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1
Tafuri, Sydney Marissa. "Catalogue of Interventions for Systemic Family Therapy Assessment." W&M ScholarWorks, 2013. https://scholarworks.wm.edu/etd/1539626743.
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Jude, Julia. "Family systemic therapy in the home : reigniting the fire." Thesis, University of Bedfordshire, 2013. http://hdl.handle.net/10547/337217.
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The current models that we use in systemic family therapy came out of office/clinic-based practice. To date, there is no model specifically orientated to systemic family therapy in the home. As a systemic family therapist, I argue that non-traditional approaches may need to be considered; and that systemic family therapy models should come closer to reflecting discourses that have shades of global influences. My interest in the area emerged from a position of ignorance – making assumptions that the tools used in the clinic could easily be colonised into a family’s home – but I found that the models often used in the clinic do not necessarily transfer easily into the home. an adaptation of a systematic review was conducted that undermined the notion that therapists are ‘knowing’ with particular skill and competency to work in the home. I ask the question: How do I improve upon my systemic family therapy practice to work in families’ homes? African oral traditional ideas (AOTI) are broadly explored to consider the notion of self and bodily feelings as a source of knowledge. Through the use of AOTI I created an approach known as Seselelame, foregrounding a new practice stemming from ideas that are not home grown within the systemic family therapy perspectives, to support my practice within the home. the inquiry offers the following contribution of new knowledge to family systemic therapy: conceptualization of a method (Seselelame) that incorporates the idea of self in the context of awareness of feelings in the body; a method that incorporates African oral traditional ideas and thus expanded the traditional Western view of family/systemic therapy; contextualization of the significance of home as a source of knowledge; the Seselelame model was used as an analytical tool alongside a systemic constructionist analytical model to compare and contrast the data produced. The findings conclude that the inquiry has implications for the practice and teaching of systemic family therapy, which will eventually be published once the thesis is completed.
3
Burley, Clair Joanne. "Therapists' experience of using the genogram in systemic family and couples therapy." Thesis, University of Exeter, 2014. http://hdl.handle.net/10871/15597.
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Genograms are a widely used tool, well grounded in systemic theory. However the claims made in the literature regarding the therapeutic use and effects of the genogram have not been empirically explored or verified. This study therefore aimed to examine the extent to which the use and effects of genograms in clinical practice reflect the claims made in the literature. This study asked: what therapeutic tasks the genogram is used for, the specific pathways the genogram facilitates those tasks, and the mechanisms salient to the genogram that adds to clinical practice. Ten qualified Family Therapists participated in semi-structured interviews discussing their experiences. A Thematic Analysis was conducted. Five themes were identified: therapist-family joining; systemic exploration; therapist hypothesizing; family perturbation through cognitive change; family perturbation through experiential and behaviour change. This study found that genograms were used in some of the ways described in the literature: engagement, information gathering, hypothesizing and intervention aimed at cognitive change. The usefulness of the genogram was found to extend beyond ‘engagement’ and ‘information gathering’ to ‘therapist-family joining’ and ‘systemic exploration’ respectively. However, this study did not find the genogram was used to explore emotions, nor as an intervention aimed directly at behaviour change; instead, change at the experiential level was reported. The pathways the genogram facilitates therapeutic tasks are delineated, as are the mechanisms salient to the genogram that adds to clinical practice. Recommendations for further research were made. This included repeating this study with therapists from different training backgrounds, as well as undertaking a quantitative study examining genogram outcomes in terms of a measurable change in presenting problems.
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Fern, Maxime, and n/a. "Use of systemic family therapy with adolescent suicide (patterns of belonging)." University of Canberra. Education, 1988. http://erl.canberra.edu.au./public/adt-AUC20060505.151922.
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This study investigated the application of six techniques from systemic family therapy.
A review of the history of family therapy identified the major contributions from
general psychiatry, communications theory and cybernetics which had combined to
form the therapies known collectively as systemic family therapy. The theory was
outlined and examined and the major assumptions which are the basis for specific
techniques of therapy within this model were identified. Six of these techniques were
examined and demonstrated in therapy. The outcome of each technique was
assessed.
A family was seen from initial contact to termination, using a two member team
approach (Viaro and Leonardi, 1983) in which-one therapist observed the other
through a one way video arrangement. The presenting problem was a suicide
attempt by an adolescent, culminating in admission to hospital.
Therapy using the model was concluded in four sessions. Follow-up at six months
disclosed no further admissions to hospital and a report from the family that they
were satisfied with the outcome of therapy.
Distinctions between first and second order cybernetic therapy were made and the
therapists were found to adhere to a first order model. Successful and unsuccessful
use of the techniques is identified and discussed. Using as a measure the absence
of further suicide attempts and the family's self reported reduction in the number of
arguments between the parents and the identified patient, it was concluded that the
use of the nominated techniques from systemic family therapy had enabled
successful intervention.
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Jarman, Jack. "An exploration of organisational consultative practice : a systemic family therapy perspective." Thesis, Cardiff University, 2014. http://orca.cf.ac.uk/64876/.
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Although various conceptual approaches and frameworks describe how systemic thinking can be applied via consultation to organisations, they are derived from clinical work and case studies. Indeed, the empirical literature regarding the efficacy or even the understanding of the application of systemic principles to organisational consultation is very poor. An understanding of the processes involved in systemic organisational consultation is considered important in order to support therapists working systemically with organisations in a way that maximises possibilities for organisational productivity, =learning and change. This study presents an exploration of systemic family therapists’ understandings and experiences of systemically orientated organisational consultative practice. Semi-structured qualitative interviews were conducted with twelve qualified systemic family therapists working in a variety of mental health and forensic settings across South Wales and the South West of England. A Constructivist Grounded Theory approach was employed to analyse participants’ accounts. Three themes relating to systemic organisational consultation were identified in the study: ‘The prologue: Conceptualising the context for consultation’, ‘From monologue to dialogues: Creating new contexts for new conversations’ and ‘The metalogue: Outcomes of consultation’. The emergent themes were compared to wider literature pertaining to the application of systemic family therapy to organisational consultative practice. The findings from this research have a range of implications for systemic therapists as well as other professionals working systemically with organisational systems. Implications for clinical practice, training and the development of the role of the therapist working systemically with organisations are discussed, and recommendations for future research are made.
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Lloyd-Williams, Kathryn. "Parental brain injury : children's relationships and the role of systemic family therapy." Thesis, University of Warwick, 2012. http://wrap.warwick.ac.uk/55941/.
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The following thesis consists of three papers; a literature review, an empirical paper and a reflective paper. The literature review summarises current knowledge regarding the efficacy of systemic family therapy in neurorehabilitation. Studies investigating the impact of brain injury on the family suggest that all family members should be included in their injured relatives’ rehabilitation programme due to the risk of developing relational difficulties. In view of this, family therapy has become increasingly popular amongst Clinical Psychologists and other professionals working in neurorehabilitation. This review aims to critically evaluate the efficacy of systemic family therapy within neurorehabilitation. Methodological considerations and implications for future research are discussed, as well as clinical and service implications. The empirical paper explores changes in children’s relationships when a parent acquires a brain injury. The findings of the study highlight the positive and negative changes children experience in their relationships as a result of their parents’ acquired brain injury (ABI). Results are discussed in relation to the current literature, consideration of the strengths and limitations of the research, clinical implications and recommendations for future research. The reflective paper discusses the researcher’s own experience of carrying out the research. The researcher utilised the ‘Heartstrings’ activity used in the empirical study to help them reflect on changes in their relationships throughout the research process.
