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Focused Genograms: Intergenerational Assessment of Individuals, Couples, and Families PDF

327 Pages·2017·3.766 MB·English
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Focused GenoGrams Focused Genograms provides a cutting-edge guide to utilizing the Intersystem Approach meta-framework and attachment theory to construct focused gen- ograms. Focused genograms are graphic representations of intergenerational family interactions, and can be tailored to themes. This new volume includes nearly two decades of research, clinical experience, and theory; including rap- idly expanding empirical support of attachment theory, gender, and trauma theory. It will allow the reader to comprehensively develop assessment and treatment planning for a wide range of client-systems. The clinical approach to using Focused Genograms traces intergenerational patterns of attachment and helps the therapist create an attachment-focused bond with client-systems of all types. Rita DeMaria, PhD, LMFT, CST, is a senior staff clinician at Council for Relationships and faculty member and supervisor in the Post-Graduate Couple and Family Therapy Program. She is on the faculty in the Couple and Family Therapy Program at Thomas Jefferson University in Philadelphia. Gerald R. Weeks, PhD, ABPP, CST, is a professor emeritus in the Marriage and Family Therapy Program at the University of Nevada, Las Vegas. He is the founder of the Intersystem Approach. Markie L. C. Twist, PhD, LMFT, LMHC, CSE, is an associate professor in the Human Development and Family Studies Department and Marriage and Family Therapy Program at the University of Wisconsin-Stout. “I thoroughly enjoyed reading this book’s update on Weeks’ Intersystem Approach and Focused Genogram practices. By adding material developed through theory (e.g., attachment), experience, and research (e.g., neuroscience), the authors have expanded and deepened the usefulness of the Focused Geno- gram as a meta-framework assessment tool for systemic treatment of individ- uals, couples, and families regardless of preferred therapy approach. Useful for novice therapists as well as seasoned clinicians and trainers/supervisors.” Thorana Nelson, PhD, professor emerita, Utah State University Focused GenoGrams Intergenerational Assessment of Individuals, Couples, and Families 2nd Edition Rita DeMaria, Gerald R. Weeks, and Markie L. C. Twist Second edition published 2017 by Routledge 711 Third Avenue, New York, NY 10017 and by Routledge 2 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN Routledge is an imprint of the Taylor & Francis Group, an informa business © 2017 Taylor & Francis Figure Concepts © Rita DeMaria, PhD; Figures Created by © Dennis Haggerty The right of Rita DeMaria, Gerald R. Weeks, and Markie L. C. Twist to be identified as authors of this work has been asserted by them in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. The purchase of this copyright material confers the right on the purchasing institution to photocopy pages which bear the photocopy icon and copyright line at the bottom of the page. No other parts of this book may be reprinted or reproduced or utilized in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. First edition published by Routledge, 1999 Library of Congress Cataloging-in-Publication Data Names: DeMaria, Rita, author. | Weeks, Gerald R., 1948– author. | Twist, Markie L. C., author. Title: Focused genograms: intergenerational assessment of individuals, couples, and families / by Rita DeMaria, Gerald R. Weeks, and Markie L.C. Twist. Description: 2nd edition. | New York, NY: Routledge, 2018. | Includes bibliographical references and index. Identifiers: LCCN 2017001473 | ISBN 9781138714076 (alk. paper) | ISBN 9780415806640 (alk. paper) | ISBN 9781315230771 (alk. paper) Subjects: LCSH: Family psychotherapy. | Family psychotherapy—Technique. | Behavioral assessment—Charts, diagrams, etc. | Genograms. Classification: LCC RC488.5 .D39 2018 | DDC 616.89/156—dc23 LC record available at https://lccn.loc.gov/2017001473 ISBN: 978-1-138-71407-6 (hbk) ISBN: 978-0-415-80664-0 (pbk) ISBN: 978-1-315-23077-1 (ebk) Typeset in Bembo by codeMantra Children are the messages we send to a time we will not see. Postman, N. (1982, pg. xi.) With gratitude: To my mother, June Selma Krugh, and my father, Lawrence William Mulligan, Sr. To my husband, Richard Anthony DeMaria And for the ‘time I will not see’ My children: Amanda Elizabeth and Jeffrey Scott and Katherine Tyler Schoen —Rita DeMaria To my wife Nancy for her enduring love and support: —Gerald R. Weeks For the guide of my past—my grandmother, Sydney Jane Brannin Dodge, and the guide of my future—my child, Leif Brenmark Christianson Blumer —Markie L. C. Twist This page intentionally left blank contents List of Figures and Tables xi About the Authors xiii Preface xvi Acknowledgments xx Abbreviations xxiii Introduction xxiv Part I the Intersystem approach and Integration of attachment theory 1 1 The Intersystem Approach: Intergenerational Assessment and Clinical Practice 3 Overview 3 The Intersystem Approach in Current Practice 13 Summary 15 References 16 2 Focused Genograms and Assessment of Intergenerational Transmission of Attachment 19 Overview 19 Attachment Theory and the Intersystem Approach 20 viii Contents The Development of Therapeutic Posture 23 Exploring the Attachment Terminology Dilemma 26 Intergenerational Transmission of Attachments 32 Attachment Theory in Context 34 Summary 37 References 38 Part II re-Introducing Focused Genograms and therapeutic Posture 43 3 A Guide to the Focused Genogram, Maps, and Timelines 45 Overview 45 A Guide to the Focused Genogram 46 Overview of Mapping and Timeline Tools 51 Mapping Tools 52 Timeline Tools 71 Summary 78 References 79 Appendix 1: Family Connections Map Questionnaire and Scoring 84 FCM Questionnaire Directions 84 4 Therapeutic Posture: The Attachment-Based Therapeutic Alliance with Individuals, Couples, and Families 87 Overview 87 Part I Theoretical Background and Clinical Implications of Therapeutic Posture 89 Part II A Guide to Forming a Therapeutic Posture 97 Part III Focused Genograms as an Attachment Narrative Process 107 Summary 111 References 112 Contents ix Part III the new and expanded attachment Focused Genograms 117 5 The Attachments Focused Genogram: Expanding the Basic Genogram 119 Overview 119 Foundations of Attachment Theory 120 Re-introducing the Attachment Focused Genogram 121 Developing the Attachment Genogram 122 Summary 150 References 151 6 The Fairness Focused Genogram: A Contextual Therapy Perspective 158 Introduction to the Fairness Genogram 158 Overview 160 The Family Justice System 162 Meet the Blases 168 Constructing the Fairness Genogram 170 Summary 180 References 181 7 The Gender Focused Genogram 183 Overview 183 Reintroducing the Gender Genogram 184 Developing the Gender Genogram 185 Summary 210 References 210 8 The Sexuality Focused Genogram 217 Overview 217 History of Sexuality Assessment 218

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