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Doing Couple Therapy : Integrating Theory with Practice - Toby Bobes

Doing Couple Therapy

Integrating Theory with Practice

Paperback Published: 17th April 2002
ISBN: 9780393703924
Number Of Pages: 224

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Here, in one brief volume, are the answers to these questions and many others. Doing Couple Therapy will be a lifesaver for family therapy students and beginning therapists. In a straightforward manner, the authors sift through years of family therapy theory to draw out for readers a a treasury of ways to sort out the many factors, past and present, that crowd couples' relationships. These include family-of-origin issues, previous relationships, secrets, children, in-laws, unresolves lodes, job demands, financial worries-to name just a few. The authors' framework, built from the major influential theories of family and marital therapy, will enable therapists to work effectively and briefly, though not superficially, with couples.

The book not only presents theory but also links theory with practice. An extraordinary contribution is the presentation of a typical case from beginning to end, through tender moments, rough spots, family-of-origin work, revelation of deeply held secrets, alcohol abuse, ultimatums, and finally, renewal of commitment to the relationship. This practical, real-life guide to couple therapy will give both students and seasoned therapists a new take on the demanding work of couple therapy.

Acknowledgmentsp. xi
Prefacep. xv
A Synthesis of Family Therapy Conceptsp. 1
Our Basic Treatment Framework: Overlapping and Interlocking Conceptsp. 3
Our Philosophical Stancep. 3
Systems Theoryp. 6
Bowen Theoryp. 7
Object Relations Theoryp. 8
Postmodern Constructivismp. 10
The Developmental Family Life-Cycle Paradigmp. 12
Contextual Influencesp. 16
Comparing and Contrasting Earlier Models with Postmodern Thinkingp. 18
Connecting What We Think with What We Dop. 20
Methods of Interventionp. 21
Guidelines for Assessment and Evaluation of the Couple Systemp. 25
Countertransference: Identifying the Therapist's Own Emotional Responsesp. 30
Identifying and Managing Intense Reactivity of Clientsp. 31
Ethical and Therapeutic Dilemmasp. 33
Therapeutic Responsibility: Some Ethical and Legal Considerationsp. 33
Our Philosophy Regarding Diagnosis and Labelingp. 35
Indications and Contraindications for Couple Therapyp. 37
The Case Study of Laura and Michaelp. 41
The Initial Contact--The Couple as a Systemp. 43
The First Telephone Callp. 44
Reframingp. 44
Individual or Couple Workp. 45
The First Session: The Affair Revealedp. 48
The Power of Family-of-Origin Influencesp. 50
The Couple's Attractionp. 51
Focus on Strengths and Instilling Hopep. 52
Join the Couple Systemp. 54
Clarify Each Partner's Perception of Problemp. 55
Connect Presenting Problem to Family-of-Originp. 55
Set the Frame and Boundaries of Therapyp. 56
Family Secrets Exposedp. 57
Clarification of the Visual Picture of Laura and Michael's Genogramp. 59
The Crowded Marital Bedp. 62
Planning the Next Steps of Therapyp. 63
Boundaries and the Couple Systemp. 63
Boundaries Between Self and Otherp. 64
Object Relations Theoryp. 65
Projective Identification: An Intrapsychic and Interpersonal Concept of Object Relations Theoryp. 67
The Couple's Dancep. 69
Punctuate Strengths of Couplep. 70
Triangular Patternsp. 70
Loops, Patterns, and Circularityp. 73
Internalized-Other Interviewing: Creating a Pathway for Changep. 76
Externalizing Conversations: Creating More Pathways for Changep. 76
The Art of Questioningp. 78
Circular Questioningp. 78
Reflexive Questionsp. 79
Guidelines for Crafting Questions That Generate Changep. 80
Unconscious Agendasp. 83
Jennifer Reed's Crowded Bedp. 84
Belief Systems of Jennifer Reedp. 85
Containment Versus Disclosurep. 85
Impact of Countertransference Disclosurep. 87
Gender Influencesp. 88
Ethnicity and Religious Influencesp. 89
Internal Processing and Musings of Jennifer Reedp. 90
The Untouchable Woundp. 93
Opening Windows of Vulnerabilityp. 95
The Impact of Stories, Secrets, and Mythsp. 96
Grief, Loss, and Healingp. 97
Secrecy and Shamep. 97
Exploring the Nonverbal Realmp. 98
A Psychodramatic Journey with Laura and Michaelp. 99
The Ripple Effect of Changep. 104
Effects of Couple Therapy upon the Childrenp. 106
Effects of Couple Therapy upon Family-of-Originp. 106
Rituals Relating to the Life Cyclep. 109
Endings and New Beginningsp. 110
Varieties of Endings in Therapyp. 114
Our Step-by-Step Treatment Format with Various Populationsp. 117
Becoming a Couple in a Mixed Marriagep. 119
The Interconnection of Interactions at Different Levels of a Systemp. 124
A Hispanic Couple with Teenage Childrenp. 127
Grief, Loss, and the Family Life Cyclep. 129
Ethnic and Cultural Considerationsp. 132
Crisis Work with a Couple Encountering Multiple Losses at Midlifep. 135
Vicki and Bob's Storyp. 135
A Blended Marriagep. 140
Family Composition at a Glancep. 141
The Ruptured Bondp. 144
Continuation of Therapy with the Wilder Familyp. 144
The Blending of Therapists' and Clients' Culturesp. 148
Remarriage: The Blending of Multiple Culturesp. 148
Couples Facing Aging, Illness, and Deathp. 151
A Personal Examination of Lossp. 153
Reflections about Self-Disclosurep. 154
Family Beliefs and Attitudes about Illness and Deathp. 155
Vignettep. 155
Assumptions Underpinning Our Work With Grief and Lossp. 156
Couples Experiencing Domestic Violencep. 158
Overview of Domestic Violencep. 158
A Supervision Sessionp. 162
Assessment and Treatment of Domestic Violence: The Model of the Southern California Counseling Centerp. 163
Dialogue of Consultationp. 164
Therapist's Biases, Prejudices, and Concerns Regarding the Subject of Domestic Violencep. 166
Necessary Knowledge and Skillsp. 166
Working with Sexually Distressed Couplesp. 168
Evolving Paradigms in Human Sexualityp. 168
Taking a Sexual Historyp. 169
Mike and Lynnp. 171
Sexual Intimacy: A Developmental Taskp. 173
Working with the Lesbian and Gay Population: It Starts with Self-Examinationp. 175
Working with Oppressed Populationsp. 178
Meeting the Challenge: Developing Culturally Sensitive Training Contextsp. 179
Personal Reflectionsp. 180
Glossaryp. 183
Bibliographyp. 192
Indexp. 199
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780393703924
ISBN-10: 0393703924
Audience: General
Format: Paperback
Language: English
Number Of Pages: 224
Published: 17th April 2002
Publisher: WW Norton & Co
Country of Publication: US
Dimensions (cm): 23.4 x 15.1  x 1.3
Weight (kg): 0.35
Edition Number: 1