email page print pageAll Topic Reviews
"Intimate" Violence against Women3 NBS of Julian DrewA Little PregnantA Natural History of RapeA Parent's Guide to Asperger Syndrome and High-Functioning AutismA Stir of BonesAbout a BoyAdult Children of Emotionally Immature ParentsAgainst MarriageAgainst MarriageAlmost a PsychopathAlone TogetherAnatomy of LoveAngelsAnother CountryAnxious ParentsApples and OrangesBe Honest--You're Not That Into Him EitherBeing the Other OneBetrayed as BoysBeyond AddictionBipolar DisorderBoys Will Put You on a Pedestal (So They Can Look Up Your Skirt)Breaking ApartBrief Adolescent Therapy Homework PlannerBringing Up ParentsBut I Love HimCaring for a Child with AutismCaring in Remembered WaysCherishmentChildren of the Aging Self-AbsorbedChildren of the Self-AbsorbedChildren, Families, and Health Care Decision MakingClawsCloserCold HitCoping With Difficult PeopleCouple SkillsCruddyDancing in My NuddypantsDivorce PoisonDoing ItDone With The CryingEcstasyEmotional ClaustrophobiaEmotional Fitness for IntimacyEmotional Intelligence at WorkEntwined LivesErotic PassionsEssentials of Premarital CounselingEvery Pot Has a CoverFacts About ADHD ChildrenFamilies Like MineFamilyFamily BoundFamily FirstFear of IntimacyFinal JeopardyFind MeFlashpointFor Lesbian ParentsForgive Your Parents, Heal YourselfGandhi's WayGeorgia Under WaterGetting over Getting MadGetting the Love You WantGetting the Love You Want Audio CompanionGirl in the MirrorGirl StuffGoing Home without Going CrazyHandbook of AttachmentHandbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual ClientsHappiness Sold SeparatelyHard to GetHe's Just Not That Into YouHealing ConversationsHollow KidsHot ButtonsHot Chocolate for the Mystical LoverHow Families Still MatterHow to Create Chemistry with AnyoneHow to Give Her Absolute PleasureHow to Handle a Hard-To-Handle KidHow to Keep Your Teenager Out of Trouble and What to Do If You Can'tI am Not Sick I Don't Need Help!I Don't Know How She Does ItI Hate You-Don't Leave MeI Only Say This Because I Love YouI'm OK, You're My ParentsIn the Mood, AgainInside the American CoupleIntrusive ParentingIt's Called a Breakup Because It's BrokenIt's Love We Don't UnderstandJakarta MissingKeeping Passion AliveKeeping Your Child in MindLet's Get This StraightLiberation's ChildrenLife's WorkLikely to DieLove JunkieLove SickLove Times ThreeLove Works Like ThisLoving Someone With Bipolar DisorderLoving Someone with Borderline Personality DisorderLust in TranslationMaking the RunMaking the RunManic DepressionMars and Venus - Starting Over.Mating in CaptivityMom, Dad, I'm Gay.MotherstylesMurder in the InnMysterious CreaturesNecessary NoiseOdd Girl OutOpenOpening to Love 365 Days a YearOphelia's MomOrgasmsOur Journey Through High Functioning Autism and Asperger SyndromeOut of the DustOvercoming Your Difficult FamilyParenting and the Child's WorldParenting on the GoParenting Your Out-Of-Control TeenagerParents and Digital TechnologyParents Do Make a DifferencePassionate MarriagePlanet JanetPreventing Misbehavior in ChildrenProblem Child or Quirky Kid?Raising AmericaRaising ElijahRaising Kids in an Age of TerrorRaising Kids in the 21st CenturyRaising Resilient ChildrenRay's a LaughRelationship RescueRelax, It's Just SexRespect-Me RulesRomantic IntelligenceRoom For JSecrets of a Passionate MarriageSelf-NurtureSelfish, Shallow, and Self-AbsorbedSex Addiction: The Partner's PerspectiveShidduch CrisisSickenedSingleSlut!Socrates in LoveSomeone Like YouSong for EloiseSpecial SiblingsSpiritually Healing the Indigo Children (and Adult Indigos, Too!)Staying Connected to Your TeenagerStaying Sane When Your Family Comes to VisitStop Arguing with Your KidsStop SignsStop Walking on EggshellsStop Walking on EggshellsStrong, Smart, & BoldSummer of the SkunksSurviving a Borderline ParentTaking Charge of AngerTelling SecretsThank You for Being Such a PainThe Anti-Romantic ChildThe AwakeningThe Bastard on the Couch CDThe Birth of PleasureThe Brief Couples Therapy Homework Planner with DiskThe Bully Action GuideThe Burden of SympathyThe Commercialization of Intimate LifeThe CorrectionsThe Couples Psychotherapy Treatment PlannerThe DisappearanceThe Dream BearerThe Educated ParentThe Emotional RevolutionThe Employee Assistance Treatment PlannerThe EpidemicThe Ethics of ParenthoodThe Ethics of the FamilyThe Gay Baby BoomThe Good DivorceThe Guide for International Intercultural Couples and Families Intercultural MarriageThe Healing Journey for CouplesThe Hostile HospitalThe Husbands and Wives ClubThe Inside Story on Teen GirlsThe Introvert AdvantageThe Little FriendThe Love HexagonThe Moral Intelligence of ChildrenThe Neuroscience of Human RelationshipsThe New I DoThe Normal OneThe Nurture AssumptionThe OASIS Guide to Asperger SyndromeThe Other ParentThe Philosophical ParentThe Psychology of Parental ControlThe Real Rules for GirlsThe Reflective ParentThe Right to Be ParentsThe Secret Lives of WivesThe Spider and the BeeThe State of AffairsThe StepsThe Story of My FatherThe Velveteen FatherThe Virgin BlueThe Visitation HandbookThe Whole ChildTo Have and To Hurt:Two Is EnoughUnderstanding MarriageUnderstanding the Borderline MotherUnhitchedUntrue Up in FlamesWe've Got IssuesWhat about the KidsWhat Goes UpWhat Is Secular Humanism?What It Means to Love YouWhat Our Children Teach UsWhen a Parent is DepressedWhen Mars Women DateWhen Someone You Love Is BipolarWhen Someone You Love Is DepressedWhy Are You So Sad?Will You, Won't You?WomanWorking With Emotional IntelligenceWorried All the TimeYes, Your Teen Is Crazy!
