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Couples Therapy In Managed Care
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Book Synopsis Couples Therapy in Managed Care by : Barbara Jo Brothers
Download or read book Couples Therapy in Managed Care written by Barbara Jo Brothers and published by Routledge. This book was released on 2014-02-04 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: Couples Therapy in Managed Care: Facing the Crisis provides social workers, psychologists, and counselors with an overview of the negative effects of the managed care industry on the quality of mental health care. Within this book, you will discover the paradoxes that occur with the mixing of business principals and service principles and find valuable suggestions on how you can creatively cope within the managed care context. With Couples Therapy in Managed Care, you will learn how you can remain true to your own integrity and offer quality services within the current context of today's health care system. Current and comprehensive, Couples Therapy in Managed Care will assist you in easing the dilemma of patients who are suffering from serious physical illness or emotional pain and have little choice or time to search for a needed doctor or service. Couples Therapy in Managed Care offers you informative tips and suggestions on how you can help your clients within the constraints of the managed care system, such as: exploring ways to hold true to your personal values and the integrity of your personal approach to therapy while developing creative strategies to survive within managed care understanding the need to write a treatment plan using high professional standards and a solid theoretical analysis of the proposed therapy to give you a better chance of getting the managed care case manager to authorize your treatments realizing that maintaining a good working relationship with individual case managers will help you get more of your proposed treatments authorized, although their high rate of turnover makes this a daunting task discovering that a sometimes a solution to your problem may be as simple as a phone call to a case manager to negotiate an exception to a standard procedure Couples Therapy in Managed Care offers you effective suggestions to help you overcome the limitations you may encounter while trying to practice within a managed care setting. Innovative and informative, this book will help you provide your patients with the best possible therapy while offering you ways to decrease the stress that managed care systems can cause you and your clients.
Book Synopsis Cognitive-Behavioral Therapy with Couples and Families by : Frank M. Dattilio
Download or read book Cognitive-Behavioral Therapy with Couples and Families written by Frank M. Dattilio and published by Guilford Press. This book was released on 2009-11-06 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: From a leading expert in cognitive-behavioral therapy and couple and family therapy, this comprehensive guide combines research and clinical wisdom. The author shows how therapeutic techniques originally designed for individuals have been successfully adapted for couples and families struggling with a wide range of relationship problems and stressful life transitions. Vivid clinical examples illustrate the process of conducting thorough assessments, implementing carefully planned cognitive and behavioral interventions, and overcoming roadblocks. Used as a practitioner resource and text worldwide, the book highlights ways to enhance treatment by drawing on current knowledge about relationship dynamics, attachment, and neurobiology. Cultural diversity issues are woven throughout. See also Dattilio's edited volume, Case Studies in Couple and Family Therapy, which features case presentations from distinguished practitioners plus commentary from Dattilio on how to integrate systemic and cognitive perspectives.
Book Synopsis Couples Therapy in Managed Care by : Barbara Jo Brothers
Download or read book Couples Therapy in Managed Care written by Barbara Jo Brothers and published by Routledge. This book was released on 2014-02-04 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: Couples Therapy in Managed Care: Facing the Crisis provides social workers, psychologists, and counselors with an overview of the negative effects of the managed care industry on the quality of mental health care. Within this book, you will discover the paradoxes that occur with the mixing of business principals and service principles and find valuable suggestions on how you can creatively cope within the managed care context. With Couples Therapy in Managed Care, you will learn how you can remain true to your own integrity and offer quality services within the current context of today's health care system. Current and comprehensive, Couples Therapy in Managed Care will assist you in easing the dilemma of patients who are suffering from serious physical illness or emotional pain and have little choice or time to search for a needed doctor or service. Couples Therapy in Managed Care offers you informative tips and suggestions on how you can help your clients within the constraints of the managed care system, such as: exploring ways to hold true to your personal values and the integrity of your personal approach to therapy while developing creative strategies to survive within managed care understanding the need to write a treatment plan using high professional standards and a solid theoretical analysis of the proposed therapy to give you a better chance of getting the managed care case manager to authorize your treatments realizing that maintaining a good working relationship with individual case managers will help you get more of your proposed treatments authorized, although their high rate of turnover makes this a daunting task discovering that a sometimes a solution to your problem may be as simple as a phone call to a case manager to negotiate an exception to a standard procedure Couples Therapy in Managed Care offers you effective suggestions to help you overcome the limitations you may encounter while trying to practice within a managed care setting. Innovative and informative, this book will help you provide your patients with the best possible therapy while offering you ways to decrease the stress that managed care systems can cause you and your clients.
