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Cover
Volume 1
1. About the Editors
2. List of Contributors
3. Preface
4. Volume 1 Preface
5. Foreword
6. Part I: Foundations
  1. 1 The Importance of Family and the Role of Systemic Family Therapy
    1. Systemic Family Therapy
    2. Family
    3. Defining Characteristics of Systemic Family Therapy
    4. Why Does Helping Families Matter?
    5. Moving Forward: Observations from “Reading Across” the Chapters
    6. Conclusion
    7. References
  2. 2 The Evolution and Current Status of Systemic Family Therapy
    1. Sociocultural Origins of Couples Therapy
    2. Sociocultural Origins of Family Therapy
    3. The Culture Strikes Back: Challenges Hit the Field
    4. A Resurgence of Innovation
    5. Current Situation and Prospects for Systemic Family Therapy
    6. The Consumer Self and the Relational Self
    7. Conclusion
    8. References
  3. 3 Global Contexts for the Profession of Systemic Family Therapy
    1. The History of SFT Outside the West
    2. Larger Contexts for SFT Global Development
    3. Current State of SFT Professional Bodies and Practice
    4. Conclusion: A Global Roadmap of SFT
    5. Acknowledgments
    6. References
  4. 4 Redefining “Family”
    1. How Do We Define “Family” in Systemic Family Therapy?
    2. Epidemiology of the Role of Family Environments in Shaping Mental and Physical Health
    3. Placing the Impact of Family on Health in Context: Drawing from Social Epidemiology
    4. Recommendations for Redefining Family from a Multidisciplinary Perspective
    5. References
  5. 5 Systems Theory and Methodology
    1. What Is a System?
    2. Understanding Systems: General Systems Theory (GST) and Cybernetics
    3. What Is Systemic Family Therapy?
    4. Methodological Advances in the Study of Systems
    5. Illustrative Example of System Dynamics
    6. References
  6. 6 Evidence for the Efficacy and Effectiveness of Systemic Family Therapy
    1. Child‐Focused Problems
    2. Adult‐Focused Problems
    3. Mental Health and Physical Health Problems That Occur Across the Lifespan
    4. Cost‐Effectiveness
    5. Future Directions
    6. References
  7. 7 Common Factors Underlying Systemic Family Therapy
    1. History of Common Factors
    2. Defining General Common Factors
    3. Common Factors Specific to SFT
    4. Conclusion
    5. References
  8. 8 The Process of Change in Systemic Family Therapy
    1. Defining SFT Process Research
    2. Process Research on the General Schools of Family Therapy
    3. Process Research in Empirically Supported Treatments in SFT
    4. Making the Case for Integrative Process Research in SFT
    5. Other Systemic Change Processes Needed for Future Research
    6. Applying Process Research in SFT Training and Practice
    7. Conclusion
    8. References
  9. 9 Physiological Considerations in Systemic Family Therapy
    1. Physiology in Our History
    2. Psychophysiological Processes
    3. Therapist–Client Physiologic Synchrony
    4. Intervention
    5. Other Considerations and Future Directions
    6. Conclusion
    7. References
7. Part II: Social and Cultural Contexts
  1. 10 Intersectionality
    1. Chapter Overview
    2. Hierarchy of Power, Privilege, and Oppression
    3. Intersectionality
    4. Liberation‐Based Praxis
    5. Conclusion
    6. References
  2. 11 Sexual Orientation and Gender Identity
    1. Historical and Social Context
    2. Introduction to LGBTQ Affirmative Therapy
    3. Theoretical Underpinnings of LGBTQ Affirmative Therapy
    4. Sexual Orientation
    5. Gender Identity
    6. Self‐of‐the‐Therapist
    7. Conclusion
    8. References
  3. 12 Spiritual and Religious Issues in Systemic Family Therapy
    1. Client Spirituality
    2. Therapist Spirituality and Training
    3. Incorporating the Spiritual Into Treatment
    4. Specific SFT Treatment Considerations
    5. Advancing Spiritual Competence in Clinical Practice
    6. References
8. Part III: Theoretical Perspectives
  1. 13 Theory
    1. Definitions and Terms: Theory, Paradigm, and Model
    2. Theoretical History and Foundations of SFT
    3. Studying and Evaluating SFT Models
    4. Theory Development and Construction
    5. Future Theoretical Development and Construction: Moving the Field Forward
    6. Implications for SFT Research, Training, and Continuing Professional Development
    7. Conclusion
    8. References
  2. 14 Transgenerational Theories and How They Evolved into Current Research and Practice
