Abstract:Prostate cancer is the third most common cancer in the UK. Ten‐year survival is high; consequently a service priority is addressing survivorship issues to support men living with the longer‐term consequences of the disease and its treatments. This paper presents a treatment manual which has been tested with couples following prostate cancer surgery to decrease distress in sexual functioning, and improve relational functioning. The content of the manual is described alongside a fictionalized case vignette that … Show more
“…Genograms, a mainstay of family therapy approaches, offer a potentially fruitful method to explore relevant domains for families, such as experiences of ill-health, death and caregiving (Forbat et al, 2016). Genograms are a core component of family therapy in palliative settings, as a mechanism to give voice to unarticulated or unconsciously transmitted beliefs (Kissane et al, 2006).…”
Section: What Can Systemic Psychotherapy Offer?mentioning
Debates around assisted dying have not to date been informed by family and systemic psychotherapy.
This article sets the context of legalized assisted dying with a précis of the international terrain. Case examples of people facing terminal or chronic illness are presented alongside the research literature, to illustrate the bio‐psycho‐social domains inhabited by those seeking assisted dying. The article then presents a case for what systemic psychotherapy has to offer, suggesting a range of approaches, methods and techniques. Following core tenets of systemic psychotherapy, the article is not predicated on an either/or standpoint. Rather, neutrality and curiosity are centralized, to facilitate discussion, debate and new insights.
The article concludes that systemic psychotherapists have a latent and untapped skill‐set in understanding the repercussions of someone who wants assisted dying. The profession can usefully contribute to and explicate understandings regarding the wider systemic reverberations of one person's desire to end their life, including the impact on family, clinicians and communities. Further, systemic practitioners can draw on specific family therapy theories and methods in order to both contribute to public debates, and to be key members of a multidisciplinary team providing direct support for families affected by assisted dying.
Practitioner points
Assisted dying debates have not been informed by family and systemic psychotherapy
Assisted dying is a systemic issue, with impacts on the individual, their family, clinicians and communities
Systemic practitioners can draw on family therapy theories and methods to contribute to public debates, and be key members of a multidisciplinary team
The core tenets of neutrality and curiosity can fruitfully facilitate discussion, debate and new insights
“…Genograms, a mainstay of family therapy approaches, offer a potentially fruitful method to explore relevant domains for families, such as experiences of ill-health, death and caregiving (Forbat et al, 2016). Genograms are a core component of family therapy in palliative settings, as a mechanism to give voice to unarticulated or unconsciously transmitted beliefs (Kissane et al, 2006).…”
Section: What Can Systemic Psychotherapy Offer?mentioning
Debates around assisted dying have not to date been informed by family and systemic psychotherapy.
This article sets the context of legalized assisted dying with a précis of the international terrain. Case examples of people facing terminal or chronic illness are presented alongside the research literature, to illustrate the bio‐psycho‐social domains inhabited by those seeking assisted dying. The article then presents a case for what systemic psychotherapy has to offer, suggesting a range of approaches, methods and techniques. Following core tenets of systemic psychotherapy, the article is not predicated on an either/or standpoint. Rather, neutrality and curiosity are centralized, to facilitate discussion, debate and new insights.
The article concludes that systemic psychotherapists have a latent and untapped skill‐set in understanding the repercussions of someone who wants assisted dying. The profession can usefully contribute to and explicate understandings regarding the wider systemic reverberations of one person's desire to end their life, including the impact on family, clinicians and communities. Further, systemic practitioners can draw on specific family therapy theories and methods in order to both contribute to public debates, and to be key members of a multidisciplinary team providing direct support for families affected by assisted dying.
Practitioner points
Assisted dying debates have not been informed by family and systemic psychotherapy
Assisted dying is a systemic issue, with impacts on the individual, their family, clinicians and communities
Systemic practitioners can draw on family therapy theories and methods to contribute to public debates, and be key members of a multidisciplinary team
The core tenets of neutrality and curiosity can fruitfully facilitate discussion, debate and new insights
“…A further development in the field has been the shift from manuals addressing broad treatment models, such as Emotionally Focused Therapy (Johnson, ) or Functional Family Therapy (Sexton and Alexander, ), to manuals focusing on treatments targeted to specific problems, such as adolescent self‐harm (Boston and Cottrell, ), families of childhood cancer survivors (Salem et al , ), couple distress following prostate cancer surgery (Forbat et al , ), antisocial behaviour in children (Henggeler et al , ) and substance abuse (Liddle et al , ).…”
Manualisation, although to some extent controversial, is an essential requirement for outcome research in family therapy. No manuals are available for therapy of adoptive families. This paper presents the development of a manual of a therapy model with adoptive families, based on the integration of a systems approach and attachment theory. We describe the background and process of development of the manual conducted in collaboration by clinicians and a research team. Twenty-nine core elements of the model were identified and operationally defined by a focus group of clinicians. All elements except one showed good interrater reliability. The manual provides a tool to address the treatment of adopted families. Since the support to adoptive parents using a family therapy approach remains an under-researched area, a manual available to clinicians and researchers will promote outcome studies in this area and training of therapists working with adoptive families.
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