The Treatment of Children Through Brief Therapy of Their Parents

Palazzoli, Mara Selvini; Boscolo, Luigi; Cecchin, Gian Franco; Prata, Giuliana

doi:10.1111/j.1545-5300.1974.00429.x

Cited by 71 publications

(15 citation statements)

References 2 publications

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“…Core principles of FBT, as per the manual [18], include 1) appreciation for the strength and gravity of the eating disorder, which renders the adolescent incapable of exerting healthy control over her/his eating behavior, 2) a non-blaming approach toward both the parents and the adolescent, 3) a firm emphasis on early and rapid weight restoration to promote recovery, and 4) intensive parental involvement in supporting their adolescent through the process of weight restoration. FBT borrows from several domains in the broader family therapy literature, such as structural [22], strategic [10], systemic [23], and narrative family therapy [25]. FBT is divided into three phases: Phase 1 is almost exclusively concerned with weight restoration; Phase 2 is engaged with transitioning control of eating back to the adolescent in a developmentally appropriate fashion, and Phase 3 introduces adolescent developmental issues, in the absence of the eating disorder, and termination.…”

Section: Methodsmentioning

confidence: 99%

An exploratory study of challenges and successes in implementing adapted family-based treatment in a community setting

et al. 2018

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Although family-based treatment (FBT) is accepted as the first-line treatment for adolescent anorexia nervosa, studies show that it is infrequently used by clinicians in community settings. To elucidate some of the barriers to implementing this evidence-based treatment, mixed (quantitative and qualitative) methods were used in this exploratory study to examine therapist experiences with FBT. Twelve clinicians (N = 12) at a community treatment center retrospectively reported on their experiences with FBT training and supervision in FBT. A subset of clinicians (n = 7) additionally completed a structured interview about their experiences in using FBT. Results demonstrate that therapists endorsed certain common misconceptions about FBT prior to training, but that negative beliefs about FBT decreased after its implementation in their setting. These findings suggest that increased education about evidence-based treatments may diminish negative stereotypes about such treatments, which may ultimately increase their uptake in community settings. Sustainability of FBT is discussed in the context of how this community setting incorporated FBT principles into their ongoing clinical practice.

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Section: Methodsmentioning

confidence: 99%

An exploratory study of challenges and successes in implementing adapted family-based treatment in a community setting

et al. 2018

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“…A family systems lens offers a different way to think about symptoms. Historically, systems thinkers viewed symptoms as manifesting from dysfunctional family interactions, serving a function, or representing something symbolic for the family (Palazolli, Boscolo, Cecchin, & Prata, ). Thus, family health researchers may look at the function the illness has come to serve in the family, not as a contrivance or symbol as early theorists supposed, but as something of an unwelcomed guest now present amid family interactions (Kiecolt‐Glaser, Gouin, & Hantsoo, ; Woods, Priest, & Roush, ).…”

Section: Toward a Systemic Model Of Healthmentioning

confidence: 99%

Relationships Influence Health: Family Theory in Health‐Care Research

Garris

Weber

2018

J of Family Theo & Revie

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Relationships Influence Health: Family Theory in Health-Care ResearchThis article reviews the presence of family theory in health-care research. First, we demonstrate some disconnect between models of the patient, which tend to focus on the individual, and a large body of research that finds that relationships influence health. We summarize the contributions of family science and medical family therapy and conclude that family science models and measures are generally underutilized. As a result, practitioners do not have access to the rich tool kit of lenses and interventions offered by systems thinking. We propose several possible ways that family scientists can contribute to health-care research, such as using the family as the unit of analysis, exploring theories of the family as they relate to health, and suggesting greater involvement of family scientists in health research.Health-care literature has several different models that explain patient behavior, typically using the individual as the unit of analysis. Family researchers, however, have noted that social situations, families, relationships, and external factors strongly influence both health and health decision making. Research-often conducted by cardiologists, nurses, and others from outside family science-has shown strong empirical support for the interrelationship of

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“…This uniqueness quality ensures that the ritual is adapted to the griever's needs and experience of loss. Therapists play a central role in designing rituals, which is a challenging task requiring creativity and sensitivity to identify the best symbolic objects and actions (Palazzoli, 1974;Van der Hart, 1983). One way to address this is by involving clients in the design of the ritual, drawing on their personal narrative of loss (Becker, 1973;Doka, 2012).…”

Section: Designing Grief Rituals: Therapeutic Propertiesmentioning

confidence: 99%

Designing personal grief rituals: An analysis of symbolic objects and actions

Sas¹,

Coman

2016

Death Studies

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Personal grief rituals are beneficial in dealing with complicated grief, but challenging to design, as they require symbolic objects and actions meeting clients' emotional needs. We report interviews with ten therapists with expertise in both grief therapy and grief rituals. Findings indicate three types of rituals supporting honoring, letting go, and self transformation, with the latter being particularly complex.Outcome also point to a taxonomy of ritual objects for framing and remembering ritual experience, and for capturing and processing grief. Besides symbolic possessions, we identified other types of ritual objects including transformational and future-oriented ones. Symbolic actions include creative craft of ritual objects, respectful handling, disposal and symbolic play. We conclude with theoretical implications of these findings, and a reflection on their value for tailored, creative co-design of grief rituals. In particular, we identified several implications for designing grief rituals which include accounting for the client's need, selecting (or creating) the most appropriate objects and actions from the identified types, integrating principles of both grief and art/drama therapy, exploring clients' affinity for the ancient elements as medium of disposal in letting go rituals, and the value of technology for recording and reflecting on ritual experience.

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The Treatment of Children Through Brief Therapy of Their Parents

Cited by 71 publications

References 2 publications

An exploratory study of challenges and successes in implementing adapted family-based treatment in a community setting

An exploratory study of challenges and successes in implementing adapted family-based treatment in a community setting

Relationships Influence Health: Family Theory in Health‐Care Research

Designing personal grief rituals: An analysis of symbolic objects and actions

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