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systemagazin Zeitschriftenarchiv: Journal of Family Therapy Heft 2/2009
1/2009 - 2/2009  - 3/2009 - 4/2009 - Übersicht

Corless, Jenny, K.A.H. Mirza & Peter Steinglass (2009): Editorial: Family therapy for substance misuse: the maturation of a field. In: Journal of Family Therapy 31(2): S. 109-114

Fals-Stewart, Wiliam, Wendy K.K. Lam & Michelle L. Kelley (2009): Learning sobriety together: behavioural couples therapy for alcoholism and drug abuse. In: Journal of Family Therapy 31(2): S. 115-125.

abstract: Among the various types of partner- and family-involved interventions used to treat adults with substance use disorders, Behavioural Couples Therapy (BCT) has garnered the strongest empirical support for its efficacy. During the past thirty years, multiple studies have consistently found married or cohabiting substance-abusing patients who engage in BCT, compared to traditional individual-based counselling or partner-involved attention control treatments, report significantly greater (1) reductions in substance use, (2) levels of relationship satisfaction, and (3) greater improvements in other areas of relationship and family adjustment (e.g. reductions in partner violence, improvements in custodial children's adjustment). In addition to discussing the theoretical rationale for BCT as a treatment of substance abuse, this article describes specific therapeutic techniques used as part of this intervention and summarizes the relevant evaluative empirical literature.

Hogue, Aaron & Howard A. Liddle (2009): Family-based treatment for adolescent substance abuse: controlled trials and new horizons in services research. In: Journal of Family Therapy 31(2): S. 126-154.

abstract: This article provides an overview of controlled trials research on treatment processes and outcomes in family-based approaches for adolescent substance abuse. Outcome research on engagement and retention in therapy, clinical impacts in multiple domains of adolescent and family functioning, and durability and moderators of treatment effects is reviewed. Treatment process research on therapeutic alliance, treatment fidelity and core family therapy techniques, and change in family processes is described. Several important research issues are presented for the next generation of family-based treatment studies focusing on delivery of evidence-based treatments in routine practice settings.

Steinglass, Peter (2009): Systemic-motivational therapy for substance abuse disorders: an integrative model. In: Journal of Family Therapy 31(2): S. 155-174.

abstract: Although recent reviews of the literature on families and substance misuse offer compelling evidence that inclusion of families significantly improves treatment engagement, retention and outcome, family therapy remains peripheral in most substance abuse treatment programmes. Furthermore, many of the treatment approaches that have been included under the term 'family therapy' continue to focus on the substance abuser as the sole target of treatment. Still conspicuously absent are treatment models based on family systems approaches, with outcomes targeted at non-abusing family members as well. This article presents an overview of one such family-focused substance abuse treatment model – systemic-motivational therapy – that combines a family systems approach with techniques derived from motivational interviewing, but this time is applied to work with the family as a unit. The background for the development of the model will be described, as well as the assessment/consultation, family-level action plan, and aftercare/relapse prevention phases of the treatment approach.

McAdam, Elspeth & K.A.H. Mirza (2009): Drugs, hopes and dreams: appreciative inquiry with marginalized young people using drugs and alcohol. In: Journal of Family Therapy 31(2): S. 175-193.

abstract: Drugs and alcohol misuse in young people is a major public health problem with substantial levels of morbidity and mortality. Social, economic and cultural factors play a major part in the initiation and maintenance of substance misuse in young people. Many young people who misuse drugs have multiple antecedent and co-occurring mental health problems, unrecognized learning difficulties, family difficulties and deeply entrenched social problems. Given the heterogeneity of the patterns of substance misuse in these young people, and the potential for persistence of serious problems into their adult lives, a range of interventions should be developed to address the risk factors across biological, psychological and social domains. Family/systemic interventions provide the best outcomes for young people with substance misuse, though even the most intensive forms of systemic therapies may fall short of producing enduring changes, especially for marginalized young people and communities. Appreciative inquiry (AI) is one of the most significant innovations in action research in the past decade and a method of producing long-lasting changes to the larger social system. AI is an attempt to generate a collective image of a new and better future by exploring the best of what is and has been. We describe an anecdotal experience of using AI in producing long-lasting changes in a group of marginalized young people in South Africa, who were engaged in drug and alcohol misuse and antisocial behaviour. The principles and practice of AI are described in detail, followed by a discussion of the implications of these findings for a UK population.

Pilling, Stephen (2009): Developing evidence-based guidance –implications for systemic interventions. In: Journal of Family Therapy 31(2): S. 194-205.

abstract: This article provides a brief review of the history and current approaches to the development of clinical guidelines, particularly as applied to systemic and more generally psychological therapies. Some commonly identified problems associated with guideline development in mental health are reviewed and their implications for guideline development considered. The challenges this work presents for systemic therapies are considered, along with likely future development in clinical guidelines.

Mirza, K.A.H. & Jenny Corless (2009): Life beyond empirical science and evidence-based practice. In: Journal of Family Therapy 31(2): S. 206-210

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