摘要:

Recent empirical evidence of deterioration during both nonbehavioral and behavioral marital and family therapy is presented. While the frequency of patient worsening in marital‐family therapy does not appear to exceed that previously found for individual psychotherapy, the acceptability of the evidence for negative effects in the treatment of systems may be greater than that which exists for individual treatment. After examining the empirical evidence of negative effects in family therapy and some of the factors that influence their occurrence, the authors discuss some conceptual issues relevant to a definition of worsening in marital and family therapy and present some methodological guidelines for the assessment of deterioration in therapy with family systems. It is concluded that the study of deterioration processes in family therapy may aid the understanding of family change processes more generall

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1978.00003.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

The following report describes the results of a national study of the role of family therapy in the drug abuse field. Characteristics of agencies that work with families are described, as well as the demographic characteristics and psychological problems of the clients most apt to be treated in family therapy. The study also looks at the role and structure of family therapy in the ecological system of the treatment institutions. A profile of the family therapists who are responsible for providing services to families is presented. An attempt was made to assess agencies' level of development with regard to family therapy by using an instrument, The Progress Index for Family Therapy Programs. Generally, findings indicated that there is considerable variation in expertise. More extensive training in family therapy techniques was of major concern, particularly among clinics with a heroin addict population.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1978.00021.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

This paper explores the systemic relationships among cultural ethos, family dynamics, personality configuration, and child‐rearing patterns among multi‐generation Slovak‐Americans. The “swaddling ethos” is posited to serve as a homeostat whose regulatory function can be discerned through the analysis of family structure and process, in particular through the explication of values, affective patterns, roles, boundaries, and structural units within the family. The core of the ethos is a dependency‐security complex that attaches the individual to an extended family network of obligation, indebtedness, and reciprocity (ethnic, Slovak); induces rebellion against such attachment (mainstream, American); and undermines efforts toward separation‐individuation, resulting in the perpetuation of an eth

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1978.00031.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

A typology for troubled families was developed based on the configuration of family members and the position of the identified patient within the family structure. This typology was investigated by surveying the demographic and clinical characteristics of 110 families of patients treated in a day hospital. Four types or “constellations” were found in the sample population. The families in the four Constellations differed significantly from one another in the gender, age, and diagnoses of the identified patient and the income level of the families. The Constellations thus appeared to constitute distinct clinical entities in the population studied. The reasons for the differences among Constellations are discussed in terms of the stress families experience during developmental crises involving structural cha

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1978.00047.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

The contemporary psychotherapist is exposed to a variety of conceptual models and paradigms. These are usually presented as opposing truths in different doctrinal schools, but actually they are all valid from one point of view or another. And, accordingly, they are all tactically useful at some point or another. I thought it was important to say this, but I did not want to write a dry, academic paper on the subject. So I will tell a clinical story that weaves the threads into a fabric.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1978.00059.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

Therapists learning to use family sculpture as a tool often find difficulty in exploiting the technique to its fullest. This article, designed to encourage therapists to take the risks involved in using a technique new to them, describes how the author and his cotherapists used sculpture in three cases in different ways. In each case, the author explains how the therapists made the choices involved in directing the therapeutic process. He suggests that even when a sculpture itself seems to have failed to produce useful information, it can elicit from clients signals that will indicate opportunities for effective use of other techniques and that a sculpture, once used, can be restaged to reinforce client behavior change.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1978.00069.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

This paper discusses the necessity of using both behavioral and family approaches in combination, while working with electively mute children. The symptom and its significance within the family system is presented along with a rationale for avoiding the pitfalls of individual approaches with such children. A case history outlining specific behavioral techniques is described in detail with an exploration of the use of reinforcement theory, counter‐conditioning, and successive approximations in bringing about change in electively mute children. The need for bringing about changes within the family system so as to maintain the changes that have occurred through use of the behavior techniques is discussed and presented as crucial to the treatment process.The paper takes the position that either approach, by itself, will not be effective in helping electively mute children but that the treatment of choice is a combination of therapeutic technique

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1978.00077.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

Two family constructs—prominence and interpersonal distance—are examined. Their origins are traced in the experimental and theoretical literature. The validity of each construct is investigated using data obtained from 15 families with a symptom‐bearing child. Validity is supported in both cases through the occurrence of significant correlations among different measures of the same construct. It is suggested that the current distress of the families being studied may have increased the clarity of the prominence hierarchies and dyadic distances that em

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1978.00083.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1978.00095.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1978.00099.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY