TEXTBOOK OF FAMILY AND COUPLES THERAPY Clinical Applications This page intentionally left blank TEXTBOOK OF FAMILY AND COUPLES THERAPY Clinical Applications Edited by G. Pirooz Sholevar, M.D. With Linda D. Schwoeri, Ph.D. Washington, DC London, England Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U. S. Food and Drug Administration and the general medical community. As medical research and practice con- tinue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. Books published by American Psychiatric Publishing, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric Association. Copyright © 2003 American Psychiatric Publishing, Inc. ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 07 06 05 04 03 5 4 3 2 1 First Edition Typeset in Adobe’s Janson Text and GillSans American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Arlington, VA 22209-3901 www.appi.org Library of Congress Cataloging-in-Publication Data Textbook of family and couples therapy / edited by G. Pirooz Sholevar with Linda D. Schwoeri.—1st ed. p. ; cm. Includes bibliographical references and index. ISBN 0-88048-518-3 (alk. paper) 1. Family psychotherapy. 2. Marital psychotherapy. I. Sholevar, G. Pirooz. II. Schwoeri, Linda. [DNLM: 1. Family Therapy—methods. 2. Couples Therapy— methods. 3. Marital Therapy—methods. WM 430.5.F2 T355 2003] RC488.5 .T44 2003 616.89(cid:1)156—dc21 2002071166 British Library Cataloguing in Publication Data A CIP record is available from the British Library. This book is dedicated to my teachers and mentors: Salvador Minuchin, Murray Bowen, Carl Whitaker, Jay Haley, and Nathan Ackerman and The next generation of the Sholevar family: Darius, Maryam, David, Reza, Timo, Michelle, Wilkie, Christina, Roxanne, and Cyrus G.P.S. This page intentionally left blank Contents Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xiii Part I Introduction Chapter 1 Family Theory and Therapy: An Overview . . . . . . . . . . . . . . . . . . . . . . . . . . .3 G. Pirooz Sholevar, M.D. Part II Family Therapy: Theory and Techniques Introduction to Family Theories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 G. Pirooz Sholevar, M.D. Chapter 2 Structural Family Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 H. Charles Fishman, M.D., and Tana Fishman, D.O. Chapter 3 Constructing Therapy: From Strategic, to Systemic, to NarrativeModels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 Scott W. Browning, Ph.D., and Robert-Jay Green, Ph.D. Chapter 4 Psychodynamic Family Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77 G. Pirooz Sholevar, M.D., and Linda D. Schwoeri, Ph.D. Chapter 5 Multigenerational Family Systems Theory of Bowen and ItsApplication. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 Michael Kerr, M.D. Chapter 6 Contextual Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127 Catherine Ducommun-Nagy, M.D., and Linda D. Schwoeri, Ph.D. Chapter 7 Behavioral Family Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .147 Ian R. H. Falloon, M.D. Chapter 8 Psychoeducational Family Intervention . . . . . . . . . . . . . . . . . . . . . . . . . . . .173 Linda D. Schwoeri, Ph.D., and G. Pirooz Sholevar, M.D. Chapter 9 Social Network Intervention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Ross V. Speck, M.D. Chapter 10 Gender-Sensitive FamilyTherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .203 Linda D. Schwoeri, Ph.D., G. Pirooz Sholevar, M.D., and George S. Villarose, M.A. Chapter 11 Techniques of Family Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225 G. Pirooz Sholevar, M.D., and Linda D. Schwoeri, Ph.D. Family Theories: Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .251 G. Pirooz Sholevar, M.D. Part III Family Assessment Chapter 12 Initial and Diagnostic Family Interviews. . . . . . . . . . . . . . . . . . . . . . . . . . . .257 G. Pirooz Sholevar, M.D. Chapter 13 Family Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .277 Bruce D. Forman, Ph.D., Jodi Aronson, Ph.D., and Mark P. Combs, Ph.D. Chapter 14 The Family Life Cycle: A Framework for Understanding Family Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .303 Joan Zilbach, M.D. Chapter 15 Functional and Dysfunctional Families. . . . . . . . . . . . . . . . . . . . . . . . . . . . .317 W. Robert Beavers, M.D. Chapter 16 Diagnosis of Family Relational Disorders . . . . . . . . . . . . . . . . . . . . . . . . . .341 David J. Miklowitz, Ph.D., and John F. Clarkin, Ph.D. Part IV Family Therapy With Children and Adolescents Chapter 17 Family Therapy With Children and Adolescents: An Overview. . . . . . . . .367 G. Pirooz Sholevar, M.D. Chapter 18 Family Therapy With Children: A Model for Engaging the Whole Family . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .381 Richard Chasin, M.D., and Tanya B. White, Ph.D. Chapter 19 Parent Management Training. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .403 Ellen Harris Sholevar, M.D. Part V Couples Therapy Chapter 20 Couples Therapy: An Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .417 G. Pirooz Sholevar, M.D. Chapter 21 Psychodynamic Couples Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .439 Derek C. Polonsky, M.D., and Carol C. Nadelson, M.D.