    1. Transgenerational Theories
    2. Experiential Theories
    3. The Third Iteration of Theories
    4. Conclusion
    5. References
  3. 15 Structural and Strategic Approaches
    1. Structural Family Therapy
    2. Strategic Family Therapy
    3. Integrated Structural–Strategic Family Therapy Approaches
    4. Conclusion
    5. References
  4. 16 Behavioral and Cognitive‐Behavioral Approaches in Systemic Family Therapy
    1. Theoretical Foundations of Cognitive‐Behavioral Couple and Family Therapy
    2. Social Learning Theory
    3. Social Cognition Research
    4. Cognitive Therapy Model
    5. Models of Emotion in Intimate Relationships
    6. Family Systems Theory
    7. Conclusion
    8. References
  5. 17 Attachment and Other Emotion‐Based Systemic Approaches
    1. Attachment Theory Foundations
    2. Attachment Theory Critiques
    3. Attachment in Adulthood
    4. Attachment and Change
    5. Attachment and Intervention
    6. Next Steps in SFT for Attachment‐Based Intervention
    7. Conclusion
    8. References
  6. 18 Postmodern Family Therapy
    1. Influential Postmodern Ideas
    2. Postmodern Family Therapy
    3. Where Is It Going? Future Directions of Postmodernism
    4. References
9. Part IV: Methodological Challenges and Advances
  1. 19 Innovations in Systemic Family Therapy Effectiveness Research
    1. Innovations in RCT Methods
    2. Practice‐Based Research
    3. Conclusion
    4. References
  2. 20 Process Research
    1. Process Research Methods
    2. General Process Methodological Considerations
    3. Process Research Analysis Strategies
    4. Future Directions and Recommendations
    5. References
  3. 21 Community‐Based Participatory Research (CBPR) for Underserved Populations
    1. CBPR: Critical Concepts
    2. Conceptual Model
    3. Case Study: The Detroit Experience
    4. Implications for the Field
    5. Acknowledgment
    6. References
  4. 22 Implementing Research into Everyday Systemic FamilyTherapy Practice
    1. Implementation Research Designs
    2. Use of Theory in Implementation Research
    3. Conclusion and Future Directions
    4. References
10. Part V: Training and Practice
  1. 23 Ethical and Legal Issues Unique to Systemic Family Therapy
    1. Working with Triangles
    2. Who Is the Client?
    3. Safety
    4. Managing Boundaries
    5. Electronic Therapy
    6. Therapist Positionality
    7. Confidentiality in Systemic Therapy
    8. HIPAA Compliance Process
    9. Conclusion
    10. References
  2. 24 Training and Credentialing in the Profession of Marriage and Family Therapy
    1. Conclusions and Recommendations
    2. References
  3. 25 Supervision in Systemic Family Therapy
    1. Learning Objective: Sensitivity to Contextual Factors
    2. Learning Objective: Evidence of Systems Thinking
    3. Learning Objective: Clarity of Purpose and Goals for Supervision
    4. Learning Objective: Clarity of Supervision Roles and Responsibilities
    5. Learning Objective: Evidence of Awareness of Personal and Professional Experiences That Impact Supervision
    6. Learning Objective: Preferred Supervision Models and the Connections Between Personal Therapy and Supervision Model
    7. Learning Objective: Clarity of Preferred Process of Supervision
    8. Learning Objective: Evidence of Sensitivity to Ethics and Legal Issues
    9. Learning Objective: Awareness of Requirements for AAMFT Membership, Regulatory Requirements, and Standards for the Approved Supervisor Designation
    10. Concluding Comments
    11. References
  4. 26 Multilevel Assessment
    1. Assessing Individuals Within a Context of Interacting Systems
    2. Assessing the Multigenerational Family System
    3. Assessing Larger Systems
    4. The Role of Cultural Factors in Assessment
    5. Legal and Ethical Issues in Assessment: Ensuring Safety
    6. Conclusion
    7. References
  5. 27 Sociocultural Attunement in Systemic Family Therapy
    1. From Cultural Competence to Sociocultural Attunement
    2. The Role of Place in Conceptualizing Health and Well‐Being
    3. ANVIET: Guidelines for Socioculturally Attuned Practice
    4. Ethics and Self‐of‐the‐Therapist
    5. Future Directions
    6. References
  6. 28 Promoting Innovative Systemic Research through Improved Graduate Training
    1. Systemic Tools of Research
    2. Core Research Competencies for MS and PhD Training Programs
    3. Conclusion
    4. References
  7. 29 Systemic Family Therapy in Medical Settings
    1. Medical Family Therapy Education and Training
    2. Theoretical Foundations of Medical Family Therapy
    3. Requisite Health‐Related Knowledge When Working in Health‐Care Settings
    4. Required Practical Knowledge When Working in Health‐Care Settings
    5. Challenges Working in Medical Settings
    6. Successes in the Advancement of Systemic Family Therapy in Medical Settings
    7. Furthering the Practice of Systemic Therapy in Medical Settings
    8. Conclusion
    9. References
  8. 30 Specialty Settings
    1. Specialty Areas
    2. Discussion
    3. References
  9. 31 Integration of New Technologies in Assessment, Research, and Treatment Delivery