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Austen, Amanda. "General adult psychiatrists' experiences of systemic family therapy : an interpretative phenomenological analysis." Thesis, Birkbeck (University of London), 2016. http://bbktheses.da.ulcc.ac.uk/231/.
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Does Systemic Family Therapy (SFT) make sense to general adult psychiatrists? SFT is both a theoretical position and a form of psychotherapy. It has been evolving within mental health practice in the UK since the 1950’s. Though it is now to be found more often in child and adolescent mental health services, it has its roots in adult mental health. This in-depth qualitative study is an investigation of how registered psychiatrists working in adult services in the UK make sense of SFT. As the training and experiences of SFT vary for psychiatrists working in adult mental health services, this study explores those experiences, and the meaning psychiatrists have of them, including what they have taken into current working practice. This study therefore attempts to contribute to our understanding of the relation between the disciplines of psychiatry and SFT, and how psychiatrists use SFT in their practice. The research used semi-structured interviews with six qualified psychiatrists working in adult services within a London Mental Health Trust to explore the lived experiences each had of SFT. These interviews were recorded, transcribed and then analysed using Interpretative Phenomenological Analysis (IPA). The participants welcomed the opportunity to share and think about SFT in their practice and experience. The four main themes that emerged from the analysis were The Past in the Present and the Future, the impact and relevance of SFT training; Proximity and distance, exploring the range and limits of accessing SFT concepts and provision; Anxiety and Uncertainty; Position of SFT in mental health services. These master themes explore the participant’s recall of their experience of SFT both in their psychiatric training and in their subsequent working practice. They illuminate how these experiences relate to psychiatrists’ sense of SFT as a broader set of theories about human relations and mental health. The findings highlight the different ways psychiatrists made sense of, and utilized, SFT in their practice. The analysis of the interviews also reveals support for the trend towards incorporation of systemic thinking in mental health practice and training more generally. The discussion focuses on the aspects of nostalgic remembrance of experiences that no longer feel accessible within psychiatric practice; the experience of learning as a mental health practitioner; and the embeddedness of SFT in present work and the workplace, in relation to existing literature and theory. The conclusion offers reflections on the research process and insights into the applicability of the findings to mental health training, service development, and particularly how SFT thinking and skills can be taught in a more accessible way to other mental health professionals. KEYWORDS: Psychiatry, IPA, Training, Nostalgia, Systemic Family Therapy, Psychotherapy.
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Arnold, Richard L. "Practical application of a theologically integrated, systemic theory for marriage and family therapy." Online full text .pdf document, available to Fuller patrons only, 2003. http://www.tren.com.
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Gillman, Maureen Anna. "'Learning to think systemically' : the impact of systemic training upon professionals and their working lives." Thesis, Northumbria University, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.386597.
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Kong, Jenny P. F. "Systemic family therapy with families with children and adolescents in an outpatient hospital setting." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ56131.pdf.
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James-Perkins, Victoria. "An exploration of the process of change in systemic family therapy : the therapists' perspective." Thesis, Cardiff University, 2012. http://orca.cf.ac.uk/37511/.
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There is a large body of literature that identifies the effectiveness of family therapy in creating change for clients. What is less understood is how this change comes about. Whilst therapists have been identified as having a significant effect on outcomes, within psychotherapies broadly and family therapy specifically, little research has been conducted on the role of the therapist in processes of change. An understanding of processes of change in family therapy is considered important in order to support therapists working systemically with clients in a way that maximises possibilities for change. This study presents an exploration of family therapists’ understandings and experiences of processes of change in family therapy. Semi-structured qualitative interviews were conducted with eleven qualified systemic therapists working in a variety of mental health settings across South Wales and the South West of England. A Constructivist Grounded Theory approach was employed to analyse participants’ accounts. Three themes relating to processes of change in family therapy were identified in the study: ‘Conceptualisations of change’, ‘creating a context of change’ and ‘the context of the therapist’. The emergent themes were compared to wider literature on the family therapist’s role in processes of change, which included empirical qualitative research that was generated through a systematic review. The findings have a range of implications for systemic therapists as well as other professionals working systemically with clients. Implications for clinical practice, training and the development of the role of the therapist working systemically with clients are discussed, and recommendations for future research are made.
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Marshall, David. "Understanding the processes in assessing risk of deliberate self harm in systemic family therapy." Thesis, University of Leeds, 2017. http://etheses.whiterose.ac.uk/16955/.
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Introduction: The subject of self-harm in the adolescent population is a source for public concern likely grounded in the suicide rates for this age group and the perception that the risk of suicide is increased for individuals who regularly harm themselves. This leaves clinicians working with those who self-harm with the task of assessing the risk of those who access services. The literature base for risk assessment of suicide/self-harm is populated with studies which focus on the ‘whats’ of risk assessment, for example: what a clinician needs to cover to ensure safety or what service users think of their assessment. I argue the need to build on this knowledge base, and understand the ‘hows’ of risk assessment, e.g. how does a therapist complete an assessment and how does a therapist ensure engagement. The current study takes place within the context of a Systemic Family Therapy study and explores how a therapist completes their assessment with a family. Method: Grounded Theory was employed in order to analyse videotapes of Systemic Family Therapy sessions. A single case of a female adolescent was selected based on characteristics of her therapy. The key research questions address the processes the therapist employs to move between therapeutic and assessment tasks; how the therapist’s approach changes in the face of changing risk; and how the therapist maintains engagement throughout the therapy. Results: Themes emerging from the data revealed that the therapist employs a number of subtle processes in order to switch interchangeably between assessment and therapy tasks and that these foci are not mutually exclusive. These process occur within the context of a balanced, conversational relationship in which therapist and family has an equal footing. When the perceived level of risk changes, the therapist’s approach still fits within this framework, with a key difference being a more direct establishment of therapist goals. Engagement is maintained by the therapist’s negotiation of balance, collaboration and mutuality within the therapeutic relationship. Furthermore, the therapist moderates emotion in the room in a way that avoids re-traumatisation, and in a way that encourages the family and young person to continue to contribute to the discussions in safety. Discussion: The findings of the current study provides a preliminary model of risk assessment for this particular therapy which facilitates thinking about risk assessment in a wider sphere. The findings of the current study are then considered as part of a growing body of literature, with further recommendations made for future research.
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White, Richard J. "Biblical Family Systems." Diss., Virginia Tech, 2003. http://hdl.handle.net/10919/28402.
