Medical Family Therapy for a Woman with End-stage Crohn's Disease and Her Son

McDaniel, Susan H.; Harkness, Jennifer L.; Epstein, Ronald M.

doi:10.1080/01926180127628

Cited by 8 publications

(3 citation statements)

References 3 publications

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“…Although MedFTs' utility has been outlined in multiple venues with specific disease states and populations (Anderson et al 2008;Davey et al 2009;McDaniel et al 2001;Phelps et al 2009;Pratt et al 2009;Willerton et al 2008), no primary care model utilizing MedFTs in an integrated and/or consultant capacity with a non-targeted population, up until now, has been described in contemporary literature. It is worth mentioning that the unique and substantive contributions of this study are threefold; (a) an outline of how the provision of horizontally IPC services might look (Peek et al 2009;Peek 2011), (b) a description of how a MedFT might specifically function in providing those services, and (c) while other researchers have discussed broad models of and/or principals regarding integrated care (e.g., Baird 1998;Gerada et al 2000;Judd et al 2004;Manoleas 2008;Robinson and Strosahl 2009;Robinson and Reiter 2007;Strosahl 1996;Williams et al 2006), none have broken down the interactional sequence of events from initial patient contact to coordination of treatment to this degree of specificity.…”

Section: Resultsmentioning

confidence: 98%

Medical Family Therapy in a Primary Care Setting: A Framework for Integration

et al. 2012

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As the profession of marriage and family therapy (MFT), as well as the emerging sub-specialty of medical family therapy (MedFT), continue to grow and evolve within the current healthcare system, the arena of integrated primary care (IPC) presents an ideal environment for professionals who are relationally and systemically inclined. Although there has been a inundation of literature detailing collaborative systems of healthcare, several gaps still exist: (a) a lack of horizontally integrated models (i.e., models that do not target specific diseases or demographic populations), (b) a lack of model utilization regardless of disease trajectory (i.e., decline, stabilization, improvement), and (c) a lack of IPC models explicitly utilizing MedFT/MFTs as the mental health providers within the system. In lieu of these gaps, the authors present a framework for IPC, utilizing MedFTs/MFTs, that is neither population nor disease specific, as well as a model geared towards implementation regardless of disease trajectory. The framework, which was obtained using ethnography of communication, details MedFTs' interactions with front line medical providers and patients from initial contact through coordination of a shared treatment plan. Recommendations for future research studies incorporating the use of MedFTs in integrated primary care settings are extended in the context of a three world view framework (Peek in Collaborative medicine case studies: Evidence in practice.

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Section: Resultsmentioning

confidence: 98%

Medical Family Therapy in a Primary Care Setting: A Framework for Integration

et al. 2012

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“…This key ethical consideration obligates therapists to practice collaboratively while empowering the client. Communion reestablishes emotional bonds within the client’s relational network and with other supporting sources to also empower the client (McDaniel et al, 1992; McDaniel, Harkness, & Epstein, 2001). The key importance of agency and communion lies in the consequences of their absence.…”

Section: Medft Foundationsmentioning

confidence: 99%

A Theoretical Investigation of Postmodern Approaches Used in Medical Settings

2018

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This study attempts to investigate the use of one of the postmodern family therapy theories, solution-focused brief therapy (SFBT) in the medical setting. Although SFBT is being widely used in medical settings, a thorough theoretical investigation about its suitability to this area has not been presented. In order to discuss the use of SFBT in the expanding practice of medical family therapy (MedFT), the underpinnings of MedFT and SFBT are examined, in addition to the integrative potential of SFBT with the dominant theoretical perspectives guiding MedFT, as well as SFBT's suitability to the medical setting based on the requirements Doherty and Baird suggested. Challenging features of implementing SFBT in medical settings are noted, along with relevant suggestions to resolve these obstacles.

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“…Do we, as MedFTs, consider ourselves systemic because we take into account family members and providers when working with patients (McDaniel et al , 1992, 2001), view healthcare from a multi‐world view (Doherty, 2007) and/or understand the impact of relationship quality on disease aetiology/trajectory (Rolland, 1994)? If so, we can ask how we, as MedFTs, make sense of these systems: do we see them as being distinct and separate from one another, different worlds with different goals interacting with and impacting on one another in a traditionally linear view (Keeney, 1983)?…”

mentioning

confidence: 99%

Bridging Conversations: Discussing the Intra‐professional Relationship between Medical Family Therapy and Family Therapy

Marlowe

2011

Journal of Family Therapy

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This article examines the conceptual and practice relationship between medical family therapy (MedFT) and its parent field, family therapy, with MedFT viewed as the extension of relational sense‐making and understanding into a specific venue; that of medicine. The extension of this relational meaning system into medicine is typified by the ability of the therapist to negotiate and connect three main areas of conceptual difference that often account for conflictual relationships between mental and biomedical healthcare providers: (i) patient and provider conceptualizations of issues and goals, (ii) linear and circular understanding of issues and goals and (iii) consultative and expert positions on issues and goals. Two case examples are offered to describe how these three areas of tension are reconciled in practice.

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Medical Family Therapy for a Woman with End-stage Crohn's Disease and Her Son

Cited by 8 publications

References 3 publications

Medical Family Therapy in a Primary Care Setting: A Framework for Integration

Medical Family Therapy in a Primary Care Setting: A Framework for Integration

A Theoretical Investigation of Postmodern Approaches Used in Medical Settings

Bridging Conversations: Discussing the Intra‐professional Relationship between Medical Family Therapy and Family Therapy

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