    1. Acceptance and Effectiveness of Integrating Technology in Practice
    2. Using Technology in Systemic Family Therapy
    3. On the Horizon
    4. Technological Innovations in Training and Supervision
    5. Conclusion
    6. References
11. Part VI: Future Directions
  1. 32 The Importance of Policy and Advocacy in Systemic Family Therapy
    1. Policy and advocacy lexicon
    2. Conclusion
    3. References
  2. 33 The Future of Systemic Family Therapy
    1. The Big Picture: What Should We Stand for?
    2. Integration of Family Therapy into the Larger Health‐Care System
    3. Diversity, Culture, Global Perspective, and Just Practice
    4. Systems Therapy Research in the Future
    5. Systems Therapy Education
    6. Infrastructure
    7. Weeds and Caveats: Directions to Avoid
    8. My Thoughts on Optimism and Pessimism
    9. Conclusion
    10. References
12. Index
Volume 2
1. About the Editors
2. List of Contributors
3. Preface
4. Volume 2 Preface
5. Foreword
6. Part I: Overview
  1. 1 The Evolution of Systemic Approaches to Children and Adolescents
    1. Roles for Systemic Family Therapists
    2. Children and Adolescents as Members of Systems
    3. Tasks for Families and Societies
    4. Sources of Child and Adolescent Success and Failure
    5. Other Factors: Home and Family
    6. Youth in Society
    7. The Rise and Growth of Systemic Approaches
    8. The Rise of Data‐Based Systemic Family Therapy Treatments
    9. Incorporating Older Models Into New Models
    10. Looking Back, Looking Forward
    11. References
  2. 2 Assessment of the Parent‐Child Relationship
    1. Measurement Tools
    2. Future Directions
    3. References
7. Part II: Problems in Parent-Child and Sibling Relationships
  1. 3 Prevention of Parent‐Child Relational Problems
    1. Significance of Parent‐Child Relational Problems
    2. Developmental Theories Related to Parenting
    3. Traditional Family Therapy Models and Parenting
    4. Contemporary Parenting Intervention Programs
    5. Parenting Intervention Research: Review of Federally Funded Studies
    6. Commentary and Conclusions
    7. References
  2. 4 Systemic Interventions for Problems Emerging in Early Childhood
    1. Infant Mental Health
    2. Sociocultural Context
    3. Systemic Family Therapists Are Uniquely Suited for Early Relationship Intervention
    4. Systemic Family Therapists in Context of Other Supportive Professionals
    5. Theoretical Alignment
    6. Key Relationship Targets of Early Intervention Programs
    7. Key Intervention Components of Relational Treatment Programs
    8. Early Assessment Tools
    9. Sample of Systemic Approaches to Prevention and Intervention 0–5
    10. Future Directions
    11. Policy and Reimbursement
    12. Summary
    13. References
  3. 5 Interventions for Parent‐Child Relational Problems That Emerge During the School‐Age Years
    1. The Parent‐Child Relationship During the School‐Age Years
    2. Parent‐Child Relational Problems: Definitions and Classifications
    3. Theoretical Underpinnings of Systemic Therapy for Common Parent‐Child Relational Problems
    4. Assessment
    5. Systemic Interventions
    6. Evidence of Effectiveness
    7. Treatment Contraindications and Considerations
    8. Future Directions for Research, Clinical Practice, Education, and Policy
    9. References
  4. 6 Prevention and Treatment of Problems with Sibling Relationships
    1. The role that siblings play in one's life
    2. Systemic Family Therapy Theories and Sibling Relationships
    3. Working with Siblings in Family Therapy
    4. Future Directions for Sibling Relationships in Family Therapy
    5. References
  5. 7 Systemic Approaches to Child Maltreatment
    1. Definitions and Prevalence
    2. Theoretical Conceptualizations
    3. Child Maltreatment Prevention and Treatment
    4. Policy and Future Implications
    5. References
  6. 8 Difficulties in the Transition to Adulthood
    1. Key Challenges Experienced During the Transition to Adulthood
    2. Best Practices and Guidance for Developmental Adaptations
    3. Policy Implications for Systemic Interventions
    4. Future Directions to Improve Clinical Practice
    5. References
8. Part III: Child and Adolescent Disorders
  1. 9 Family‐Based Prevention and Intervention for Child Physical Health Conditions
    1. Integration of Behavioral and Family Theories
    2. Integrated Care
    3. Treatment Considerations
    4. Evidence from Systemic Approaches to Child Chronic Health Conditions
    5. Future Considerations
    6. References
  2. 10 Depression, Anxiety, and Other Internalizing Disorders
    1. Internalizing Disorders
    2. Individual Child and Adolescent Cognitive‐Behavioral Therapy
    3. Family Therapies for Child and Adolescent Internalizing Disorders
    4. Future Directions: Family Therapy as Primary Treatment for Internalizing Disorders
    5. References
  3. 11 Disordered Behavior and Behavior Disorders
    1. The Roots of Behavior Disorders
    2. Applications to Systemic Family Therapy
    3. Behavior Disorders: ICD and DSM
    4. Following Children and Adolescents Into Adulthood
