Collaborative Therapy With Multi Stressed Families

Thoroughly revised and expanded, the second edition of this successful text and professional resource offers an alternative approach to thinking about and working with 'difficult' families. From a nonpathologizing stance, William C. Madsen demonstrates creative ways to help family members shift their relationship to longstanding problems; envision desired lives; and develop more proactive coping strategies. The second edition has been thoroughly updated with practice innovations and many new case illustrations. New appendices provide outlines for crafting collaborative assessments, therapy contracts, and other documentation that enhances accountability while also engaging clients and eliciting their strengths. Anyone working with families in crisis, especially in settings where time and resources are scarce, will gain valuable insights and tools from this book.

This text and professional resource offers an alternative approach to thinking about and working with “difficult” families. From a nonpathologizing stance, William C. Madsen demonstrates creative ways to help family members shift their relationship to longstanding problems; envision desired lives; and develop more proactive coping strategies. Anyone working with families in crisis, especially in settings where time and resources are scarce, will gain valuable insights and tools from this book.

"Resistant, difficult, dysfunctional - these and other labels are often applied to families who have not been well served by traditional mental health, social service, and medical systems. This volume sets forth an alternative approach to thinking about and working with multi-stressed families. Working from the conviction that clients are more than the difficulties in their lives, seasoned practitioner William Madsen invites therapists to move away from trying to identify and correct old problems. Instead, he outlines a detailed framework for collaborating with family members to envision desired futures and develop new lives. Anyone working with families in crisis, especially in settings where time and resources are scarce, will gain valuable insights and tools from this book."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved

"Once upon a time, everything was understood through stories....The philosopher Friedrich Nietzsche once said that 'if we possess our why of life we can put up with almost any how.'...Stories always dealt with the why' questions. The answers they gave did not have to be literally true; they only had to satisfy people's curiosity by providing an answer, less for the mind than for the soul." --From Chapter 1 Each of us has a story to tell that is uniquely personal and profoundly meaningful. The goal of the modern therapist is to help clients probe deeply enough to find their own voice, describe their experiences, and create a narrative in which a life story takes shape and makes sense. Emphasizing the vital connections among personal experience, family, and community, the authors of this provocative new book explore the role of narrative therapy within the context of a postmodern culture. They employ the interactional dynamics of family therapy to demonstrate how to help people deconstruct oppressive and debilitating perspectives, replace them with liberating and legitimizing stories, and develop a framework of meaning and direction for more intentional, more fulfilling lives. Blending scientific theory with literary aesthetics, Story Re-Visions presents a comprehensive collection of specific narrative therapy techniques, inventions, interviewing guidelines, and therapeutic questions. The book examines the development of the postmodern phenomenon, tracing its evolution across time and disciplines. It discusses paradigmatic traditions, the meaning of modernism, and the ways in which the ancient, binding narratives have lost their power to inspire uncritical assent. Methods for doing narrative therapy in a destoried world are presented, with suggestions for meeting the challenges of postmodern value systems and ethical dilemmas. Numerous case examples and dialogues illustrate ways to help people become authors of their own stories, and each of the last four chapters concludes with an appendix that provides additional information for the practicing clinician. Detailing ways in which a narrative framework enhances family therapy, the authors describe how the therapist and client may act together as revisionary editors, and present techniques for keeping the story re-vision alive, well, and in charge. Finally, the book examines re-vision techniques for clinical training and supervision settings, with discussion of how therapists may help one another create stories about their clients, as well as themselves. Accessibly written and profoundly enlightening, Story Re-Visions is ideal for family therapists, psychologists, psychiatrists, and anyone else interested in doing therapy from a narrative stance. It is also valuable as supplemental reading for courses in family therapy and other psychotherapeutic disciplines.

An interdisciplinary framework for sustainable helping through cross-system collaboration This hands-on resource provides clear, practical guidance for supportive service professionals working in a home-based environment. Drawing on best practices from a range of disciplines, this book provides a clear map for dealing with the complex and often ambiguous situations that arise with individuals and families, with applications extending to supervision and organizational change. Readers gain the advice and insight of real-world frontline helpers, as well as those who receive care, highlighting new ways to approach the work and re-think previous conceptualizations of problems and strengths. Helping efforts are organized around a shared, forward-thinking vision that anticipates obstacles and draws on existing and potential supports in developing a collaborative plan of action. The book begins with stories that illustrate core concepts and context, presenting a number of useful ideas that can reorient behavioral services while outlining a principle-based practice framework to help workers stay grounded and focused. Problems are addressed, and strength-based work is expanded into richer conversations about strengths in the context of intention and purpose, value and belief, hopes, dreams, and commitments. Topics include: Contextual guidance with helping maps Engaging people and re-thinking problems and strengths Dilemmas in home and community services Sustainable helping through collaboration and support A strong collaboration between natural networks, communities, and trained professionals across systems creates an effective helping endeavor. Ensuring sustainability may involve promoting systems change, and building institutional supports for specific supervisory, management, and organizational practices. Collaborative Helping provides a framework for organizing these efforts into a coherent whole, serving the needs of supportive services workers across sectors.

This practical breakthrough introduces a robust framework for family and couples therapy specifically designed for working with difficult, entrenched, and court-mandated situations. Using an original model (the System for Observing Family Therapy Alliances, or SOFTA) suitable to therapists across theoretical lines, the authors detail special challenges, empirically-supported strategies, and alliance-building interventions organized around common types of ongoing couple and family conflicts. Copious case examples illustrate how therapists can empower family members to discover their agency, find resources to address tough challenges, and especially repair their damaged relationships. These guidelines also show how to work effectively within multiple relationships in a family without compromising therapist focus, client individuality, or client safety. Included in the coverage: Using the therapeutic alliance to empower couples and families Couples’ cross-complaints Engaging reluctant adolescents...and their parents Parenting in isolation, with or without a partner Child maltreatment: creating therapeutic alliances with survivors of relational trauma Disadvantaged, multi-stressed families: adrift in a sea of professional helpers Empowering through the alliance: a practical formulation Therapeutic Alliances with Families offers powerful new tools for social workers, mental health professionals, and practitioners working in couple and family therapy cases with reluctant clients and seeking specific, practical case examples and resources for alliance-related interventions.

In this unique book, noted family therapists Jeffrey L. Zimmerman and Victoria C. Dickerson explore how clients' problems are defined by personal and cultural narratives, and ways the therapist can assist clients in co-constructing and reauthoring narratives to fit their preferences. The authors share their therapeutic vision through a series of stories, fictionalized discussions, and minidramas, in which problems have a voice. Written in an engaging and personal style, the book challenges many dominant ideas in psychotherapy, inviting the reader to enter a world in which she or he can experience a radically different view of problems, people, and therapy. A wealth of stories told from the clients' point of view illustrate the creative ways they begin to deal with problems: Individuals escape them, couples take their relationships back from problems, kids dump their problems, and teenagers work with their parents to fight their problems. Training and supervision from the perspective of students are also discussed. As entertaining as it is informative, this book will be welcomed by family therapists both novice and experienced, from a range of orientations. Offering a creative and accessible approach to clinical work, it also serves as a supplementary text in courses on family and narrative therapy.

Aimed primarily at clinicians who are required to find ways to interrupt patterns of destructive behaviour in couples and families, this text provides a compilation of multi-disciplinary techniques and flexible strategies to accomplish 14 major therapeutic tasks.