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Systemic thought has been utilized to deconstruct various works of literature and art, such as novels, plays, and even sculptures. Even though the Bible is viewed as a work of faith by many, it also combines aspects of mythology and history with prose and poetry. Using four major theories of family therapy, namely structural, contextual, Bowenian, and narrative, the family of King David, as presented in the first and second Books of Samuel and the beginning of the first Book of Kings, is investigated and explored. Using the King James Version of the Bible as the main text, consideration is given to what each theory has to offer in expalining what occurs throughout this narrative, as well as what the David story has to say about each theory. Confirmation of certain aspects of a given theory and possible refinements to these are also given consideration. Reflexivity on the part of the author is also given consideration in the final chapter.Ph. D.
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Amoss, Sarah. "The negotiation of blame in family therapy with families affected by psychosis." Thesis, University of East London, 2014. http://repository.tavistockandportman.ac.uk/1530/.
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Despite wide agreement in the systemic field that therapists should take a non-blaming stance, historically there has been little exploration of how this stance is achieved in practice. The difficulty in knowing how to put ‘non-blaming’ into practice is further heightened by competing models of intervention with families affected by psychosis. This study contributes to a body of literature that is concerned with how complex issues of morality are achieved dialogically by considering how family therapists manage the tension of intervening to promote change whilst maintaining a multi-partial, non-blaming stance. Two therapies carried out with families affected by psychosis are analysed using the methods of Conversation Analysis (CA) and Membership Categorization Analysis (MCA). In both therapies the sequences examined are drawn from the second session of therapy where explicit blaming events occur. By examining blaming events chronologically through the course of a session the study shows how the rules about the way blame is talked about are achieved interactionally. The analysis demonstrates that systemic theory’s emphasis on the importance of being non-blaming is grounded in a sophisticated understanding of the threat blame poses to co-operation and agreement. In both therapies, the delicacy and ambiguity with which blame is treated serves to enable the conversation to continue without withdrawal. However the cost of ambiguity is a possible misunderstanding of the intent of the speaker. The resulting misalignment, where it continues over several turns and sequences, leads to explicit blame becoming relevant as a solution to a redundant pattern of interaction. The findings indicate that the management of blame requires both the exploration of blame and its interruption when emotions and conflict run high. The former enables understanding and movement towards therapeutic goals while the latter is necessary to promote therapeutic and family alliances. An unintended consequence of the injunction to be non- blaming might be the premature closing down of topics, militating against problem resolution. The study concludes that CA and MCA offer a wealth of knowledge about mundane conversational practices that can be applied fruitfully to systemic therapy process research, teaching and supervision.
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Kayrooz, Carole, and n/a. "A systemic cybernetic counselling approach with women who have bulimia nervosa." University of Canberra. Education, 1991. http://erl.canberra.edu.au./public/adt-AUC20060807.131205.
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This study examined the effectiveness of a systemic cybernetic counselling approach
with 3 females with bulimia nervosa. Bulimia nervosa is a relatively recent
diagnosed condition (1980). Thus, little is known about the efficacy of different
treatment approaches. The systemic cybernetic counselling approach (White; de
Shazer) which informs family therapy represents a potentially powerful form of
treatment in that it allows a complex construction of the problem.
The research design employed a multiple (3) single case study approach with
embedded units of analyses. The 3 women, aged 17 to 27, were seen over a 2-3
month period for 4-8 one hour sessions. Predicted patterns of non-equivalent
dependent variables were compared with empirically based patterns over time.
Continuous (including pre-, post-treatment and long-term follow up) assessment of
frequency of bingeing/purging was established as well as ratings on other dependent
variables - psychometric measures (Eating Disorders Inventory, Beck Depression
Inventory, Coopersmith Self Esteem Inventory), affective self reports and reports by
others.
Results show that all three clients eliminated bingeing/purging by post-treatment.
Two clients maintained this improvement on all dependent measures at long-term
follow up. The most marked improvements were associated with the least severe
pre-treatment scores.
In the case where the whole family attended counselling sessions, the number of
sessions was reduced.
On the basis of the results, systemic cybernetic counselling procedures hold promise
for the successful treatment of bulimia nervosa.
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Ducklow, Patrick J. "Coaching church leaders in conflict resolving strategies using family systems theory." Online full text .pdf document, available to Fuller patrons only, 2002. http://www.tren.com.
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Mills, Lucy. "Individual perspectives in family therapy : a comparison of perspectives." Thesis, University of Hertfordshire, 2012. http://hdl.handle.net/2299/9471.
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There has been relatively little robust research investigating the experience of family therapy from a client’s perspective. Much of the literature fails to make clear their methods for analysing the data, and takes an ‘either or’ approach to family and individual perspectives. Thus, either whole family perspectives, or the perspectives of a particular group are sought, making it difficult to understand the impact of the family context on individual perspectives or vice versa. The present research seeks to understand the family therapy experiences of individuals within their familial context. Two families of three were interviewed using a semi-structured interview guide and interviews were analysed using Interpretative Phenomenological Analysis. Results are presented as two family case studies. One over-arching theme of ‘the safety of the therapeutic relationship’ emerged from the accounts of both families. The therapeutic relationship provided the safety to talk and explore problems and relationships. This was described as cathartic and helped family members to see themselves and each other differently. Varying degrees of exploration of individuals was associated with differing levels of engagement with therapy. Being able to explore relationships for both families allowed them to develop new understandings of each other. Gender also emerged as an important theme and this is discussed in relation to issues of power and gender. Some key methodological limitations of the research including the small number of participants and the impact of an overly detailed interview schedule on the data are discussed. As this study involves two case studies of three family members each, it is not easily transferable, but points to some key themes and processes which have implications for practice and future research.
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Chimera, Chip. "Emerging practices of action in systemic therapy : how and why family therapists use action methods in their work." Thesis, University of Bedfordshire, 2015. http://hdl.handle.net/10547/565810.
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This thesis sets out to explore the processes involved when family therapists decide to introduce an action method into a therapy session. Action methods are defined as therapist led physical activities which are introduced into the session for the purpose of enabling the healing of relationships. The literature is examined in relation to connections between family therapy approaches using action and psychodrama psychotherapy relation to work with families and couples. Literature which integrates the two approaches is identified. The core of the study is composed of five interviews with experienced and senior family therapists about how they use action with clients in sessions. It focuses on the beliefs, behaviours and actions which are present at the moment the therapists decide to use action. The interviews examine the therapists’ training and current practice culture, their guiding beliefs and principles about the use of action and the theories on which they have drawn in considering the implementation of action methods. Participants were asked to describe an episode of action by giving a verbal account as well as undertaking a sculpt of the episode using ‘small world’ figures. The interviews were transcribed and analysed using a unique approach blending psychodramatic role analysis (Williams 1989) with the Coordinated Management of Meaning (CMM) (Cronen and Pearce 1985) a communication theory approach used by systemic psychotherapists. The findings indicate that systemic therapists do not have one overarching theoretical approach to using action in therapy, but draw on a range of different models which may be derived from different systemic approaches. The findings further indicate that theories of action which include neurobiological information processing and embodiment are introduced into systemic trainings as important in understanding how action methods impact on individuals and families. A format for therapists to evaluate their use of action methods is proposed for use in supervision or training. It follows the format that is used in the analysis, using psychodramatic role analysis and a CMM hierarchical structure which proposes opening space, spontaneity and playfulness as markers for the culture, identity and relationship levels of the analysis.