    5. The Trajectory Into Adulthood
    6. Systemic Family Therapy and Behavior Disorders
    7. Assessment Strategies for Families with Disorderly Behaviors and Behavior Disorders
    8. The Evidence Base for ODD and CD Interventions
    9. A Strategy for Child and Adolescent Behavior Problems
    10. Stories From the Field
    11. A Scenario for “Run‐of‐the‐Mill Cases”
    12. Joining With the Child or Adolescent
    13. Parent Training
    14. Developing and Implementing a Behavior Management Program
    15. A Scenario for Treating Oppositional Defiant Disorder Cases
    16. A Scenario for Treating Conduct Disorder in Children and Adolescents
    17. Conclusion
    18. Into the Future
    19. References
  4. 12 Systemic Approaches to Adolescent Substance Abuse
    1. Prevalence and Correlates of Adolescent Substance Abuse
    2. Adolescent Substance Abuse Assessment
    3. Approaches to Adolescent Substance Abuse Treatment
    4. Adolescent Substance Abuse Prevention Programs
    5. Interventions for Adolescent Substance Abuse
    6. Future Directions for Research, Clinical Practice, Education, and Policy
    7. References
  5. 13 Somatization and Disease Exacerbation in Childhood
    1. The Scope of Somatization
    2. Psychosomatic Theory
    3. Somatic Symptoms in Clinical Practice
    4. Advancing Somatization Theory and Treatment
    5. Summary
    6. References
  6. 14 Youth Suicide
    1. Background on Youth Suicide Risk
    2. Definitions
    3. Systemic Approach to Understanding Youth Suicide
    4. Theoretical Perspectives
    5. Treatment of Youth Suicidal Thoughts and Behavior
    6. Conclusion: Building Systems of Healing, Connection, and Care
    7. References
  7. 15 Systemic Approaches for Children, Adolescents, and Families Living with Neurodevelopmental Disorders
    1. Neurodevelopmental Disorders According to the DSM‐5
    2. Diagnostic Process for Families with Children with Neurodevelopmental Disorders
    3. Contextual Factors that Influence Family Functioning
    4. Systemic Approaches and Practice Recommendations
    5. Conclusion
    6. References
  8. 16 Eating Disorders in Children, Adolescents, and Young Adults
    1. Description of Eating Disorders
    2. History of the Development of Systemic Approaches to Treating Eating Disorders
    3. Maudsley Family Therapy for Anorexia Nervosa
    4. Multifamily Therapy for Anorexia Nervosa
    5. Family Therapy for Bulimia Nervosa
    6. Multifamily Therapy for Bulimia Nervosa
    7. Empirical Evidence
    8. References
9. Part IV: Challenging Family and Social Contexts
  1. 17 Complicated Adoption
    1. Complicated Adoption
    2. Intervention in Complicated Adoption
    3. Conclusions
    4. References
  2. 18 Foster Care and Systemic Interventions to Maximize Effectiveness
    1. Overview of the Child Welfare System
    2. Clinical Concerns Faced by Families Involved with the Child Welfare System
    3. Interventions for Children and Families Involved with the Child Welfare System
    4. Clinical Considerations
    5. Evidence‐Based Family Interventions
    6. Limitations of Extant Research and Implications for Research Moving Forward
    7. Conclusion
    8. References
  3. 19 Interventions to Support Grandparents Raising Grandchildren
    1. Clinical Needs in Grandfamilies
    2. Interventions with Grandfamilies
    3. Conclusions and Future Directions
    4. References
  4. 20 Family‐Based Treatment for Runaway and Homeless Youth
    1. Special Subgroups of Runaway and Homeless Youth
    2. Common Community Approaches
    3. Family as the Intervention Target
    4. General Recommendations for Intervention
    5. Conclusions: Policy Recommendations and Future Directions
    6. References
  5. 21 Helping Children in Divorced and Single‐Parent Families
    1. Therapy for Children of Divorce and Goals of Treatment
    2. Child‐Focused Interventions
    3. Parenting Interventions
    4. Future Research
    5. Case Example
    6. Conclusion
    7. References
  6. 22 Sexual Identity Development and Heteronormativity
    1. Patriarchy, Heteronormativity, and Interlocking Systems of Oppression
    2. Heteronormativity and Systemic Family Therapy
    3. Integrated Affirmative Therapy
    4. Future Directions
    5. Conclusion
    6. References
  7. 23 Interventions for Challenges Encountered in Childcare and School Settings
    1. Common Challenges Experienced by Children and Adolescents in YSOs
    2. Helping Parents and Youth‐Serving Organizations Come Together to Improve Child Outcomes
    3. Effective Systemic Interventions
    4. Navigating the Challenges of an Expanded Treatment System
    5. Suggestions for Further Development
    6. References
  8. 24 Systemic Prevention and Intervention Approaches for Working with Military Families
    1. Impact of Deployment on Children and Families
    2. Intervention Goals: Strengthen Child and Family Well‐Being with Family‐Based Prevention and Treatment Interventions
    3. Summary/Conclusions
    4. References
10. Part V: Future Directions
  1. 25 Improving Culturally Sensitive Interventions for Youth and Parent‐Child Relationships
    1. Defining Culture, Cultural Sensitivity, and Critical Consciousness
    2. Pathways and Barriers to Mental Health Services
    3. Cultural Critique of SFT Foundational Theories and Evidence‐Based Practices
    4. Recommendations
    5. Conclusion
    6. References
  2. 26 Breaking Down Silos with Systemically Oriented Preventive Interventions
    1. Family Systems Theory
    2. What Is Actually Happening on the Ground?
    3. Evidence in Support of Family Systems Interventions
    4. Why Are Family Service Agencies Still So Siloed?
    5. Some Room for Optimism
    6. Suggestions for Making Family Research Even More Relevant to Family Policy
    7. Three Pleas to Policy Makers
    8. Conclusions
    9. References
11. Index
Volume 3
1. About the Editors
2. List of Contributors
3. Preface
4. Volume 3 Preface
5. Foreword
6. Part I: Overview
  1. 1 Current Status and Challenges in Systemic Family Therapy with Couples
    1. The Prevalence and Impact of Couple Distress
    2. The Effectiveness of Couple Therapy for Relationship Distress
    3. The Effectiveness of Couple‐Based Interventions for Mental and Physical Health Disorders
    4. Moderators and Mediators of Treatment Effectiveness
    5. Tailoring Couple Therapy to Individual and Relationship Characteristics: An Alternative Approach
    6. Enduring Challenges for the Field of Couple Therapy
    7. Conclusion
    8. References
  2. 2 Systematic and Culturally Sensitive Assessment of Couple Distress
    1. Prevalence and Implications of Couple Distress
    2. Conceptual Framework for Couple Assessment
    3. Primary Domains of Couple Distress
    4. Importance of Cultural Considerations in Couple Assessment
    5. Comorbid Individual Distress
    6. Assessment Methods and Specific Techniques for Evaluating Couple Distress
    7. Conclusions and Recommendations
    8. Future Directions
    9. Acknowledgment
    10. References
7. Part II: Problems in the Couple Relationship
  1. 3 Prevention of Couple Distress
    1. Relationship Education (Premarital and Marital)
    2. Special Topics in Relationship Education
    3. References
  2. 4 Treating Common Couple Concerns
    1. Communication
    2. Conflict Resolution
    3. Commitment
    4. Caring
    5. Contract
    6. Character
    7. Culture
    8. Children
    9. Future Directions
    10. Conclusion
    11. References
  3. 5 Couple Violence
    1. Coordinated Community Response
    2. Clinical Training and Supervision of Clinicians Working with IPV
    3. Directions for Future Research
    4. Suggestions for Policy Changes
    5. References
  4. 6 Working with Queer Couples
    1. Significant Factors Affecting Queer Couples
    2. Common Therapy Issues for Queer Couples
    3. Systemic Therapy for Working with Queer Couples
    4. Queering Couple Therapy Practice and Training
    5. Future Directions
    6. Concluding Thoughts
    7. References
  5. 7 Clinical Work with Intercultural Couples
    1. Research Overview
    2. What Are the Ingredients of Successful Intercultural Relationships?
    3. Clinical Implications: Assessment and Treatment
    4. Assessment
    5. Treatment
    6. Implications for Policy
    7. Conclusion
    8. References
8. Part III: Couple-Involved Therapies to Address Individual Disorders
  1. 8 Couple Interventions for Alcohol Use Disorders
    1. Substance Use and Relationship Functioning: Practical and Conceptual Considerations
    2. Intervention Approaches
    3. Behavioral Couple Therapy
    4. Research Findings on BCT
    5. Cost Outcomes
    6. Barriers to Effective Partner‐ and Family‐Involved Interventions
    7. Future Directions
    8. Conclusion
    9. References
  2. 9 Couple‐Based Interventions for the Treatment of Depressive and Anxiety Disorders
    1. Associations Between Depression, Anxiety, and Couple Distress
    2. Crosscutting Mechanisms of Depressive and Anxiety Disorders
    3. Couple‐Based Interventions for Depressive and Anxiety Disorders
    4. Future Directions
    5. Conclusions
    6. References
  3. 10 Posttraumatic Stress and Couples
    1. Trauma Exposure and Trauma Type
    2. Theoretical Rationale for Trauma‐Informed Systemic Interventions
    3. Empirical Evidence of Trauma, PTS/D, and Interpersonal Relationships
    4. Interventions for PTS/D and Couples: Toward More Systemic Treatment
    5. Important Clinical Considerations
    6. Conclusion and Future Directions
    7. References
  4. 11 General and Health‐Related Stress and Couples' Coping
    1. Theoretical Background on the Role of Stress in Couples' Functioning
    2. Empirical Findings on the Role of Stress in Close Relationships
    3. Couples' Coping with Stress: The Systemic Transactional Model (STM)
    4. Couple Interventions Aimed at Strengthening Dyadic Coping
    5. Effectiveness of Coping‐Oriented Couple Approaches
    6. Differences Between Coping‐Oriented Interventions and Other Approaches
    7. Discussion
    8. References
9. Part IV: Special Issues
  1. 12 Therapy with Individuals and Couples Deciding to Continue or End Their Relationship
    1. Predominant Frameworks and Theoretical Concepts
    2. Theory in Research and Practice
    3. Treatment
    4. Ethical Issues and Important Considerations
    5. Policy, Prevention and Practice: Recommendations and Future Directions
    6. A. Mixed-Agenda Couple Assessment
    7. B. Assessment of Attitudes Toward Divorce
    8. References
  2. 13 Therapy for Divorcing Couples
    1. Systemic Clinical Conceptualizations of Divorced and Separated Families
    2. Systemic Interventions with Divorcing Families
    3. Case Examples
    4. Conclusion
    5. References
  3. 14 Therapy with Remarried and Stepfamilies
    1. Prevalence and Definitions
    2. Theoretical Adaptations
    3. Other Important Differences Unique to Stepfamilies
    4. Future Directions for Research and Policy
    5. References
  4. 15 Affair Recovery in Couple Therapy
    1. Definitional Dilemmas
    2. Prevalence
    3. Motivations for Affairs
    4. Technology and Infidelity
    5. Assessment and Treatment of Infidelity
    6. Affair Proofing
    7. The Post‐affair Sexual Relationship
    8. Conclusion
    9. References
  5. 16 Integrating Couple Therapy into Work with Sexual Dysfunctions
    1. Factors That Contribute to Sexual Dysfunction
    2. Sexual Health and Wellness
    3. Process and Content of Assessment in Couples
    4. The Process of Integrating Couples Work in Sex Therapy
    5. Areas for Further Training
    6. Resources
    7. Research and Future Directions
    8. References
  6. 17 Couples and Infertility
    1. Couples and the Infertility Experience
    2. Applying Systemic Models and Approaches in Treatment of Couples with Infertility
    3. Future Directions for Research, Education, and Clinical Practice
    4. References
  7. 18 Grief and Loss Effects in the Couple Relationship
    1. Social Myths About Bereavement
    2. Overview of Bereavement Treatment Models
    3. Couple Dynamics After Loss
    4. Clinical Implications for Couples’ Interventions
    5. Self‐of‐the‐Therapist (S‐o‐T) Aspects in Working with Grief
    6. Dimensions of Culture and Its Impact on Bereavement
    7. References
  8. 19 Couples in Later Life
    1. The Landscape of Aging Couples
    2. Literature on Aging Couple Relationships
    3. Older Adults’ Attitudes and Use of Mental Health Services
    4. Our Approach to Working with Aging Couples
    5. Clinical Recommendations and Future Research
    6. References
  9. 20 Clinical Work with Unpartnered Individuals Seeking a Long‐Term Intimate Relationship
    1. Relevant Literature
    2. Theoretical Conceptualizations of Singlehood
    3. Treatment Approaches
    4. Case Examples
    5. Conclusion
    6. References
10. Part V: Future Directions
  1. 21 Couple Therapy
    1. Recent Progress
    2. Defining Positive Outcomes
    3. Professional Development
    4. Innovations in Treatment
    5. Future Directions: A Personal Perspective
    6. Conclusion
    7. References
  2. 22 Improving Couple Interventions for Underserved Populations
    1. Overview of Systemic Couple and Relational Therapy Interventions
    2. Underserved Populations and Accessing Systemic Couple Treatment
    3. Adapting Couple Therapy Interventions: Integration
    4. Future Directions
    5. References
  3. 23 Public Policy and Systemic Family Therapy for Couples
    1. Becoming a Profession
    2. Government Support for Reimbursement for Systemic Family Therapy
    3. Public Policy Challenges for the Systemic Family Therapy
    4. Systemic Family Therapy and Public Policy Challenges and Controversies
    5. Public Policy Recommendations for the Future
    6. Key Areas for Policy Work
    7. We Can Contribute a Relational/Systemic Lens for Public Policy
    8. Conclusion
    9. References
11. Index
Volume 4
1. About the Editors
2. List of Contributors
3. Preface
4. Volume 4 Preface
5. Foreword
6. Part I: Overview
  1. 1 A Systemic Conceptualization of Interventions with Families in a Global Context
    1. The Systemic Inclusive Framework and its Applications to GMH
    2. Concluding Thoughts
    3. References
  2. 2 Family‐Based Mental Health Services in Low‐ and Middle‐Income Countries
    1. The Global Mental Health Movement
    2. Obstacles to Obtaining Mental Health Services
    3. Trends in Global Mental Health
    4. Family Systems' Therapies in LMICs
    5. Practical Ways for Family Therapists to Contribute to Global Mental Health
    6. Conclusion
    7. References
  3. 3 The Glocal Family
    1. “We Greenlandic Are Not Seen by Danish as Equals”: Qannappi
    2. Family Change Across Cultures: Influence of Cadence and Context
    3. Contemporary Family Forms
    4. Invisibility of Minority and Nontraditional Families: Clinical Need for Inclusivity
    5. New Families: Challenges and Opportunities
    6. Systems Framework for Family: Five Contemporary Forces
    7. Cultural Framework: Improving the Well‐Being of Families
    8. The Family Systems Framework
    9. References
  4. 4 Culturally Sensitive Measures of Family Therapy
    1. Measuring Family Therapy Is Essential
    2. Two Different Approaches
    3. Outcome Rating Scale and Session Rating Scale (Adult and Child Versions)
    4. The SCORE Measure of Family Functioning and Change
    5. Future Implications and Requirements of Culturally Sensitive Measures
    6. Conclusion
    7. Appendix A: Outcome and Session Rating Scales
    8. Appendix B: The SCORE‐15 Index of Family Functioning and Change
    9. References
  5. 5 Whose Culture Is It Anyway? A Social Constructionist Approach to Researching Families
    1. Culture and Systemic Family Therapy: It's Complicated
    2. Analysis
    3. Discussion
    4. References
  6. 6 Ambiguous Loss
    1. What Is Ambiguous Loss?
    2. The Story of Ambiguous Loss: Where Did the Idea Come From?³
    3. What Ambiguous Loss Is Not
    4. Therapeutic Implications for Using Ambiguous Loss Theory to Guide Work with Families of the Missing
    5. Therapy and Interventions for Ambiguous Loss: Physical or Psychological
    6. Community‐Based Therapy: The Example of 9/11
    7. Future Directions in Research, Application, and Training
    8. Summary
    9. References
7. Part II: Severe Family Disruption
  1. 7 The Ecology of Family Violence
    1. Systems, Ecosystems, and Complexity
    2. The Ecological Levels
    3. What Can We Do? Research, Policy, and Clinical Implications
    4. Conclusion
    5. References
  2. 8 Families in Chronically Unsafe Community Environments
    1. The Contexts Shaping the Lives of Families
    2. Conceptual Framework
    3. Trauma: Past and Ongoing and Its Effects on Family Life
    4. Specific Effects on Families
    5. Family, Community, and Spiritual Sources of Resilience
    6. Conclusion
    7. References
  3. 9 Global Mental Health, Traumatic Stress, and Displaced Families
    1. Defining Displacement Politically and Socially in Mass Trauma Contexts
    2. Defining and Understanding Forced Displacement/Migration
    3. Systemic Impact of Trauma Exposure
