
Foundations of Couples, Marriage, and Family Counseling
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A newly updated and practical approach to marriage, couples, and family counseling
Now in its second edition, Foundations of Couples, Marriage, and Family Counseling delivers a comprehensive treatment of current theory, research, and real-life practice in family therapy. The text is fully aligned with the Council for Accreditation of Counseling and Related Educational Programs (CACREP) and Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE). It covers foundational and advanced topics of critical importance to student counselors and therapists seeking to work in family settings, including sexuality, trauma, divorce, domestic violence, addictions, filial play therapy, and the positioning of culture and context in family therapy.
The new edition includes updated content in each chapter and entirely new chapters on assessments and helping families mitigate, adapt, and transition during crisis.
This important book:
* Covers the basic knowledge and skills essential to students and practitioners of couples and family therapy
* Details the history, concepts, and techniques associated with crucial theories, and includes a new chapter on the most up to date assessment strategies
* Tackles contemporary issues and interventions in trauma, divorce, domestic violence, sexuality, and more
At once comprehensive and concise, the Second Edition of Foundations of Couples, Marriage, and Family Counseling offers readers a guide to the complex and interconnected concepts required to support a full understanding of couples and family therapy.
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Persons
DAVID CAPUZZI, PhD, is Counselor Educator and a Senior Core Faculty in Community Mental Health Counseling at Walden University and Professor Emeritus at Portland State University. He is past President of the American Counseling Association and has written several books, including Foundations of Addictions Counseling.
MARK D. STAUFFER, PhD, is a core faculty member in the clinical mental health counseling program at Walden University. He received his PhD from Oregon State University, Department of Teacher and Counselor Education and specializes in couples, marriage, and family counseling.
Content
Preface xi
Acknowledgments xiii
Meet the Editors xv
Meet the Contributors xvii
Part 1 Essential Knowledge and Skills 1
Chapter 1 Variations in Family Systems and Family Life Cycles 3
David Capuzzi, Mark D. Stauffer, and Nicholaus Erber-LaPierre
Functional and Dysfunctional Families 4
Variations in Family Systems 6
The Family Life Cycle 12
Summary 18
Useful Websites 18
References 18
Chapter 2 Using Community Genograms to Position Culture and Context in Family Therapy 23
Sandra A. Rigazio-DiGilio and Hyeseong Kang
Making the Invisible Visible: The Evolution of Genograms 24
Community Genograms: Capturing the Complexity of Culture and Context 28
Basic Components of Standard Community Genograms 31
Using Community Genograms to Extend Client Perspectives 36
Using Community Genograms as Consultants and Advocates 39
Summary 43
Useful Websites 44
References 44
Chapter 3 Diversity and Intercultural Work in Family Counseling 47
Brian S. Canfield
Goals 48
Background 49
Major Constructs 50
Techniques 54
Limitations 57
Summary 58
Websites and Links 58
References 59
Chapter 4 Assessment of Families and Family Systems 61
Jessica A. Russo, Jason H. King, and Russell C. Gaede
Research Methods in Couples and Family Therapy 61
The Role of Assessment in Couples and Family Therapy 63
Ethical and Professional Issues in Assessment 65
Assessment and Diagnosis 65
Assessments and Inventories for Couples and Family Counseling 65
LGBTQ+ Population 68
Stepfamily Marriages 68
Assessing Specific Problems and Stressors 69
Assessing the Quality of the Relationship 70
Family Assessment Instruments 70
Summary 80
Useful Websites 80
References 81
