Family therapy

Intervention

ICD-9-CM

94.42

MeSH

D005196

Family therapy, also referred to as couple and family therapy, family systems therapy, and family counseling, is a branch of psychotherapy that works with families and couples in intimate relationships to nurture change and development. It tends to view change in terms of the systems of interaction between family members. It emphasizes family relationships as an important factor in psychological health.
Terapi keluarga, juga dirujuk sebagai terapi pasangan dan keluarga, terapi sistem keluarga, dan kaunseling keluarga, cawangan psikoterapi yang bekerja dengan keluarga dan pasangan dalam hubungan intim untuk memupuk perubahan dan pembangunan. Ia cenderung untuk melihat perubahan dari segi sistem interaksi di antara ahli keluarga. Ia menekankan hubungan kekeluargaan sebagai faktor yang penting dalam kesihatan psikologi

What the different schools of family therapy have in common is a belief that, regardless of the origin of the problem, and regardless of whether the clients consider it an "individual" or "family" issue, involving families in solutions is often beneficial. This involvement of families is commonly accomplished by their direct participation in the therapy session. The skills of the family therapist thus include the ability to influence conversations in a way that catalyzes the strengths, wisdom, and support of the wider system. Apa yang sekolah-sekolah terapi keluarga yang berbeza telah bersama-sama adalah satu kepercayaan bahawa, tanpa mengira asal-usul masalah, dan tidak kira sama ada pelanggan menganggapnya "individu" atau "keluarga" isu yang melibatkan keluarga dalam penyelesaian sering bermanfaat. Penglibatan keluarga ini biasanya dicapai dengan penyertaan secara langsung dalam sesi terapi. Kemahiran ahli terapi keluarga itu termasuk keupayaan untuk mempengaruhi perbualan dalam cara yang catalyzes kekuatan, kebijaksanaan, dan sokongan sistem yang lebih luas.

In the field's early years, many clinicians defined the family in a narrow, traditional manner usually including parents and children. As the field has evolved, the concept of the family is more commonly defined in terms of strongly supportive, long-term roles and relationships between people who may or may not be related by blood or marriage.

Dalam tahun-tahun awal bidang perubatan banyak ditakrifkan keluarga dengan cara yang sempit, tradisional biasanya termasuk ibu bapa dan kanakkanak.Sebagai bidang yang telah berkembang, konsep keluarga lebih sering ditakrifkan dari segi kuat menyokong, peranan dan hubungan jangka panjang antara orang-orang yang mungkin atau tidak mungkin berkaitan dengan darah atau perkahwinan. Terapi keluarga telah digunakan dengan berkesan dalam lingkungan yang penuh dengan dilema manusia, tidak ada kategori hubungan atau masalah psikologi yang belum ditangani dengan pendekatan ini [petikan diperlukan] rangka kerja konsep yang dibangunkan oleh ahli-ahli terapi keluarga, terutama orang-orang yang sistem keluarga ahli-ahli teori., telah digunakan untuk pelbagai tingkah laku manusia, termasuk dinamik organisasi dan kajian kebesaran. Family therapy has been used effectively in the full range of human dilemmas; there is no category of relationship or psychological problem that has not been addressed with this approach.[citation needed] The conceptual frameworks developed by family therapists, especially those of family systems theorists, have been applied to a wide range of human behavior, including organizational dynamics and the study of greatness.

Contents

1 History and theoretical frameworks 2 Techniques 3 Publications 4 Licensing and degrees o 4.1 Values and ethics in family therapy 5 Founders and key influences 6 Summary of Family Therapy Theories & Techniques 7 Academic resources 8 Professional Organizations 9 See also 10 References 11 External links

[edit] History and theoretical frameworks

Formal interventions with families to help individuals and families experiencing various kinds of problems have been a part of many cultures, probably throughout history. These interventions have sometimes involved formal procedures or rituals, and often included the extended family as well as non-kin members of the community (see for example Ho'oponopono). Following the emergence of specialization in various societies, these interventions were often conducted by particular members of a community for example, a chief, priest, physician, and so on - usually as an ancillary function.[1]