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Rogers, Teresa M. "Healing Partners: The Integration of a Therapy Animal in Feminist Family Therapy." University of Akron / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=akron1428358328.
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Furniss, Katharine Atkins. "Systemic family therapy using the reflecting team : an exploration of the experiences of adults with learning disabilities." Thesis, University of Surrey, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.540725.
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Jin, Ji Hoon. "A study of the adaptability of family systems theory to the Korean Presbyterian Church context." Theological Research Exchange Network (TREN) Theological Research Exchange Network (TREN) Access this title online, 2006. http://www.tren.com.
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Pennington, Michael Allen. "Utilizing family systems theory to assess the leadership styles of Southern Baptist missionaries in Venezuela." Theological Research Exchange Network (TREN), 1995. http://www.tren.com.
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Bitter, James Robert. "Counseling Children and Their Families Experiencing SSD: Systemic Interventions for Speech-Language Pathologists." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/5221.
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Book Summary:
Speaking directly to experienced and novice clinicians, educators and students in speech-language pathology/speech and language therapy via an informative essay-based approach, Children’s Speech Sound Disorders provides concise, easy-to-understand explanations of key aspects of the classification, assessment, diagnosis and treatment of articulation disorders, phonological disorders and childhood apraxia of speech. It also includes a range of searching questions to international experts on their work in the child speech field.
This new edition of Children’s Speech Sound Disorders is meticulously updated and expanded. It includes new material on Apps, assessing and treating two-year-olds, children acquiring languages other than English and working with multilingual children, communities of practice in communication sciences and disorders, distinguishing delay from disorder, linguistic sciences, counselling and managing difficult behaviour, and the neural underpinnings of and new approaches to treating CAS.
This bestselling guide includes: Case vignettes and real-world examples to place topics in context Expert essays by sixty distinguished contributors A companion website for instructors at www.wiley.com/go/bowen/speechlanguagetherapy and a range of supporting materials on the author’s own site at speech-language-therapy.com
Drawing on a range of theoretical, research and clinical perspectives and emphasising quality client care and evidence-based practice, Children’s Speech Sound Disorders is a comprehensive collection of clinical nuggets, hands-on strategies, and inspiration.
24
Anglin, Lewis Leon. "A cognitive behavioral therapeutic approach to a Christian African American family system." Theological Research Exchange Network (TREN), 2006. http://www.tren.com/search.cfm?p068-0584.
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Grassia, Joanne R. "The Personal and the Professional: Buddhist Practice and Systemic Therapists." Antioch University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1431524759.
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Haar, Michael Elmer. "A study of family system theory as a pastoral care approach to patient care within a hospital setting." Theological Research Exchange Network (TREN) Access this title online, 2005. http://www.tren.com.
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Puz, Jacqueline June Gerhardt. "Family in crisis the effects of divorce and remarriage on the family system /." Theological Research Exchange Network (TREN), 2006. http://www.tren.com/search.cfm?p068-0630.
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Fisher, Ulia M. "The Moderating Effect of Family Functioning on the Well-Being of Adolescent Immigrants Who Experience Acculturation Distress." University of Akron / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=akron1491572323676755.
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Richardson, Colette. "Family therapists' experiences of working with adolescents who self-harm and their families : a grounded theory study." Thesis, University of East London, 2014. http://repository.tavistockandportman.ac.uk/1551/.
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This study is a qualitative enquiry into family therapists’ experiences of working with young people who self-harm and their families. To date, in spite of self-harm being a serious public health concern, there is relatively little exploration of the subject in family therapy literature. The study attempts to describe, understand and illuminate family therapists’ experiences: the therapeutic issues encountered, the stances adopted in response to the issues encountered, and the emotional impact on the therapist of working with this client group. A total of nine experienced family therapists participated in semi-structured interviews. The study employed a grounded theory method for data analysis. The analysis yielded a theory of therapists’ experiences that included a Core Category and three Main Categories. The Core Category that emerged was: •Cultivating the Practice of Hope – Withstanding the Pull to Hopelessness. The three Main Categories were: •Making the Situation Safe •Conversing Therapeutically – The Practice of Hope •Team and Organisational Processes: Supporting Therapists. The Core Category is the central feature of this theory. It proposes that the central concern for the therapist is how to stay engaged with the family and the young person in the context of serious risk of self-harm and in situations where change is difficult to achieve and hopelessness can pervade. The therapist has to try to understand and make sense of family members’ distress, and be touched by and open to their feelings of despair and hopelessness without becoming overwhelmed and despairing themselves. The therapist response to this dilemma is the stance of hopefulness. It is both a therapeutic stance and orientation, and is enacted in practice through finding ways to cultivate hope in the therapeutic encounter. While the Core Category is the central ‘story’ the three Main Categories are linked to the Core Category. The Main Category, Making the Situation Safe describes the initial stage of the work, with its focus on ensuring the safety of the young person. The Main Category, Conversing Therapeutically – the Practice of Hope describes how the therapists enacted the ‘practice of hope’. The Main Category, Team and Organisational Processes: Supporting Therapists describes how the context in which the therapists work, the nature of relationships, the team and organisational structures, play a critical role in supporting therapist hope, so that they can withstand the pull to hopelessness. This study aims to make a contribution towards articulating a framework for family therapy with adolescents who self-harm and introduces a new vocabulary – the language of hope and hopelessness.
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Bexley, Jewell Nichole. "Relationship Systems Outside the Therapy Room| A Grounded Theory on Seasoned MFT Doctoral Graduates Utilizing Their Systemic Training in Human Service Team-based Organizations." Nova Southeastern University, 2013.
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Ravagnani, Gabriela Silveira de Paula. "Difusão do construcionismo social entre terapeutas familiares: desafios e potencialidades." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/59/59137/tde-14042015-110146/.
