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systemagazin Zeitschriftenarchiv: Journal of Family Therapy Heft 1/2007
1/2007 - 2/2007  - 3/2007 - 4/2007 - Übersicht

Leff, Julian (2007): A tribute to Ian Falloon. In: Journal of Family Therapy 29(1), S. 1-2

Schweitzer, Jochen, Claudia Ginap, Joachim von Twardowski, Julika Zwack, Ulrike Borst & Elisabeth Nicolai (2007): Training psychiatric teams to do family systems acute psychiatry. In: Journal of Family Therapy 29(1), S. 3-20

abstract: This article presents an account of a comprehensive eighteen-day, multiteam, multidisciplinary training approach to family systems inpatient acute psychiatry. It has been developed and tested as part of the SYMPA project (systems therapy in acute psychiatry), which aims to establish systemic case conceptualizations and interventions as routine practice in acute psychiatry. Content, didactic characteristics and specifications of this training are discussed. To illustrate the practical implementation of the training, specifically designed exercises are described and a clinical case is included. The article concludes by presenting first results of the research on implementation indicating that the training had a significant impact on the quantity and quality of conversations with patients.

Stanbridge, Roger & Frank Burbach (2007): Developing family-inclusive mainstream mental health services. In: Journal of Family Therapy 29(1), S. 21-43

abstract: This paper argues that the current national policy context offers an opportunity to develop more family-inclusive mainstream mental health services. It outlines a strategy to enhance working partnerships with carers and families and discusses its training implications. The first phase of a trust-wide training programme in Somerset is described and the potential role for family therapists in promoting the wider application of systemic ideas is considered.

Webster, Jeni (2007): Commentary - 'Training psychiatric teams to do family systems acute psychiatry' and 'Developing family-inclusive mainstream mental health services'. In: Journal of Family Therapy 29(1), S. 44-48

abstract: The two models of training described have been led by senior clinical staff with a vision of what could be different, and who had, were given or acquired the authority and power to implement change. The courses provide theory, ways of thinking about individuals in their families and in relationships, as well as helping staff to think about the impact of their own, well-intentioned, but not necessarily effective, interventions on the course of an illness (e.g. ‘chronification’, in the German course). This is not the same as training family therapists, but offering models for working with a specific client group that other professionals can use – and can be integrated with other therapies used in the local context. Other services may never re-create the scale of these interventions, but there is no doubt that the use of a training strategy for the whole organization made the most effective use of time. The authors have generously shared their models in ways that may be applied or adapted in other contexts, particularly if the initial task is about how to begin to ‘warm the contexts’ before introducing change. Then, one’s energies need to be limited to training whole teams.

Lemmens, Gilbert M.D., Ivan Eisler, Lieven Migerode, Magda Heireman & Koen Demyttenaere (2007): Family discussion group therapy for major depression: a brief systemic multi-family group intervention for hospitalized patients and their family members. In: Journal of Family Therapy 29(1), S. 49-68

abstract: At a time of so much organizational change within the NHS, it is inspiring to read of adult mental health services that are permeated with systemic thinking and practice, and which come across as such interesting places to work with families. These papers (Schweitzer et al., 2007; Stanbridge and Burbach, 2007) provide information and examples of what can be done when training is used as a coordinated vehicle for the change of culture and practice across an organization. Together with four papers published a year ago in the Journal of Family Therapy (Fadden, 2006; Burbach and Stanbridge, 2006; Asen and Schuff, 2006; Kuipers, 2006; Bertrando et al., 2006), they provide a solid foundation for those wanting to establish and develop systemic approaches to families in adult mental health.

Blom, Tannelie & Leo van Dijk (2007): The role of attachment in couple relationships described as social systems. In: Journal of Family Therapy 29(1), S. 69-87

abstract: The role that attachment plays in adult relationships seems insufficiently elucidated. Of the components of early attachment, proximity seeking and security are of prime importance. Of these two, proximity seeking is also important at the outset of adult relationships. The form of security that is characteristic of adult couple relationships, however, is different from attachment security. Working models of attachment relations also play an important role in new adult relationships. Attachment behaviour may also play a role when, under severe stress, adult coping falls short. In our way of thinking however, the functioning of adult relationships cannot be described in terms of a persistence of attachment qualities but has to be described and explained by the theory of social systems.

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