Mastering Competencies in Family Therapy: A Practical Approach to Theory and Clinical Case Documentation

Cover
Tittle Page
Copyright
Brief Table of Contents
Detailed Table of Contents
Foreword by Ronald J. Chenail, Ph.D.
Preface
Acknowledgments
About the Author
Author’s Introduction: On Saying “Yes” and Falling in Love
Part 1: Theoretical Foundations
	Chapter 1: Competency and Theory in Family Therapy
		The Secret to Competent Therapy
		Mapping a Successful Therapeutic Journey
			From Trainee to Seasoned Therapist
		Competency and Theory: Why Theory Matters
			Why All the Talk about Competency?
			Competency and (Not) You
		Common Threads of Competencies
			Diversity and Competency
			Research and Competency
			Law, Ethics, and Competency
			Person-of-the-Therapist and Competency
		How This Book Is Different and What It Means to You
			Lay of the Land
			Anatomy of a Theory
			Voice and Tone
		Suggested Uses for This Text
			Suggestions for Thinking about Family Therapy Theories
			Suggestions for Using This Book to Learn Theories
			Suggestions for Using This Book to Write Treatment Plans
			Suggestions for Use in Internships and Clinical Practice
			Suggestions for Studying for Licensing Exams
			Suggestions for Faculty to Measure Competencies and Student Learning
		Questions for Personal Reflection and Class Discussion
		Online Resources for Students
		Online Resources for Instructors
		Resources for Professional Competencies
		REFERENCES
	Chapter 2: Research and Ethical Foundations of Family Therapy Theories
		Lay of the Land
		Research and the Evidence Base
		The Minimum Standard of Practice: Evidence-Based Practice
		Heart of the Matter: Common Factors Research
			Lambert’s Common Factors Model
			Wampold’s Common Factors Model
			Client Factors
			Therapeutic Relationship
			Therapeutic Model: Theory-Specific Factors
			Hope and the Placebo Effect: Expectancy
			Diversity and the Common Factors
			Do We Still Need Theory?
		Show Me Proof: Evidence-Based Therapies
			Empirically Supported Treatments and Their Kin: Empirically Supported Treatment Criteria
			Real-World Applications of ESTs and MASTs
			Research in Perspective
		Review of the MFT Evidence Base
			2012 Journal of Marital and Family Therapy Review
			2014 Journal of Family Therapy Review
			Lebow’s Review of Evidence Base
			Unified Protocol for Couples Therapy
		Legal and Ethical Issues in Couple and Family Therapy
			Lay of the Land: More than Just Rules
			The Big Picture: Standards of Professional Practice
			Specific Legal and Ethical Concerns in Couples and Family Work
			Current Legal and Ethical Issues in Couples and Family Work
			Conclusion
		Questions for Personal Reflection and Class Discussion
		Online Resources for Research
		Online Resources for Law and Ethics
		References
	Chapter 3: Philosophical Foundations of Family Therapy Theories
		Lay of the Land
		Systemic Foundations
			Rumor Has It: The People and Their Stories
			Systemic Theoretical Concepts
		Social Constructionist Foundations
			Side by Side: Comparing Systemic and Social Constructionist Theories
			Rumor Has It: The People and Their Stories
			Postmodern Theoretical Concepts
		Tomm’s Interpersonal Patterns (IP)
			Identify Interpersonal Patterns
			Types of Interpersonal Patterns
			Using Tomm’s IPscope to Compare Family Therapy Models
		Contemporary Approach to Power, Gender, and Culture in Family Therapy
			Socioemotional Relationship Therapy
		Rock–Paper–Scissors and Other Strategies for Choosing a Theory
			How to Choose: Dating versus Marrying
			Defining Your Philosophy
			Modernism
			Humanism
			Systemic Therapy
			Postmodern Therapy
		Questions for Personal Reflection and Class Discussion
		Online Resources
		References
Part 2: Couple and Family Therapy Theories
	Chapter 4: Systemic and Strategic Therapies
		Lay of the Land
		Systemic–Strategic Family Therapy
			In a Nutshell: The Least You Need to Know
			The Juice: Significant Contributions to the Field
			Rumor Has It: The People and Their Stories
			The Big Picture: Overview of Treatment
			Making a Connection: The Therapeutic Relationship
			The Viewing: Case Conceptualization and Assessment
			Targeting Change: Goal Setting
			The Doing: Language-Based Interventions
			The Doing: Action-Oriented Interventions
			Scope It Out: Cross-Theoretical Comparison
		Putting It All Together: Systemic–Strategic Case Conceptualization and Treatment Plan Templates
			Areas for Theory-Specific Case Conceptualization: Systemic–Strategic
			Treatment Plan Template for Individual with Depression/Anxiety: Systemic–Strategic
			Treatment Plan Template for Couple/Family Conflict: Systemic–Strategic
		Tapestry Weaving: Diversity Considerations
			Ethnic, Racial, and Cultural Diversity
			Sexual and Gender Identity Diversity
		Research and the Evidence Base
		Clinical Spotlight: Multisystemic Therapy
			Goals
			Case Conceptualization
			Principles of Intervention
		Clinical Spotlight: Brief Strategic Family Therapy
			Goals
			Case Conceptualization
			Principles of Intervention
		Questions for Personal Reflection and Class Discussion
		Online Resources
		References
		Systemic Case Study: Adolescent Substance Use and Divorce
			Strategic Systemic Case Conceptualization
			Clinical Assessment
			Treatme nt Plan
			Progress Note
	Chapter 5: Structural Family Therapies
		Lay of the Land
		Structural Family Therapy
			In a Nutshell: The Least You Need to Know
			The Juice: Significant Contributions to the Field
			Rumor Has It: The People and Their Stories
			The Big Picture: Overview of Treatment
			Making Connections: The Therapeutic Relationship
			The Viewing: Case Conceptualization and Assessment
			Targeting Change: Goal Setting
			The Doing: Interventions
			Scope It Out: Cross-Theoretical Comparison
		Putting It All Together: Structural Case Conceptualization and Treatment Plan Templates
			Areas for Theory-Specific Case Conceptualization: Structural
			Treatment Plan for Individual with Depression/Anxiety: Structural
			Treatment Plan Template for Distressed Couple/Family: Structural
		Tapestry Weaving: Working with Diverse Populations
			Cultural, Ethnic, and Socioeconomic Diversity
			Sexual and Gender Identity Diversity
		Research and the Evidence Base: Structural
		Clinical Spotlight: Ecosystemic Structural Family Therapy (ESFT)
			The Big Picture: Overview of Treatment
			The Viewing: Case Conceptualization
			Targeting Change: Goals
			The Doing: Interventions
			ESFT Supervision/Training Models
		Clinical Spotlight: Intensive Structural Therapy
			The Big Picture: Overview of Treatment
			The Viewing: Case Conceptualization
			Measuring Outcomes
		Functional Family Therapy (FFT)
			In a Nutshell: The Least You Need to Know
			The Juice: Significant Contributions to the Field
			Rumor Has It: People and Places
			The Big Picture: Overview of Treatment
			Making a Connection: The Therapeutic Relationship
			The Viewing: Case Conceptualization and Assessment
			Targeting Change: Goal Setting
			The Doing: Interventions
			Scope It Out: Cross-Theoretical Comparison
		Putting It All Together: FFT Case Conceptualization and Treatment Plan Templates
			Areas for Theory-Specific Case Conceptualization: FFT
			Treatment Plan Template for Family: FFT
		Tapestry Weaving: Diversity Considerations
			Ethnic, Racial, and Cultural Diversity
			Sexual and Gender Identity Diversity
		Research and the Evidence Base: FFT