    4. Ecological Perspective of Traumatic Stress
    5. Mental Health Concerns Related to Traumatic Stress and Displacement
    6. Need for Systemic Interventions
    7. Systemic Interventions for Trauma‐Affected and Displaced Populations
    8. Recommendations for Working Systemically with Displaced Families
    9. Conclusion
    10. Acknowledgment
    11. References
8. Part III: Mental and Substance-Use Disorders: A Systemic Context
  1. 10 Global Epidemiology, Etiology, and Treatment
    1. Epidemiology
    2. Etiology
    3. Assessment of Depression and Anxiety
    4. Guidelines on the Treatment of Depression and Anxiety
    5. Treatment of Depression and Anxiety in High‐Income Countries
    6. Underrepresentation of Diverse Groups in Clinical Research
    7. Treatment of Depression and Anxiety in Low‐ andMiddle‐Income Countries
    8. Future Directions
    9. Conclusions
    10. References
  2. 11 Trauma, Posttraumatic Stress, and Family Systems
    1. The Interpersonal Paradox of Trauma
    2. The Family Systems Adaptation to Trauma (FSAT) Model
    3. Clinical Application of the FSAT Model: Implications for Practice
    4. Conclusion
    5. References
  3. 12 Systemic Family Work in the Context of Severe Mental Illnesses
    1. Systemic Development Traces in the Context of Severe Mental Illnesses
    2. The Evidence for a Systemic Approach on the Treatment of Schizophrenia and Affective Psychotic Disorders
    3. Three Approaches to Mental Illness
    4. Conclusion
    5. References
  4. 13 A Systemic Understanding of Addiction Formation and the Recovery Process
    1. Biological Factors
    2. Addiction from a Psychological Perspective
    3. Social
    4. Assessment and Treatment Decisions
    5. Therapy and Treatment Within a Systemic Context
    6. Conclusion, Final Message to Therapists, and Future Directions
    7. References
  5. 14 Systemic Treatment of Eating Disorders Across the Life Cycle
    1. Global Significance of the Eating Disorders
    2. Assessment Considerations for Eating Disorders
    3. Overarching Treatment Modalities
    4. Major Goals of Family Therapy and Systemic Intervention
    5. Final Thoughts
    6. References
9. Part IV: Health Across the Lifespan
  1. 15 Working with Chronic Medical Conditions
    1. Theoretical Approaches
    2. The Family Life Cycle, Illness, and Disability
    3. Culture, Migration, and Health Disparities
    4. Clinical Interventions
    5. Consultation, Supervision, and Personal Resonances
    6. Conclusion
    7. References
  2. 16 Autism and Systemic Family Therapy
    1. Autism
    2. Systemic Theory and Practice with Autistic People and Their Families
    3. Guidance for Therapists Speaking with Autistic Children, Young People, Adults, and Their Families
    4. Future Directions
    5. Conclusion
    6. References
  3. 17 “Minding the Family”
    1. Background and Common Types of Neurological Disorders
    2. Challenges for Families Around These Disorders
    3. Frameworks for Working with Families
    4. The Family Systems Illness Model for Neurological Disorders
    5. Cultural, Gender, and Spiritual Considerations
    6. Assessment and Treatment with Families at Life Cycle Stages
    7. Clinical Case Example
    8. Future Directions/Implications
    9. References
  4. 18 Functional Symptoms andDisorders
    1. Functional Disorders, Definition, Presentation, and Implications
    2. Functional Disorders in the Family Context
    3. Family Therapy for Functional Disorders
    4. Implications
    5. References
  5. 19 Systemic Interventions for Prevention with HIV‐Positive Individuals
    1. Rationale for Prevention with People Living with HIV/AIDS
    2. Voluntary Counseling and Testing: Implications for Couples
    3. Retention in Care and Medication Adherence
    4. Viral Load Suppression and Sexual Risk Reduction
    5. Implications of Couple‐Based HIV Research for Systemic Family Therapists
    6. Conclusions
    7. References
  6. 20 Aging Adults Needing Care
    1. Impact on Families
    2. Aging, Social Contexts, and Diversity
    3. Systemic Approaches for Family Caregiving Issues
    4. Systemic Family Therapy Approaches for Older Adults and Their Families
    5. Government‐Funded Programs for Older Adults and Their Families
    6. Future Directions for Training, Practice, and Research
    7. References
  7. 21 Life‐Limiting Conditions and Palliative Care
    1. Policy Frameworks and the Extent of the Problem
    2. Family Therapy for People with Life‐Threatening and Life‐Limiting Illness
    3. The Scope of Family Therapy for People with Life‐Limiting and Life‐Threatening Conditions
    4. Evidence on Efficacy
    5. Future Directions
    6. Gaps in Service Provision
    7. Summary
    8. References
10. Part V: Future Directions
  1. 22 Systemic Family Therapy and Global Mental Health
    1. International Training as Global Trade
    2. Defining Global Mental Health
    3. How We Think and Do (Perspective and Practice) Global Mental Health
    4. Discussion: Recommendations for Starting in the Middle
    5. Conclusion
    6. References
  2. 23 Letters to the Field
    1. Indigenous Families in Canada
    2. Liberian Refugee Families in the United States and Potential Applications with Other War‐Affected African Communities
    3. Learning to be a Citizen and a Systemic Family Therapist in Guatemala
    4. Changes in Couple and Family Roles in Saudi Arabia
    5. Refugee Families in Africa
    6. Adopting the Stories and Strategies of African Americans: Resilience, Trust, Connection, Authenticity, and Buffer
    7. We Can Do Bad All By Ourselves: Working Therapeutically with African‐American Youth, Families, and Communities
    8. Family Therapy with Trauma‐Affected Families in Turkey
    9. Reflexive Remarks
    10. References
  3. 24 Global PerspectivesTaking Systemic Family Therapy Forward into
    1. Conclusion: Family as the Core Context
    2. Acknowledgment
    3. References
11. Index
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List of Tables