Book Synopsis Relationship Therapy with Same-Sex Couples by : Jerry Bigner
Download or read book Relationship Therapy with Same-Sex Couples written by Jerry Bigner and published by Routledge. This book was released on 2014-01-14 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: Use new knowledge of the LGBT culture to ably counsel same-sex couples! Relationship Therapy with Same-Sex Couples provides psychologists, therapists, social workers, and counselors with an overview of the array of treatment issues they may face when working with couples from the LGBT community. This book highlights the experiences of therapists who have encountered concerns particular to LGBT clients—especially those in intimate relationships. This intriguing resource covers clinical issues, sex therapy, special situations, and training issues for helping therapists successfully counsel same-sex couples. Relationship Therapy with Same-Sex Couples explores the therapist’s role in working through universal issues in couples therapy—such as communication problems, infidelity, and decision-making—with a focus on how therapy should differ for same-sex couples. This important guide also identifies which problems are unique to couples as an aspect of their sexual orientation, including gender role socialization and societal oppression. With this book, you will be able provide appropriate therapy without over- or under-attributing a couple’s problems to their LGBT status. This book shows how experienced therapists have developed methods for working with: gay and lesbian parents heterosexual spouses and ex-spouses couples in HIV serodiscordant relationships “lesbian bed death” couple and family dynamics supporting transgender and sexual reassignment issues and more! Relationship Therapy with Same-Sex Couples contains several features for you to utilize in your own practice, including the Sexual Orientation Matrix for Supervision (SOMS) to assist supervisors and trainers in preparing supervisees to work with lesbian, gay, and bisexual clients. The book also offers guidelines for heterosexual therapists who plan to work with same-sex couples and how to overcome any residual homophobia or heterosexual guilt. Lastly, this essential sourcebook reviews several articles, book chapters, books, and Web sites that are relevant to same-sex couples and the therapists who work with them.
Book Synopsis Behavioral Couples Therapy for Alcoholism and Drug Abuse by : Timothy J. O'Farrell
Download or read book Behavioral Couples Therapy for Alcoholism and Drug Abuse written by Timothy J. O'Farrell and published by Guilford Press. This book was released on 2012-03-12 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: This eminently practical guide presents an empirically supported approach for treating people with substance abuse problems and their spouses or domestic partners. Behavioral couples therapy (BCT) explicitly focuses on both substance use and relationship issues, and is readily compatible with 12-step approaches. In a convenient large-size format, the book provides all the materials needed to introduce BCT; implement a recovery contract to support abstinence; work with clients to increase positive activities, improve communication, and reduce relapse risks; and deal with special treatment challenges. Appendices include a session-by-session treatment manual and 70 reproducible checklists, forms, and client education posters.
Book Synopsis Handbook of Private Practice by : Steven Walfish
Download or read book Handbook of Private Practice written by Steven Walfish and published by Oxford University Press. This book was released on 2017 with total page 849 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Private Practice is the premier resource for mental health clinicians, covering all aspects of developing and maintaining a successful private practice. Written for graduate students considering the career path of private practice, professionals wanting to transition into private practice, and current private practitioners who want to improve their practice, this book combines the overarching concepts needed to take a mental health practice (whether solo or in a group) from inception, through its lifespan. From envisioning your practice, to accounting and bookkeeping, hiring staff, managing the practice, and running the business of the practice, a diverse group of expert authors describe the practical considerations and steps to take to enhance your success. Chapters cover marketing, dealing with insurance and managed care, and how to choose your advisors. Ethics and risk management are integrated throughout the text with a special section also devoted to these issues and strategies. The last section features 26 niche practices in which expert practitioners describe their special area of practice and discuss important issues and aspects of their specialty practice. These areas include assessment and evaluation, specialized psychotherapy services, working with unique populations of clients, and more. Whether read cover-to-cover or used as a reference to repeatedly come back to when a question or challenge arises, this book is full of practical guidance directly geared to psychologists, counselors, social workers, and marriage and family therapists in independent practice.