Chapter 5 Legal, Ethical, and Professional Issues 83
Anthony S. Zazzarino, Deena Shelton, and Melinda Haley
Ethical Issues 84
Legal Issues 88
HIPAA 89
Licensure 89
Professional Issues 92
Accreditation 97
Summary 98
Useful Websites 98
References 99
Part 2 Theories: History, Concepts, and Techniques 103
Chapter 6 Psychodynamic Theories: Approaches and Applications 105
Stephanie K. Scott, PhD, LMHC
Background 106
Major Constructs 109
Goals 113
Techniques 115
Limitations 121
Summary 123
Useful Websites 123
References 123
Chapter 7 Experiential and Humanistic Theories: Approaches and Applications 125
Michael J. Walsh, Mark B. Scholl, and Michelle Perepiczka
Carl Whitaker 126
Walter Kempler 132
Virginia Satir 136
Limitations 143
Summary 144
Useful Websites 144
References 144
Chapter 8 Bowenian Family Systems Theory: Approaches and Applications 149
DoHee Kim-Appel and Jonathan K. Appel
Background 149
Bowen's Family Systems Theory 150
Major Constructs 151
Counseling Techniques 163
Limitations and Future Research 166
Summary 167
Useful Websites 168
References 168
Chapter 9 Structural Theory: Approaches and Applications 173
Shawn P. Parmanand and Esther N. Benoit
Theoretical Overview 173
Major Constructs 175
Goals 184
Techniques 185
Limitations 188
Summary 189
Useful Websites 189
References 190
Chapter 10 Strategic and Milan Systemic Theories: Approaches and Applications 191
Mark D. Stauffer, Heather J. Ambrose, and John M. Robbins
Background 191
Major Constructs 192
Washington School of Strategic Therapy 194
Mental Research Institute (MRI) School 199
Milan Systemic School 201
Strategic Therapy Limitations 205
Summary 205
Useful Websites 205
References 206
Chapter 11 Behavioral and Cognitive Behavioral Theories: Approaches and Applications 209
Marvarene Oliver, Kimberlee A. Mincey, and Yvonne O. Castillo
Background 210
Techniques 221
Limitations 223
Summary 224
Useful Websites 224
References 224
Part 3 Couple Work 227
Chapter 12 Key Issues and Interventions in Couples Counseling 229
Montserrat Casado-Kehoe and Diane Kimball
Couples Counseling Models and Interventions 230
Summary 246
Useful Websites 246
References 247
Chapter 13 Sexuality and Gender in Couples Counseling 251
Janet G. Froeschle Hicks, Brandé N. Flamez, Logan Winkelman, and Nicole Noble
Definitions of Gender and Sex 252
Couple Differentiation 264
Counselor Sexuality Training 266
Summary 268
Useful Websites 268
References 268
Chapter 14 Counseling Couples Using Life Cycle and Narrative Therapy Lenses 273
Colleen R. Logan, Aaron H. Jackson, Dawn M. Wirick, and Lee A. Teufel-Prida
Case Study 273
Termination 285
Referral 286
Summary 286
Useful Websites 287
References 287
Part 4 Special Issues 289
Chapter 15 Filial Play Therapy and Other Strategies for Working With Parents 291
John Sommers-Flanagan, Kirsten W. Murray, and Christina G. Yoshimura
Parenting Problems and Theoretical Models 292
Core Principles for Working with Parents 294
Filial Therapy: An Approach for Working Directly with Parents 298
Summary 308
Useful Websites 309
References 309
Chapter 16 Family Work in Addictions Counseling 311
Pamela S. Lassiter, Astra B. Czerny, and Cherria M. Moore
What is Addiction? 311
Prevalence of Addiction in Families 311
Impact of Addiction 312
Substance Abuse Versus Nonsubstance Addictions 312
Biopsychosocial Epistemology of Addiction 313
Using Family Therapy as a Treatment Modality 316
Family Dynamics and Addiction 316
Recruitment of Addicted Families 319
Assessment Strategies 319
Assessment and Initial Interviews 320
Joining with Addicted Families 321
Segmenting 321
Stages of Change 321
Motivational Interviewing 322
Family Interventions Protocols 323
Family Education Programs 323
Goals for Therapy with Families with Addiction 323
Training and Supervision 328
Summary 329
Useful Websites 330
References 331
Chapter 17 Violence, Abuse, and Trauma in Family Therapy 335
Danica G. Hays and S. Todd Bolin
Introduction to Violence, Abuse, and Trauma 335
Diversity Considerations 339
