Search results for "Family Therapy"

Why Am I the Only One You’re Talking to, Talk to Them, They Haven’t Said a Word? : Pitfalls and Challenges of Having the Child in the Focus of Family…

2021

Children with conduct disorders are at risk of being positioned in the family therapy as ‘the problem’. This study describes how the difficulties were talked about and how the child coped in this situation. The results showed: the parents produced symptom-oriented problem talk about the child’s behavior, rendering systemic reformulation of the problem challenging. The negative interaction made the climate unsafe and impaired consideration of the child’s behavior as a meaningful way for the child to become seen and heard. This study enriches understanding of the therapeutic challenge therapists face with high-risk families from the very beginning of the treatment. peerReviewed

Open dialogues with good and poor outcomes for psychotic crises: examples from families with violence.

2002

In Open Dialogue the first treatment meeting occurs within 24 hr afer contact and includes the social network of the patient. The aim is to generate dialogue to construct words for the experiences embodied in the patient’s psychotic symptoms. All issues are analyzed and planned with everyone present. A dialogical sequence analysis was conducted comparing good and poor outcomes offirst-episode psychotic patients. In good outcomes, the clients had both interactional and semantic dominance, and the dialogue tookplace in a symbolic language and in a dialogical form. Already at the first meeting, in the good outcome cases, the team responded to the client’s words in a dialogical way, but in the …

The long-term outcome of 2 family intervention strategies in schizophrenia.

2006

The different family-based interventions that have proven to be effective in treating people with schizophrenia present some therapeutic elements in common and differ in certain other respects, although to date, none of the proposed approaches have demonstrated to be clearly superior to each other in reduced relapse and readmission rates. Although the approaches based on relatives group therapies save considerable amounts of time, some data reveal better short-term results when the intervention focuses on the family unit and the participant patient. Objective: The aim of this study was to determine whether the clinical and social benefits observed in the short term would be maintained 5 yea…

A Mobile-Assisted Working Model for Supporting Daily Family Life

2015

Despite rapid technological development, very few new technology-assisted tools have been developed specifically for use in family services. This article describes a new, mobile-assisted working model designed to enhance the quality of daily family life. The model has its origins in the existing research on daily family life and on the diary method, which has been widely used in data collection in family research. The model provides support for the daily life of client families in the intervals between meetings with family counselors via the use of text messages. The pilot study explored family members’ and family counselors’ experiences of using the model. Data on 26 parents and four chil…

Retrospective Experiences of First-Episode Psychosis Treatment Under Open Dialogue-Based Services: A Qualitative Study.

2021

AbstractOpen Dialogue (OD) is an integrated approach to mental health care, which has demonstrated promising outcomes in the treatment of first-episode psychosis (FEP) in Finnish Western Lapland region. However, little is known how treatment under OD is retrospectively experienced by the service users themselves. To address this, twenty participants from the original Western Lapland research cohort diagnosed with psychosis (F20–F29) were asked about their treatment of FEP, initiated under OD 10–23 years previously. Thematic analysis was used to explore how the treatment was experienced. Most participants viewed network treatment meetings as an important part of their treatment, as they enab…

Whose Life is it Anyway? Exploring the Social Relations of High-Conflict Divorce Cases in Southern Norway

2021

AbstractThe paper reports on findings from an empirical study based on qualitative interviews with Norwegian parents identified as part of a high-conflict divorce situation and interviews with caseworkers from a child welfare service. The site of study is an institutional circuit of concern, assessment, and referral involving the court, child welfare services, and a public family therapy service. The paper draws on the social ontology and analytic concepts of institutional ethnography and adopts parents’ standpoint to explore how their knowledge and experience are shaped through encounters with professionals in the process of being identified and assessed as a high-conflict divorce case. Th…

The effectiveness of local child weight management programmes: an audit study

2012

Background Many different child weight management programmes exist, with varying degrees of evaluation to provide evidence of their success. The purpose of this research was to use a standardized approach to audit the effectiveness of weight management intervention programmes in the West Midlands region of the UK, specifically to assess the benefits to participating children in terms of health improvement and behaviour change. Methods An audit of seven family-based intervention programmes currently in place in the West Midlands. Programmes were audited against the Standard Evaluation Framework. Results The programmes provided a partial data set relating to a change in weight from the baseli…

The Psychiatrist's Role in Implementing an Open Dialogue Model of Care

2019

Conversations on contexts and meanings: On understanding therapeutic change from a contextual viewpoint

1990

Recent developments within family therapy theory, often referred to as the Post-Milan Movement, have once again stressed the therapeutic encounter'squality of conversation. When therapy is looked upon as conversation, attention is not only paid to the fact that most of what happens in a session is talking. Rather, a more fundamental stance towardshuman life as basically meaning- making is taken. This is one of the essential premises of the contextualist approach to the social sciences. When applied to human problems this approach claims that “symptoms” evolve when (1) a person gives meaning to and performs a social act within a context inappropriate to the socially shared meaning of that ac…

The family in Italy: Cultural changes and implications for treatment

2012

In Italy family is characterized by strong ties and is based on mutual aid of all its members. In the last 20 years, the structure of families has been significantly influenced by demographic, economic and professional changes, determining a transition from a patriarchal to a nuclear family model, with a higher number of single-parent families, single-person households, childless couples, same-sex couples. However, this transition has been slower than that occurring in other countries, probably as an ongoing impact of prevalent Catholic ideology. Major demographic changes in Italian families include, 1) a decrease in the number of marriages, delays in getting married and an high number of c…