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Couples and Family Therapy in Clinical Practice, 5th Edition

ISBN: 978-1-118-89725-6
480 pages
December 2015, Wiley-Blackwell
Couples and Family Therapy in Clinical Practice, 5th Edition (1118897250) cover image


  • Fifth edition of a classic text that views couples and family therapy through a psychiatric lens
  • Written by clinicians with a biopsychosocial perspective on illness and family dysfunction
  • Draws on case studies to present family-oriented interventions in an accessible manner
  • Explores underlying principles along with a wide range of practical therapeutic techniques
  • Culturally inclusive, enabling readers to work with patients from diverse backgrounds

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Table of Contents

Forewords xix
Ellen M. Berman MD, Lloyd I. Sederer MD

Preface xxvii

Acknowledgments xxxi

A Guide for Using the Text xxxiii

List of Tables xxxvii

List of Figures xxxix

Section I Family Therapy in Context

1 The Field of Couples and Family Therapy: Development and Definition 5

2 Family Life in Historical and Sociological Perspective 23

Section II Functional and Dysfunctional Families

3 Understanding the Functional Family 41

4 Understanding the Functional Family in a Variety of Family Forms 59

5 Problems and Dysfunction from an Integrated Family Systems Perspective 75

Section III Family Evaluation

6 The Process of Evaluation 95

7 The Content of Evaluation 107

8 Formulating an Understanding of the Family Problem Areas 117

Section IV Family Treatment

9 Major Family Therapy Schools and Their Treatment Strategies 137

10 Goals 147

11 Family Treatment: Integrated Strategies and Techniques 157

12 The Course of Family Treatment 175

13 Promoting Change in Family Treatment: Issues of Alliance and Resistance 189

14 Family Therapy: General Considerations203

Section V Couples Therapy

15 Dysfunctional Couples and Couples Therapy 221

16 Sex Couples and Sex Therapy 235

17 Couples and Families Breaking Apart: Separation and Divorce 249

Section VI Family Treatment When One Member Has a Psychiatric Disorder or Other Special Problem

18 Family Treatment in the Context of Individual Psychiatric Disorders 267

19 Family Treatment in the Context of Other Special Problems—Violence to Self and Others 301

20 The Family and Treatment of Acute and Chronic Psychiatric Illness 321

21 Working with Families in the

Section VII Results of and Guidelines for Recommending Family Therapy

23 Controversies Relative Contraindications and the Use and Misuse of Couples and Family Therapy 371

24 Results: The Outcomes of Couples and Family Therapy 381

Section VIII Ethical Professional and Training Issues

25 Ethical and Professional Issues in Couples and Family Therapy 405

Suggested Reading 419

References 419

Index 421

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Author Information

Ira D. Glick is Professor Emeritus of Psychiatry and Behavioral Sciences and formerly Chief of the Schizophrenia Clinic at Stanford University School of Medicine, USA.

Douglas S. Rait is Clinical Professor of Psychiatry and Behavioral Sciences and Chief of the Couples and Family Therapy Clinic at Stanford University School of Medicine, USA.

Alison M. Heru is Associate Professor of Psychiatry at the University of Colorado, USA.

Michael S. Ascher is Clinical Associate in Psychiatry at the Perelman School of Medicine, University of Pennsylvania, USA.

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"This superb text on couples and family therapy should be on every psychiatrist's bookshelf. We now view the individual patient as embedded in a family system that must be taken into account to provide state-of-the-art diagnosis and treatment."
Glen O. Gabbard, MD, Clinical Professor of Psychiatry, Baylor College

“Substance use disorders (SUD) almost always involve family problems. Thus good practice always includes a family evaluation and often a period of family therapy. At the University of Pennsylvania we have conducted and published clinical trials that include medications and family therapy for SUD. Based on our research, we consider family therapy to be an essential component of good practice for the management of SUD. This text provides the best explanation of how exactly to work with the family of the patient with an alcohol or substance use problem”
Charles P. O’Brien, MD, Ph.D., Kenneth Appel Professor of Psychiatry, University of Pennsylvania School of Medicine

“An essential part of becoming a psychiatrist is learning to work with families to help patients recover.  Regardless of whether the intent is to become a family therapist, this key book should be a “must read” for psychiatric residents and clinical fellows alike."
Maria A. Oquendo, MD, APA President, Chair of the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania

“Up to date, culturally sensitive, concise, organized, practical; I cannot imagine a more useful book for any therapist working with families. Therapists working in medical or psychiatric settings will find excellent chapters to guide them in bridging the gaps between a family systems and a medical model. EVERY FAMILY THERAPIST SHOULD HAVE THIS BOOK AT THEIR SIDE. It is a wonderful addition to the family therapy literature.”
Ellen Berman, MD, Clinical Professor of Psychiatry, University of Pennsylvania

"Family involvement is vital for managing many psychiatric patients.  This Text is a classic because it  tells us how best to involve family members in various forms of treatment, including psychopharmacology.  A must for all mental health practitioners.”
-Alan Schatzberg, MD, Professor of Psychiatry and Behavioral Sciences at Stanford University School of Medicine

"The 5th edition of this classic text reminds us that the care of our patients means understanding them in the context of their most important and intense relationships. Understanding how to work with families, assess their impact, and support their most helpful capacities, is a core skill for all of us. This edition deserves wide readership. "
Paul Summergrad, MD  Psychiatrist-in-Chief; Dr. Frances S. Arkin Professor and Chairman, Department of Psychiatry, Tufts University School of Medicine

"Couple & Family Therapy in Clinical Practice (5th edition)
is a delightful read and the integration of case examples truly brings the points being made alive. Written by three experts, this informative, yet easy-to-understand and follow compendium lays the groundwork for psychiatrists and other behavioral health care specialists to effectively and ethically join, assess, and intervene with diverse couples and families in myriad settings and contexts.  This edition facilitates the practitioners’ appreciation of when, how, and which couple and family evaluations and treatments should be incorporated into an overall care plan. It also thoughtfully highlights the complexities and nuances of various ethical, professional, and training issues in couple and family therapy in a fashion that will empower trainees, supervisors, and practitioners alike."
-Nadine J. Kaslow, PhD, ABPP, Professor and Vice Chair, Emory Department of Psychiatry and Behavioral Sciences, Former President (2014), American Psychological Association and Former Editor, Journal of Family Psychology

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