kandungan 1 Sejarah dan rangka kerja teori 2 Teknik 3 Penerbitan 4 Pelesenan dan darjah o 4.1 Nilai dan etika dalam terapi keluarga 5 Pengasas dan pengaruh penting 6 Ringkasan Teori & Teknik Terapi Keluarga 7 sumber Akademik 8 Pertubuhan Profesional 9 Lihat juga 10 Rujukan 11 Pautan luar [sunting] Sejarah dan rangka kerja teori Campur tangan formal dengan keluarga untuk membantu individu dan keluarga yang mengalami pelbagai masalah telah menjadi sebahagian daripada budaya banyak, mungkin sepanjang sejarah. Campur tangan ini kadang-kadang terlibat prosedur atau upacara formal, dan sering termasuk keluarga serta bukan kaum keluarga ahli-ahli komuniti (lihat contoh Ho'oponopono). Berikutan kemunculan pengkhususan dalam semua masyarakat, campur tangan ini sering dijalankan oleh ahli-ahli tertentu komuniti - sebagai contoh, seorang ketua, imam, doktor, dan sebagainya - biasanya sebagai fungsi sampingan. Family therapy as a distinct professional practice within Western cultures can be argued to have had its origins in the social work movements of the 19th century in England and the United States.[1] As a branch of psychotherapy, its roots can be traced somewhat later to the early 20th century with the emergence of the child guidance movement and marriage counseling.[2] The formal development of family therapy dates to the 1940s and early 1950s with the founding in 1942 of the American Association of Marriage Counselors (the precursor of the AAMFT), and through the work of various independent clinicians and groups - in England (John Bowlby at the Tavistock Clinic), the US (John Bell, Nathan Ackerman, Christian Midelfort, Theodore Lidz, Lyman Wynne, Murray Bowen, Carl Whitaker, Virginia Satir), and Hungary (D.L.P. Liebermann) - who began seeing family members together for observation or therapy sessions.[1][3] There was initially a strong influence from psychoanalysis (most of the early founders of the field had psychoanalytic backgrounds) and social psychiatry, and later from learning theory and behavior therapy - and significantly, these clinicians began to articulate various theories about the nature and functioning of the family as an entity that was more than a mere aggregation of individuals.[2] The movement received an important boost in the mid-1950s through the work of anthropologist Gregory Bateson and colleagues Jay Haley, Donald D. Jackson, John Weakland, William Fry, and later, Virginia Satir, Paul Watzlawick and others at Palo Alto in the US, who introduced ideas from cybernetics and general systems theory into social psychology and psychotherapy, focusing in particular on the role of

communication (see Bateson Project). This approach eschewed the traditional focus on individual psychology and historical factors that involve so-called linear causation and content and emphasized instead feedback and homeostatic mechanisms and rules in here-and-now interactions so-called circular causation and process that were thought to maintain or exacerbate problems, whatever the original cause(s).[4][5] (See also systems psychology and systemic therapy.) This group was also influenced significantly by the work of US psychiatrist, hypnotherapist, and brief therapist, Milton H. Erickson especially his innovative use of strategies for change, such as paradoxical directives (see also Reverse psychology). The members of the Bateson Project (like the founders of a number of other schools of family therapy, including Carl Whitaker, Murray Bowen, and Ivan Bszrmnyi-Nagy) had a particular interest in the possible psychosocial causes and treatment of schizophrenia, especially in terms of the putative "meaning" and "function" of signs and symptoms within the family system. The research of psychiatrists and psychoanalysts Lyman Wynne and Theodore Lidz on communication deviance and roles (e.g., pseudo-mutuality, pseudo-hostility, schism and skew) in families of schizophrenics also became influential with systems-communications-oriented theorists and therapists.[2][6] A related theme, applying to dysfunction and psychopathology more generally, was that of the "identified patient" or "presenting problem" as a manifestation of or surrogate for the family's, or even society's, problems. (See also double bind; family nexus.) By the mid-1960s a number of distinct schools of family therapy had emerged. From those groups that were most strongly influenced by cybernetics and systems theory, there came MRI Brief Therapy, and slightly later, strategic therapy, Salvador Minuchin's Structural Family Therapy and the Milan systems model. Partly in reaction to some aspects of these systemic models, came the experiential approaches of Virginia Satir and Carl Whitaker, which downplayed theoretical constructs, and emphasized subjective experience and unexpressed feelings (including the subconscious), authentic communication, spontaneity, creativity, total therapist engagement, and often included the extended family. Concurrently and somewhat independently, there emerged the various intergenerational therapies of Murray Bowen, Ivan Bszrmnyi-Nagy, James Framo, and Norman Paul, which present different theories about the intergenerational transmission of health and dysfunction, but which all deal usually with at least three generations of a family (in person or conceptually), either directly in therapy sessions, or via "homework", "journeys home", etc. Psychodynamic family therapy - which, more than any other school of family therapy, deals directly with individual psychology and the unconscious in the context of current relationships - continued to develop through a number of groups that were influenced by the ideas and methods of Nathan Ackerman, and also by the British School of Object Relations and John Bowlbys work on attachment. Multiple-family group therapy, a precursor of psychoeducational family intervention, emerged, in part, as a pragmatic alternative form of intervention - especially as an adjunct to the treatment of serious mental disorders with a significant biological basis, such as schizophrenia - and represented something of a conceptual challenge to some of the "systemic" (and thus potentially "family-blaming") paradigms of pathogenesis that were implicit in many of the dominant models of family therapy. The late-1960s and early-1970s saw the development of network therapy (which bears some

