between family members and family therapists. Such definitions confound real differences between respondents' perceptions of the family with the notion of convergent validity. In the current study, we take a different approach to construct validity. Multiple measures of family adaptability, cohesion, and talkativeness were administered to two family members (insiders) and two significant others (outsiders). The two insiders' responses were averaged together, as were the two outsiders' responses. Using confirmatory factor analysis, we demonstrated that family adaptability, cohesion, and talkativeness are distinct traits, and that the different sources of information about these traits, including FACES‐III (24), have convergent validit

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00095.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This article reports the results of a study of the McMaster Family Assessment Device (FAD) used with samples drawn from two non‐Anglo ethnic groups: Hawaiian‐Americans and Japanese‐Americans living in Hawaii. The results showed that the FAD appeared to make appropriate assessments of Hawaiian‐American study participants' families and inappropriate assessments of Japanese‐American study participants' families. Results also suggested that cultural norms regarding family functioning may vary according to socioeconomic status. FAD modifications are

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00105.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1990.00117.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY