Bitter Theory and Practice of Family Therapy and Counseling Pdf

  • Introduction to family therapy
  • What is family therapy?
  • How does family therapy work?
  • What is involved with family therapy?
  • Effectiveness of family therapy
    • Schizophrenia
    • Depression
    • Bipolar disorder
    • Anorexia nervosa
  • Cost of family therapy


Introduction to family unit therapy

Family therapyFamily therapy, sometimes called family unit focus therapy or family unit systems therapy, is a type of psychological therapy that works to change the relationships within families to help them improve deal with a wide range of issues.

Family therapy helps family members discover constructive means to help each other. Due to this flexibility, family unit therapy is useful in a wide range of situations. Family therapy can be useful in childhood and developed conditions including conduct and mood disorders, eating disorders, drug abuse and psychiatric conditions as well as couples experiencing difficulties. Family unit therapy is useful throughout life and can be especially useful in the treatment of long term illness such equally depression.

Family therapy usually works within family unit groups merely ofttimes includes work with people on an individual ground or, when advisable, individual sessions within a serial of family meetings. Family unit therapy may also include the social networks around families.


What is family therapy?

Family therapy is a possible handling for a number of conditions including serious psychiatric illnesses such as depression and schizophrenia. Family therapy is based on 2 principles:

  • Many illnesses are made worse past a dysfunctional family
  • Close family unit relationships are often the most important supports a person has, and therefore are extremely important in whatsoever long term treatments

Family therapy can be defined equally any psychological treatment that focuses on:

  • Changing the way family members collaborate
  • Improving the operation of the family as a unit
  • Improving the functioning of individuals in the family


How does family therapy work?

There are several types of family unit therapy which tin oft exist used in together. These include:

  • Psycho education: This focuses on teaching a family about an illness to change whatever negative (and possibly false) ideas that family unit members may have virtually the disease.
  • Teaching coping skills
  • Behavioural models: These work on teaching parents nearly positive and negative reinforcement to help parents with difficult child behaviour.
  • Systemic models: These consider that dysfunctional family relationships often worsen an illness and therefore improving family relationships will improve symptoms.
  • Structural family therapy: This focuses on restoring proper family construction and organisation.
  • Post-Milan family therapy: This focuses on communication betwixt family members.
  • Solution focused therapy: This focuses on identifying each family member's strengths and so using these strengths to assistance solve issues.

These are just some of the dissimilar strategies that tin be used during family therapy to aid overcome whatsoever bug that a family unit, or family unit member, may be experiencing.


What is involved in family unit therapy?

Family unit therapy is not a quick and easy solution and requires fourth dimension and attempt to piece of work well. Families undertaking family therapy must realise that family therapy involves both formal sessions and homework, where the newly learned skills and techniques must be put into exercise, all day, every day. The number of formal sessions varies considerably depending on the illness and family unit dynamics. Usually between five and 20 sessions are required. Sessions ordinarily involve a family therapist meeting several members of the family at the same time (this allows any issues between family members to be resolved straight and allows the therapist to accurately assess the family). There are besides often individual sessions and possibly sessions involving the wider family or other significant friends.


Effectiveness of family therapy

Family therapyFamily therapy has been shown to be of apply in a number of unlike atmospheric condition. In that location is good prove that family unit therapy is very useful in the following childhood and adolescent conditions:

  • Conduct disorders
  • Substance corruption
  • Eating disorders (such equally anorexia)
  • Behavioural disorders (including inattention and hyperactivity)

In adults, family therapy has been shown to be useful in:

  • Psychotic disorders (including schizophrenia)
  • Mood disorders (including low and bipolar disorder)
  • Drug abuse
  • Eating disorders
  • Union and couple counselling
  • Chronic pain direction
  • Anxiety disorders
  • Obsessive compulsive disorders


Schizophrenia

Patients with schizophrenia often come up from family unit groups that have loftier levels of hostility or criticism. Because of this, family therapy has for a long fourth dimension been suggested equally a possible treatment for schizophrenia.

At that place is now extensive evidence for the apply of family unit therapy in schizophrenia. The first studies to testify that family unit therapy was useful in schizophrenia where published in the 1970s and from this time there has been a lot of enquiry into the employ of family unit therapy for schizophrenia. The different types of family unit therapy that take been used include the more traditional psycho-instruction component and advice improvement as well as more novel approaches including motivational interviewing, crisis handling therapy and fifty-fifty relaxation therapy. The number and blazon of family therapy sessions required vary depending on the particular person and family unit

The results of a mayor review of the research found that family therapy did reduce the symptoms and and may too reduce the number of times that a patient had to exist placed into hospital. Family therapy was likewise useful in reducing the isolation and the social withdrawal that many people who endure from schizophrenia feel. Another benefit of family unit therapy is that people who receive family therapy often have their medications more than regularly and as a result have fewer symptoms and a amend quality of life.

Schizophrenia For more information on schizophrenia and its treatments, and some useful tools, animations and videos, see Schizophrenia.


Depression

Family therapy is frequently used in depression. Numerous different types of family unit therapy take been investigated for the treatment of low and while in that location is all the same some disagreement about how useful family therapy is for low. Family therapy has been shown to be very useful in some patients the show is not as solid equally for other forms of psychological therapy, especially cognitive behavioural therapy.