resemblance to traditional practices such as Ho'oponopono) by Ross Speck and Carolyn Attneave, and the emergence of behavioral marital therapy (renamed behavioral couples therapy in the 1990s; see also relationship counseling) and behavioral family therapy as models in their own right.[2] By the late-1970s the weight of clinical experience - especially in relation to the treatment of serious mental disorders - had led to some revision of a number of the original models and a moderation of some of the earlier stridency and theoretical purism. There were the beginnings of a general softening of the strict demarcations between schools, with moves toward rapprochement, integration, and eclecticism although there was, nevertheless, some hardening of positions within some schools. These trends were reflected in and influenced by lively debates within the field and critiques from various sources, including feminism and post-modernism, that reflected in part the cultural and political tenor of the times, and which foreshadowed the emergence (in the 1980s and 1990s) of the various "post-systems" constructivist and social constructionist approaches. While there was still debate within the field about whether, or to what degree, the systemic-constructivist and medical-biological paradigms were necessarily antithetical to each other (see also Anti-psychiatry; Biopsychosocial model), there was a growing willingness and tendency on the part of family therapists to work in multi-modal clinical partnerships with other members of the helping and medical professions.[2][6][7] From the mid-1980s to the present the field has been marked by a diversity of approaches that partly reflect the original schools, but which also draw on other theories and methods from individual psychotherapy and elsewhere these approaches and sources include: brief therapy, structural therapy, constructivist approaches (e.g., Milan systems, postMilan/collaborative/conversational, reflective), solution-focused therapy, narrative therapy, a range of cognitive and behavioral approaches, psychodynamic and object relations approaches, attachment and Emotionally Focused Therapy, intergenerational approaches, network therapy, and multisystemic therapy (MST).[8][9][10][11][12][13][14][15] Multicultural, intercultural, and integrative approaches are being developed.[16][17][18][19][20][21] Many practitioners claim to be "eclectic," using techniques from several areas, depending upon their own inclinations and/or the needs of the client(s), and there is a growing movement toward a single generic family therapy that seeks to incorporate the best of the accumulated knowledge in the field and which can be adapted to many different contexts;[22] however, there are still a significant number of therapists who adhere more or less strictly to a particular, or limited number of, approach(es).[23] Ideas and methods from family therapy have been influential in psychotherapy generally: a survey of over 2,500 US therapists in 2006 revealed that of the ten most influential therapists of the previous quarter-century, three were prominent family therapists, and the marital and family systems model was the second most utilized model after cognitive behavioral therapy.[24] And recently family therapy ideas and methods have had a great influence in the addiction field with their influence on using family oriented interventions to help an addict accept help.[citation needed]

As we move through the 21st century, the internet is fostering the growth of online programs that make courses and programs in family therapy more widely accessible. Using mass media techniques to increase public understanding of issues in family therapy has added a new frontier for amplification in the future.[citation needed]

[edit] Techniques
Family therapy uses a range of counseling and other techniques including:

communication theory media and communications psychology psychoeducation psychotherapy relationship education systemic coaching systems theory reality therapy

The number of sessions depends on the situation, but the average is 5-20 sessions. A family therapist usually meets several members of the family at the same time. This has the advantage of making differences between the ways family members perceive mutual relations as well as interaction patterns in the session apparent both for the therapist and the family. These patterns frequently mirror habitual interaction patterns at home, even though the therapist is now incorporated into the family system. Therapy interventions usually focus on relationship patterns rather than on analyzing impulses of the unconscious mind or early childhood trauma of individuals as a Freudian therapist would do - although some schools of family therapy, for example psychodynamic and intergenerational, do consider such individual and historical factors (thus embracing both linear and circular causation) and they may use instruments such as the genogram to help to elucidate the patterns of relationship across generations. The distinctive feature of family therapy is its perspective and analytical framework rather than the number of people present at a therapy session. Specifically, family therapists are relational therapists: They are generally more interested in what goes on between individuals rather than within one or more individuals, although some family therapistsin particular those who identify as psychodynamic, object relations, intergenerational, EFT, or experiential family therapiststend to be as interested in individuals as in the systems those individuals and their relationships constitute. Depending on the conflicts at issue and the progress of therapy to date, a therapist may focus on analyzing specific previous instances of conflict, as by reviewing a past incident and suggesting alternative ways family members might have responded to one another during it, or instead proceed directly to addressing the sources of conflict at a more abstract level, as by pointing out patterns of interaction that the family might have not noticed.

Family therapists tend to be more interested in the maintenance and/or solving of problems rather than in trying to identify a single cause. Some families may perceive cause-effect analyses as attempts to allocate blame to one or more individuals, with the effect that for many families a focus on causation is of little or no clinical utility.

[edit] Publications
Family therapy journals include: Journal of Marital and Family Therapy, Family Process, Journal of Family Therapy, Journal of Systemic Therapies, The Australian & New Zealand Journal of Family Therapy, The Psychotherapy Networker, The Journal of Sex and Marital Therapy, The Australian Journal of Family Therapy, The International Journal of Narrative Therapy and Community Work, Journal for the Study of Human Interaction and Family Therapy,

[edit] Licensing and degrees

Family therapy practitioners come from a range of professional backgrounds, and some are specifically qualified or licensed/registered in family therapy (licensing is not required in some jurisdictions and requirements vary from place to place). In the United Kingdom, family therapists are usually psychologists, nurses, psychotherapists, social workers, or counselors who have done further training in family therapy, either a diploma or an M.Sc.. However, in the United States there is a specific degree and license as a Marriage and Family therapist. Prior to 1999 in California, counselors who specialized in this area were called Marriage, Family and Child Counselors. Today, they are known as Marriage and Family Therapists (MFT), and work variously in private practice, in clinical settings such as hospitals, institutions, or counseling organizations. A master's degree is required to work as an MFT in some American states. Most commonly, MFTs will first earn a M.S. or M.A. degree in marriage and family therapy, psychology, family studies, or social work. After graduation, prospective MFTs work as interns under the supervision of a licensed professional and are referred to as an MFTi.[25] Marriage and family therapists in the United States and Canada often seek degrees from accredited Masters or Doctoral programs recognized by the Commission on Accreditation for Marriage and Family Therapy Education(COAMFTE), a division of the American Association of Marriage and Family Therapy. For accredited programs, click here. Requirements vary, but in most states about 3000 hours of supervised work as an intern are needed to sit for a licensing exam. MFTs must be licensed by the state to practice. Only after completing their education and internship and passing the state licensing exam can a person call themselves a Marital and Family Therapist and work unsupervised.

License restrictions can vary considerably from state to state. Contact information about licensing boards in the United States are provided by the Association of Marital and Family Regulatory Boards. There have been concerns raised within the profession about the fact that specialist training in couples therapy as distinct from family therapy in general - is not required to gain a license as an MFT or membership of the main professional body, the AAMFT.[26]

[edit] Values and ethics in family therapy

Since issues of interpersonal conflict, power, control, values, and ethics are often more pronounced in relationship therapy than in individual therapy, there has been debate within the profession about the different values that are implicit in the various theoretical models of therapy and the role of the therapists own values in the therapeutic process, and how prospective clients should best go about finding a therapist whose values and objectives are most consistent with their own.[27][28][29] Specific issues that have emerged have included an increasing questioning of the longstanding notion of therapeutic neutrality,[30][31][32] a concern with questions of justice and self-determination,[33] connectedness and independence,[34] "functioning" versus "authenticity",[7] and questions about the degree of the therapists "pro-marriage/family" versus "pro-individual" commitment.[35]

[edit] Founders and key influences

Some key developers of family therapy are:

Alfred Adler (phenomenology) Nathan Ackerman (psychoanalytic) Tom Andersen (Reflecting practices and dialogues about dialogues) Harlene Anderson (Postmodern Collaborative Therapy and Collaborative Language Systems) Harry J Aponte (Person-of-the-Therapist) Gregory Bateson (19041980) (cybernetics, systems theory) Ivan Bszrmnyi-Nagy (Contextual therapy, intergenerational, relational ethics) Murray Bowen (Systems theory, intergenerational) Steve de Shazer (solution focused therapy) James Dobson (Christian psychologist) Focus on the Family Milton H. Erickson (hypnotherapy, strategic therapy, brief therapy) Richard Fisch (brief therapy, strategic therapy) James Framo (object relations theory, intergenerational) Edwin Friedman (Family process in religious congregations) Harry Goolishian (Postmodern Collaborative Therapy and Collaborative Language Systems) John Gottman (marriage) Robert-Jay Green (LGBT, cross-cultural issues) Jay Haley (strategic therapy, communications)

