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Provides a theoretical base for family practice that explains familial dynamics and provides guidelines for effective intervention based on four basic levels of need: basic survival issues; a need for structure, limits, and safety; problem-focused issues; and family and personal growth issues. The f

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• Foreword(p. xiii)
• Preface(p. xv)
• Authors(p. xxi)
• Contributors(p. xxiii)
• Outline of Approaches(p. xxvi)
• Part 1 Theory Base and Contextual Practice: Metatheories for Working with Families at Four Levels of Need(p. 1)
• 1 Levels of Family Need(p. 2)
• Level I(p. 3)
• Level II(p. 5)
• Level III(p. 8)
• Level IV(p. 9)
• Intervention Criteria(p. 10)
• Summary(p. 12)
• Discussion Questions(p. 13)
• Internet Resources(p. 13)
• Suggested Readings(p. 13)
• References(p. 14)
• 2 An Ecological Systems-Social Constructionism Approach to Family Practice(p. 15)
• Ecological Systems Perspective(p. 15)
• Applications to Family Practice(p. 19)
• Caveats in Using the Ecosystems Metatheory(p. 22)
• Social Constructionist Perspective(p. 23)
• Applications to Family Practice(p. 25)
• Caveats in Using the Social Constructionist Metatheory(p. 26)
• Comparing and Integrating the Metatheories(p. 27)
• Summary(p. 30)
• Discussion Questions(p. 30)
• Internet Resources(p. 31)
• Suggested Readings(p. 31)
• References(p. 32)
• 3 Contexts of Helping: Commonalities and Human Diversities(p. 35)
• The Helping Relationship/Therapeutic Alliance(p. 36)
• Client Diversity(p. 38)
• Summary(p. 48)
• Discussion Questions(p. 49)
• Internet Resources(p. 49)
• Suggested Readings(p. 49)
• References(p. 50)
• 4 Ethically Informed and Spiritually Sensitive Practice(p. 52)
• Ethically Informed Practice(p. 52)
• Spiritually Sensitive Practice(p. 62)
• Ethical Challenges(p. 69)
• Summary(p. 70)
• Discussion Questions(p. 70)
• Internet Resources(p. 71)
• Suggested Readings(p. 71)
• References(p. 72)
• Part 2 First Level of Family Need: Basic Survival(p. 75)
• 5 Interventions with Level I, Neglectful Families: A New Model of Family Preservation(p. 76)
• Needs of Neglectful Families(p. 78)
• Assessment(p. 78)
• Goals: Defining Family Preservation(p. 80)
• Basic Tenets(p. 80)
• Intervention Approach: Preserving Neglectful Level I Families(p. 83)
• Evaluation of Effectiveness(p. 87)
• Application to Families on Levels II, III, and IV(p. 88)
• Ethical Challenges(p. 89)
• Summary(p. 89)
• Discussion Questions(p. 89)
• Internet Resources(p. 90)
• Suggested Readings(p. 90)
• References(p. 90)
• 6 A Family Case Management Approach for Level I Needs(p. 94)
• Family Needs(p. 94)
• Family Case Assessment(p. 95)
• Treatment Goals(p. 97)
• Treatment Approach: A Generalist Model of Case Management(p. 98)
• Evaluation(p. 107)
• Application to Families at Other Levels of Need(p. 108)
• Ethical Challenges(p. 108)
• Summary(p. 109)
• Discussion Questions(p. 109)
• Internet Resources(p. 110)
• Suggested Readings(p. 110)
• References(p. 111)
• Part 3 Second Level of Family Need: Structure, Limits, and Safety(p. 115)
• 7 Structural Family Interventions(p. 116)
• Levels of Family Need(p. 116)
• Assessment(p. 117)
• Goals(p. 119)
• Intervention Approach(p. 119)
• Evaluation(p. 122)
• Application to Families at Other Levels of Need(p. 123)
• Ethical Challenges(p. 123)
• Summary(p. 124)
• Discussion Questions(p. 125)
• Suggested Videotapes(p. 125)
• Suggested Readings(p. 126)
• References(p. 126)
• 8 Social Learning Family Interventions(p. 128)
• Family Needs(p. 128)
• Assessment and Treatment Goals(p. 131)
• Social Learning Family Interventions(p. 133)
• Evaluation of Effectiveness(p. 139)
• Application to Families on Levels I, III, and IV(p. 139)
• Ethical Challenges(p. 140)
• Summary(p. 140)
• Discussion Questions(p. 141)
• Internet Resources(p. 142)
• Suggested Readings(p. 142)
• References(p. 142)
• Part 4 Third Level of Family Need: Boundaries and Control(p. 145)
• 9 Solution-Focused Family Interventions(p. 146)
• Assumptions(p. 146)
• Typical Needs of Level III Families(p. 147)
• Assessment(p. 148)
• Theory Base and Basic Tenets(p. 149)
• Treatment Goals(p. 151)
• Application(p. 153)
• Application to Spirituality(p. 156)
• Interventions(p. 157)
• Evaluation(p. 161)
• Application to Families on Levels I, II, and IV(p. 163)
• Ethical Challenges(p. 163)
• Summary(p. 164)
• Discussion Questions(p. 164)
• Internet Resources(p. 164)
• Suggested Readings(p. 165)
• References(p. 165)
• 10 Family Systems Theory(p. 167)
• Needs Presented by Level III Families(p. 168)
• Assessment(p. 168)
• Goals of the Intervention(p. 174)
• Intervention Approaches(p. 174)
• Applications(p. 177)
• Evaluation of Effectiveness(p. 184)
• Application to Families at Other Levels of Need(p. 186)
• Ethical Challenges(p. 186)
• Summary(p. 187)
• Discussion Questions(p. 188)
• Internet Resources(p. 189)
• Suggested Readings(p. 189)
• References(p. 190)
• Part 5 Fourth Level of Family Need: Family and Personal Growth(p. 193)
• 11 Narrative Family Interventions(p. 194)
• Needs(p. 194)
• Goals(p. 195)
• Theoretical Foundations and Basic Tenets(p. 197)
• Assessment(p. 200)
• Intervention Approaches(p. 202)
• Evaluation(p. 210)
• Application to Families at Other Levels of Need(p. 211)
• Ethical Challenges(p. 212)
• Summary(p. 212)
• Discussion Questions(p. 213)
• Internet Resources(p. 213)
• Suggested Readings(p. 213)
• References(p. 215)
• 12 Object Relations Family Interventions(p. 220)
• Family Needs(p. 221)
• Family Case Assessment(p. 224)
• Treatment Goals(p. 228)
• Intervention Approach: Theory Base and Tenets(p. 229)
• Application to Families on Level IV(p. 233)
• Interventions and Techniques(p. 234)
• Evaluation of Effectiveness(p. 237)
• Application to Families Functioning at Other Levels(p. 237)
• Ethical Challenges(p. 238)
• Summary(p. 239)
• Discussion Questions(p. 239)
• Internet Resources(p. 240)
• Suggested Readings(p. 240)
• References(p. 240)
• Part 6 The Family in the Community: Ecosystem Implications(p. 243)
• 13 The Family in the Community(p. 244)
• The Case of Mrs. Y.(p. 245)
• Dual Focus(p. 245)
• Definition of Community(p. 246)
• Family Practitioner and Agency Helping Function in Community(p. 247)
• Two Models That Address Family Needs on a Community Level(p. 248)
• Summary(p. 252)
• Discussion Questions(p. 252)
• Internet Resources(p. 253)
• Suggested Readings(p. 253)
• References(p. 254)
• Appendix Ethics Cases and Commentaries(p. 255)
• Glossary(p. 261)