from Part V - Child-sensitive therapeutic interventions
Published online by Cambridge University Press: 09 August 2009
Introduction
This chapter considers the following questions:
Why work with the family?
Who is the family to be worked with?
What are relevant approaches to treatment?
What are the goals of treatment?
Why work with the family?
Family therapy with patients with mental illness has progressed from an assumption and/or hope that a change in the relationship patterns of the individuals in the family could ‘cure’, for example schizophrenia, to an evidence-based model in which family members are helped, in a collaborative manner, to develop more effective and less intrusive problem-solving techniques. These techniques focus on positive ways to respond to the illness associated with the behaviour of the patient.
The important differences in these two approaches are discussed below. Neither approach has specifically considered the need to help patients in their role of parent. Also, to our knowledge, neither the outcome studies aimed at lowering relapse rates of patients with schizophrenia or bipolar disorders, nor studies targeting family burden (Magliano et al., 1999; Perlick et al., 2001) have addressed the adverse effects of illness on dependent children nor how parents with mental illness can be helped to mitigate such effects.
Whilst being mentally ill is both painful and lonely for the sufferer, involving, as it does, a ‘loss of mind’ as well as a reliable sense of ‘self’, living with such a person may be extremely traumatic for a vulnerable child (Moltz, 1993; Pearlmutter, 1996).
To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.