Lynn Hoffman (strategic, post-systems, collaborative) Don D. Jackson (systems theory) Sue Johnson (Emotionally focused therapy, attachment theory) Bradford Keeney (cybernetics, resource focused therapy) Walter Kempler (Gestalt psychology) Bernard Luskin (media psychology, Public understanding of issues through media) Cloe Madanes (strategic therapy) Salvador Minuchin (structural) Braulio Montalvo (structural)[citation needed] Virginia Satir (communications, experiential, conjoint and co-therapy) Mara Selvini Palazzoli (Milan systems) Ross Speck (network therapy) Robin Skynner (Group Analysis) Paul Watzlawick (Brief therapy, systems theory) John Weakland (Brief therapy, strategic therapy, systems theory) Carl Whitaker (Family systems, experiential, co-therapy) Michael White (narrative therapy) Lyman Wynne (Schizophrenia, pseudomutuality)

[edit] Summary of Family Therapy Theories & Techniques

(references:[36][37][38][39]) Theoretical Model Theorists Summary Techniques

Also known as "Individual Psychology". Sees the person as a whole. Ideas include compensation for feelings of inferiority leading to striving Adlerian Family for significance toward a Alfred Adler Therapy fictional final goal with a private logic. Birth order and mistaken goals are explored to examine mistaken motivations of children and adults in the family constellation. Individuals are shaped by their experiences with caregivers in the first three years of life. Attachment John Bowlby, Used as a foundation for Theory Mary Ainsworth Object Relations Theory. The Strange Situation experiment with infants involves a

Psychoanalysis, Typical Day, Reorienting, Reeducating

Psychoanalysis, Play Therapy

Murray Bowen, Betty Carter, Philip Guerin, Michael Kerr, Bowenian Thomas Fogarty, Family Systems Monica McGoldrick, Edwin Friedman, Daniel Papero

Cognitive John Gottman, Behavioral Albert Ellis, Family Therapy Albert Bandura

Collaborative Language Systems

Harry Goolishian, Harlene Anderson, Tom Andersen, Lynn Hoffman, Peggy Penn

systematic process of leaving a child alone in a room in order to assess the quality of their parental bond. Also known as Intergenerational Family Therapy (although there are also other schools of intergenerational family therapy). Family members are driven to achieve a balance of Detriangulation, internal and external Nonanxious differentiation, causing Presence, anxiety, triangulation, and Genograms, emotional cutoff. Families are Coaching affected by nuclear family emotional processes, sibling positions and multigenerational transmission patterns resulting in an undifferentiated family ego mass. Problems are the result of operant conditioning that Therapeutic reinforces negative behaviors Contracts, within the familys Modeling, interpersonal social exchanges Systematic that extinguish desired Desensitization, behavior and promote Shaping, Charting, incentives toward unwanted Examining behaviors. This can lead to Irrational Beliefs irrational beliefs and a faulty family schema. Individuals form meanings about their experiences within the context of social relationship on a personal and organizational level. Dialogical Collaborative therapists help Conversation, Not families reorganize and disKnowing, solve their perceived problems Curiosity, Being through a transparent dialogue Public, Reflecting about inner thoughts with a Teams not-knowing stance intended to illicit new meaning through conversation. Collaborative therapy is an approach that

Virginia Satir, Communications John Banmen, Approaches Jane Gerber, Maria Gomori

Contextual Therapy

Ivan BszrmnyiNagy

Emotion-Focused Sue Johnson, Les Therapy Greenberg

Carl Whitaker, David Kieth, Laura Roberto, Experiential Walter Kempler, Family Therapy John Warkentin, Thomas Malone, August Napier

avoids a particular theoretical perspective in favor of a clientcentered philosophical process. All people are born into a primary survival triad between themselves and their parents where they adopt survival stances to protect their selfworth from threats communicated by words and behaviors of their family members. Experiential therapists are interested in altering the overt and covert messages between family members that affect their body, mind and feelings in order to promote congruence and to validate each persons inherent self-worth. Families are built upon an unconscious network of implicit loyalties between parents and children that can be damaged when these relational ethics of fairness, trust, entitlement, mutuality and merit are breached. Couples and families can develop rigid patterns of interaction based on powerful emotional experiences that hinder emotional engagement and trust. Treatment aims to enhance empathic capabilities of family members by exploring deep-seated habits and modifying emotional cues. Stemming from Gestalt foundations, change and growth occurs through an existential encounter with a therapist who is intentionally real and authentic with clients without pretense, often

