The Adolescent in Family Therapy, Second Edition: Harnessing the Power of Relationships (The Guilford Family Therapy Series)
Rich with clinical wisdom, this successful text and practitioner guide offers a comprehensive framework for treating adolescent problems in the family context. Even as teenagers become increasingly independent, Joseph Micucci shows, they still need parental guidance and nurturance. By strengthening family relationships, clinicians can alleviate symptoms and promote behavioral change. Vivid examples and session transcripts illustrate specific strategies for treating eating disorders,...
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Rich with clinical wisdom, this successful text and practitioner guide offers a comprehensive framework for treating adolescent problems in the family context. Even as teenagers become increasingly independent, Joseph Micucci shows, they still need parental guidance and nurturance. By strengthening family relationships, clinicians can alleviate symptoms and promote behavioral change. Vivid examples and session transcripts illustrate specific strategies for treating eating disorders, depression, anxiety, defiance, underachievement, and other frequently encountered challenges. Weaving together family therapy techniques with ideas from psychodynamic and cognitive-behavioral approaches, the book has a pragmatic focus on effective interventions for getting adolescent development back on track. New to This Edition*Thoroughly updated to reflect current research and reader feedback.*Chapter on adolescent anxiety disorders.*Expanded coverage of attachment issues; lesbian, gay, and bisexual youth; and racial and ethnic identity.*New case material, one of the book’s most popular features.
1 Introduction 1My Orientation and Influences 3Diagnosis and Labeling 4Biology, Medications, and Systems 5The Paradox of Control 6Harnessing the Power of Relationships 7The ARCH 8Adolescents Need Nurturance 9The Plan of This Book 112 Adolescent Development 12Developmental Issues of Adolescence: An Overview 13Early Adolescence 16Middle Adolescence 29Late Adolescence 45Summary 563 Basic Concepts 59A Core Assumption 59Family Systems and Family Therapy 60The Symptomatic Cycle 62Consequences of the Symptomatic Cycle 64Common Patterns in Symptomatic Families 68The Pattern Is the Problem 71Summary and What's Next 714 How to Assess and Treat Problems 73General Principles Guiding Effective Intervention 74How to Build an Alliance with the Family 80How to Identify Symptomatic Cycles 82Setting the Course for Treatment 87Techniques for Changing Patterns 89When to Conduct Individual Sessions 101Benefits and Risks of Consultations 105Summary 1065 Eating Disorders 108Perspectives on Eating Disorders 110Principles of Treatment 115Step 1 Negotiating a Treatment Contract 121Step 2 Encouraging Parental Collaboration 125Step 3 Addressing Unresolved Conflicts 127Step 4 Handling Relapses 132Step 5 Supporting Individual Development 136Step 6 Supporting the Transformation 139Pitfalls and Complications 141Summary 1456 Depression and Suicide 146The Role of Gender in Adolescent Depression 147Assessment of Adolescent Depression 150Treatments for Depression 151The Role of Family Dynamics in Adolescent Depression 153Common Family Patterns Associated with AdolescentDepression 154Helping Suicidal Adolescents 162Case Example: The Crying Father 172Summary 1837 Anxiety 185Anxiety and the Family 186Cognitive Factors in Adolescent Anxiety 189Anxiety and Abandonment 191Freeing the Family from the Grip of Anxiety: A Detailed Case Example 198Summary 2168 Defiant and Disruptive Behavior 217How Common Is Problem Behavior during Adolescence? 220Developmental Perspectives 221Factors Related to Adolescent Defiance 222Assessing the Severity of the Problem 225Interventions When the Problem Is Mild 228Interventions for Moderately Severe Defiance 232Interventions for Severe Defiance 238Summary 2539 Psychosis 255Theoretical Perspectives 255Psychosis and Isolation 258Reducing Isolation in Psychotic Systems 261Summary 26710 Underachievement and Other School-Related Problems 269Factors Contributing to Adolescent Underachievement 271Strategies for Intervention 279Identifying and Avoiding Triangulation 291Summary 29311 Leaving Home 295Perspectives on Leaving Home 297Assessment 299Intervention 302Summary 30412 Families with Multiple Problems 306Principles for Working with Overwhelmed, Low-Income Families 310Case Example: Two Tokens 318Summary 321Epilogue: The ARCH 323References 329Index 359