Book Synopsis Short-Term Object Relations Couples Therapy by : James M. Donovan
Download or read book Short-Term Object Relations Couples Therapy written by James M. Donovan and published by Routledge. This book was released on 2013-08-21 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Brief therapies have become popular-indeed a necessity-in today's managed care environment. Perhaps because it is one of the more complex psychoanalytical models, object relations theory for couples has not been adapted to a short-term model until now. In this volume, James Donovan provides a model for short-term object relations couples therapy, while at the same time offering an easy-to-read primer on object relations that gives the practitioner a step-by-step model replete with examples for using object relations in practice. The goal of this short-term therapy is that couples emerge with an awareness of these internalized object relations and their significance. This book builds on previously successful couples work by advising the therapist to focus on the core, recurring impasse that threatens the couples relationship and stirs old wounds, and gives detailed intervention strategies that focus on the mediation and resolution of the core fight. The five-step model outlines the ways to dismantle the conflict at the levels of the individual and the couple. Donovan integrates aspects of other successful couples therapies into his model in order to broaden its applicability to a greater diversity of treatment situations.
Book Synopsis Creating Relationship Wellness by : Stephanie Wijkstrom
Download or read book Creating Relationship Wellness written by Stephanie Wijkstrom and published by Universal-Publishers. This book was released on 2021 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mindfulness for your marriage is a tool book to be used by couples who want to gain the skill of relationship wellness. Each chapter offers evidence-based, and therapist verified techniques to gain insight into yourself and your partners world. Mindfulness for your marriage offers skills-based interventions that draw upon the fields of mindfulness and behavioral psychology, both recognized as pathways to enrichment. Each segment of this text builds upon the previous in an effort to lead the reader toward a mastery of relationship wellness. Divorce, separation, or disconnection do not always need to be the solution, a new approach to your problems will empower your path to reconnection. Prepare to break down specific methods of mindfulness and apply them during each chapter’s exercises as you practice to enhance your relationship. Each segment ends with practical exercises to do together or independently. In this unique text, you are offered thoughtful meditations that make relationship improvement understandable and easy. The writer houses an intimate understanding of human emotions and connections that she intersects in a meaningful way. It is not necessary to wait to improve your love until it is ailing, but here and now, relationship enhancement is offered as a preventative strategy in the attainment of interconnected wellbeing.
Book Synopsis Couples and Body Therapy by : Barbara Jo Brothers
Download or read book Couples and Body Therapy written by Barbara Jo Brothers and published by Routledge. This book was released on 2013-12-16 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bring the physical dimension into your therapeutic work with couples! This helpful book offers couples therapists new and powerful techniques derived from several body-oriented therapies. This fresh approach can help you identify the hidden conflicts and attitudes of your clients. Couples and Body Therapy offers you exercises, tips, and practical suggestions for helping troubled couples. In Couples and Body Therapy, expert therapists candidly discuss the dangers and benefits of using touch to heal. Their discussion of whether, when, how, and whom to touch clients includes valuable suggestions for working through transference and countertransference, as well as for dealing with hostile clients and obtaining informed consent to touch.Couples and Body Therapy provides thoughtful explorations of the ideas and methods of well-regarded experts--including Virginia Satir, Wilhelm Reich, Alexander Lowen, John Pierrakos, Fritz Perls, Stanley Keleman, and John Gutman--as they apply to the physical expression of emotional states. This book draws from a number of powerful bodywork systems, including: core energetics biodynamic analysis formative psychology Hakomi Gestalt Use it to learn the healing skills of body-oriented therapies, including: centering yourself before sessions giving voice to your clients’ body messages doing effective energy assessments reading posture, gesture, and somatic signals using concentration exercises and grounding techniques Plentifully illustrated with case studies, Couples and Body Therapy is essential reading for therapists, educators, and students. It offers a repertoire of skills to give you fresh and innovative ways to uncover and heal problems in couples.
