箱庭疗法应用于家庭治疗的理论背景与临床实践

心理咨询与治疗领域出现了整合的趋势,将箱庭疗法应用于家庭治疗是这一趋势下的成功尝试。箱庭疗法应用于家庭治疗的理论背景是家庭治疗与游戏治疗的整合以及箱庭疗法在团体治疗中的应用。箱庭疗法应用于家庭治疗的临床实践包括家庭评估、家庭治疗、夫妻治疗、家庭治疗师督导,这些临床实践的开展为儿童青少年心理咨询与治疗方法的发展提供了有益的启示。     

家庭治疗在我国临床实践中的应用

家庭治疗作为心理治疗领域的"第四势力",将个体置于关系之中去考察其心理问题,通过改变家庭成员围绕症状所表现出来的交往方式,从而达到治疗症状的治疗方法.该疗法的研究与实践很快渗透到心身疾病,成瘾、抑郁、强迫、精神分裂症等许多领域,在临床实践中得到广泛的使用并取得了较好的效果.     

Family Therapy Training in Clinical Psychology Programs

In a national questionnaire survey of graduate programs offering the Ph.D. or Psy.D. in clinical psychology, the status of family therapy training was examined. With a 79 per cent response rate (102 programs), the study found that 10 per cent of the nationwide faculty identified themselves as primarily family therapy oriented, 32 per cent of the programs had no family-oriented faculty members, 18 per cent of all psychotherapy courses were family therapy courses, and 21 per cent of the schools had no family therapy course. The ratings of the importance of providing students with family therapy training were found to be unrelated to the number of family therapy courses available but positively correlated with the percentage of family therapy courses within the total curriculum.     

家庭治疗在我国临床实践中的应用

家庭治疗作为心理治疗领域的“第四势力”,将个体置于关系之中去考察其心理问题,通过改变家庭成员围绕症状所表现出来的交往方式,从而达到治疗症状的治疗方法。该疗法的研究与实践很快渗透到心身疾病,成瘾、抑郁、强迫、精神分裂症等许多领域,在临床实践中得到广泛的使用并取得了较好的效果。     

Family Secrecy in Family Therapy Practice: An Explorative Focus Group Study

The aim of this focus group study was to explore the experiences of family therapists working with family secrecy. Our study highlights that family secrets present important and compelling challenges for family therapists. Furthermore, our study reveals that there seem to be some basic strategies family therapists use in dealing with these challenges in therapy sessions. One basic strategy is that family therapists try to guard their position of being a trustworthy therapist for each family member by avoiding becoming stuck in family secrecy. Furthermore, therapists explore ways to guide the family toward the disclosure of the secret in order to alleviate the toxicity of the secrecy. This highlights the importance of the systemic model and how influential this perspective is in family therapy practice. Some participants, however, have in addition a second strategy they sometimes use: talking with the family about secrecy without aiming to disclose the secret. In the discussion section of the article we reflect on the possibility that in the strategic choices family therapists make conceptual issues might be involved. Furthermore, we stress the importance of further research.     

Third‐Order Thinking in Family Therapy: Addressing Social Justice Across Family Therapy Practice

We contend that the field of family therapy is undergoing a notable shift from second‐ to third‐order thinking. We offer theoretical support and examples to demonstrate how third‐order thinking provides a framework for integrating heightened sociocultural attunement into family therapy practice. We discuss the importance of third‐order thinking relative to being prepared to invite families into third‐order change. Finally, we offer a case example to show specific guidelines for third‐order practice.     

Evidence-Based Practice in Family Therapy and Systemic Consultation II

Evidence for the effectiveness of family-based treatments from critical literature reviews and controlled trials is considered for the following list of adult-focused problems: marital distress, psychosexual problems, anxiety disorders, mood disorders, psychotic disorders, alcohol abuse, chronic pain, and the family management of neurologically impaired adults. Evidence-based practices which may be used within the context of marital and family therapy and systemic consultation arising from the review are discussed.     

Cotherapy Teams and One-Way Screen in Family Therapy Practice and Training

This paper considers the major dimensions of the combined use of active observers, message delivery, and the one-way screen for both therapeutic and educational use in the field of family therapy.     

Practice and Training in Family Therapy: A Known Group Study

The present study reports on a comparative survey of the belief and action systems of graduates who had been intensively trained in one of three of the major models of family therapy: Bowenian, communications, and strategic. An analysis of the factor-analyzed assumptions (belief system) and style (action system) items showed consistently greater divergence among the three models than convergence, as well as a remarkable synchronicity between the respective literature on these three models and their implementation, as represented by family therapists intensively trained in each model. A comparison of the present study's findings with previous research strongly supports the potency of formal and intensive training for developing adherents of a particular model and suggests that the distinctiveness of each model needs to be more fully developed in preference to premature attempts to develop generic or inclusive models that may become internally inconsistent and therefore difficult to operationalize in practice.     

Current Issues in the Practice of Integrative Couple and Family Therapy

This paper provides an overview of current issues in integration in couple and family therapy. It summarizes the evolution of integration in couple and family therapy, the various traditions in integration, the strengths of integrative approach, and the possible pitfalls involved. It highlights the extent to which most couple and family therapy is now integrative practice. It concludes with a consideration of an emerging trend toward methods of practice centered on modules of intervention that have been identified as effective with certain presenting phenomena. The example of therapy for high conflict divorce is utilized to illustrate how various components can be brought together to create a maximally effective intervention.     

The Evolution and Modern Practice of Interpersonal Process Family Therapy

This article recognizes rapprochement between intervention theories, and asserts that contemporary recognition of the effects from the therapist-client relationship supports that family therapists should embrace interpersonal process. Specific guiding principles are posited.     

Some Hypotheses about Hesitations and their Nonverbal Expression in Family Therapy Practice

When people seek therapy they have stories to tell. In the course of the therapeutic conversation the clients continually make selections about what they want to tell, and what they want to keep silent. In this article the author focuses on the border zone between the said and the not-yet-said, and proposes three hypotheses about the client's hesitations about speaking in the family therapy session. In these hypotheses 'hesitation' is used as a metaphor to give meaning to some nonverbal utterances of clients in such a way that space is opened up in a respectful way for as-yet untold stories. I suggest that it is fruitful to think of certain nonverbal utterances of the clients as hesitations to proceed with the conversation, and to use these nonverbal utterances, in the line of Tom Andersen's thinking (1995), as a starting point for a respectful dialogue with the family about the good reasons they might have not to speak. Not only can this open up space for as-yet unspoken stories, it can also help the therapist to establish a collaborative therapeutic relationship with the family. These ideas are illustrated with several case studies.     

Values in Family Therapy Practice and Research: An Invitation for Reflection

Values have been shown to be a pervasive part of both marriage and family therapy (MFT) clinical practice and research. Yet, many therapists and researchers remain unclear about how values affect their work. This article examines the influence of Western philosophical assumptions and therapy traditions in light of current understandings of values in therapy. The influence of values in MFT research processes is similarly examined. Implications for how family therapy professionals can be more reflective and sophisticated in their understanding of values in clinical practice and scientific inquiry are discussed. Suggestions for addressing values in MFT training also are given.