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Contents

About the Author ix Foreword to the Third Edition xi Preface xiii Acknowledgements xvii Part One Central Concepts in Family Therapy 1 Chapter 1 Goals of Family Therapy across the Lifecycle 3 The Family Lifecycle 5 Lifecycle Stages Associated with Separation and Divorce 33 The Individual Lifecycle 41 Gender-role Development 48 Gay and Lesbian Lifecycles 49 Class, Creed and Colour 51 Conclusion 52 Further Readings 53 Chapter 2 Origins of Family Therapy 54 Movements: Child Guidance, Marriage Counselling and Sex Therapy 55 Disciplines: Social Work, Psychiatry and Clinical Psychology 56 Group Therapy: Group Analysis, Encounter Groups, Psychodrama and Gestalt Therapy 57 Research Traditions: Work Groups, Role Theory and Schizophrenia 59 Gregory Bateson 62 Three Organising Themes: Behaviour Patterns, Beliefs and Contexts 74 Conclusion 76 Glossary 77 Further Readings 79 Chapter 3 Theories that Focus on Behaviour Patterns 81 MRI Brief Therapy 81 Strategic Family Therapy 91 Structural Family Therapy. 95 Cognitive-behavioural Couple and Family Therapy 98 Functional Family Therapy 101 Conclusion 104 Glossary 105 Further Readings 111 Chapter 4 Theories that Focus on Belief Systems 115 Epistemology: Positivism, Constructivism, Socialconstructionism, Modernism and Postmodernism 115 A Constructivist Approach to Family Therapy 125 Milan Systemic Family Therapy 130 Social-constructionist Developments 133 Solution-focused Therapy 137 Narrative Therapy 140 Conclusion 144 Glossary 146 Further Readings 154 Chapter 5 Theories that Focus on Contexts 160 Transgenerational Family Therapy 160 Psychoanalytic Family Therapy 170 Attachment-based Therapies 172 Experiential Family Therapy 180 Multisystemic Family Therapy 187 Psychoeducational Family Therapy 188 Conclusion 190 Glossary 191 Further Readings 199 Chapter 6 Integrative Models 202 Metaframeworks 202 Integrative Problem-centred Therapy 205 Integrative Problem-centred Metaframeworks 208 Attachment Narrative Therapy 209 Integrative Couple Therapy 210 Affective-reconstructive Couple Therapy 212 Integrative Applications within Specific Professions 214 Conclusion 215 Glossary 216 Further Readings 216 Part Two Processes in Family Therapy 219 Chapter 7 The Stages of Family Therapy 221 Stage 1. Planning 221 Stage 2. Assessment 225 Stage 3. Treatment 244 Stage 4. Disengaging or Recontracting 250 Conclusion 255 Further Readings 255 Chapter 8 Formulating Problems and Exceptions 256 The Three-column Problem-formulation Model 259 The Three-column Exception-formulation Model 267 Questions to Ask when Constructing Three-column Formulations 271 Recursive Reformulation 277 Conclusion 279 Further Reading 279 Chapter 9 Interventions for Behaviour, Beliefs and Contexts 280 Part Three Criteria for Selecting Interventions 280 Behaviour-focused Interventions 284 Interventions Focusing on Belief Systems 299 Interventions Focusing on Historical, Contextual and Constitutional Factors 307 Conclusion 320 Further Readings 320 Family Therapy Practice with Childand Adolescent-focused Problems 321 Chapter 10 Conduct Problems 323 Systemic Model of Conduct Problems 326 Family Therapy for Conduct Problems 332 Conclusion 344 Further Readings 345 Chapter 11 Drug Misuse in Adolescence 346 Systemic Model of Drug Misuse in Adolescence 346 Family Therapy for Drug Misuse in Adolescence 354 Conclusion 360 Further Readings 360 Part Four Family Therapy Practice with Adult-focused Problems 361 Chapter 12 Distressed Couples 363 Systemic Model of Distressing Intimate Relationships 365 Couple Therapy 370 Conclusion 386 Further Readings 386 Chapter 13 Depression and Anxiety 388 Depression 388 Anxiety 390 Systemic Model of Depression and Anxiety 392 Couple Therapy for Depression and Anxiety 397 Conclusion 411 Further Readings 411 Part Five Research and Resources 413 Chapter 14 Evidence-based Practice in Couple and Family Therapy 415 Overall Effectiveness and Cost-effectiveness of Systemic Therapy 415 Child-focused Problems 416 Adult-focused Problems 437 Common Factors 452 Conclusion 453 Glossary 454 Further Reading 455 Chapter 15 Professional Resources 456 Written Communication 456 Training Exercises 462 Conclusion 486 References 488 Index 526

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