Equality, Modeling Communication, Family Life Chronology, Family Sculpting, Metaphors, Family Reconstruction

Rebalancing, Family Negotiations, Validation, Filial Debt Repayment

Reflecting, Validation, Heightening, Reframing, Restructuring

Battling, Constructive Anxiety, Redefining Symptoms, Affective Confrontation, Co-

Feminist Family Sandra Bern, Therapy

Luigi Boscolo, Gianfranco Milan Systemic Cecchin, Mara Family Therapy Selvini Palazzoli, Giuliana Prata

Medical Family Therapy[39]

Goerge Engel, Susan McDaniel, Jeri Hepworth & William Doherty

MRI Brief Therapy

Gregory Bateson, Milton Erickson, Heinz von Foerster

in a playful and sometimes absurd way as a means to foster flexibility in the family and promote individuation. Complications from social and political disparity between genders are identified as underlying causes of conflict within a family system. Therapists are encouraged to be aware of these influences in order to avoid perpetuating hidden oppression, biases and cultural stereotypes and to model an egalitarian perspective of healthy family relationships. A practical attempt by the Milan Group to establish therapeutic techniques based on Gregory Batesons cybernetics that disrupts unseen systemic patterns of control and games between family members by challenging erroneous family beliefs and reworking the familys linguistic assumptions. Families facing the challenges of major illness experience a unique set of biological, psychological and social difficulties that require a specialized skills of a therapist who understands the complexities of the medical system, as well as the full spectrum of mental health theories and techniques. Established by the Mental Research Institute (MRI) as a synthesis of ideas from multiple theorists in order to interrupt misguided attempts

Therapy, Humor

Demystifying, Modeling, Equality, Personal Accountability

Hypothesizing, Circular Questioning, Neutrality, Counterparadox

Grief Work, Family Meetings, Consultations, Collaborative Approaches

Reframing, Prescribing the Symptom, Relabeling, Restraining (Going

Narrative Therapy

Michael White, David Epston

Hazan & Shaver, Object Relations David Scharff & Therapy Jill Scharff, James Framo,

Psychoanalytic Nathan Ackerman Family Therapy

Kim Insoo Berg, Steve de Shazer, William Solution Focused O'Hanlon, Therapy Michelle WeinerDavis, Paul Watzlawick Strategic Therapy Jay Haley, Cloe Madanes

by families to create first and second order change by persisting with more of the same, mixed signals from unclear metacommunication and paradoxical double-bind messages. People use stories to make sense of their experience and to establish their identity as a social and political constructs based on local knowledge. Narrative therapists avoid marginalizing their clients by positioning themselves as a coeditor of their reality with the idea that the person is not the problem, but the problem is the problem. Individuals choose relationships that attempt to heal insecure attachments from childhood. Negative patterns established by their parents (object) are projected onto their partners. By applying the strategies of Freudian psychoanalysis to the family system therapists can gain insight into the interlocking psychopathologies of the family members and seek to improve complementarity The inevitable onset of constant change leads to negative interpretations of the past and language that shapes the meaning of an individuals situation, diminishing their hope and causing them to overlook their own strengths and resources. Symptoms of dysfunction are purposeful in maintaining

Slow), Bellac Ploy

Deconstruction, Externalizing Problems, Mapping, Asking Permission

Detriangulation, Co-Therapy, Psychoanalysis, Holding Environment

Psychoanalysis, Authenticity, Joining, Confrontation

Future Focus, Beginners Mind, Miracle Question, Goal Setting, Scaling

Directives, Paradoxical

Structural Therapy

Injunctions, Positioning, Metaphoric Tasks, Restraining (Going Slow) Family problems arise from Joining, Family Salvador maladaptive boundaries and Mapping, Minuchin, Harry subsystems that are created Hypothesizing, Aponte, Charles within the overall family Reenactments, Fishman, Braulio system of rules and rituals that Reframing, Montalvo governs their interactions. Unbalancing

homeostasis in the family hierarchy as it transitions through various stages in the family life cycle.

