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Patricia L. Papernow 《Family process》2018,57(1):25-51
This article draws on four decades of research and clinical practice to delineate guidelines for evidence‐informed, clinically sound work with stepfamilies for couple, family, individual adult, and child therapists. Few clinicians receive adequate training in working with the intense and often complex dynamics created by stepfamily structure and history. This is despite the fact that stepfamilies are a fundamentally different family form that occurs world‐wide. As a result many clinicians rely on their training in first‐time family models. This is not only often unhelpful, but all too often inadvertently destructive. The article integrates a large body of increasingly sophisticated research about stepfamilies with the author's four decades of clinical practice with stepfamily relationships. It describes the ways in which stepfamilies are different from first‐time families. It delineates the dynamics of five major challenges stepfamily structure creates: (1) Insider/outsider positions are intense and they are fixed. (2) Children struggle with losses, loyalty binds, and change. (3) Issues of parenting, stepparenting, and discipline often divide the couple. (4) Stepcouples must build a new family culture while navigating previously established family cultures. (5) Ex‐spouses (other parents outside the household) are part of the family. Some available data are shared on the impact of cultural and legal differences on these challenges. A three‐level model of clinical intervention is presented: Psychoeducational, Interpersonal, and Intrapsychic/Intergenerational Family‐of‐Origin. The article describes some “easy wrong turns” for well‐meaning therapists and lists some general clinical guidelines for working with stepfamily relationships. 相似文献
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Michal Shamai Guy Enosh Ronit Machmali‐Kievitz Dvorit Gilad 《Journal of Family Therapy》2018,40(3):349-377
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The SCORE (Systemic Clinical Outcome and Routine Evaluation) is a 40‐item questionnaire for completion by family members 12 years and older to assess outcome in systemic therapy. This study aimed to investigate psychometric properties of two short versions of the SCORE and their responsiveness to therapeutic change. Data were collected at 19 centers from 701 families at baseline and from 433 of these 3–5 months later. Results confirmed the three‐factor structure (strengths, difficulties, and communication) of the 15‐ and 28‐item versions of the SCORE. Both instruments had good internal consistency and test–retest reliability. They also showed construct and criterion validity, correlating with measures of parent, child, and family adjustment, and discriminating between clinical and nonclinical cases. Total and factor scales of the SCORE‐15 and ‐28 were responsive to change over 3–5 months of therapy. The SCORE‐15 and SCORE‐28 are brief psychometrically robust family assessment instruments which may be used to evaluate systemic therapy. 相似文献
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Trends in popular belief about same‐sex relationships have undergone noteworthy change in the United States over the last decade. Yet this change has been marked by stark polarizations and has occurred at varying rates depending upon regional, community, racial, religious, and individual family context. For queer youth and their families, this cultural transformation has broadened opportunities and created a new set of risks and vulnerabilities. At the same time, youth's increasingly open and playful gender fluidity and sexual identity is complicated by unique intersections of class, race, religion, and immigration. Effective family therapy with queer youth requires practitioner's and treatment models that are sensitive to those who bear the burden of multiple oppressions and the hidden resilience embedded in their layered identities. We present case examples of our model of family therapy which addresses refuge, supports difficult dialogs, and nurtures queerness by looking for hidden resilience in the unique intersections of queer youths' lives. These intersections provide transformational potential for youth, their families and even for family therapists as we are all nurtured and challenged to think more complexly about intersectionality, sexuality, and gender. 相似文献
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William D. Parham Caroline S. Clauss‐Ehlers 《Journal of multicultural counseling and development》2016,44(3):156-175
