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More About This Title Couples and Family Therapy in Clinical Practice 5e
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English
Couples and Family Therapy in Clinical Practice has been the psychiatric and mental health clinician's trusted companion for over four decades. This new fifth edition delivers the essential information that clinicians of all disciplines need to provide effective family-centered interventions for couples and families. A practical clinical guide, it helps clinicians integrate family-systems approaches with pharmacotherapies for individual patients and their families. Couples and Family Therapy in Clinical Practice draws on the authors’ extensive clinical experience as well as on the scientific literature in the family-systems, psychiatry, psychotherapy, and neuroscience fields.
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Ira D. Glick is Professor Emeritus of Psychiatry and Behavioral Sciences and formerly Chief of the Schizophrenia Clinic at Stanford University School of Medicine, USA.
Douglas S. Rait is Clinical Professor of Psychiatry and Behavioral Sciences and Chief of the Couples and Family Therapy Clinic at Stanford University School of Medicine, USA.
Alison M. Heru is Associate Professor of Psychiatry at the University of Colorado, USA.
Michael S. Ascher is Clinical Associate in Psychiatry at the Perelman School of Medicine, University of Pennsylvania, USA.
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Forewords xix
Ellen M. Berman MD, Lloyd I. Sederer MD
Preface xxvii
Acknowledgments xxxi
A Guide for Using the Text xxxiii
List of Tables xxxvii
List of Figures xxxix
Section I Family Therapy in Context
1 The Field of Couples and Family Therapy: Development and Definition 5
2 Family Life in Historical and Sociological Perspective 23
Section II Functional and Dysfunctional Families
3 Understanding the Functional Family 41
4 Understanding the Functional Family in a Variety of Family Forms 59
5 Problems and Dysfunction from an Integrated Family Systems Perspective 75
Section III Family Evaluation
6 The Process of Evaluation 95
7 The Content of Evaluation 107
8 Formulating an Understanding of the Family Problem Areas 117
Section IV Family Treatment
9 Major Family Therapy Schools and Their Treatment Strategies 137
10 Goals 147
11 Family Treatment: Integrated Strategies and Techniques 157
12 The Course of Family Treatment 175
13 Promoting Change in Family Treatment: Issues of Alliance and Resistance 189
14 Family Therapy: General Considerations203
Section V Couples Therapy
15 Dysfunctional Couples and Couples Therapy 221
16 Sex Couples and Sex Therapy 235
17 Couples and Families Breaking Apart: Separation and Divorce 249
Section VI Family Treatment When One Member Has a Psychiatric Disorder or Other Special Problem
18 Family Treatment in the Context of Individual Psychiatric Disorders 267
19 Family Treatment in the Context of Other Special Problems—Violence to Self and Others 301
20 The Family and Treatment of Acute and Chronic Psychiatric Illness 321
21 Working with Families in the
Section VII Results of and Guidelines for Recommending Family Therapy
23 Controversies Relative Contraindications and the Use and Misuse of Couples and Family Therapy 371
24 Results: The Outcomes of Couples and Family Therapy 381
Section VIII Ethical Professional and Training Issues
25 Ethical and Professional Issues in Couples and Family Therapy 405
Suggested Reading 419
References 419
Index 421
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"This superb text on couples and family therapy should be on every psychiatrist's bookshelf. We now view the individual patient as embedded in a family system that must be taken into account to provide state-of-the-art diagnosis and treatment."
—Glen O. Gabbard, MD, Clinical Professor of Psychiatry, Baylor College
“Substance use disorders (SUD) almost always involve family problems. Thus good practice always includes a family evaluation and often a period of family therapy. At the University of Pennsylvania we have conducted and published clinical trials that include medications and family therapy for SUD. Based on our research, we consider family therapy to be an essential component of good practice for the management of SUD. This text provides the best explanation of how exactly to work with the family of the patient with an alcohol or substance use problem”
– Charles P. O’Brien, MD, Ph.D., Kenneth Appel Professor of Psychiatry, University of Pennsylvania School of Medicine
“An essential part of becoming a psychiatrist is learning to work with families to help patients recover. Regardless of whether the intent is to become a family therapist, this key book should be a “must read” for psychiatric residents and clinical fellows alike."
– Maria A. Oquendo, MD, APA President, Chair of the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania
“Up to date, culturally sensitive, concise, organized, practical; I cannot imagine a more useful book for any therapist working with families. Therapists working in medical or psychiatric settings will find excellent chapters to guide them in bridging the gaps between a family systems and a medical model. EVERY FAMILY THERAPIST SHOULD HAVE THIS BOOK AT THEIR SIDE. It is a wonderful addition to the family therapy literature.”
—Ellen Berman, MD, Clinical Professor of Psychiatry, University of Pennsylvania
"Family involvement is vital for managing many psychiatric patients. This Text is a classic because it tells us how best to involve family members in various forms of treatment, including psychopharmacology. A must for all mental health practitioners.”
-Alan Schatzberg, MD, Professor of Psychiatry and Behavioral Sciences at Stanford University School of Medicine
"The 5th edition of this classic text reminds us that the care of our patients means understanding them in the context of their most important and intense relationships. Understanding how to work with families, assess their impact, and support their most helpful capacities, is a core skill for all of us. This edition deserves wide readership. "
—Paul Summergrad, MD Psychiatrist-in-Chief; Dr. Frances S. Arkin Professor and Chairman, Department of Psychiatry, Tufts University School of Medicine
"Couple & Family Therapy in Clinical Practice (5th edition) is a delightful read and the integration of case examples truly brings the points being made alive. Written by three experts, this informative, yet easy-to-understand and follow compendium lays the groundwork for psychiatrists and other behavioral health care specialists to effectively and ethically join, assess, and intervene with diverse couples and families in myriad settings and contexts. This edition facilitates the practitioners’ appreciation of when, how, and which couple and family evaluations and treatments should be incorporated into an overall care plan. It also thoughtfully highlights the complexities and nuances of various ethical, professional, and training issues in couple and family therapy in a fashion that will empower trainees, supervisors, and practitioners alike."
-Nadine J. Kaslow, PhD, ABPP, Professor and Vice Chair, Emory Department of Psychiatry and Behavioral Sciences, Former President (2014), American Psychological Association and Former Editor, Journal of Family Psychology