Have you ever been interviewing a patient while there was family present and had the distinct feeling that the patient was the person least disturbed by his or her illness? Many times, it becomes evident in the first five minutes of an interview that a persons mental illness is wreaking havoc with not only his or her personal life, but also with the lives of those closest to the person. Based on a 1978 study of recently discharged patients with schizophrenia which found that a combination of medication therapy and crisis-oriented family therapy effectively diminished relapses, David Miklowitz and Michael Goldstein set out to create a similar intervention for patients with Bipolar Disorder. Family-Focused Therapy was the result. In their approach, there are four broad categories of basic skills: emphasizing positive feelings, active listening, making positive requests for change, and expressing negative feelings about specific behaviors. Bipolar Disorder: A Family-Focused Treatment Approach is a manual for their therapeutic approach and is organized so that it can be easily read cover to cover, or in chapters. Their principles make good clinical sense: include the support system in the treatment plan and compliance with treatment will increase and the relapse rate will decrease.
Bipolar Mood Disorder (also known as manic depression), with its extreme highs and extreme lows, extreme productivity and deep despair, can create intense pain, ruined family relationships, financial problems and lost hopes and dreams. It can also be a powerful motivating force. Just ask people like Tim Burton, Patricia Cornwell, or Kay Redfield Jamison (An Unquiet Mind, Touched With Fire: Manic Depressive Illness and Artistic Temperament, Night Falls Fast: Understanding Suicide). Thats why compliance with medication regimens is difficult. People like the highs and their increased productivity and creativity. This is where the family or support system comes into play. By having everyone on the same wavelength and with an understanding of each others needs, there is a greater chance that patients will have fewer, less severe relapses.
There are six objectives of FFT that are outlined in Miklowitzs and Goldsteins book: Assist the patient and relatives in
These six principles formalize the approach of including the family in patient treatment, giving structure to what is done intuitively. Having a roadmap to navigate a journey is key in getting to the intended distention
- Integrating the Experiences Associated with Episodes of Bipolar Disorder,
- Accepting the Notion of Vulnerability to Future Episodes,
- Accepting a Dependency on Psychotropic Medication for Symptom Control,
- Distinguishing between the Patients Personality and His or Her Bipolar Disorder,
- Recognizing and Learning to Cope with Stressful Life Events that Trigger Recurrences of Bipolar Disorder, and
- Reestablishing Functional Relationships after the Episode.
There is a brief, somewhat simplistic overview of bipolar mood disorder given early in the book, which serves those, not familiar with the illness. The book then lays out the steps of providing Family-Focused Treatment, from setting up the first encounter to termination of treatment. It is a stepwise approach to a three-phase model approach. There is the psychoeducational phase, communication enhancement phase (CET) and a problem-solving training phase. The phases are usually delivered in 12 weekly, six biweekly, and three monthly phases for a total of 21 treatments over nine months. The million-dollar question is whether or not this particular structure works and if so, is it better than any other approach? Although the data has not been published, the authors indicate that patients and families benefit from Family-Focused Therapy. If it does work, there is no reason not to have an extra tool in your therapeutic tool belt to approach the diverse presentations of patients with Bipolar Disorder.
Thomas Cobb, M.D. is currently a psychiatry resident at the University of Michigan. His interests include psychiatric resident education, neuropsychiatry, theology and religious history. He has reviewed psychiatric texts for other publishers and hopes to publish in the field soon. Future plans are in academic psychiatry with a focus on integrative approaches to the patient, from neurons to philosophy.
Welcome to Metapsychology.
We feature over 8200 in-depth reviews of a wide range of books and DVDs written by our reviewers from many backgrounds and
We update our front page weekly and add more than twenty new reviews each month. Our editor is Christian Perring, PhD. To contact him, use one of the forms available here.
Metapsychology Online reviewers normally receive gratis review copies of the items they review.
Metapsychology Online receives a commission from Amazon.com for purchases through this site, which helps us send
review copies to reviewers. Please support us by making your Amazon.com purchases through our Amazon links. We thank
you for your support!
Join our e-mail list!: Metapsychology New Review Announcements: Sent out monthly, these
announcements list our recent reviews. To subscribe, click
Interested in becoming a book reviewer for Metapsychology? To apply, write to our editor.
Metapsychology Online Reviews
Promote your Page too
Metapsychology Online Reviews