Case Conceptualization in Family Therapy, 1st edition

Todd F. Lewis

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Discover how family therapy theories can be translated into practice and how each model can be used to develop a case of conceptualization of the same family. In chapters 3-11, the author will present a different primary theory of family therapy and keep the chapter’s focus on that particular model throughout. Concepts of that model will be applied to a single case family in order to allow readers the advantage of exploring and understanding the problem formation and problem solution.
Gain a richer understanding of the common factors of therapy and how each theory of family theory covered in the textbook utilizes each of the four common factors. Readers will gain a solid foundation and understanding of each theory presented, and a greater capacity to apply the theory with their own clients. The common factors are presented in Chapter 1 of the text.
Become adept at the nine distinct family therapy theories and explore how to integrate a mix of theories in Chapter 12. This chapter will equip readers with the ability to successfully navigate one specific theory at a time, as well as compare and contrast various theories to learn how the concepts and techniques from different approaches can be integrated with one another.
Acquire a deep fundamental understanding of every family therapy model presented by reading the theory chapters (Chapters 3-11) that are based off the work of the founder of the approach. The benefit of having theory chapters from the originator’s perspective is that it will bring readers closer to how the theory was originally developed, allowing a firm foundation in the model as it was intended.

Table of Contents

Case Conceptualization in Family Therapy

Preface

Ch. 1 Developing Case Conceptualizations

I. The Importance of Having a Conceptual Lens

II. Developing a Conceptualization

a. Bowen Natural Systems Theory

b. Contextual Therapy

c. Satir Growth Model

d. Brief Therapy: Mental Research Institute

e. Strategic Family Therapy

f. Milan Systemic Family Therapy

g. Structural Family Therapy

h. Solution Focused Brief Therapy

i. Narrative Therapy

III. Case Conceptualization

a. Models of Case Conceptualization

IV. Common Factors of Therapy

a. Extratherapeutic Factors

b. Relationship Factors

c. Expectancy, Hope, & Placebo Factors

d. Model and Technique Factors

V. The Approach Fitting the Person

Ch. 2 The Case: The Mosley Family

I. Current State of the Family

II. History of the Nuclear Family

III. Stephen’s Family-of-Origin

IV. Miranda’s Family-of-Origin

Ch. 3 Bowen Natural Systems Theory (Christopher F. Burnett & Michael D. Reiter)

I. Theory of Problem Formation

a. Individual Constituents of the Emotional System

b. Emotional Triangles

c. The Concept of Differentiation of Self

d. Entering Therapy

e. Cultural Considerations

II. Theory of Problem Resolution

a. Goals of Therapy

b. Genograms

c. Family Evaluation

d. Prognosis

III. Case Transcript

Ch. 4 Contextual Therapy (Catherine Ducommon-Nagy & Michael D. Reiter)

I. Theory of Problem Formation

a. The Five Dimensions of Relational Reality

i. The Dimension of Facts

ii. The Dimension of Individual Psychology

iii. The Dimension of Transactions

iv. The Dimension of Relational Ethics

1. Reciprocity in Close Relationships

2. Destructive Entitlement

3. Parentification

4. Loyalties

5. Intergenerational Legacies

6. Invisible Loyalty

7. Split Loyalties

v. The Ontic Dimension

1. The Dialectic Definition of the Self

2. The Paradoxical Definition of Autonomy

b. Cultural Considerations

II. Theory of Problem Resolution

a. The Goals of Therapy

i. Definition of Health

ii. The Goals of Therapy

iii. Constructive Entitlement

b. Multidirected Partiality

i. The Therapeutic Contract

ii. The Methodology of Multidirected Partiality

iii. Multidirected Partiality as a Strategy

c. The Process of Therapy

d. The Role of the Therapist

e. Termination of Therapy

i. Exoneration

III. Case Transcript

Ch. 5 Satir Growth Model (Michael D. Reiter & Jean McLendon)

I. Theory of Problem Formation

a. Families

b. Symptoms

c. Self-Worth

d. Communication

e. Communication Stances

f. Connections

g. Philosophy of People

h. Cultural Considerations

II. Theory of Problem Resolution

a. Goals of Therapy

b. The Person of the Therapist

c. The Process of Therapy

d. Stages of Therapy

e. Techniques

f. Termination of Therapy

III. Case Transcript

Ch. 6 Brief Therapy: Mental Research Institute (Michael D. Reiter & Wendel A. Ray)