An important topic to as well consider is the use of family therapy in children and adolescences with low. A recent study looked at children with depression and offered these children a family therapy program of 12 to 16 ane hour sessions over a 5 calendar month menstruum. The family therapy focused on communication and problem solving skills and included education and role playing to practice new skills. The results were that two thirds of the children and adolescents had recovered from their depression when the plan finished and that three quarters had recovered ix months afterward the treatment. This demonstrated that although there many be doubt about the use of family unit therapy in adults information technology is a very good treatment for children and adolescents with depression.


Bipolar disorder

Family unit therapy for bipolar disorder has been used for many years as an addition to medications. The main types of family unit therapy that are used include psycho education, family cognitive behavioural therapy and communication therapy (such equally the post-Milan type therapy). Still, despite its long term employ there is not much evidence for the use of family unit therapy in bipolar disorder. Inquiry has shown only small improvements in symptoms in the short term and no real improvements in the long term (in terms of months and years). More research is needed to provide the answers about the utilise family unit therapy in bipolar disorder.


Anorexia nervosa

There is good research most the use of family therapy in anorexia nervosa. Originally, family therapy was shown to be useful in people who had very bad anorexia and needed to be placed in hospital to have their weight restored. In these people family therapy was shown to be useful in helping keep a healthy weight subsequently they left hospital. In that location has now been more work done that shows that family therapy is also very useful in people with less severe anorexia. In these people family therapy can event in quick weight gain and more importantly help keep the weight stable in the long term (up to 5 years have been looked at and many people still had stable weight). Unlike the very fourth dimension consuming and restrictive treatments of anorexia that frequently demand the person to stay in infirmary for a long period of time family unit therapy tin be run (with the person at domicile) as a series of virtually twenty sessions over the course of a yr.

Family unit therapy is useful for both adolescences and adults with anorexia nervosa. For adolescents family therapy encourages the parents to take control of the adolescent's eating. An example is a three stage program. In Stage ane the parents (and siblings) are tasked with restoring the adolescent's weight. In phase 2 the parents gradually give the adolescent control over eating. Phase 3 finishes the program by addressing the broader concerns of the boyish (such as body image issues). Although such a program may seem very difficult research shows that such programs are generally well received past the families and often have very good outcomes in maintaining healthy trunk weight.


Cost of family unit therapy

While there is good evidence that family therapy is a very useful tool many people are concerned about the high cost of family unit therapy. Withal, this was recently analysed and information technology was constitute that family therapy tin actually significantly reduce healthcare costs. This is because if the family therapy is helps then the person (and their family unit) will use less healthcare services (such as dr.'s appointments, medications, etc) and in that location will be an overall saving, both to the family and the wider community.

More information

Parenting For more information on diverse aspects of parenting, see Parenting.

References

  1. Cottrell D, Boston P. Practitioner review: the effectiveness of systemic family therapy for children and adolescents. Periodical of Child Psychology and Psychiatry 2002;43(5):573–86.
  2. Henken HT, Huibers MJH, Churchill R, Restifo K, Roelofs J. Family unit therapy for depression. Cochrane Database of Systematic Reviews 2007, Consequence 3. Fine art. No.: CD006728.
  3. Sprenkle D, Bischof G. Gimmicky family therapy in the United States. Journal of Family unit Therapy 1994; 16(1): 5-23.
  4. Stratton, P. Report On The Evidence Base Of Systemic Family unit Therapy. Association for Family Therapy 2005.
  5. Murphy K. Treatment Strategies for a Case of Astringent ADHD. J Atten Disord 2007; 11; 407
  6. Griswold Grand, Aronoff H, Kernan J, Kahn 50. Adolescent Substance Utilize and Abuse: Recognition and Management. Am Fam Physician. 2008;77(three):331-336.
  7. Carr Evidence-Based Do in Family Therapy and Systemic Consultation I: Child focused bug. Journal of Family Therapy 2000; 22: 29-sixty.
  8. Asen, E. Event research in family therapy. Advances in Psychiatric Treatment 2002;  eight: 230-8.
  9. Pharoah F, Mari J, Rathbone J, Wong W. Family intervention for schizophrenia. Cochrane Database of Systematic Reviews 2006, Event iv. Fine art. No.: CD000088.
  10. Bressi C, Manenti Southward, Frongia P, Porcellana Grand, Invernizzi Yard. Systemic Family Therapy in
    Schizophrenia: A Randomized Clinical Trial of Effectiveness. Psychother Psychosom 2008;77:43–49
  11. Thompson G, Pierre C, Haber F, Fogler J etal. Family-focused Treatment for Childhood-onset Depressive Disorders: Results of an Open Trial. Clinical Child Psychology and Psychiatry Copyright 2007;  12(3): 403–20.
  12. Justo LP, Soares BGO, Calil HM. Family interventions for bipolar disorder. Cochrane Database of Systematic Reviews 2007, Issue 4. Art. No.: CD005167.
  13. Loeb K, Walsh T, Lock J, Le Grange D etal. Open up Trial of Family-Based Treatment for Total and Partial Anorexia Nervosa in Adolescence: Testify of Successful Dissemination. American Academy of Child and Adolescent Psychiatry 2007; 46(7): 792-800.
  14. Crane D. Research on the Cost of Providing Family Therapy: A Summary and Progress Report. Clinical Kid Psychology and Psychiatry Copyright 2007; 12(two): 313–320.

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