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O campo da terapia familiar tem se desenvolvido a partir de diferentes contribuições teóricas e epistemológicas. Um dos desenvolvimentos recentes da terapia familiar tem se dado a partir da emergência do movimento construcionista social em ciência, levando, dentre outras mudanças, a uma maior ênfase nos processos de comunicação no contexto terapêutico. Considerando a crescente utilização das contribuições do construcionismo social pelos profissionais brasileiros envolvidos na prática clínica, consideramos relevante compreender como tem se dado essa transmissão de conhecimentos do campo teórico para o campo clínico. Assim, o objetivo deste estudo qualitativo é investigar a difusão do discurso construcionista social entre um grupo de terapeutas familiares brasileiros, focando em como este se constitui em um aporte útil para sua prática clínica. Foram entrevistados 14 terapeutas familiares, do sexo masculino e feminino, psicólogos, cuja atividade profissional atual envolve o trabalho com famílias, e possuem responsabilidade docente em institutos de formação em terapia familiar. As entrevistas foram gravadas em áudio e transcritas literalmente e na íntegra. A análise das informações foi realizada a partir das propostas construcionistas sociais em ciência. Parte do processo de análise e discussão dos resultados foi realizada em conjunto com a Profa. Sheila McNamee, Ph.D., durante um estágio de pesquisa na Universidade de New Hampshire. Na análise das entrevistas, focamos em dois eixos de discussão. Primeiramente, discutimos o que os participantes descrevem como sendo o construcionismo social, evidenciando as principais ideias e conceitos do construcionismo que norteiam sua prática e seu posicionamento como terapeutas. No segundo eixo, discutimos de forma crítica e reflexiva três maneiras distintas pelas quais os participantes aplicam as ideias construcionistas na prática, enfatizando implicações, possibilidades e limites que advêm deste uso. Ao longo de toda discussão dos resultados, articulamos a análise proposta com aspectos da difusão do construcionismo entre os participantes. Concluímos, a partir deste estudo, que a difusão do construcionismo social está atrelada às formas pelas quais os terapeutas atribuem utilidade aos conceitos teóricos descritos na literatura. Além disso, a sensibilidade ao construcionismo social é um aspecto da prática clínica que oferece diferentes formas dos terapeutas relacionarem-se com as abordagens do campo da terapia familiar, trazendo convites à prática da auto-reflexividade por parte dos terapeutas. (FAPESP)The field of family therapy has been developed based on different theoretical and epistemological contributions. One of the recently developments of family therapy has taken place based on the contributions of the social constructionist movement in science, leading to an emphasis on the communication processes in the therapeutic context. Considering this increasingly expansion of social constructionists ideas among professionals involved in clinical practice, it is important to know how theoretical knowledge has been incorporated into professional midst. The aim of this study is to investigate dissemination forms of social constructionist discourse among a group of family therapists, focusing on how these ideas are a useful contribution for their clinical practice. We interviewed 14 family therapists, men and women, psychologists, who work with family counseling, and are responsible for teaching social constructionism in family therapy training institutes. All interviews were recorded and literally transcribed. The analysis was carried out based on social constructionisms contributions for research practice. Part of this analysis process was developed in partnership with Professor Sheila McNamee, Ph.D., at the University of New Hampshire, during a research internship. We have divided the meanings made with our participants in two major pillars: Firstly, we discuss the participants definition of social construction, highlighting its main ideas and concepts that guide their clinical practice. Secondly, we critically and reflexively discuss three forms by which our participants apply social constructionism in their practice, emphasizing implications, possibilities and constraints that emerge as a consequence. Throughout these discussions, we articulate our analysis with aspects of dissemination of social constructionisms ideas among the participants. We conclude that the propagation of social constructionists ideas is tied to the utility that family therapists attach to the theoretical contributions of social constructionism. Also, the sensitivity to social constructionisms ideas offers the professionals specific forms by which they can relate to other approaches in family therapy practice. In this sense, this study enhances the importance of self-reflexivity as a quotidian practice of the family therapist. (FAPESP)
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Macchi, C. R. "Systemic change processes : a framework for exploring weight loss and weight loss maintenance processes within the individual and family context." Diss., Manhattan, Kan. : Kansas State University, 2006. http://hdl.handle.net/2097/205.
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Lewis, Traci Lyn. "RELATIONSHIP ADJUSTMENT, PARTNER SUPPORT, AND PSYCHOSOCIAL OUTCOMES FOR WOMEN WITH SYSTEMIC LUPUS ERYTHEMATOSUS." The Ohio State University, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=osu1038260401.
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Rowland, Marcy K. "Family-focused reintegration for youth on parole : evaluation of a state-wide program /." [Bloomington, Ind.] : Indiana University, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3274254.
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Thesis (Ph.D.)--Indiana University, Dept. of Counseling and Educational Psychology of the School of Education, 2007.Source: Dissertation Abstracts International, Volume: 68-07, Section: A, page: 2889. Adviser: Thomas L. Sexton. Title from dissertation home page (viewed Apr. 9, 2008).
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Nolte, Lizette. "Behind closed doors : a grounded theory of the social processes that describe how parents talk to their children about parental mental health difficulties." Thesis, University of East London, 2014. http://repository.tavistockandportman.ac.uk/1531/.
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Since the government commissioned the Crossing Bridges programme in 1998 (Falcov, 1998) and through legislation and a number of government policies and initiatives since, there has been emphasis on addressing the needs of families where there are parental mental health problems. Furthermore, there is a fast-growing body of research pointing to the needs of these families. However, service structures, development and provision have lagged behind. Most often parents with mental health difficulties have access to services addressing their individual mental health needs while their needs as parents and the needs of their children remain largely invisible. One such need that has been highlighted repeatedly in the literature is the need for children to have information about and make sense of their parent’s mental health difficulties. Given the lack of services to respond to this need, it is most often left to the parent to make decisions about and respond to their child’s search for understanding. This study is a qualitative study that explores parents’ experiences of decision-making and responding to this need, and the social processes and dominant discourses that impact on these experiences. Fifteen parents with mental health difficulties were interviewed, using semi-structured individual interviews, which were transcribed, and interpretive Grounded Theory was employed to analyse and interpret the data. The grounded theory that was constructed suggest two main social processes that impact on parents’ talking with their children about parental mental health issues. Firstly, within a relational context, parents were Negotiating mutuality between themselves and their children. Secondly, within an identity context, parents had to navigate Holding on to self, holding on to life. These social processes indicate that both parents’ relationships with their children and also their own sense of themselves within the context of their mental distress powerfully shape telling, talking and keeping silent. Implications of these findings both in relation to clinical interventions and future research are considered. In particular, the importance of positioning the parent as active role-player in the healing of their child, and positioning the child as active role-payer in their own meaning-making, are highlighted. Furthermore, developing ‘double-stories’ beyond the mental health story and beyond ‘information’ is emphasised and the importance of a sense of continuity of self and identity over time for parent and child is accentuated. Finally, the importance of allowing for complex and ever-evolving understandings of mental distress is indicated, and the role of both talking and remaining silent in this process is stressed.
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Endres, Annelize. "Getraumatiseerde adolessente se soeke na hoop 'n pastorale model /." Pretoria : [s.n.], 2009. http://upetd.up.ac.za/thesis/available/etd-10172009-111913/.
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Coulter, S. B. "A study of the effects of Systemic Family Therapy on families who have experienced Trauma : The challenges of conducting a Randomised Controlled Trial in a Community-Based Clinical Setting." Thesis, Queen's University Belfast, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.527674.
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Nebeker, Adams Cara Ann. "The Development of a Reliable Change Index and Cutoff for the SCORE-15." BYU ScholarsArchive, 2018. https://scholarsarchive.byu.edu/etd/7694.
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The Systemic Clinical Outcome and Routine Evaluation version 15 (SCORE-15) is an assessment used to assess for clinical change in family functioning. The SCORE-15 has been demonstrated in the past to be a reliable and valid measure for assessing for clinical change and is largely used throughout the UK. However, the SCORE-15 lacks the ability to determine whether an individual's change in family functioning is clinically significant. This study aims to establish a reliable change index and clinical cutoff score based on a US sample so that researchers and clinicians can determine clinically significant change. A sample of 63 clinical participants and 244 community participants completed the SCORE-15, including 165 community participants who completed the SCORE-15 a second time. Results established a cutoff of 51.92 and a reliable change index of 17.51 for the SCORE-15. This indicates that therapy clients who improve their SCORE-15 score by at least 17.5 points and who cross the threshold of 52 during the course of therapy are considered to have experienced clinical significant improvement.
