Theory and Treatment Planning in Family Therapy: A Competency-Based Approach, ISBN-13: 978-1285456430
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Theory and Treatment Planning in Family Therapy: A Competency-Based Approach, ISBN-13: 978-1285456430
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- Publisher: Cengage Learning; 1st edition (January 1, 2015)
- Language: English
- 480 pages
- ISBN-10: 1285456432
- ISBN-13: 978-1285456430
THEORY AND TREATMENT PLANNING IN FAMILY THERAPY: A COMPETENCY-BASED APPROACH prepares readers for the realities of practicing therapy. This book’s outcomes-based approach engages readers in an active learning process, introducing family therapy theories using theory-specific case conceptualization and treatment planning. These assignments empower readers to apply theoretical concepts and develop real-world skills as early as possible in their training. The author uses a down-to-earth style to explain concepts in clear and practical language. She also includes extensive discussions about how diversity issues and research inform contemporary practice of family therapy.
Table of Contents:
Cover Page
Title Page
Copyright Page
Dedication
Preface
Acknowledgments
About the Author
Author’s Introduction
Part I. Introduction to Competency, Theory, and Treatment Planning
Chapter 1. Competency and Theory in Family Therapy
Lights, Camera, Action!
Competency and Theory: Why Theory Matters
Why All the Talk about Competency?
Competency and (Not) You
Common Threads of Competencies
Diversity and Competency
Research and Competency
Law, Ethics, and Competency
Person-of-the-Therapist and Competency
How This Book Is Different and What It Means to You
Lay of the Land
Anatomy of a Theory
Voice and Tone
Suggested Uses for This Text
Suggestions for Thinking about Family Therapy Theories
Suggestions for Using This Book to Learn Theories
Suggestions for Using This Book to Write Treatment Plans
Suggestions for Use in Internships and Clinical Practice
Suggestions for Studying for Licensing Exams
Suggestions for Faculty to Measure Competencies and Student Learning
Online Resources for Students
Online Resources for Instructors
References
Chapter 2. Research and Ethical Foundations of Family Therapy Theories
Lay of the Land
Research and the Evidence Base
Research-Informed Clinician Model
The Minimum Standard of Practice: Evidence-Based Practice (EBP)
Heart of the Matter: Common Factors Research
Lambert’s Common Factors Model
Wampold’s Common Factors Model
Client Factors
Therapeutic Relationship
Therapeutic Model: Theory-Specific Factors
Hope and the Placebo Effect: Expectancy
Diversity and the Common Factors
Do We Still Need Theory?
Show Me Proof: Evidence-Based Treatments
Empirically Supported Treatments and Their Kin
Research in Perspective: Limitations of the Evidence-Based Movement
Review of the MFT Evidence Base
Legal and Ethical Issues in Couple and Family Therapy
Lay of the Land: More than Just Rules
The Big Picture: Standards of Professional Practice
Specific Legal and Ethical Concerns in Couple and Family Work
Current Legal and Ethical Issues in Couple and Family Work
Conclusion
Online Resources for Research
Online Resources for Law and Ethics
References
Chapter 3. Theory-Specific Case Conceptualization and Treatment Planning
Treatment + Plan = ???
Distinguishing a Therapist from Hairdresser: Theory-Specific Case Conceptualization
Writing a Theory-Specific Case Conceptualization
Identifying a Path: Treatment Planning
A Brief History of Mental Health Treatment Planning
Symptom-Based Treatment Plans
Theory-Based Treatment Plans
Clinical Treatment Plans
Writing Useful Therapeutic Tasks
Initial Phase
Working Phase
Closing Phase
Diversity and Treatment Tasks
Writing Useful Client Goals
The Goal Writing Process
Initial Phase Client Goals
Working-Phase Client Goals
Closing-Phase Client Goals
Writing Useful Interventions
Do Plans Make a Difference?