		Questions for Personal Reflection and Class Discussion
		Online Resources
		References
		Structural Case Study: Teen Conduct Issues
			Structural Case Conceptualization
			Clinical Assessment
			Treatment Plan
			Progress Note
	Chapter 6: Experiential Family Therapies
		Lay of the Land
		Shared Assumptions and Practices in Experiential Approaches
			Targeting Emotional Transactions
			Warmth, Empathy, and the Therapist’s Use of Self
			Individual and Family Focus
		The Satir Model
			In a Nutshell: The Least You Need to Know
			The Juice: Significant Contributions to the Field
			Rumor Has It: The People and Their Stories
			The Big Picture: Overview of Treatment
			Making Connections: The Therapeutic Relationship
			The Viewing: Case Conceptualization and Assessment
			Targeting Change: Goal Setting
			The Doing: Interventions
			Interventions for Special Populations
			Scope It Out: Cross-Theoretical Comparison
		Putting It All Together: Satir Case Conceptualization and Treatment Plan Templates
			Areas for Theory-Specific Case Conceptualization: Satir
			Treatment Plan Template for Individual with Depression/Anxiety: Satir
			Treatment Plan Template for Distressed Couple/Family: Satir
		Tapestry Weaving: Working with Diverse Populations
			Cultural, Ethnic, and Gender Diversity
			Sexual and Gender Identity Diversity
		Research and the Evidence Base: Satir Model
		Emotionally Focused Therapy (EFT)
			In a Nutshell: The Least You Need to Know
			The Juice: Significant Contributions to the Field
			Rumor Has It: The People and Their Stories
			The Big Picture: Overview of Treatment
			Making Connection: The Therapeutic Relationship
			The Viewing: Case Conceptualization and Assessment
			Targeting Change: Goal Setting
			The Doing: Interventions
			Scope It Out: Cross-Theoretical Comparison
		Putting It All Together: EFT Case Conceptualization and Treatment Plan Templates
			Areas for Theory-Specific Case Conceptualization: EFT
			Treatment Plan Template for Distressed Couple/Family: EFT
		Tapestry Weaving: Diversity Considerations
			Ethnic, Racial, and Cultural Diversity
			Gender Identity Diversity
		Research and the Evidence Base: EFT
		Clinical Spotlight: Symbolic–Experiential Therapy
			In a Nutshell: The Least You Need to Know
			The Juice: Significant Contributions to the Field
			The Big Picture: Overview of Treatment
			Making Connections: The Therapeutic Relationship
			The Viewing: Case Conceptualization and Assessment
		Questions for Personal Reflection and Class Discussion
		Online Resources
		References
		Experiential Case Study: Child Sexual Abuse
			Satir Human Growth Model Case Conceptualization
			Clinical Assessment
			Satir Treatment Plan
			Progress Note
	Chapter 7: Intergenerational and Psychoanalytic Family Therapies
		Lay of the Land
		Bowen Intergenerational Therapy
			In a Nutshell: The Least You Need to Know
			The Juice: Significant Contributions to the Field
			Rumor Has It: The People and Their Stories
			The Big Picture: Overview of Treatment
			Making Connections: The Therapeutic Relationship
			The Viewing: Case Conceptualization and Assessment
			Targeting Change: Goal Setting
			The Doing: Interventions
			Interventions for Special Populations
			Scope It Out: Cross-Theoretical Comparison
		Putting It All Together: Case Conceptualization and Treatment Plan Templates
			Areas for Theory-Specific Case Conceptualization: Bowen
			Treatment Plan Template for Individual with Depression/Anxiety: Bowen
			Treatment Plan Template for Distressed Couple/Family: Bowen
		Psychoanalytic Family Therapies
			In a Nutshell: The Least You Need to Know
			The Juice: Significant Contributions to the Field
			Rumor Has It: The People and Their Stories
			The Big Picture: Overview of Treatment
