Includes bibliographical references (p. 193-197) and indexes.
Foreword.
Preface.
A Note about the Third Edition.
1.Overview.
Assumptions.
How to Use This Book.
2.First Contact Procedures.
The Intake Telephone Call.
Establishing a Relationship with Clients.
Establishing a Therapeutic Contract.
Explaining the Purpose of Therapy.
Therapy with Culturally Distinct Families.
Gender Issues in Therapy.
Research-Based Treatment Guidelines.
3.Assessment Procedures.
Assessing the Family.
Building Client Confidence in Therapist Ability.
Clarifying the Presenting Problem.
Circular Questioning.
Conducting a Genogram.
Collecting Relationship History.
Family Structure and Function Indicators.
Assessment Tools.
Assessing Readiness for Therapy.
Assessing Family Rules.
Assessing Family Myths.
Assessing Family Rituals.
Assessing Disengagement.
Assessing Parentification.
Assessing Sexual Functioning.
Assessing Family Violence.
Assessing Drug and Alcohol Use.
Assessing Stress.
Assessing Work Problems.
Assessing Sexual or Physical Abuse.
Assessing Post-Traumatic Stress Disorder (PTSD).
4.Initial Stage Treatment Procedures.
Establishing Therapeutic Goals.
Presenting the Concept of Family System.
Matching Treatment Modality with Clients' Problems.
Using Metaphorical Language.
Reframing Symptoms.
Relabeling Symptoms.
Defusing a Crisis.
Taking a Break during a Session.
Presession Planning.
5.Middle Stage Treatment Procedures.
Steps in Behavioral Treatment for Couples and Families.
Teaching Procedures.
Recognizing the Teaching Moment.
Teaching Listening.
Teaching Self-Disclosure.
Teaching Feeling Awareness.
Teaching Problem Solving.
Teaching Parenting.
Describing the Parent Role.
Enhancing the Parental Alliance.
Explaining Codependence.
Anti-Violence Training.
Managing Communication within the Session.
Encouraging Family Grief.
Managing Anxiety within the Session.
Inducing a Crisis to Stimulate Change.
Assessing When to Confront.
Confronting Clients.
Describing a Behavioral Pattern.
Rewarding Clients.
Setting Up a Role Play or Enactment.
Interrupting to Change Interaction Patterns.
Reducing Family Loyalty.
Changing the Seating Pattern.
Interacting with Young Children.
Indicators of Resistance.
6.Termination Procedures.
Assessing When a Family Is Too Dependent.
When to Terminate.
Components of the Termination Session.
7.Specialized Treatment Procedures.
Violent Relationships and No-Violence Contracts.
Structuring a Therapeutic Separation.
Therapy with an ADHD Child in the Family.
Therapy with a Handicapped Family Member.
Therapy with a Mentally Ill Family Member.
Parents Present with Sexually Abused Children.
Therapy with Court-Referred Clients.
Letters to Clients as Therapy.
Bibliotherapy.
8.Alternative Service Delivery Procedures.
Stages in the Delivery of Family-Based Services.
Procedural Considerations and Interventions.
Pragmatic Considerations of In-Home Therapy.
9.Procedures for Challenging Situations.
Parents Will Not Control Children in Session.
Client Abruptly Leaves a Session.
Client Shows Up without Partner.
Client Asks for Individual Session.
Clients Do Not Show for Session.
Engaging an Unwilling Family Member.
Geographically Unavailable Clients.
New Information Revealed at the End of a Session.
Alcoholic Relapse/Slips.
Connecting Clients with AA and Al-Anon.
Negotiating a No-Drinking Contract.
Externalizing Alcohol Problems.
Secret Disclosed to Therapist Alone.
Client Expresses Sexual Attraction toward Therapist.
Client Questions the Therapist's Life Experience.
Client Questions the Value of Therapy.
Couple Cannot Decide Whether to Divorce or Stay Married.
One Spouse Secretly Wishes to Divorce.
Everyone Speaks at Once.
No One Speaks.
Clients Ramble On and On.
Family Members Speak for One Another.
Clients Speak to Therapist, Not to Each Other.
Clients Take Potshots at Each Other.
Clarifying Clients' Unclear Labels.
Guiding Client Attention.
10.Out-of-Session Work.
What to Call Out-of-Session Work.
Assigning Out-of-Session Work.
Processing Out-of-Session Work.
Clients Neglect or Change Out-of-Session Work.
Written Tasks.
Tasks for Couples and Families.
11.Referral and Consultation Procedures.
Accepting Referrals.
Making Referrals.
Introducing a New Cotherapist.
Introducing a Consulting Professional.
12.Risk Management Procedures.
Dealing with Suicide Threats.
Feeling Sexually Attracted to Client.
Feeling Bored with a Case/Session.
Client Threatens to Sue for Malpractice.
Meeting Clients Outside of Therapy.
Clients Calling the Therapist at Home.
Touching Clients.
Self-Supervision.
Clients Reject/Attack One Cotherapist.
When Therapist Problems Influence Therapy.
Telling Clients about Vacation.
Discussing Fees.
Feeling Stuck in a Session.
Keeping Usable Notes.
Reporting Sexual and Physical Abuse.
Ethics “At-Risk” Test for Marriage and Family Therapists.
References.
Author Index.
Subject Index.