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El. knyga: Bipolar Disorder: A Family-Focused Treatment Approach

3.61/5 (26 ratings by Goodreads)
  • Formatas: 348 pages
  • Išleidimo metai: 26-Mar-2008
  • Leidėjas: Guilford Publications
  • Kalba: eng
  • ISBN-13: 9781606230428
Kitos knygos pagal šią temą:
  • Formatas: 348 pages
  • Išleidimo metai: 26-Mar-2008
  • Leidėjas: Guilford Publications
  • Kalba: eng
  • ISBN-13: 9781606230428
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Miklowitz (psychology and psychiatry, U. of Colorado-Boulder and psychiatry, Oxford U.) describes the approach he and his colleagues have developed and used over the years with bi-polar patients of all ages and socio-economic levels. The first section traces the research and clinical background that led to developing the treatment, and the second comprises a manual for assessment, psychoeducation, communication, enhancement, and problem-solving modules of the treatment. No date is noted for the first edition; the second incorporates findings of three randomized trials of the treatment combined with drugs, and his recent experience treating adolescents. Annotation ©2008 Book News, Inc., Portland, OR (booknews.com)

Family-focused psychoeducational treatment (FFT) is among a very small number of psychosocial treatments that have been found to be effective in multiple studies to improve the course of bipolar disorder. This indispensable guide--now in a revised and updated second edition--describes how to implement FFT to help patients and family members understand bipolar disorder, communicate more effectively, solve practical problems related to the illness, and reduce the risk and severity of relapse. Revised throughout to incorporate the latest knowledge on the illness and its biological and psychosocial treatment, the second edition covers the treatment of adolescents as well as adults. It includes more than a dozen reproducible handouts.

Recenzijos

"The second edition of Bipolar Disorder, like the first, is a major contribution to the understanding of a common, complex, painful, and too often lethal illness. Miklowitz, one of the world's leaders in the study of psychotherapeutic treatments of bipolar illness, presents clinical and research findings in a way that will be invaluable to clinicians."--Kay Redfield Jamison, PhD, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine

"Among the first to embrace the idea that psychosocial interventions might be of value to those who suffer from bipolar disorder, Miklowitz continues to be a leader in the field. The second edition of Bipolar Disorder represents yet another valuable contribution to clinical practice and research. Miklowitz has added new evidence for the effectiveness of family-focused treatment for adults from a series of recently published studies. He has also added rich new material on childhood bipolar disorder and how it emerges over time within the family context, as well as more clinical material on applications for adolescents with bipolar disorder and their families. Essential reading for anyone interested in the treatment of bipolar disorder."--Ellen Frank, PhD, Western Psychiatric Institute and Clinic

"This timely second edition is most welcome. Miklowitz and his colleagues have significantly advanced the field of integrated treatment for bipolar disorder. The empirical basis for a family-focused approach is now well established, and we can safely apply these treatment strategies to new populations, such as adolescents with bipolar disorder. This book will appeal to any mental health professional who wants to learn how to deliver family-focused treatment successfully."--David J. Kupfer, MD, Professor and Chair, Department of Psychiatry, University of Pittsburgh School of Medicine "The second edition of Bipolar Disorder is, like the first, a major contribution to the understanding of a common, complex, painful, and too often lethal illness. Miklowitz, one of the world's leaders in the study of psychotherapeutic treatments of bipolar illness, presents clinical and research findings in a way that will be invaluable to clinicians." - Kay Redfield Jamison, PhD, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, USA

"Among the first to embrace the idea that psychosocial interventions might be of value to those who suffer from bipolar disorder, Miklowitz continues to be a leader in the field... Miklowitz has added new evidence for the effectiveness of family-focused treatment for adults from a series of recently published studies. He has also added rich new material on childhood bipolar disorder and how it emerges over time within the family context, as well as more clinical material on applications for adolescents with bipolar disorder and their families. Essential reading for anyone interested in the treatment of bipolar disorder." - Ellen Frank, PhD, Western Psychiatric Institute and Clinic, USA

"This timely second edition is most welcome. Miklowitz and his colleagues have significantly advanced the field of integrated treatment for bipolar disorder. The empirical basis for a family-focused approach is now well established and we can safely apply these treatment strategies to new populations, such as adolescents with bipolar disorder. This book will appeal to any mental health professional who wants to learn how to deliver family-focused treatment successfully." - David J. Kupfer, MD, Professor and Chair, Department of Psychiatry, University of Pittsburgh School of Medicine , USA