			Making a Connection: The Therapeutic Relationship
			The Viewing: Case Conceptualization and Assessment
			Targeting Change: Goal Setting
			The Doing: Interventions
			Scope It Out: Cross-Theoretical Comparison
		Putting It All Together: Case Conceptualization and Treatment Plan Templates
			Areas for Theory-Specific Case Conceptualization: Psychodynamic
			Treatment Plan Template for Individual with Depression/Anxiety: Psychodynamic
			Treatment Plan Template for Distressed Couple/Family: Psychodynamic
		Tapestry Weaving: Working with Diverse Populations
			Gender Diversity: The Women’s Project
			Ethnicity and Cultural Diversity
			Sexual and Gender Identity Diversity
		Research and the Evidence Base
		Questions for Personal Reflection and Class Discussion
		Online Resources
		References
		Intergenerational Case Study: Panic, Launching Children, and an Adult Survivor of Sexual Abuse
			Bowen Intergenerational Family Therapy Conceptualization
			Clinical Assessment
			Treatment Plan
			Progress Note
	Chapter 8: Cognitive–Behavioral and Mindfulness-Based Couple and Family Therapies
		Lay of the Land
		Cognitive–Behavioral Family Therapies
			In a Nutshell: The Least You Need to Know
			The Juice: Significant Contributions to the Field
			Rumor Has It: The People and Their Stories
			The Big Picture: Overview of Treatment
			Making a Connection: The Therapeutic Relationship
			The Viewing: Case Conceptualization and Assessment
			Targeting Change: Goal Setting
			The Doing: Behavioral Interventions
			The Doing: Cognitive and Affective Interventions
			Scope It Out: Cross-Theoretical Comparison
		Putting It All Together: Case Conceptualization and Treatment Plan Templates
			Areas for Theory-Specific Case Conceptualization: CBFT
			Treatment Plan for Individual with Depression/Anxiety: CBFT
			Treatment Plan for Couples/Families in Conflict: CBFT
		Clinical Spotlight: Integrative Behavioral Couples Therapy
			In a Nutshell: The Least You Need to Know
			The Big Picture: Overview of Treatment
			The Viewing: Case Conceptualization
			The Doing: Interventions
		Clinical Spotlight: Gottman Method Couples Therapy Approach
			In a Nutshell: The Least You Need to Know
			The Big Picture: Overview of Treatment
			Making a Connection: The Therapeutic Relationship
			The Viewing: Case Conceptualization and Assessment
			The Doing: Interventions
		Evidence-Based Couple and Family Group Therapies
			Lay of the Land
			Psychoeducational Multifamily Groups for Severe Mental Illness
			Groups for Intimate Partner Abuse
			Relationship Enhancement Programs
			Parent Training
		Mindfulness-Based Therapies
			In a Nutshell: The Least You Need to Know
			A Brief History of Mindfulness in Mental Health
			Mindfulness Basics
			Specific Mindfulness Approaches
			Mindfulness in Couple and Family Therapy
		Tapestry Weaving: Working with Diverse Populations
			Ethnic, Racial, and Cultural Diversity
			Sexual and Gender Identity Diversity
		Research and the Evidence Base
		Questions for Personal Reflection and Class Discussion
		Online Resources
		References
		Cognitive–Behavioral Case Study: ADHD and Blended Family
			Cognitive–Behavioral Family Therapy Case Conceptualization
			Clinical Assessment
			Treatment Plan
			Progress Note
	Chapter 9: Solution-Based Therapies
		Lay of the Land
		Solution-Based Therapies
			In a Nutshell: The Least You Need to Know
			Common Solution-Based Therapy Myths
			The Juice: Significant Contributions to the Field
			Rumor Has It: The People and Their Stories
			The Big Picture: Overview of Treatment
			Making a Connection: The Therapeutic Relationship
			The Viewing: Case Conceptualization and Assessment
			Targeting Change: Goal Setting