Book Synopsis Clinical Issues with Interracial Couples by : Volker Thomas
Download or read book Clinical Issues with Interracial Couples written by Volker Thomas and published by Routledge. This book was released on 2014-02-25 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Go beyond cookie-cutter therapy and interventions to provide culturally relevant therapy that works for your clients in interracial relationships! With this book, you'll explore an array of relational issues faced by various configurations of interracial couples. Then you'll learn specific intervention strategies for treating these couples in therapy. The first section presents research and theoretical chapters on issues faced by interracial couples who are heterosexual; the second focuses on issues facing racially mixed gay and lesbian couples; and the third provides you with specific interventions to use with couples in interracial relationships. Clinical Issues with Interracial Couples: Theories and Research is an important addition to the collection of any therapist who counts an interracial couple among his or her clients. From the editors: Although interracial couples face challenges related to differences in their racial backgrounds, couple and family theories have had little to say about how to work with these differences. Not all couples are white, married, and heterosexual, and there is a growing understanding that clinical practices based on these assumptions may not be adequate when working with interracial couples. Recognizing the diversity of our clients, the intent of this book is to contribute to more respectful and inclusive clinical practices that can address the treatment issues we face in the first decade of the twenty-first century. The first section of this book examines challenges faced by heterosexual interracial couples, focusing on: how black/white couples experience and respond to racism and how they negotiate the racial and ethnic differences they face in their relationships the significance of raceor lack of itin white women's relationships with black men, with suggestions on how to create a therapeutic space for discussing race without over-determining its significance marriages where one partner is of Latino/a descent and the other of non-Latino/a white descenta pilot study of a rarely investigated population! approaches, interventions, and strategies to use when treating multicultural Muslim couples Hawaii's unusual history of interracial ties and relationships, the common challenges that face interracial couples there, and therapeutic interventions that can benefit them The second section of Clinical Issues with Interracial Couples looks at the issues faced by same-sex interracial couples. Here is a sample of what you'll find: clinical considerations for working with interracial/intercultural lesbian couples pitfalls to avoid in therapy as well as suggestions for a conceptual approach for gay Latino men in cross-cultural relationships The book's final section presents interventions for use with interracial couples. Here you'll find: assessment techniques and interventions geared toward black-white couples information on doing effective therapy with Latino/a-white couples a case study of the therapeutic process as applied to an Asian-American woman married to a white man seven therapists' perspectives on working with interracial couplesfocusing on the historical context of intermarriage, specific concerns and issues that interracial couples experience in their relationships, and the experiences of therapists working with this diverse and challenging client population
Book Synopsis Couples Connecting by : Barbara Jo Brothers
Download or read book Couples Connecting written by Barbara Jo Brothers and published by Routledge. This book was released on 2013-11-05 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: Help clients grow into loving commitment!Making and keeping commitments is more difficult today than ever. About half of all marriages end in divorce, and serial monogamy is not uncommon. Couples Connecting: Prerequisites of Intimacy identifies the cultural and personal attitudes that impede commitment and impair intimacy, and it gives you the therapeutic tools to work with clients who don't know how to build a lasting love.Couples Connecting examines why past theories of self-actualization are now failing. Because our culture emphasizes individualistic values, people do not learn how to create and share bonds with others. Therapists must become developmental partners for clients who need to overcome failures of maturation in order to have successful, loving relationships with their partner. This essential guide offers you practical techniques and case studies, as well the theoretical underpinnings to deal with this crisis of intimacy. Couples Connecting provides specific, insightful studies on overcoming obstacles to genuine commitment, including: identifying patterns of anger in distressed and nondistressed couples ways to help engaged couples overcome the fear of following negative family patterns using family systems theory and psychodynamics to understand developmental issues in marriage suggestions for clinical practice with couples who fear intimacy implications of ten essential factors in intimacyCouples Connecting will help you design and use techniques to promote personal growth and bridge gaps between clients to help couples achieve satisfying and intimate relationships.