Volume 1 - Chapter 3
1. Table 3.1 Key benchmarks of SFT development in selected non‐Western countries...
Volume 1 - Chapter 10
1. Table 10.1 Intersectionality and liberatory‐based healing.
Volume 1 - Chapter 11
1. Table 11.1 Terms related to sexual orientation.
2. Table 11.2 Terms related to gender identity.
Volume 1 - Chapter 13
1. Table 13.1 Assumptions and implications of major theories and paradigms.
2. Table 13.2 Reflection questions to guide the study of SFT models.
Volume 1 - Chapter 15
1. Table 15.1 Common paradoxical prescriptions.
Volume 2 - Chapter 4
1. Table 4.1 Comparison of infant mental health treatments
Volume 2 - Chapter 12
1. Table 12.1 Data summaries from US studies on adolescent substance use.
2. Table 12.2 NIDA's principles of adolescent substance use disorder treatment.
Volume 2 - Chapter 14
1. Table 14.1 Terms and definitions related to suicidal thoughts and behaviors.
Volume 3 - Chapter 1
1. Table 1.1 Initial versus 4–5‐year outcomes for couple treatment of relationsh...
2. Table 1.2 Intervention levels and sample indicators for a hierarchical plural...
Volume 3 - Chapter 2
1. Table 2.1 Summary of common self‐report instruments by assessment domain.
Volume 3 - Chapter 3
1. Table 3.1 Initiatives and resources for relationship education for specific p...
2. Table 3.2 Selected marital and relationship education programs.
3. Table 3.3 MRE randomized controlled studies with national samples.
Volume 3 - Chapter 5
1. Table 5.1 Overview of systemic treatment models for IPV.
Volume 3 - Chapter 6
1. Table 6.1 Definition of terms and language commonly used in LGBTQ spaces.
Volume 3 - Chapter 13
1. Table 13.1 Key principles and strategies when working with divorcing couples.
Volume 3 - Chapter 17
1. Table 17.1 Components of couples' psychosocial fertility assessment.
Volume 4 - Chapter 5
1. Table 5.1 Transcription notation symbols.
2. Table 5.2 Diagramed transcript of therapist/clients interaction.
Volume 4 - Chapter 6
1. Table 6.1 Questions to ask during family therapy for ambiguous loss.
Volume 4 - Chapter 17
1. Table 17.1 Comparisons of common neurological disorders and the impact on fam...

List of Illustrations

Volume 1 - Chapter 1
1. Figure 1.1 WHO service organization pyramid for an optimal mix of services f...
Volume 1 - Chapter 5
1. Figure 5.1 The graph highlights the key differences between statistical (lef...
2. Figure 5.2 Conceptual system dynamics model of the biological, cognitive, so...
3. Figure 5.3 System dynamics model of rumination, stress, and depression. Boxe...
4. Figure 5.4 Simulations of depressive symptoms for 16 female patient profiles...
Volume 1 - Chapter 9
1. Figure 9.1 Cycle of physiologic processes and behavior. The dotted line betw...
Volume 1 - Chapter 10
1. Figure 10.1 Hierarchy of power, privilege, and oppression.
2. Figure 10.2 Dismantling the social construct of gender.
3. Figure 10.3 Leveling power and privilege between clients.
Volume 1 - Chapter 15
1. Figure 15.1 The interaction of the perceptive–reactive system of one family ...
2. Figure 15.2 The interaction of the perceptive–reactive systems of two family...
Volume 1 - Chapter 21
1. Figure 21.1 CBPR conceptual model: Detroit case example. Expanded from “Risk...
Volume 1 - Chapter 22
1. Figure 22.1 Phases of implementation research.
Volume 1 - Chapter 23
1. Figure 23.1 SLEEPP model of systemic ethical decision making.
2. Figure 23.2 Confidentiality considerations in systemic therapy.
Volume 1 - Chapter 25
1. Figure 25.1 Social Location Map Form.
2. Figure 25.2 CARE Model.
3. Figure 25.3 iCARE lens.
Volume 1 - Chapter 29
1. Figure 29.1 Component parts of the biopsychosocial–spiritual model.
Volume 1 - Chapter 32
1. Figure 32.1 Continuum of advocacy. One can start anywhere on the continuum a...
Volume 2 - Chapter 3
1. Figure 3.1 Administering NIH institute or center for NIH‐funded parenting in...
2. Figure 3.2 Focal population group for NIH‐funded parenting intervention stud...
Volume 2 - Chapter 9
1. Figure 9.1 Example integration of family systems theory and social cognitive...
Volume 2 - Chapter 13
1. Figure 13.1 Biobehavioral continuum of disease.
Volume 3 - Chapter 7
1. Figure 7.1 Conflict resolution and management strategies of intercultural co...
2. Figure 7.2 Rebecca and Helen's culturegrams: gender and power.
Volume 4 - Chapter 1
1. Figure 1.1 WHO service organization pyramid for an optimal mix of services f...
2. Figure 1.2 Systemic Inclusive Framework.
3. Figure 1.3 Integration of strategic communication. Modified mix of services ...
4. Figure 1.4 Systemic Inclusive Framework combined with the WHO’s recommended ...
Volume 4 - Chapter 2
1. Figure 2.1 WHO service organization pyramid for an optimal mix of services f...
Volume 4 - Chapter 5
1. Figure 5.1 Example of a pathologizing interpersonal pattern (PIP) that incre...
2. Figure 5.2 Stereotyping: an example of pathologizing interpersonal pattern (...
3. Figure 5.3 Orienting toward cultural preferences. A possible transforming in...
4. Figure 5.4 Transforming interpersonal pattern: foregrounding preferred cultu...
Volume 4 - Chapter 6
1. Figure 6.1 Two types of ambiguous loss.
2. Figure 6.2 The contextual model of family stress.
3. Figure 6.3 Six guidelines for increasing resilience to live without closure....
Volume 4 - Chapter 7
1. Figure 7.1 The ecology of family violence.
Volume 4 - Chapter 11
1. Figure 11.1 The Family Systems Adaptation to Trauma Model.
Volume 4 - Chapter 13
1. Figure 13.1 A comprehensive systemic model of addiction formation and recove...
2. Figure 13.2 Integration of domains of influence and therapeutic intervention...
Volume 4 - Chapter 17
1. Figure 17.1 Family systems illness model: three dimensions.
2. Figure 17.2 Genogram of a family case with traumatic brain injury.
Volume 4 - Chapter 18
1. Figure 18.1 The spectrum of functional symptoms and disorders.
2. Figure 18.2 A model for the etiology of functional disorders, adapted to Pet...
Volume 4 - Chapter 19
1. Figure 19.1 HIV testing and treatment cascade.
Volume 4 - Chapter 20
1. Figure 20.1 Population aging: number of years for countries to become an agi...
2. Figure 20.2 Multicontextual assessment framework for older adults and their ...
Volume 4 - Chapter 21
1. Figure 21.1 Rolland's illness typology.
2. Figure 21.2 Illness trajectories.
3. Figure 21.3 Forbat model of centripetal and centrifugal forces during diseas...