			The Doing: Interventions
			Interventions for Specific Problems
			Scope It Out: Cross-Theoretical Comparison
		Putting It All Together: Case Conceptualization and Treatment Plan Templates
			Theory-Specific Case Conceptualization: Solution-Based
			Treatment Plan Template for Individuals with Sexual Abuse Trauma: Solution-Based
			Treatment Plan Template for Distressed Couple/Family: Solution-Based
		Solution-Oriented Ericksonian Hypnosis
			Difference from Traditional Hypnosis
			The Big Picture: Overview of Treatment
			The Doing: Interventions
		Tapestry Weaving: Working with Diverse Populations
			Ethnic, Racial, and Cultural Diversity
			Sexual and Gender Identity Diversity
		Research and the Evidence Base
		Questions for Personal Reflection and Class Discussion
		Online Resources
		References
		Solution-Based Therapy Case Study: Divorce
			Solution-Focused Family Therapy Case Conceptualization
			Clinical Assessment
			Treatment Plan
			Progress Note
	Chapter 10: Narrative and Collaborative Therapies
		Lay of the Land
		Narrative Therapy
			In a Nutshell: The Least You Need to Know
			The Juice: Significant Contributions to the Field
			Rumor Has It: The People and Their Stories
			The Big Picture: Overview of Treatment
			Making a Connection: The Therapeutic Relationship
			The Viewing: Case Conceptualization and Assessment
			Targeting Change: Goal Setting
			The Doing: Interventions
			Interventions for Specific Problems
			Scope It Out: Cross-Theoretical Comparison
		Putting It All Together: Narrative Case Conceptualization and Treatment Plan Templates
			Areas for Theory-Specific Case Conceptualization: Narrative
			Treatment Plan Template for Individual with Depression/Anxiety: Narrative
			Treatment Plan Template for Distressed Couple/Family: Narrative
		Collaborative Therapy and Reflecting Teams
			In a Nutshell: The Least You Need to Know
			The Juice: Significant Contributions to the Field
			Rumor Has It: The People and Their Stories
			The Big Picture: Overview of Treatment
			Making a Connection: The Therapeutic Relationship
			The Viewing: Case Conceptualization and Assessment
			Targeting Change: Goal Setting
			The Doing: Interventions and Ways of Promoting Change
			Reflecting Teams and the Reflecting Process
			Scope It Out: Cross-Theoretical Comparison
		Putting It All Together: Collaborative Case Conceptualization and Treatment Plan Templates
			Areas for Theory-Specific Case Conceptualization: Collaborative
			Treatment Plan Template for Individual with Depression/Anxiety: Collaborative
			Treatment Plan Template for Distressed Couple/Family: Collaborative
		Clinical Spotlight: Open Dialogue, an Evidence-Based Approach to Psychosis
		Tapestry Weaving: Working with Diverse Populations
			Applications with Native American, First Nations, and Aboriginals
			Hispanic Youth
			Multiracial/Ethnic Individuals and Couples
			Sexual and Gender Identity Diversity
		Research and the Evidence Base
			Research on Postmodern Therapies
			Neurobiology of Narrative
		Questions for Personal Reflection and Class Discussion
		Online Resources
		References
		Postmodern Case Study: Self-Harm, Depression, Lesbian Blended Family
			Postmodern Therapy Case Conceptualization
			Clinical Assessment
			Treatment Plan
			Progress Note
Part 3: Clinical Case Documentation
	Chapter 11: Case Conceptualization
		Step 1: Mapping the Territory
			Case Conceptualization and the Art of Viewing
		Overview of Cross-Theoretical Case Conceptualization
			Introduction to Client and Significant Others
			Presenting Concerns
			Background Information
			Client/Family Strengths and Social Location
			Family Structure
			Interaction Patterns
			Intergenerational and Attachment Patterns