Online Resources
References
Chapter 4. Philosophical Foundations of Family Therapy Theories
Lay of the Land
Systemic Foundations
Rumor Has It: The People and Their Stories
The Spirit of Systemic Therapy
Introduction to Key Concepts in Systemic Theory
Key Concepts Related to the Structure of Systems
Key Concepts Related to Communication Patterns in Systems
Translating Systemic Theoretical Concepts into Action
Social Constructionist Foundations of Family
Systems Theory and Social Constructionism: Similarities and Differences
Rumor Has It: The People and Their Stories
The Postmodern Spirit
Postmodern Assumptions
Social Constructionism, Postmodernism, and Diversity
Philosophical Overview
Rock-Paper-Scissors and Other Strategies for Choosing a Theory
How to Choose: Dating versus Marrying
Defining Your Philosophy
Modernism
Humanism
Systemic Therapy
Postmodern Therapy
Dancing with Others once You Marry
Online Resources
References
Part II. Family Therapy Theories
Chapter 5. Systemic Therapies: MRI and Milan
Lay of the Land
MRI Systemic Therapy
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Individual
Treatment Plan Template for Couple/Family
Milan Systemic Therapy
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Individual
Treatment Plan Template for Couple/Family
Research and the Evidence Base
Clinical Spotlight: Multisystemic Therapy
Goals
Case Conceptualization
Principles of Intervention
Tapestry Weaving: Diversity Considerations
Ethnic, Racial, and Cultural Diversity
Sexual Identity Diversity
Online Resources
References
Systemic Case Study: Blended Family Issues
Chapter 6. Strategic Therapy
Strategic Therapy
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Individual
Treatment Plan Template for Couple/Family
Research and the Evidence Base
Clinical Spotlight: Brief Strategic Family Therapy
Goals
Case Conceptualization
Principles of Intervention
Tapestry Weaving: Diversity Considerations
Ethnic, Racial, and Cultural Diversity
Sexual Identity Diversity
Online Resources
References
Strategic Case Study: Intergenerational Conflict in Chinese American Family
Chapter 7. Structural Family Therapy
Lay of the Land
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Putting It All Together
Case Conceptualization Template
Treatment Plan with Individual
Treatment Plan with Couple/Family
Research and the Evidence Base
Clinical Spotlight: Ecosystemic Structural Family Therapy
Case Conceptualization
Goals
Interventions
Tapestry Weaving: Working with Diverse Populations
Cultural, Ethnic, and Socioeconomic Diversity
Sexual Identity Diversity
Online Resource
References
Structural Case Study: African American Family Adjusts to Divorce
Chapter 8. Satir’s Human Growth Model
Lay of the Land
Common Assumptions and Practices
The Satir Growth Model
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Interventions for Special Populations
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Individual
Treatment Plan Template for Couple/Family
Research and the Evidence Base
Research on Humanistic Principles
Tapestry Weaving: Working with Diverse Populations
Cultural, Ethnic, and Gender Diversity
Sexual Identity Diversity
Online Resources
References
Experiential Case Study: Son Comes out in Immigrant Persian Family
Chapter 9. Symbolic-Experiential and Internal Family Systems
Lay of the Land
Symbolic-Experiential Therapy
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Individual
Treatment Plan Template for Couple/Family
Internal Family Systems Therapy
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Individual
Treatment Plan Template for Couple/Family
Research and the Evidence Base
Tapestry Weaving: Working with Diverse Populations
Cultural, Ethnic, and Gender Diversity
Sexual Identity Diversity
Online Resource
References
Symbolic Experiential Case Study: Cherokee Family Grieves Mother
Chapter 10. Intergenerational and Psychoanalytic Family Therapies
Lay of the Land
Bowen Intergenerational Therapy
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Interventions for Special Populations
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Individual
Treatment Plan Template for Couple/Family
Psychoanalytic Family Therapies
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Individual
Treatment Plan Template for Couple/Family
Research and the Evidence Base
Tapestry Weaving: Working with Diverse Populations
Gender Diversity: The Women’s Project
Ethnicity and Culture Diversity
Sexual Identity Diversity
Online Resources
References
Intergenerational Case Study: African American Family Launching Children
Chapter 11. Cognitive-Behavioral and Mindfulness-Based Couple and Family Therapies
Lay of the Land
Behavioral and Cognitive-Behavioral Family Therapies
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Individual
Treatment Plan Template for Couple/Family
Mindfulness-Based Therapies
In a Nutshell: The Least You Need to Know
Gottman Method Couples Therapy
In a Nutshell: The Least You Need to Know
Debunking Marital Myths
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
The Doing: Interventions
Research and the Evidence Base
Tapestry Weaving: Working with Diverse Populations
Ethnic, Racial, and Cultural Diversity
Sexual Identity Diversity
Online Resources
References
Cognitive-Behavioral Case Study: Korean Family Conflict over Grades
Chapter 12. Solution-Based Therapies
Lay of the Land
Solution-Based Therapies
In a Nutshell: The Least You Need to Know
Common Solution-Based Therapy Myths
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Interventions for Specific Problems
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Individual
Treatment Plan Template for Couple/Family
Solution-Oriented Ericksonian Hypnosis
Difference from Traditional Hypnosis
The Big Picture: Overview of Treatment
The Doing: Interventions
Research and the Evidence Base
Tapestry Weaving: Working with Diverse Populations
Ethnic, Racial, and Cultural Diversity
Sexual Identity Diversity
Online Resources
References
Solution-Based Therapy Case Study: Interfaith/Intercultural Couple Considers Marriage