I. Theory of Problem Formation

a. First and Second Order Change

b. Problems/Complaints

c. Cultural Considerations

II. Theory of Problem Resolution

a. Who to Invite to Therapy

b. The Process of Therapy

c. Client Position

d. Interventions

e. Termination of Therapy

III. Case Transcript

Ch. 7 Strategic Family Therapy (Michael D. Reiter & Wendel A. Ray)

I. Theory of Problem Formation

a. Problems/Symptoms

b. Family Life Cycle

c. Family Organization

d. Communication

e. Cultural Considerations

II. Theory of Problem Resolution

a. Goals of Therapy

b. Process of Therapy

c. Giving Directives

d. Termination of Therapy

III. Case Transcript

Ch. 8 Milan Systemic Family Therapy (Michael D. Reiter & Shelley Green)

I. Theory of Problem Formation

a. Families as Systems

b. Control

c. Labels

d. Family Myths and Premises

e. Cultural Considerations

II. Theory of Problem Resolution

a. Techniques of Therapy

i. Positive Connotation

ii. Ritual

b. Three Guidelines of Therapy

i. Hypothesizing

ii. Circularity

iii. Neutrality

c. Questions

d. Format of the Session

e. Ending Therapy

III. Case Transcript

Ch. 9 Structural Family Therapy (Jay Lappin & Michael D. Reiter)

I. Theory of Problem Formation

a. The Family Referral

b. Structural Family Therapy: A System for Changing Systems

c. Seeing Differently

d. The Therapist’s Use of Self

e. Family Development

f. Couple/Partner Formation: The Mosleys

g. Families with School Age & Adolescent Children

h. Boundaries

i. Maps: A Bridge between Problem & Resolution

j. Cultural Considerations

k. A Word About Larger Systems

II. Theory of Problem Resolution

a. Forming the Therapeutic System

i. Joining: Close, Median, Distant Positions

ii. Joining: Close Position

iii. Joining: Median Position and Tracking

iv. Joining: Distant Position

v. Enactments

d. Techniques Provoking Disequilibrium and Change

i. Reframing

ii. Boundary Making & Unbalancing

iii. Focus

e. Termination of Therapy

III. Case Transcript

Ch. 10 Solution Focused Brief Therapy (Michael D. Reiter & Arlene Brett-Gordon)

I. Theory of Problem Formation

a. Complaints

b. The Three Rules

c. Desire for Change

d. Cultural Considerations

II. Theory of Problem Resolution

a. Building on What is Present

b. Goals

c. Change

d. Expectations

e. Questions

i. Pretreatment Change Questions

ii. Exceptions Questions

iii. Scaling Questions

iv. Miracle Questions

v. What Else Questions

f. Process of Therapy

g. Interventions

h. Termination of Therapy

III. Case Transcript

Ch. 11 Narrative Therapy (Michael D. Reiter & James Hibel)

I. Theory of Problem Formation

a. Stories

b. Unique Outcomes

c. Landscape of Stories

d. Cultural Considerations

II. Theory of Problem Resolution

a. Process of Therapy

i. Externalizing Conversations

ii. Re-authoring Conversations

iii. Re-membering Conversations

iv. Unique Outcome Conversations

b. Termination of Therapy

III. Case Transcript

Ch. 12 Evolving Conceptualizations

I. Model Evolution

a. Structural Family Therapy

b. Milan Systemic Family Therapy

II. Model Integration

a. Family Therapy Integration

III. New Developments in the Field

a. New Approaches

i. Emotion-Focused Therapy

b. Common Factors, Core Competencies & Evidence-Based Practice

i. Common Factors

ii. Core Competencies

iii. Evidence-Based Practice

IV. Conclusion

References

Michael D. Reiter, Ph.D., LMFT, is Professor in the Farquhar College of Arts and Sciences at Nova Southeastern University. He received a dual master’s degree (Master of Education and Educational Specialist) in Counselor Education with sub-specializations in Marriage and Family Therapy and Mental Health Counseling at the University of Florida, and a doctorate in Family Therapy from Nova Southeastern University. Michael is a Clinical Fellow and an Approved Supervisor from the American Association of Marriage and Family Therapy. He has written extensively, and presented nationally and internationally on various aspect of solution-focused brief therapy. His first textbook, Therapeutic Interviewing: Essential Skills and Contexts of Counseling, published by Pearson, provides readers with the basic skills to engage in the therapeutic process.

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