			Solution-Based Assessment
			Postmodern: Social Location and Dominant Discourses
			Client Perspectives
		Case Conceptualization, Diversity, and Sameness
		Online Resources
		References
			Cross-Theoretical Systemic Case ConceptualizatioN
	Chapter 12: Clinical Assessment
		Step 2: Identifying Oases and Obstacles
		Clinical Assessment and Diagnosis
			Purpose of Clinical Assessment and Diagnosis
			Diagnosis and Our Inescapable Cultural Lenses
			Mental Health Diagnosis in Family Therapy
		Contemporary Issues in Diagnosis
			Dimensional Assessment: The Future of Diagnosis
			The Recovery Model and Diagnosis
			Parity and Nonparity Diagnoses
		Introduction to the DSM-5
			Title of the DSM-5
			Manual Structure
			Organization of Diagnostic Chapters
			Diagnostic Codes and the ICD
			New Diagnosis Format
			Subtypes and Specifiers
			Dimensional Assessment
			NOS versus NEC Diagnosis
			WHODAS 2.0
			Cultural Formulation and Assessment
		Conducting a Clinical Assessment
			Diagnostic Interview and Mental Status Exam
			Cross-Cutting Symptom Measures
			Symptom Severity Scales
			Early Development and Home Background
			Other Possible Assessment Instruments
			Making a Diagnosis
		Documenting Clinical Assessment
			Identifying Information
			Presenting Problem
			Mental Status Exam
			Diagnosis
			Medical Considerations and Medication
			Risk Management
			Safety and Safety Planning
			Case Management
		Communicating with Other Professionals
			DSM-ese
		Mental Status Terms
		Questions for Personal Reflection and Class Discussion
		Online Resources
		References
			Clinical Assessment
	Chapter 13: Treatment Planning
		Treatment + Plan = ?
		Step 3: Selecting a Path
		A Brief History of Mental Health Treatment Planning
			Symptom-Based Treatment Plans
			Theory-Based Treatment Plans
		Clinical Treatment Plans
			Treatment Plan
		The Basic Steps
			Writing Useful Client Goals
			The Goal-Writing Process
		Writing Useful Interventions
		Writing Useful Therapeutic Tasks
		Social Location and Diversity Considerations
		Evidence-Based Practice
		Client Perspectives
		Do Plans Make a Difference?
		Questions for Personal Reflection and Class Discussion
		Online Resources
		References
	Chapter 14: Evaluating Progress in Therapy
		Step 4: Evaluating Progress
		Nonstandardized Evaluations
			Pros and Cons
			Strategies for Nonstandardized Assessment
		Standardized Evaluations
			Pros and Cons
			Effects on the Therapeutic Relationship
		Real-World Options for Standardized Evaluations of Progress
			Guidelines for Using Standardized Measures in Everyday Practice
			Ultrabrief Measures
			Brief Measures
			Couple Measures
			Family Measures
		Final Thoughts on Outcome
		Questions for Personal Reflection and Class Discussion
		Online Resources
		References
	Chapter 15: Document It: Progress Notes
		Step 5: Documenting It: A Profession behind Closed Doors
		Two Different Animals: Progress Notes versus Psychotherapy Notes
		Progress Notes
			Progress Note Ingredients
			Progress Note Options
			The All-Purpose HIPAA Form for Progress Notes
			Progress Note
			Completing a Progress Note Form
		A Time and Place for Progress Notes
			Electronic Record Keeping
		Final Note on Notes
		Questions for Personal Reflection and Class Discussion
		Online Resources
		References
Afterword: Closing Thoughts: Where to Go from Here?
	Getting Started: Working with a Supervisor
		Realistic Expectations
		Asking for What You Need
	Seeking Advanced Training
	Belonging: Professional Organizations
	Self-Supervision
	Last Words
Appendix A: The Family Therapy Core Competencies
Appendix B: CACREP Competency-Based Standards
Appendix C: Psychology Benchmarks
Appendix D: Social Work 2015 Competencies
Index