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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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