Chapter 13. Narrative Therapy
Lay of the Land
Narrative Therapy
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Externalizing Questions
Interventions for Specific Problems
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Individual
Treatment Plan Template for Couple/Family
Research and the Evidence Base
Tapestry Weaving: Working with Diverse Populations
Ethnic, Racial, and Cultural Diversity
Sexual Identity Diversity
Online Resources
References
Narrative Case Study: Multiethnic Gay Couple
Chapter 14. Collaborative Therapy and Reflecting Teams
Collaborative Therapy and Reflecting Teams
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions and Ways of Promoting Change
Reflecting Teams and the Reflecting Process
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Individual
Treatment Plan Template for Couple/Family
Clinical Spotlight: Open Dialogue, an Evidence-Based Approach to Psychosis
Outside the Therapy Room
Research and the Evidence Base
Tapestry Weaving: Working with Diverse Populations
Ethnic, Racial, and Cultural Diversity
Sexual Identity Diversity
Online Resources
References
Collaborative Case Study: Pakistani/Indian Couple with Sexual Abuse History
Chapter 15. Evidence-Based Treatments in Couple and Family Therapy: Emotionally Focused Therapy and Functional Family Therapy
Lay of the Land
Myths about Evidence-Based Treatments
Emotionally Focused Therapy
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: The People and Their Stories
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Couple
Treatment Plan Template for Family
Tapestry Weaving: Diversity Considerations
Ethnic, Racial, and Cultural Diversity
Sexual Identity Diversity
Evidence Base
Functional Family Therapy
In a Nutshell: The Least You Need to Know
The Juice: Significant Contributions to the Field
Rumor Has It: People and Places
The Big Picture: Overview of Treatment
Making Connection: The Therapeutic Relationship
The Viewing: Case Conceptualization and Assessment
Targeting Change: Goal Setting
The Doing: Interventions
Putting It All Together
Case Conceptualization Template
Treatment Plan Template for Family
Tapestry Weaving: Diversity Considerations
Ethnic, Racial, and Cultural Diversity
Sexual Identity Diversity
Evidence Base
Online Resources
References
FFT Case Study: Mexican American Family with Substance-Abusing Teen
Chapter 16. Evidence-Based Group Treatments for Couples and Families
Lay of the Land
Brief Overview of Types of Groups
Psychoeducational Groups or “Classes”
Process Groups
Combined Groups
General Group Guidelines
Number of People
Open versus Closed Groups
Group Selection: Who’s in Your Group?
Group Rules
Evidence-Based Couple and Family Groups
Psychoeducational Multifamily Groups for Severe Mental Illness
Groups for Partner Abuse
Relationship Enhancement Programs
Parent Training
Summary
Online Resources
References
Part III. Cross-Theoretical Case Conceptualization and Integration
Chapter 17. Cross-Theoretical Case Conceptualization and Integration
Knowing where to Look
Case Conceptualization and the Art of Viewing
Theory-Specific vs. Cross-Theory Case Conceptualization
Benefits of Cross-Theoretical Conceptualization
Cross-Theoretical Conceptualization vs. Integration
Integration Options
Overview of Cross-Theoretical Case Conceptualization
Introduction to Client and Significant Others
Presenting Concern
Background Information
Strengths and Diversity Resources
Personal or Individual Strengths
Relational or Social Strengths and Resources
Spiritual Resources
Diversity Resources and Limitations
Family Structure
Family Life Cycle Stage
Boundaries: Regulating Closeness and Distance
Triangles and Coalitions
Hierarchy between Child and Parents
Complementary Patterns
Satir’s Communication Stances
Gottman’s Divorce Indicators
Problem Interaction Patterns
Assessing Interaction Patterns
Systemic Hypothesis
Intergenerational Patterns
Attachment Patterns
Solution-Based Assessment
Previous Solutions that Did Not Work
Exceptions and Unique Outcomes: Previous Solutions that Did Work
Miracle Question Answer
Postmodern and Cultural Discourse Conceptualization
Dominant Discourses
Client Perspectives
Case Conceptualization, Diversity, and Sameness
Online Resources
References
Case Conceptualization Form
Diane Gehart is a professor in the marriage, family and therapy and counseling programs at California State University, Northridge and the founder of the Therapy that Works Institute. She has authored numerous books, including CASE DOCUMENTATION IN COUNSELING AND PSYCHOTHERAPY, THEORY AND TREATMENT PLANNING IN COUNSELING AND PSYCHOTHERAPY, MINDFULNESS AND ACCEPTANCE IN COUPLE AND FAMILY THERAPY, and MASTERING COMPETENCIES IN FAMILY THERAPY. In addition to co-editing COLLABORATIVE THERAPY: RELATIONSHIPS AND CONVERSATIONS THAT MAKE A DIFFERENCE and COLLABORATIVE-DIALOGIC PRACTICE: RELATIONSHIPS AND CONVERSATIONS ACROSS CULTURES AND CONTEXTS, Dr. Gehart has developed two systems for assessing student learning: THE COMPLETE MFT CORE COMPETENCY ASSESSMENT SYSTEM and THE COMPLETE COUNSELING ASSESSMENT SYSTEM. Her areas of specialty include mindfulness, mental health recovery, postmodern and systemic therapies, sexual abuse treatment, gender issues, children and adolescents, client advocacy, qualitative research and education in family therapy. She speaks internationally, having conducted workshops to professional and general audiences in the United States, Canada, Europe and Mexico, and her work has been featured in newspapers, radio shows and television worldwide. Dr. Gehart is an associate faculty member at three international postgraduate training institutes: The Taos Institute, Houston Galveston Institute and The Marburg Institute for Collaborative Studies in Germany. Additionally, she is an active leader in state and national professional organizations. Dr. Gehart maintains a private practice in Agoura Hills, California, specializing in couples, families, trauma, life transitions and difficult-to-treat cases.
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