Our distinguished guest for the 3rd installment in this inaugural Hearing our Elders series is former First Lady Rosalynn Carter. Mrs. Carter is arguably among the most active former First Ladies since she and her husband, the 39th President of the United States, James Earl “Jimmy” Carter, left the White House in 1981. The zeitgeist of the mid‐1950s through the 1970s provides the context that frames Mrs. Carter's responses to questions about her involvement in the mental health movement that continues to the present day. The historical as well as contemporary social and political environments relative to understanding and appreciating mental health and wellness in the United States, then and now, are explored and illuminated in portions of the interview with Mrs. Carter. The interview revealed 6 critical themes: really listening with an empathic ear, resilience/persistence, commitment across time, thinking like a global citizen, a quiet‐storm leadership style, and self‐discovery in service to others. Nuestra distinguida invitada en la 3ª entrega de esta serie inaugural de Escuchar a Nuestros Mayores es la ex Primera Dama Rosalynn Carter. La señora Carter es sin duda una de las ex primeras damas más activas desde que en 1981 dejó la Casa Blanca junto con su marido, el 39° Presidente de los Estados Unidos James Earl “Jimmy” Carter. El espíritu cultural del periodo entre la mitad de la década de los años 50 hasta los 70 proporciona el contexto en el que se enmarcan las respuestas de la señora Carter a preguntas sobre su implicación en el movimiento para la salud mental que continúa hasta hoy. Los entornos social y político de ayer y hoy, tanto en su perspectiva histórica como contemporánea, y cómo estos se relacionan con la comprensión y valoración de la salud y bienestar mental en los Estados Unidos se exploran e ilustran en varios segmentos de la entrevista con la señora Carter. Esta entrevista reveló 6 temas críticos: la escucha con atención y empatía, la resiliencia/persistencia, el compromiso a lo largo del tiempo, el pensamiento como ciudadanos globales, un estilo de liderazgo firme pero calmado, y el autodescubrimiento a través del servicio a otros. 相似文献
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Jorge Arévalo Ferrera 《Estudios de Psicología》2013,34(43-44):169-193
ResumenDespués de mencionar los postulados básicos que subyacen a los modelos tradicionales de terapia familiar a los que se han planteado serias críticas, se revisan nuevos modelos que superan estas limitaciones. Estos nuevos modelos de intervención familiar comparten dos características principales: considerar a los familiares aliados naturales del proceso de rehabilitación del paciente y basarse en el empleo de estrategias terapéuticas claramente operacionalizadas. Se describen brevemente cuatro de estas estrategias y se revisa la evidencia que apoya su eficacia: la terapia familiar orientada a la crisis de Goldstein, el paquete de intervenciones psicosociales desarrollado por Leff y cols., la terapia familiar conductual de Falloom y el programa de psicoeducación familiar de Anderson y cols. Su eficacia es analizada en términos de la disminución observada en las tasas de recaídas y en la consecución de otros beneficios para el paciente y la familia. Se señalan un conjunto de principios generales que deben presidir las intervenciones con estas familias. Por último, se hace una reflexión acerca de algunas deficiencias que estudios futuros han de subsanar para poder alcanzar unas conclusiones más sólidas sobre la eficacia de estos nuevos procedimientos terapéuticos. 相似文献
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Christine J. Yeh Noah E. Borrero Patsy Tito 《Journal of multicultural counseling and development》2013,41(2):96-107
This study investigated family intergenerational conflict and collective self‐esteem as predictors of depression in a sample of 128 Samoan middle and high school students. Simultaneous regression analyses revealed that each independent variable significantly contributed to an overall model that accounted for 13% of the variance in depression. Implications for counseling research and practice are discussed in terms of how schools may consider ways to promote these youth's cultural worth and positive family dynamics. Este estudio investigó el conflicto familiar intergeneracional y la autoestima colectiva como predictores de depresión en una muestra de 128 estudiantes samoanos de enseñanza media y secundaria. Los análisis simultáneos de regresión revelaron que cada variable independiente contribuyó de forma significativa a un modelo general que explicó un 13% de la varianza en depresión. Se discuten las implicaciones para la investigación y práctica de la consejería, en términos de cómo las escuelas pueden considerar formas de promover el valor cultural de estos jóvenes y una dinámica familiar positiva. 相似文献