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Sälde, Edholm Maria. "Att bli förklarad eller förstådd : En studie om intersubjektiv kontakt och förståelse i systemisk familjeterapi." Thesis, Ersta Sköndal högskola, S:t Lukas utbildningsinstitut, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2689.
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I denna undersökning utforskas betydelsen av intersubjektiv kontakt och delad förståelse som en väg att samskapa en förståelseorienterad vägledning i den terapeutiska processen och det dagliga familjelivet. Undersökningens syfte är att utforska båda parters upplevelse av delad förståelse och dess betydelse i systemisk familjeterapi. Frågeställningarna fokuseras på vad som kännetecknar tillstånd av närvaro respektive frånvaro av intersubjektiv kontakt och förståelse. Samt vilken betydelse och vilka konsekvenser denna närvaro/ frånvaro har för terapeut och familj. Undersökningen baseras på fyra kliniska fallbeskrivningar återgivna ur båda parters perspektiv. Genom oberoende intervjuer utforskas båda parters terapierfarenheter efter avslutad terapi. Resultat av studien visar att intersubjektiv närvaro och förståelse i terapin är en nödvändig och avgörande faktor för att utvidga och öka den intersubjektiva kompetensen i systemet. Resultaten visar även på hur denna närvaro i den gemensamma terapeutiska processen blir en sorts modellerande kraft som bär vidare i familjernas vardag. Detta ökar förmågan att ta den andres perspektiv och svara på varandras inre livsvärld. En förståelseorienterad vägledning utvecklas. Resultaten visar god överensstämmelse med teori och forskning inom området. Resultaten har även kliniska implikationer och visar på vikten av att i såväl utbildning som handledning av psykoterapeuter uppmärksamma förståelsens centrala betydelse i det professionella mötet och i klinisk praktik.This study explores the impact of mutual and shared understanding as a way to create an understanding-oriented guidance in family-therapy and in daily family life. The intention is to investigate the reciprocal experience of shared understanding and it ́s significance in family therapi. The questions focus on what charactarizes the states of prescence or abscence of intersubjective contact and understanding as well as what impact these states will have on the therapist and the family. The survey is based on four clinical case-histories reproduced from the therapists and the families ́ perspectives. Independent interviews explore both parties ́ experiences of the therapy after it was completed.Results of the study show that intersubjective presence and understanding during therapy is an essential and vital factor to extend and increase the intersubjective competence in the system. The results also show how the mutual therapeutic process presence is a kind of modeling force that carries on in families' everyday lives. This process developes the ability to take the other ́s perspective and respond to each other ́s inner world. An understanding-oriented guidance evolves. The results show good accordance with theory and research in the actual science field. They also have clinical implications and emphasizes the importance in both training and supervision of psychotherapists to payattention to the central importance of understanding in the professional meeting and in clinical practice.
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Story, Mark D. "Leveraging change using family systems theory to nurture togetherness and a common commitment to ministry between St. Mary's Episcopal Church and St. Mary's Episcopal School /." Theological Research Exchange Network (TREN), 2005. http://www.tren.com/search.cfm?p100-0130.
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Schliep, Corey Dale. "A formative evaluation of a systemic infant mental health program designed to treat infants and their families through a rural community mental health center." Diss., Manhattan, Kan. : Kansas State University, 2008. http://hdl.handle.net/2097/1076.
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Silva, Ana Neri Nascimento da. "Ritos terapêuticos : uma abordagem do sofrimento à resiliência na terapia familiar." Faculdades EST, 2007. http://tede.est.edu.br/tede/tde_busca/arquivo.php?codArquivo=51.
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A dissertação analisa a utilização de rituais terapêuticos na Terapia familiar sistêmica, promovendo a resiliência em situações de sofrimento e crise.A primeira parte aborda os ritos dentro de uma perspectiva antropológica e psicossocial, enfocando a finalidade dos rituais na humanidade, como processo de reconhecimento e inserção do ser humano no grupo social. Aborda, também, os ritos familiares, suas funções e de que maneira os mitos construídos na família influenciam o surgimento do sofrimento.Ainda neste capítulo, é apresentada a terapia familiar sistêmica, a fim de compreender a utilização dos ritos terapêuticos, como técnica utilizada na terapia, principalmente para possibilitar a mudança no sistema terapêutico. A terapia familiar contribui com os estudos sobre o ciclo vital familiar, ajudando a conhecer e identificar as etapas do desenvolvimento, a fim de restaurar vínculos, rupturas e paralisações, que ocasionam surgimento de sintomas na família.A segunda parte analisa a resiliência familiar, tentando compreender como algumas pessoas, apesar de sofrerem enormes adversidades e traumas, adquirem força para vencer a crise, saindo mais fortalecidas.A fim de compreender em que contexto os ritos terapêuticos são aplicados, esta parte, ainda, nos apresenta quem é o terapeuta familiar sistêmico, suas crenças, convicções, seu universo pessoal e profissional.A terceira parte apresenta a pesquisa, realizada com terapeutas de família, onde foram investigadas as suas práticas, com rituais na terapia, assim como objetivo, avaliação e análise dos resultados terapêuticos.Foi analisado em quais etapas do ciclo vital, precisa-se de maior intervenção terapêutica através dos rituais, auxiliando a família a ultrapassar a fase cristalizada, proporcionando vivenciar um rito de passagem. Finaliza com análise dos rituais estudados, sob a perspectiva antropológica, compreendendo os três momentos de um rito: margem, separação e agregação.Os rituais são essenciais no desenvolvimento do ser humano, através deles, a sociedade reafirma seus valores, crenças e sua identidade, oferecendo oportunidade para expressão do individual e coletivo.The dissertation analyses the use of therapeutic rites in systemic family therapy, promoting resilience in situations of suffering and crises. The first part approaches these rites from an anthropologic and psychosocial perspective, focusing in the finality of the rites in mankind as a process of recognition and insertion of the human being in the social cycle. Likewise, it approaches family rites; its functions and how the myths built in the family environment influence the appearance of suffering. Moreover, it is presented the systemic family therapy, in order to understand the use of therapeutic rites as a technique used in therapy, mainly to make a change possible in the therapeutic system. Family therapy contributes with the studies of the family vital cycle, helping to be aware of and to identify the development stages, in order to restore bonds, ruptures and stops, which cause the appearance of symptoms in the family. The second part analyses family resilience, trying to understand how some people, besides suffering enormous adversities and traumas, find power to beat the crises, ending stronger than they were before. In order to comprehend in which context the therapeutic rites are applied, this part also presents to us who is the systemic family therapist, his/her beliefs, his/her convictions, his/her personal and professional universe. The third part presents the research performed with family therapists, where their procedures with rites in therapy were investigated as well as the objective, evaluation and analysis of the therapeutic results. It was analyzed in which stages of the vital cycle more therapeutic intervention is needed with the help of the rites, assisting the family to pass the crystallized stage, providing the experience of a rite of passage. It ends with the analyses of the rites studied from an anthropologic perspective, including the three stages of a rite: margin, dissociation and aggregation. The rites are essential in the development of the human being. By these, society reaffirms its values, beliefs and identity, offering an opportunity to the individual and the collective to express them.