[edit] Academic resources

Family Process Journal of Child and Family Studies, ISSN: 1062-1024 (Print) 1573-2843 (Online), Springer Journal of Marital and Family Therapy Journal of Family Psychology Family Relations Contemporary Family Therapy Australian & New Zealand Journal of Family Therapy Family Matters, Australian Institute of Family Studies Journal of Comparative Family Studies, ASIN: B00007M2W5, Univ of Calgary/Dept Sociology Journal of Family Studies, ISSN: 1322-9400, eContent Management Pty Ltd [1] Journal of Family Therapy, AFT (Association for family Therapy & Systemic Practice in the UK) [2] Context Magazine, AFT, UK [3] Karnac Systemic Thinking and Practice Series

[edit] Professional Organizations

American Association for Marriage and Family Therapy American Family Therapy Academy Association of Family Therapy (UK) European Family Therapy Association (EFTA) International Association of Marriage and Family Counselors National Council on Family Relations The Ackerman Institute for the Family

[edit] See also

Alternative dispute resolution

Internal Family Systems Model

CAMFT Child abuse Conflict resolution Deinstitutionalisation Domestic violence Dysfunctional family Emotionally focused therapy Family Environment Scale Family Life Education Family Life Space

Interpersonal psychotherapy Interpersonal relationship Mediation Multisystemic Therapy (MST) Positive psychology Relationships Australia Strategic Family Therapy

[edit] References
1. ^ a b c Broderick, C.B. & Schrader, S.S. (1991). The History of Professional Marriage and Family Therapy. In A. S. Gurman & D. P. Kniskern (Eds.), Handbook of Family Therapy. Vol. 2. NY: Brunner/Mazel ^ a b c d e Sholevar, G.P. (2003). Family Theory and Therapy. In Sholevar, G.P. & Schwoeri, L.D. Textbook of Family and Couples Therapy: Clinical Applications. Washington, DC: American Psychiatric Publishing Inc. ^ Silverman, M. & Silverman, M. Psychiatry Inside the Family Circle. Saturday Evening Post, 4651. 28 July 1962. ^ Guttman, H.A. (1991). Systems Theory, Cybernetics, and Epistemology. In A. S. Gurman & D. P. Kniskern (Eds.), Handbook of Family Therapy. Vol. 2. NY: Brunner/Mazel ^ Becvar, D.S., & Becvar, R.J. (2008). Family therapy: A systemic integration. 7th ed. Boston: Allyn & Bacon. ^ a b Barker, P. (2007). Basic family therapy; 5th edition. Wiley-Blackwell. ^ a b Nichols, M.P. & Schwartz, R.C. (2006). Family therapy: concepts and methods. 7th ed. Boston: Pearson/Allyn & Bacon. ^ Sprenkle D.H., Bischof G.P. (1994). "Contemporary family therapy in the United States". Journal of Family Therapy 16 (1): 523. doi:10.1111/j.1467-6427.1994.00773.x. ^ Dattilio, F.R. (Ed.) (1998). Case Studies in Couple and Family Therapy: Systemic and Cognitive Perspectives. Guildford Press: New York. ^ Gurman A.S., Fraenkel P. (2002). "The history of couple therapy: a millennial review". Family Process 41 (2): 199260. doi:10.1111/j.1545-5300.2002.41204.x. ISBN 9781405127189. PMID 12140960. http://books.google.com/?id=2Tim-31OuLUC&pg=PA199. ^ Couple therapy Harvard Mental Health Letter 03/01/2007. ^ Attachment and Family Systems. Family Process. Special Issue: Fall 2002 41(3) ^ Denborough, D. (2001). Family Therapy: Exploring the Field's Past, Present and Possible Futures. Adelaide, South Australia: Dulwich Centre Publications. ^ Crago, H. (2006). Couple, Family and Group Work: First Steps in Interpersonal Intervention. Maidenhead, Berkshire; New York: Open University Press. ^ Van Buren, J. Multisystemic therapy. Encyclopedia of Mental Disorders. retrieved 29 Oct. 2009 ^ McGoldrick, M. (Ed.) (1998). Re-Visioning Family Therapy: Race, Culture, and Gender in Clinical Practice. Guilford Press: New York. ^ Dean R.G. (2001). "The Myth of Cross-Cultural Competence". Families in Society: the Journal of Contemporary Human Services 82 (6): 62330. http://serials.cib.unibo.it/cgiser/start/it/spogli/df-s.tcl?prog_art=4546118&language=ITALIANO&view=articoli. ^ Krause, I-B. (2002). Culture and System in Family Therapy. London; New York: Karnac. ^ Ng, K.S. (2003). Global Perspectives in Family Therapy: Development, Practice, and Trends. New York: Brunner-Routledge.

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11. 12. 13. 14. 15. 16. 17.

18. 19.

