A Model of the Nature of Family–Therapist Relationships: Implications for Education

Abstract

Recommendations for preparation of entry-level practitioners to work at all levels of the model are discussed.

Relatives as a Help or a Hindrance - A Grounded Theory Study Seen from the Perspective of the Occupational Therapist

“…Brown et al [26] describe a seven-level hierarchy of family therapist interaction, based on occupational therapists' attitudes and beliefs about family therapist involvement. Comparing the results of the present study with the seven-level hierarchy, we recognize two or perhaps three of the categories, namely category 2: ''Family as informant'', and category 3: ''Family as therapist's assistant'', and partly category 4: ''Family as co-client''.…”

Goal setting with caregivers of adults in the community: a mixed methods systematic review

“…Two models for collaboration with families have been identified [15,16]; however, there is little evidence to suggest which aspects of the goal setting process contribute to positive outcomes (such as increased treatment compliance or satisfaction with care) for caregivers and care recipients. Brown et al [16] conceptualised the family-therapist relationship in a seven level hierarchy of family involvement accompanied with corresponding therapist attitudes and required professional skills at each level.…”

Occupational therapists' attitudes toward family-centered care

“…When considering socialization, research supports the idea that educators are important in fostering therapists' positive attitudes toward families (Brown et al, 1997;Johnson et al, 1994;Maluccio, 1979;Royeen et al, 1996). The impact of socialization on behavior is recognized in the theory of planned behavior in the subjective norm component where individuals seeks the approval of their peer groups when engaging in behaviors.…”

“…Professionals also report feeling overwhelmed by the complexity of family problems, feeling unsure of their responsibility for addressing these issues, and unprepared by their training to competently address these issues (Brown, Humphry, & Taylor, 1997;Hanft & Humphry, 1989;Humphry, Gonzalez, & Taylor, 1993;Lawlor & Mattingly).…”

“…Health professional literature reports that professionals' attitudes and beliefs are acquired through numerous experiences including their preprofessional and professional socialization, their professional education, and their adoption of the norms of their organization's culture (Brown, Humphry, & Taylor, 1997;Johnson et al, 1994;Maluccio, 1979;Royeen et al, 1996). Royeen et al contend that clinicians' attitudes influence the process of service delivery and that attitudes can change as the result of experience.…”