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Family Assessment: Integrating Multiple Clinical Perspectives

of: Manfred Cierpka, Thomas Volker, Doug Sprenkle (Eds.)

Hogrefe Publishing, 2005

ISBN: 9781616762407 , 302 Pages

Format: PDF, Read online

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Family Assessment: Integrating Multiple Clinical Perspectives


 

CONTENTS

6

Preface

8

Introduction

11

1 Introduction to Family Assessment

13

Family Assessment: A Form of Theory Based Assessment

14

Assessment and Therapy

15

The Definition of the Family

19

References

22

2 The Three-Level Model of Family Assessment

25

The Levels of the Family

25

Co-Evolving Development in Relationship Systems

28

Family Assessment Using the Three-Level Model

29

Interfaces and Connections Between the Levels

36

Key Concepts

37

References

38

Part I: The Initial Interview

43

3 First Contact and Preconditions for the Initial Interview

45

Overview of the Literature on First Contacts and Initial Interviews

46

The First Phone Contact

51

Assessment of Client-Therapist Relationship

59

Assessment of Family Strengths

60

Therapist Review of Family Strengths and Compliments

60

Conclusion

61

References

61

4 “A Problem Well Stated Is a Problem Half Solved.”

63

Defining Assessment

64

What to Assess?: The Bio-Psycho-Social-Cultural Model of Human Nature

66

How to Assess: The Four Pillars and Assessment in Marriage

70

The Four Pillars of Assessment

71

Assessment in Marriage

73

Vulnerability-Stress-Adaptation Model of Marriage

74

Emotion Focused Therapy for Couples (EFT)

77

Sound Marital House Theory

79

Other Assessment Considerations

82

Conclusion

84

References

85

5 Initial Interview with a Family

91

1. Phone Contact

91

2. The First Session

94

3. The Second Session – Play Session with Ben

100

4. The Third Session with the Parents

101

5. The Fourth Session with the Entire Family

102

References

104

Part II: Clinical Perspectives

105

6 The Context of Family Assessment

105

The Structure of the Institution

106

The Various Types of Institution

109

The Context of Referral

110

Which Other systems May Be Significant?

114

Contradictory Expectations and Obstacles

115

Self-Images and Coping Patterns within the Family

117

Implications for Other Systems

118

Concluding Remarks

118

References

119

7 The Family’s Social World

121

Introduction and Goals of the Chapter

121

Defining Culture

123

Historical Development and Major Proponents Associated with Multiculturally Based Assessment in Family Therapy

124

The Framework for Embracing Cultural Diversity: Major Assumptions and Concepts

125

Tenet 1: Consider a Larger Multidimensional Definition of Culture

126

Tenet 2: Interact with Others and Examine Similarities and Differences

127

Tenet 3: Accept and Celebrate a Personal Journey Towards Self-awareness

127

Overarching Tenet 4: Examine Individual Personal Experiences with Difference

128

Description of Our Assessment Process

129

Summary and Conclusions

136

References

137

8 The Multigenerational Perspective of Family Assessment

139

Introduction

139

Historical Development

140

Empirical Findings on Continuity over the Generations

141

The Dimensions of the Multigenerational Perspective

142

Family Myths

152

The Importance of Different Generations in Family Diagnostics

154

Children in Family Assessment

156

References

161

9 The Family Life Cycle and the Genogram

169

Introduction and Goals of the Chapter

169

The Historical Use of the Genogram

170

Research On the Genogram

171

Theoretical Underpinnings of Genogram Work

171

Using the Genogram in Assessment

178

Genograms With a Specific Focus

185

The Use of Technology

187

Conclusion

188

References

188

APPENDIX A

192

APPENDIX 2: Family Patterns to Consider (Adapted from Marlin, 1989)

201

10 Assessment of Parenting Styles and Behavior

203

Historical Development of Parenting Measures

204

Major Assumptions and Concepts

205

Parenting Measures

206

Instruments

207

Parenting Styles

208

Clinical Assessments

210

Case Example: The Stanley Family

215

Conclusion

219

References

219

11 Systemic Assessment

221

Delimiting the Term Systemic

221

Historical Development

222

Key Concepts/Techniques of the Milan Associates

224

Karl Tomm’s Typology of Questions

226

Circular and Reflexive Questions in More Detail

229

Research Evidence for the Model

235

Critique of the Systemic Approach to Assessment

237

Conclusion

239

References

239

12 Psychodynamic Assessment

241

What is the Aim of Psychodynamic Assessment?

241

The Interlocking of Past Relationship Experiences with Present Transactional Patterns: Explanatory Concepts

242

The Psychodynamics of the Partnership

249

The Psychodynamics of the Relationship between Parent and Child

252

The Psychodynamics of Sibling Relationships

254

Countertransference Analysis

260

The Condensation of Collusive Patterns in the Family Scene

261

References

262

13 Family Sculpture Procedures

267

Introduction

267

Major Assumptions and Concepts

268

Historical Developments and Early Proponents

270

Family Sculpture

271

Sculpture Used in Groups

279

Case Study

281

Simple Spatializations

284

Symbolic Figure Placement Techniques

286

Kvebaek Family Sculpture Technique (KFST)

286

Family Distance Doll Placement Technique (FDDPT)

287

Family System Test (FAST)

288

Research on Family Sculpture Techniques

288

Conclusion

289

References

290

List Of Contributors

293

Subject Index

295

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