PART I. Bipolar Disorder and Families: Clinical and Research Background
Bipolar Disorder: Why Family Treatment?
3(18)
How Is Bipolar Disorder a Family Problem?
5(1)
Why FFT?
6(1)
The Six Objectives of FFT
7(5)
The Core Assumptions and Structure of FFT
12(1)
Is FFT Helpful?
13(5)
The Organization of This Book
18(1)
For Whom Is This Book Intended?
19(1)
A Word about Terminology
20(1)
The Nature of Bipolar Disorder and Its Impact on the Family
21(27)
Chapter Overview
22(1)
What Is Bipolar Disorder?
23(3)
The Impact of the Disorder on Family Members
26(1)
The Topography of Manic and Depressive Episodes
27(4)
The Role of the Family in Differential Diagnosis
31(1)
The Variable Life Courses of Bipolar Disorder
32(3)
Developmental Precursors to Bipolar Disorder
35(6)
The Interface between Drug Treatment and FFT
41(6)
Concluding Comments
47(1)
Family and Social Factors in the Course of Bipolar Disorder
48(21)
Chapter Overview
49(1)
The Vulnerability-Stress Model
49(1)
Family Environmental Factors in Bipolar Disorder
50(10)
Life Events Stress
60(3)
The Vulnerability Stress Model Revisited
63(1)
Concluding Comments
64(5)
PART II, Conducting Family-Focused Treatment
Planning the First Encounter
69(15)
Chapter Overview
70(1)
For Whom Is FFT Appropriate?
70(3)
The Mechanics of FFT
73(3)
Getting Started: The Initial Contacts
76(7)
Concluding Comments
83(1)
The Functional Assessment
84(14)
Chapter Overview
84(1)
Assessing the History of the Patient's Disorder
85(7)
Assessing Family Interactions
92(5)
Concluding Comments
97(1)
Family Psychoeducation: The Initial Sessions
98(30)
Overview of the Psychoeducation Module
99(1)
A Word about Terminology
100(1)
The Therapeutic Stance
100(1)
``Setting the Stage'' for the Psychoeducation Module
101(1)
Introducing the Treatment Program
102(7)
Presenting the Didactic Material: Reviewing the Index Episode
109(8)
Events Leading Up to the Episode: The Life Events Survey
117(5)
Discussing the Hospitalization Experience
122(3)
The Expected Course of Bipolar Disorder
125(2)
Concluding Comments
127(1)
Family Psychoeducation: Etiology, Treatment, and Self-Management
128(35)
Chapter Overview
128(1)
The Etiology of Bipolar Disorder
129(14)
Treatment of the Disorder within the Vulnerability-Stress Model
143(7)
How the Family Can Help
150(5)
The Self-Management of Bipolar Disorder
155(2)
The Relapse Drill
157(4)
Addressing Unanswered Questions
161(1)
Concluding Comments
162(1)
Family Psychoeducation: Dealing with Resistances
163(40)
Chapter Overview
164(1)
Manifestations of Denial and Resistance
165(2)
Anticipating and Preempting Denial and Resistance
167(3)
The Meaning of Bipolar Disorder within the Family Context
170(5)
Differing Perceptions of the Disorder as a Source of Family Conflict
175(13)
The Stigma of Bipolar Disorder within the Larger Society
188(2)
Medication Nonadherence: Its Management within the Family Context
190(11)
Concluding Comments
201(2)
Communication Enhancement Training: Rationale and Mechanics
203(31)
Chapter Overview
203(1)
Objectives of CET
204(1)
Why Introduce Communication Exercises at This Point in Treatment?
205(1)
CET: Getting Started
206(5)
Teaching the Four Basic Communications Skills
211(22)
Concluding Comments
233(1)
Communication Enhancement Training: Clinical Issues
234(21)
Chapter Overview
235(1)
The Clinical Handling of Communication Enhancement Exercises
235(3)
Problems in the Generalization of Skills
238(5)
Using CET to Modify Family Dynamics
243(11)
Concluding Comments
254(1)
Dealing with Family Problems
255(25)
Chapter Overview
256(1)
Problem Solving: Why at This Point in Treatment?
256(2)
What Kinds of Problems Do the Families of Bipolar Patients Have?
258(1)
Conducting Problem Solving
259(8)
Dealing with Resistance
267(6)
The Problems of the Families of Bipolar Patients: Are There Good Solutions?
273(6)
Concluding Comments
279(1)
Managing Crises in Family-Focused Treatment
280(29)
Chapter Overview
281(1)
General Principles for Managing Crises within FFT
282(2)
The Clinical Handling of Crisis Management Sessions
284(1)
Manic Relapses and Hospitalization
285(6)
Depressive Relapses
291(1)
The Suicidal Crisis
292(7)
Alcohol and Substance Abuse
299(7)
Other Psychiatric Crises
306(1)
Concluding Comments
307(2)
Termination
309(14)
Chapter Overview
309(1)
Terminating FFT: Two Examples
309(4)
The Structure of Termination Sessions
313(1)
Reviewing the Course of Treatment
313(2)
Anticipating Future Problems
315(1)
Evaluating Future Treatment Needs
316(5)
Arranging for Follow-Up Visits
321(1)
Concluding Comments
322(1)
References 323(12)
Index 335
David J. Miklowitz, PhD, is Professor of Psychiatry at the University of California, Los Angeles Semel Institute, David Geffen School of Medicine, and Senior Clinical Research Fellow in the Department of Psychiatry at Oxford University. He was Professor in the Department of Psychology at the University of Colorado at Boulder from 1989 to 2009. His current research focuses on family psychoeducational treatments for childhood-onset bipolar disorder. Dr. Miklowitz has received a number of awards for his research, including, most recently, the Distinguished Investigator Award from the National Alliance for Research on Schizophrenia and Depression, the Mogens Schou Award for Research from the International Society for Bipolar Disorders, and the Monica Fooks lectureship from Oxford University. Dr. Miklowitz has published more than 200 research articles and book chapters and five books on bipolar disorder and schizophrenia. The first edition of Bipolar Disorder: A Family-Focused Treatment Approach won the Outstanding Research Publication Award from the American Association for Marriage and Family Therapy.