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

3.61/5 (23 ratings by Goodreads)
  • Formatas: 348 pages
  • Išleidimo metai: 06-Jun-2017
  • Leidėjas: Guilford Publications
  • Kalba: eng
  • ISBN-13: 9781462534111
Kitos knygos pagal šią temą:
  • Formatas: 348 pages
  • Išleidimo metai: 06-Jun-2017
  • Leidėjas: Guilford Publications
  • Kalba: eng
  • ISBN-13: 9781462534111
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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 describes how to implement FFT with adult and adolescent patients and their family members. Provided are practical procedures for helping families understand the nature of bipolar disorder, strengthen their communication skills, solve day-to-day problems, and reduce the risk and severity of relapse. The book incorporates state-of-the-art knowledge on the illness and its biological and psychosocial management. More than a dozen reproducible handouts are included.

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, The Dalio Family Professor in Mood Disorders and Professor of Psychiatry, 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

- This is an eminently readable book, appropriate for people living with bipolar disorder, their families and loved ones, and for clinicians who want to better understand the illness' impact on families and engage them in treatment....Dr. Miklowitz is meticulous about providing examples of the specific interventions as well as providing suggestions for adapting the intervention techniques to different settings and special populations. --Psychiatric Rehabilitation Journal, 2/10/2010

PART I. Bipolar Disorder and Familes: 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-Mangement 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 Distinguished Professor of Psychiatry and Biobehavioral Sciences at the Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, and Visiting Professor in the Department of Psychiatry at the University of Oxford, United Kingdom. He is author of The Bipolar Disorder Survival Guide and Living Well with Bipolar Disorder, for general readers, and several award-winning books for professionals, including Bipolar Disorder: A Family-Focused Treatment Approach. Dr. Miklowitz has published over 300 scientific articles and 70 book chapters. He has won Distinguished Investigator awards from the Brain and Behavior Research Foundation, the Depression and Bipolar Support Alliance, the International Society for Bipolar Disorders, and the Society for a Science of Clinical Psychology. Dr. Miklowitz is one of the few psychologists to have received the Award for Research in Mood Disorders from the American College of Psychiatrists.