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Essential Skills in Family Therapy: From the First Interview to Termination

Essential Skills in Family Therapy: From the First Interview to Termination
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Essential Skills in Family Therapy: From the First Interview to Termination

 
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ACOMMP2_book_usedlikenew_1572303077

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Designed throughout to meet the developmental needs of the beginning family therapist, this handbook provides readers with the basic skills and tools necessary to become empathic, confident, and successful practitioners in today's rapidly changing field of family therapy. From initial client intake to the nuts-and-bolts of the interview, assessment, diagnosis, goal setting, treatment planning, intervention techniques, troubleshooting, and termination, the book translates current research findings into cogent recommendations for practice. Numerous case examples and sample treatment plans, forms, and questionnaires complement the text.

 
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Product Details
Author:JoEllen Patterson Phd
Hardcover:250 pages
Publisher:The Guilford Press
Publication Date:March 20, 1998
Language:English
ISBN:1572303077
Package Length:9.0 inches
Package Width:5.9 inches
Package Height:1.1 inches
Package Weight:0.9 pounds
Average Customer Rating: based on 12 reviews

Customer Reviews
Average Customer Review:5.0 ( 12 customer reviews )
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Most Helpful Customer Reviews

7 of 7 found the following review helpful:


5A must have for all beginning therapists!  Feb 25, 2006 By Timothy Jones "Andrea"
This book will take you step-by-step through the process of doing psychotherapy from beginning to end. It is very user-friendly, basic and real. Out of my 8 textbooks this semester to read, this is the one that gets read first because of the valuable information it offers.

5 of 5 found the following review helpful:


4Excellent Primer  Jul 05, 2006 By B. L. Pohja
This book is an excellent primer for a family therapist, and is written as such. The text does not assume that the reader knows anything. It is a good introduction to family therapy for those who go above and beyond family counseling. As a mental health counseling grad student, I noticed that the text stays within its scope of family therapyt and does not stray from a this model.

4 of 4 found the following review helpful:


5Great tool!  Aug 05, 2005 By Sandra G. Mattson "sandi mattson"
I ordered this book as a resource to assist me in my new position as a practitioner. I have found it so helpful I told the director of our organization who is recommending it to all his new hires.

4 of 4 found the following review helpful:


5Book review  Nov 26, 2007 By J. Pratt
Essential Skills in Family Therapy is a guide of the process of therapy to be used by those learning how to do therapy. The book is also a good refresher for practicing therapists. Chapters cover topics from the beginning of therapy through termination and include special issues like working with children and adolescents.
Getting started
The developmental stages of new therapists are learning the essential skills, learning to conceptualize cases, and dealing with the therapist as self.
Before the initial interview
In the initial contact, therapists should listen and reflect what they hear and assess for crisis. This initial contact contains only basic relevant information and is not the time for interventions, advice, or suggestions. Therapists must know whether they have the knowledge and expertise to treat a problem or if they need to refer the client to someone else. The "business" of therapy, such as policies regarding making and canceling appointments and payment, should be discussed as quickly and efficiently as possible. When beginning therapy, it is helpful to know who made the initial contact and why, although the therapist should build rapport with all involved. A sample intake form is included, and the authors also discuss which family members should be involved in therapy.
Initial interview
The first task of the therapist is to join with the client. The credibility of therapy and/or the therapist may need to be discussed. Goals should be defined, and the therapist should begin to build motivation for change. Administrative issues like confidentiality, videotaping, observation, etc. should also be discussed.
Guidelines for conducting the assessment
The initial assessment is the time to explore the presenting problems, attempted solutions, and crisis and stressful life events. The therapist must constantly be aware of possible issues of harm to either self or others. Suicide, violence, abuse, substance abuse, biological factors, meaning systems, spirituality, family system, and social systems are all considered.
Developing treatment focus
The therapist must select the problem list, examine the history and treatment of problems, select a treatment modality, and determine the length and frequency of treatment. The treatment modality selected will be influenced by the therapist's orientation and experience, research, the financial constraints of the client, and the client's willingness and availability to follow the suggested treatment. Referrals may be considered. The therapist may wish to consult with the client's physician or request psychological testing.
Basic treatment skills
Therapy includes asking questions, normalizing, reframing, providing support, confronting, and pacing the therapy to meet the needs of the client. Handouts may be given to clients. In developing their expertise, beginning therapist should establish their understanding of the theoretical foundation of treatment skills; consider process and content, timing, and clients' anxiety levels; and create a family treatment plan.
Children and adolescents
Parents or primary caretakers should be involved in therapy and as cotherapists during the remainder of the week. In working with adolescents, the family need for maintaining structure must be balanced with the transformational needs of launching the adolescent.
Couples
Each spouse should get his/her turn to talk so that the therapist can understand the needs of both. This chapter deals with some of the common problems that couples present.
Mental illness of family member
Depression, anxiety, and alcoholism and drug abuse are discussed. When a family member is involved with drug or alcohol abuse, the first goal of therapy is to stop the abuse and then the reasons for the abuse can be examined.
Getting Unstuck
Resistance is a normal part of therapy. The familiar is comfortable. Therapy often involves both first and second order change. First order change is behavioral with the goal of acting in a new way. Second order change deals with behavioral, cognitive, affective, and relational realms and seeks to change the entire system. In dealing with cancellations and no shows, therapists need to review goals with the client and possible terminate or go to more infrequent appointments to address other goals.
Termination
Termination can be client initiated, therapist initiated, or mutual. Having clearly defined goals will tell therapists and clients when it is time to terminate therapy. Temporary relapses can be predicted by explaining that we often take two steps forward and one back.
Future effects of managed care
Managed care makes it more important for family therapists to maintain a relationship with family physicians. To meet managed care expectations, therapist need to articulate the problem, possible treatments, the chosen treatment, and expected outcomes.
This is an excellent resource for beginning therapists or those considering studying to become therapists. Therapists should be able to clarify their strengths and limits immediately, and this book can help them do that. The tables on such things as violence and abuse are helpful guides. Meaning systems are defined as cognitions, beliefs, memories, and emotions, which are often a part of culture and have implications for those of us who work cross-culturally. I appreciate the emphasis that the authors placed on developing the relationship between the therapist and the client. Therapists must know their role as they have full responsibility for therapy and for the relationship. As divorce has become so prevalent in the U.S., it is important for us to know that only about half of divorced couples develop cooperative coparenting. Couples need five positive interactions for every negative interaction. Families put energy and resources into being stuck, which is sometimes helpful to point out to them in the course of therapy. I appreciate the explanation of the goals of terminating, which are helping clients consolidate gains made in therapy, empowering clients, and being sensitive to loss issues, as I have not always thought through these goals when terminating therapy.

3 of 3 found the following review helpful:


4An Essential Read!  Nov 12, 2007 By N. A. Ohanian
It is amazing how one text can cover so much ground. This is truly a must have for all beginning therapists as well as a helpful checklist or guideline for the more experienced therapist. What I appreciate is the dual perspective of both what the client is potentially thinking, feeling, desiring, fearing, as well as what the therapist is experiencing during the interview or session. Chapters are very practical, relevant, and specific as types of training or theories are almost always followed by an example or actual case. It is helpful to have different theraputic styles included, allowing the reader to be more widely exposed. Just the many assessment tables, charts and lists, are worth having all under one cover!

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