Book Synopsis The Personhood of the Therapist by : Barbara Jo Brothers
Download or read book The Personhood of the Therapist written by Barbara Jo Brothers and published by Routledge. This book was released on 2019-07-23 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: You don't have to check your humanity at the office door!Drawing on the teachings of Virginia Satir, this humane volume is designed to help therapists bring their full selves into the therapeutic relationship. The Personhood of the Therapist examines what happens when a therapist consciously enters the process of healing in an I-Thou relationship with the client. The techniques outlined in this volume will help you develop a greater sense of openness about yourself and your feelings, enabling you to offer clients more effective services.The Personhood of the Therapist explores the myriad ways in which a therapist's emotional responses and life experiences can contribute to the client's healing. This approach is a dramatic departure from the traditional Freudian ideal of the aloof, unresponsive analyst, but the case studies in this volume will persuade you that it is powerfully effective. In addition to case studies, this thoughtful, compassionate book offers dialogues, personal reminiscences, techniques, and discussions of psychological theory. The Personhood of the Therapist offers new ideas and fresh perspectives on such life-changing issues as: self-disclosure and self-awareness for therapists ways to respect and foster the full sacredness of the client the different roles of the therapist important new views on transference and countertransferenceIt also contains deeply moving accounts of individual experiences, including: how an oncotherapist was affected by her own family's experience with cancer using Integrity Therapy to heal old wounds for a troubled couple, along with the comments of the two clients a therapist's own emotional journey through a troubled marriage and the strange disappearance of her sister The Personhood of the Therapist will help you employ your knowledge about life, not just theories, to offer better services to clients and help you appreciate how clients can enrich your life.
Book Synopsis Textbook of Family and Couples Therapy by : G. Pirooz Sholevar
Download or read book Textbook of Family and Couples Therapy written by G. Pirooz Sholevar and published by American Psychiatric Pub. This book was released on 2008-08-13 with total page 965 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past decade, family therapy has evolved from a loosely defined aggregate of approaches to a mature field with codified schools of theoretical systems and concepts. Textbook of Family and Couples Therapy: Clinical Applications is the first book to draw together theories and techniques from these various schools and combine them with specific clinical approaches in a single comprehensive resource. Under the editorial direction of acclaimed expert G. Pirooz Sholevar, Textbook of Family and Couples Therapy presents the current body of theoretical knowledge in the field along with the latest practical applications for working with couples and families. The book is divided into seven major sections: Family Therapy: Theory and Techniques; Family Assessment; Family Therapy With Children and Adolescents; Marital Therapy; Family Therapy With Different Disorders; and Research in Family and Marital Therapy. Most sections begin with overview chapters to lay the groundwork for clinical applications. With contributions from today's leading practitioners, Textbook of Family and Couples Therapy includes unique features such as: Family therapy approaches to specific mental disorders, including depression, psychiatric hospitalization, alcohol and substance abuse, incest, and personality disorders Specific guidance for working with couples, with detailed approaches to problems such as sexual dysfunction, divorce, remarriage, and stepfamilies -- invaluable for practicing in today's society The unique considerations of treating children in a family therapy context with practical applications such as whole-family intervention and a method for parent management training An overview of the evolution and theoretical underpinnings of family therapy which helps readers develop a solid foundation of understanding to support their clinical knowledge The latest information on issues related to gender, culture, and ethnicity and how they affect family therapy important for enhancing awareness and understanding The state of family therapy research today and future research directions with perspectives from leading academics to point the way Blending theoretical training and up-to-date clinical strategies, Textbook of Family and Couples Therapy is a landmark event in the field. It is a must for clinicians who are currently treating couples and families -- and a major resource for training future clinicians in these highly effective therapeutic techniques.
