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Working with Families


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Table of Contents

PREFACE xi ACKNOWLEDGMENTS xiii CHAPTER 1: FOUNDATION IDEAS 1 Introduction 2 Part 1: Concepts 3 Learning Family Counseling 3 Why Family Work? 4 Assumptions of a Family Systems Model 5 The Systems Orientation in Theory 6 The Systems Orientation in Practice 7 The Systems Orientation in Concepts 8 Levels of Systems Interventions 9 Cause and Effect in Systems 11 The Systems-Oriented Program Assessment 12 Code of Ethics 13 Cultural Sensitivity 14 Uses of Family Counseling 16 Forms of Family Work 17 Family Work in Different Settings 18 Suggestions for Family Work in Different Settings 20 Rationales for This Approach 22 Bedrock Beliefs About Families 23 A Theory of Change 24 Children Raise Adults 25 Neglected Relationships in Family Counseling 26 Getting a Grip on the Obvious 27 Experience Is Primary 28 Too Many Variables 29 Too-Brief Family Counseling 30 Traveling Pairs of Concepts 31 Research on Marital and Family Therapy 32 Part 2: Procedures and Processes 37 Recruiting Families for Counseling 37 Conducting the Initial Family Interview 40 Initial Interview Summary 42 Tips for the First Family Interview 43 Four Basic Tools for Family Counseling 44 General Guidelines 46 If the Presenting Problem Is a Child or Young Person 49 If the Presenting Problem Is a Marital or Couples Issue 51 General Clinical Suggestions 53 Session-by-Session Guidelines 56 Session Checklist for Family Counseling 57 CHAPTER 2: SPECIAL SITUATIONS 58 Introduction 59 Therapeutic Themes by Family Type (Child Identified Patient) 60 Blended and Single-Parent Families 62 Blended Families: Tips for Two Common Scenarios 64 The Powerless Parent 65 The Parental Mind-Set 66 Parent-Child Enmeshment 67 ??Split?? Parenting 68 Parental Denial 69 Difficult Parents 70 Child Diagnosis in Plain English 71 The Three Worlds of the Adolescent 73 Managing Adolescents in Family Sessions 74 Couples Work 75 Couples Counseling: Additional Tips 77 Closed Families 78 Friends as Family 79 Family Resistance 80 CHAPTER 3: COUNSELOR IDEAS 83 Introduction 84 Fear of Family Work 85 Inexperienced vs. Experienced Family Counselors 86 A Novice?s First Family Interview 87 Counseling Style 89 Counselor Mistakes 92 Counselor Successes 93 Counselor Self-Disclosure 94 Induction Worksheet 95 Whose Family Stuff Is It? 96 Use of Self 97 Counselor Centrality 98 Colleague Consultation 99 Supervising Family Work 100 Review Lists for Family Counselors 101 Questions and Answers 105 CHAPTER 4: TECHNIQUES 106 Introduction 107 Alter Ego 108 Brief Network Intervention (BNI) 109 Chair Work 111 Circular Questions 112 Colleague Teamwork 113 Drawings 115 Family Mapping 117 Family Questions in Individual Counseling 119 Guardrail 120 The MIGS Sheet 121 New Talk 126 Paradox 127 Parent?s Childhood 128 Reflecting Team 129 Reframing 130 Relabeling 133 Safe Rebellion134 Sculpting and Movement 135 Sibling Talk 137 Strategic Child Assessment 138 Strategic Predictions 139 Toybox 140 Worried Child 141 Summary of Systemic Techniques 142 CHAPTER 5: MULTIPLE FAMILY GROUPS 143 Introduction 144 Suggested Procedures for Multiple Family Groups 145 Family Recruitment for Multiple Family Groups 145 Clinical Tips 146 Therapeutic Activities 147 CHAPTER 6: WORKING WITH CHEMICAL DEPENDENCY IN FAMILIES 149 Introduction 150 A Working Definition of Chemical Dependency 151 Drugs of Abuse 152 Chemical Dependency 153 The Disease Concept 154 Indirect Signs of Chemical Dependency 155 Identification of Chemical Dependency in a Family 156 Questions for Family Assessment of Chemical Dependency 156 Treatment of Chemical Dependency 157 Recovery 158 Stages of Recovery 159 Recovery Plan 160 Families in Early Recovery 161 Relapse 162 Common Patterns in Chemically Dependent Families 163 Two Parent?CD Parent 164 Two-Parent?CD Adolescent 165 ??Good?? Kid/??Bad?? Kid 166 CD Single Parent 167 Single-Parent?CD Adolescent 168 The Golden Years Trap 169 Adolescent Substance Abuse 171 Adolescent Substance Use Checklist 172 Co-Dependency 173 Couples Work for Chemical Dependency 174 Working With Chemical Dependency in Families: 21 Guidelines 176 Family Counseling for Chemical Dependency: Summary 178 APPENDIX A: RESEARCH REFERENCES 179 APPENDIX B: PROBLEMS AND PAGE NUMBERS 182 GLOSSARY FOR FAMILY COUNSELING 183 RECOMMENDED READINGS 185 ABOUT THE AUTHOR 187 INDEX 189

About the Author

John T. Edwards, PhD, is an Approved Supervisor in the American Association for Marriage and Family Therapy (AAMFT), an adjunct faculty member at Duke University Medical Center in Durham, North Carolina, a private trainer, and a consultant. He has conducted and supervised family therapy for more than twenty-five years and has served as director of counseling in a family health center and clinical director of an inpatient family care program. He has written two books on working with families and conducted hundreds of training events in the United States and Canada.

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