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Rived, Ocaña Mercè. "Adaptación y validación de un instrumento para el estudio de la ética relacional y análisis de su vinculación con la diferenciación del self." Doctoral thesis, Universitat Ramon Llull, 2021. http://hdl.handle.net/10803/672172.
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L’ètica relacional, constructe distintiu i principal de la teràpia contextual, fa referència a una ètica de la cura i de la responsabilitat que hi ha entre les persones i que consisteix a reconèixer i assumir la responsabilitat d’examinar el que s’ha rebut i el que s’ha donat (fer un balanç entre els drets i les obligacions recíproques), i en comprometre’s a mantenir l’equitat d’acord amb la naturalesa de la relació. Inclou els conceptes de confiança, lleialtat i dret; i la justícia funciona com la seva potència reguladora.
La diferenciació del self, constructe central de la teoria familiar sistèmica de Murray Bowen, és un tret que involucra capacitats intrapersonals (moderar la influència de les emocions en el funcionament cognitiu) i interpersonals (equilibrar les forces de separació-intimitat / autonomia i unió-vinculació) i la viabilitat per equilibrar-les.
Aquesta tesi doctoral s’estructura al voltant de dos objectius generals: el primer, traduir i adaptar per a la població espanyola la Relational Ethics Scale (RES), i el segon, analitzar la relació entre ètica relacional i diferenciació del self (utilitzant l’adaptació a l’espanyol del Differentiation of Self Inventory-Revised (S-DSI)) en poblacions clíniques i no clíniques i comparar els resultats obtinguts. Per aconseguir aquests objectius, i després d’haver desenvolupat un treball de revisió de la literatura científica i reflexió teòrica, es va estructurar la tesi en dos estudis. El primer, dut a terme amb una mostra total de 1181 participants, consisteix en la traducció, adaptació i validació d’un instrument de mesura, obtenint la S-RES (Spanish-Relational Ethics Scale). El segon, realitzat amb una mostra no clínica de 1230 subjectes i una altra clínica de 241 subjectes, analitza les connexions que hi ha entre ètica relacional, diferenciació del self i determinades variables sociodemogràfiques.
Gràcies a aquesta investigació, per un costat, és possible comptar amb un instrument psicomètricament vàlid en l’idioma espanyol per mesurar el nivell d’ètica relacional i per l’altre, s’han obtingut resultats empírics que suggereixen que l’ètica relacional i la diferenciació del self estan altament interconnectades i vinculades amb la salut i amb l’assoliment d’una individuació madura. Partint d’aquesta reflexió i resultats, s’ofereixen algunes orientacions per a la pràctica clínica llur aplicació podria afavorir la salut, la qualitat de vida de les persones i el benestar, individual i relacional.La ética relacional, constructo distintivo y principal de la terapia contextual, hace referencia a una ética del cuidado y de la responsabilidad que existe entre las personas y que consiste en reconocer y asumir la responsabilidad de examinar lo que se ha recibido y lo que se ha dado (hacer un balance entre los derechos y las obligaciones recíprocas), y en comprometerse a mantener la equidad de acuerdo con la naturaleza de la relación. Incluye los conceptos de confianza, lealtad y derecho; y la justicia funciona como su potencia reguladora. La diferenciación del self, constructo central en la teoría familiar sistémica de Murray Bowen, es un rasgo que involucra capacidades intrapersonales (moderar la influencia de la emocionalidad en el funcionamiento cognitivo) e interpersonales (equilibrar las fuerzas de separación-intimidad/autonomía y unión-vinculación) y la viabilidad para balancearlas. Esta tesis doctoral se estructura en torno a dos objetivos generales: el primero, traducir y adaptar para la población española la Relational Ethics Scale (RES), y el segundo, analizar la relación entre ética relacional y diferenciación del self (utilizando la adaptación al español del Differentiation of Self Inventory-Revised (S-DSI)) en poblaciones clínicas y no clínicas y comparar los resultados obtenidos. Para lograr estos objetivos, y después de haber desarrollado un trabajo de revisión de la literatura científica y reflexión teórica, se estructuró la tesis en dos estudios. El primero, llevado a cabo con una muestra total de 1181 participantes, consiste en la traducción, adaptación y validación de un instrumento de medida, obteniendo la S-RES (Spanish-Relational Ethics Scale). El segundo, realizado con una muestra no clínica de 1230 sujetos y por otra clínica de 241 sujetos, analiza las conexiones que existen entre ética relacional, diferenciación del self y determinadas variables sociodemográficas. Gracias a esta investigación, por un lado, es posible contar con un instrumento psicométricamente válido en el idioma español para medir el nivel de ética relacional y, por otro, se han obtenido resultados empíricos que sugieren que ética relacional y diferenciación del self están altamente interconectadas y vinculadas con la salud y con el logro de una individuación madura. Partiendo de esta reflexión y resultados, se ofrecen algunas orientaciones para la práctica clínica cuya aplicación podría favorecer la salud, la calidad de vida de las personas y el bienestar, individual y relacional.
Relational ethics, main and distinctive construct of contextual therapy refers to the ethics of responsibility and caring that prevails among people. It involves recognizing and assuming the responsibility of evaluating what one has received and one has given (striking a balance between reciprocal rights and obligations), and making a commitment of upholding fairness according to the nature of the relationship. Relational ethics includes the concepts of trust, loyalty and entitlement; justice works as its regulating power. Differentiation of self, the key construct of Murray Bowen’s systemic family theory, is a trait that involves intrapersonal capacities (moderate the influence of emotion in cognitive functioning) and interpersonal ones (offset separation- intimacy forces/autonomy and togetherness-bonding forces), including the viability of balancing them. This doctoral dissertation is structured around two general objectives: the first, to translate and adapt the Relational Ethics Scale (RES) to the Spanish population, and the second, to analyze the connection between relational ethics and differentiation of self (using the adaptation to the Spanish population of the Differentiation of Self Inventory-Revised (S-DSI)) in clinical and non-clinical populations and compare the results obtained. To achieve these objectives, after developing a scientific literature review and theoretical reasoning, we decided to structure the dissertation in two studies. The first, performed with a total sample of 1181 participants, consists of the translation, adaptation and validation of a measuring instrument, obtaining the S-RES (Spanish-Relational Ethics Scale). The second, involving a non-clinical sample of 1230 subjects and a clinical one of 241 people, analyzes the existing connections between relational ethics, self-differentiation, and certain sociodemographic variables. On the one hand, thanks to this research it is possible to have a psychometrically valid instrument, in Spanish, to measure the level of relational ethics, and on the other, empirical results were obtained, suggesting that relational ethics and differentiation of self are highly interconnected and linked to health and to the achievement of mature individuation. Based on this reasoning and these results, a few guidelines are provided for clinical practice, whose application might benefit people’s health, quality of life, and individual and relational well-being.
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Burbach, Frank Robert. "Developing systemically-oriented secondary care mental health services." Thesis, University of Plymouth, 2013. http://hdl.handle.net/10026.1/1599.