Book Synopsis Handbook of Couples Therapy by : Michele Harway
Download or read book Handbook of Couples Therapy written by Michele Harway and published by John Wiley & Sons. This book was released on 2004-12-30 with total page 506 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential guide to successful couples therapy at every stage of the lifecycle A variety of therapeutic interventions can help couples develop the tools for a successful relationship. Yet many practitioners begin seeing couples without extensive training in couples work. To fill this gap in their therapeutic repertoires, noted couples therapist Michele Harway brings together other well-known experts in marriage and family therapy to offer the Handbook of Couples Therapy, a comprehensive guide to the study and practice of couples therapy. The book's chapters provide a variety of perspectives along developmental, theoretical, and situational lines. Recognizing the need for clinically proven, evidence-based approaches, chapters provide detailed coverage of the most effective treatment modes. Couples at different stages of the lifecycle feature prominently in the text, as do relevant special issues and treatment approaches for each stage. Subjects covered include: Premarital counseling from the PAIRS perspective (an extensive curriculum of interventions for premarital couples) The first years of marital commitment Couples with young children Couples with adolescents Therapy with older couples Same sex couples A variety of theoretical approaches, including Cognitive-Behavioral, Object Relational, Narrative, Integrative, and Feminist and Contextual Special issues and situations, including serious illness, physical aggression, addiction, infidelity, and religious/spiritual commitments or conflicts Providing a diverse set of treatment approaches suited to working with a wide range of adult populations, the Handbook of Couples Therapy is an essential resource for mental health professionals working with couples.
Book Synopsis Short-term Couple Therapy by : James M. Donovan
Download or read book Short-term Couple Therapy written by James M. Donovan and published by Guilford Press. This book was released on 1999-03-12 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique guide brings together leading practitioners to demonstrate the nuts-and-bolts of their brief work with couples. The time- and cost-effective models discussed are explicitly short-term - not long-term on fast forward - and detailed case excerpts and clinical examples highlight how each form of therapy is actually conducted. Practicing therapists and students alike will find much of value in this illuminating and practical resource.
Book Synopsis The SAGE Encyclopedia of Marriage, Family, and Couples Counseling by : Jon Carlson
Download or read book The SAGE Encyclopedia of Marriage, Family, and Couples Counseling written by Jon Carlson and published by SAGE Publications. This book was released on 2016-10-11 with total page 1927 pages. Available in PDF, EPUB and Kindle. Book excerpt: The SAGE Encyclopedia of Marriage, Family and Couples Counseling is a new, all-encompassing, landmark work for researchers seeking to broaden their knowledge of this vast and diffuse field. Marriage and family counseling programs are established at institutions worldwide, yet there is no current work focused specifically on family therapy. While other works have discussed various methodologies, cases, niche aspects of the field and some broader views of counseling in general, this authoritative Encyclopedia provides readers with a fully comprehensive and accessible reference to aid in understanding the full scope and diversity of theories, approaches, and techniques and how they address various life events within the unique dynamics of families, couples, and related interpersonal relationships. Key topics include: Assessment Communication Coping Diversity Interventions and Techniques Life Events/Transitions Sexuality Work/Life Issues, and more Key features include: More than 500 signed articles written by key figures in the field span four comprehensive volumes Front matter includes a Reader’s Guide that groups related entries thematically Back matter includes a history of the development of the field, a Resource Guide to key associations, websites, and journals, a selected Bibliography of classic publications, and a detailed Index All entries conclude with Further Readings and Cross References to related entries to aid the reader in their research journey
Book Synopsis Family Therapy Review: Contrasting Contemporary Models by : Anne Rambo
Download or read book Family Therapy Review: Contrasting Contemporary Models written by Anne Rambo and published by Routledge. This book was released on 2012-08-21 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique text uses one common case to demonstrate the applications of a wide range of family therapy models. Readers will find it useful when studying for the national family therapy licensing exam, which requires that exam takers be able to apply these models to case vignettes. The authors, all of whom are practicing family therapists, apply their chosen model of family therapy to a single, hypothetical case to highlight what each model looks like in practice. Beginning therapists will find the exposure to new ideas about therapy useful, and will be better able to establish which approaches they want to explore in more depth. Experienced therapists and supervisors will find it useful to understand what “those other family therapists” are doing, and to meet the challenge of supervising those from different perspectives. Family Therapy Review is the practical tool therapists need to make sense of the field, and meet the varied challenges their clients present.