20. ^ McGoldrick, M., Giordano, J. & Garcia-Preto, N. (2005). Ethnicity & Family Therapy, 3rd Ed.: Guilford Press. 21. ^ Nichols, M.P. & Schwartz, R.C. (2006). Recent Developments in Family Therapy: Integrative Models; in Family therapy: concepts and methods. 7th ed. Boston: Pearson/Allyn & Bacon. 22. ^ Lebow, J. (2005). Handbook of clinical family therapy. Hoboken, NJ: John Wiley and Sons. 23. ^ Booth T.J., Cottone R.R. (2000). "Measurement, Classification, and Prediction of Paradigm Adherence of Marriage and Family Therapists". American Journal of Family Therapy 28 (4): 329 346. doi:10.1080/019261800437892. http://www.ingentaconnect.com/content/routledg/uaft/2000/00000028/00000004/art00003;jsessio nid=2nu8vt826omdf.alice?format=print. 24. ^ The Top 10: The Most Influential Therapists of the Past Quarter-Century. Psychotherapy Networker.: 2007, March/April (retrieved 7 Oct 2010) 25. ^ "Therapy Center:Credentials". Psychology Today. http://therapists.psychologytoday.com/rms/content/therapy_credentials.html. Retrieved 2008-0813. 26. ^ Doherty W (2002). "Bad Couples Therapy and How to Avoid It: Getting past the myth of therapist neutrality". Psychotherapy Networker 26 (NovDec): 2633. http://www.smartmarriages.com/badcouples.doherty.html. 27. ^ Doherty, W., & Boss, P. (1991). Values and ethics in family therapy. In A. S. Gurman & D. P. Kniskern (Eds.), Handbook of Family Therapy. Vol. 2. NY: Brunner/Mazel 28. ^ Dueck A (1991). "Metaphors, models, paradigms and stories in family therapy". In Vande Kemp H. Family therapy: Christian perspectives. Grand Rapids, MI: Baker Book House. pp. 175207. ISBN 0-8010-9313-9. http://documents.fuller.edu/sop/integration/Publications/dueck_publications/dueckfam.pdf. 29. ^ Wall J, Needham T, Browning DS, James S (Apr 1999). "The Ethics of Relationality: The Moral Views of Therapists Engaged in Marital and Family Therapy". Family Relations (National Council on Family Relations) 48 (2): 13949. doi:10.2307/585077. JSTOR 585077. 30. ^ Grosser GH, Paul NL (Oct 1964). "Ethical issues in family group therapy". Am J Orthopsychiatry 34 (5): 87584. doi:10.1111/j.1939-0025.1964.tb02243.x. PMID 14220517. 31. ^ Hare-Mustin RT (Jun 1978). "A feminist approach to family therapy". Fam Process 17 (2): 181 94. doi:10.1111/j.1545-5300.1978.00181.x?journalCode=famp. PMID 678351. http://www.blackwell-synergy.com/doi/abs/10.1111/j.15455300.1978.00181.x?journalCode=famp. 32. ^ Gottlieb, M.C. (1995). Developing Your Ethical Position in Family Therapy: Special Issues. Paper presented at the Annual Meeting of the American Psychological Association (103rd, New York, NY, August 1115, 1995). 33. ^ Melito R (2003). "Values in the role of the family therapist: Self determination and justice". Journal of Marital and Family Therapy 29 (1): 311. doi:10.1111/j.1752-0606.2003.tb00378.x. PMID 12616794. http://findarticles.com/p/articles/mi_qa3658/is_200301/ai_n9231105/print. 34. ^ Fowers BJ, Richardson FC (1996). "Individualism, Family Ideology and Family Therapy". Theory & Psychology 6 (1): 12151. doi:10.1177/0959354396061009. http://sptap.highwire.org/cgi/content/abstract/6/1/121. 35. ^ USA Today 6/21/2005 Hearts divide over marital therapy. 36. ^ Gehart, D. R., & Tuttle, A. R. (2003). Theory-based treatment planning for marriage and family therapists: Integrating theory and practice. Pacific Grove, CA: Brooks/Cole/Thomson. 37. ^ Goldenberg, I., & Goldenberg, H. (2008). Family therapy: An overview. Belmont, CA: Thomson Brooks/Cole. 38. ^ Gurman, A. S. (2008). Clinical handbook of couple therapy. New York: Guilford Press. 39. ^ a b Sexton, T. L., Weeks, G. R., & Robbins, M. S. (2003). Handbook of family therapy: The science and practice of working with families and couples. New York: Brunner-Routledge.