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Research has indicated that offering support and services for people who experience mental health problems and their families is a complex and contested area. Despite the controversies surrounding therapeutic interventions with families, it has now been recognised that relatives and other supporters of people with mental health problems should be included in their care. Whole- family interventions and partnership working with carers and families is now central to secondary care UK mental health policies and clinical practice guidelines. However, for many families/ carers this remains an aspiration rather than a reality. The way in which we successfully developed family focused mental health practice, as well as specialist family interventions (FI) for people who have been given a diagnosis of psychosis, has therefore aroused considerable interest. The Somerset Partnership NHS Foundation Trust has adopted a Strategy to Enhance Working Partnerships with Carers and Families, developed best practice guidance and has established two complementary workforce development projects - the development of specialist family intervention services and the widespread training of mental health staff to create a ‘triangle of care’ with service users and their families. This has resulted in widespread adoption of systemically informed, ‘whole-family’ practice. In response to the widespread difficulties experienced following other staff- training initiatives we developed specialist family interventions (FI) services by means of an innovative one-year course delivered in partnership with Plymouth University. This training initiative has been widely acknowledged for its novel integration of psycho-educational and systemic approaches and the effective in-situ, multi-disciplinary service development model. An advantage of this approach is that by the end of the course a local FI Service has been established and staff experience fewer difficulties in applying their new skills than people trained in other programmes. We then ensure the continued development of clinical skills by means of a service structure that emphasises on-going supervision. Regular audits of the service and in-depth research studies clearly indicate that the service is effective and highly valued by users. Our ‘cognitive-interactional’ approach, which integrates systemic therapy with psychosocial interventions (individual- and family-CBT) within a collaborative therapeutic relationship, enables us to meet the needs of families in a flexible, tailored manner. The FI teams are able to deliver early interventions for people with first episode psychosis, as well as meeting the NICE guidelines for people with longstanding symptoms. Recognising that many families do not require formal family interventions/ therapy, we also have been designing ‘stepped-care’ family intervention services. We have developed, and extensively evaluated, short training packages to enhance working partnerships with families throughout our mental health services. We have used this three-day package to train a range of community and inpatient teams. We have also encouraged family- inclusive practice with the establishment of a trustwide steering group, practice guidelines and the establishment of ‘family liaison’ posts to facilitate family meetings on inpatient units, as part of the assessment process. Both training initiatives explicitly focus on developing systemic thinking, by integrating CBT and systemic therapy. The involvement of families/ carers in the design and delivery of both training initiatives is also crucial.
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Barbosa, Tatiana de Freitas Munia. "Terapia familiar em grupo com familiares de dependentes de drogas." Pontifícia Universidade Católica de São Paulo, 2012. https://tede2.pucsp.br/handle/handle/15116.
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Previous issue date: 2012-05-14Nowadays, drug abuse is a subject that is heavily divulgated and discussed. The drug abuse have increased drastically since the sec. XX. Therefore, it‟s sure that there is a necessity for scientific study in this area, so we will have the knowledge and direction needed for treatments and preventions of drug dependence. This study aim to verify how therapy in group, with the family members of the drug dependence- while getting a deeper comprehension of this issue transferring the problem from the dependent to the family group- collaborates with the progress of the individual, in terms of more adhesion, as we consider the situation as a whole, and so we can get better results for the treatment. Realizing the importance of the family, this theme will be adopted by the view of systemic approach. This is a qualitative study with a mixed methodology character: family therapy, genograms and semi-structurated interviews, using as a base the narratives of the members, because we understand that the meanings are built socially. The study was done in a therapeutic community in São Jose do Rio Preto, state of São Paulo. Nine families participated of the study, and was realized eight sections in group. The results, showed how the members of the family was re-mean their narratives and their behavior throughout the sections. It became clear that the group therapy is very productive, because they pass through the same difficulties, seek for help in each other, talk through the experiences they have being through, and so they get stronger. Plus, the family member has to be seen and treated as the key-word in the treatment process of drug dependence, contributing to the improvement of the familiar relationship, increasing the possibility of the dependent motivated himself and keep in treatment
A dependência de drogas na atualidade é um fenômeno amplamente divulgado e discutido, visto que o consumo de drogas cresceu assustadoramente a partir do século XX. Portanto, fica evidenciada a necessidade da construção de estudos científicos nesta área, para a compreensão e direcionamento de ações preventivas e de tratamento. Esta pesquisa teve como objetivo estudar como a terapia familiar em grupo com os familiares dos dependentes ao gerar uma compreensão mais ampla do problema, então deslocado do membro dependente para o grupo familiar , colabora para o progresso do tratamento desse membro, em termos de maior adesão e melhores resultados do tratamento. Pelo fato de priorizarmos a importância da família, este tema será abordado sob o prisma do pensamento sistêmico. Assim, efetuamos uma pesquisa qualitativa de caráter multimetodológico: terapia familiar em grupo, genograma e entrevistas semiestruturadas, utilizando como base as narrativas dos participantes, pois compreendemos que os significados são construídos socialmente. O estudo foi desenvolvido em uma comunidade terapêutica na cidade de São José do Rio Preto, São Paulo. Participaram do estudo nove famílias e foram realizadas oito sessões em grupo com os familiares. Os resultados mostram como os participantes da pesquisa foram, por meio das narrativas, ressignificando seus comportamentos e suas mudanças nos grupos terapêuticos. Ficou evidenciado que a terapia em grupo é muito produtiva, porquanto os indivíduos enfrentam as mesmas dificuldades, se apoiam, compartilham as experiências vividas e com isto se fortalecem, e também que o familiar deve ser considerado e tratado como uma das peças-chave no processo de recuperação da dependência de drogas, contribuindo para a melhoria das relações familiares e ampliando a possibilidade de o dependente motivar-se e manter-se em tratamento
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Bitter, James, and Gerald Corey. "Family Systems Therapy." Digital Commons @ East Tennessee State University, 1995. https://dc.etsu.edu/etsu-works/6054.
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Bitter, James, and W. Nicoll. "Family systems therapy." Digital Commons @ East Tennessee State University, 2005. https://dc.etsu.edu/etsu-works/6057.
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Bitter, James Robert, and Gerald Corey. "Family Systems Therapy." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/5223.
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Book Summary:
The ninth edition of Corey's best-selling THEORY AND PRACTICE OF COUNSELING AND PSYCHOTHERAPY helps you develop your own counseling style. With this text, you will gain a firm foundation in the major counseling theories (psychoanalytic, Adlerian, existential, person-centered, Gestalt, reality, behavior, cognitive-behavior, family systems, feminist, and postmodern approaches) as they are used in practice. By means of the case of "Stan," you will see how the theory presented in each text chapter informs therapeutic decision making. The "DVD for Theory and Practice of Counseling and Psychotherapy: The Case of Stan and Lecturettes" is an extension of the text. "At a Glance" charts pinpoint the major differences between theories in areas such as multicultural focus, basic philosophies, and limitations.
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Reed, Peggy. "Two perspectives on family systems theory and therapy." Theological Research Exchange Network (TREN), 1986. http://www.tren.com.
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Dragomir, Renne Rodriguez. "Does adherence to IHBT improve family therapy outcomes?" University of Akron / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=akron1587646811820939.
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