Counseling Families Experiencing Violence, Abuse, and Trauma 341
Postscript: Counselor Self-Care 347
Summary 348
Useful Websites 349
References 349
Chapter 18 Divorce and Other Loss Issues in Family Therapy 357
Thelma Duffey
The Grief Experience 357
Family Communication During the Grief Process 358
Culture, Communication, and the Expression of Grief 359
Theories of Grief 360
Kübler-Ross Grief Cycle Model 360
Bowlby's Attachment Theory 361
A Family's Adaption to Loss 362
Common Experiences of Loss in a Family System 363
Divorce 363
Divorcing Couples 364
Children of Divorcing Families 364
Adult Children of Divorce 365
A Child Dies 365
Grief and Loss in Older Adulthood 367
Ambiguous Loss 368
Childhood Trauma as Ambiguous Loss 368
Getting the Family Involved 369
Trauma-Focused Cognitive Behavioral Therapy 369
Miscarriage as Ambiguous Loss 369
Disenfranchised and Stigmatized Losses 370
Issues of Loss With Gay and Lesbian Couples 370
Creativity in Grief and Loss Counseling 371
Creative Interventions With Couples and Families Experiencing Loss 372
Summary 373
Useful Websites 374
References 374
Chapter 19 Climate Crises: Helping Families Mitigate, Adapt, and Transition During Disruption 377
Debbie C. Sturm, Ph.D., Anne L. Metz, Ph.D., Judy A. Daniels, EdD, and Mark D. Stauffer, Ph.D.
Lack of Nature Contact 378
Mental Health Impact of the Climate Crisis 379
Climate Crisis Specific Mental Health Considerations 380
Ecowellness: An Approach to Working With Affected Families 381
Family Counseling With Vulnerable Populations 383
Counseling Families With children 384
Listening and Talking With Children About Climate Concerns 384
Helping Families Prepare for a Climate Related-Disaster 386
Supporting Families Who Experience Climate Disasters 387
People Deciding Whether to Have Children 387
Nature Connection as a Family Intervention 388
Summary 390
References 390
Author Index 395
Subject Index 413
Meet the Contributors
Heather J. Ambrose, PhD, is a core faculty member in the School of Counseling at Walden University. Prior to coming to Walden, she served as the chair of counseling programs at Argosy University in Salt Lake City; director of clinical experience for the master of education in counseling and human development program at Lindsey Wilson College in Columbia, Kentucky; and staff clinician for counseling services at the University of Texas at San Antonio. She is a licensed clinical mental health counselor, a licensed marriage and family therapist, and an American Association for Marriage and Family Therapists (AAMFT)-approved supervisor. She has expertise in training clinical supervisors and in providing supervision for counselors-in-training and counselors seeking licensure. She currently volunteers as a leader for a youth support group for LGBTQ+ teens, where she provides positive support and mental health education to the attendees. She is current president elect for the Association for Counselor Education and Supervision. She lives in Layton, Utah, with her husband, their two rescued greyhounds, and their two cats.
Jonathan K. Appel, PhD, LIMFT, LPCC-S, LICDC-CS, CCFC, NCC, CCMHC, NCCC, ICCS, CPT, is currently a full professor in the Department of Behavioral and Social Sciences, within the School of Criminal Justice and Social Sciences at Tiffin University. Dr. Appel has worked in the field of behavioral health for almost 3 decades. He has worked with individuals, groups, families, and organizations as a counselor, psychotherapist, and clinical supervisor; director of behavioral health services; consultant; researcher; department chair; and educator. Dr. Appel has presented papers and training sessions regionally, nationally, and internationally on such topics as workplace violence, family violence, mindfulness, substance abuse, mental illness, the psychology of terrorism, and therapeutic jurisprudence. Dr. Appel also has coauthored numerous book chapters and papers in peer-reviewed journals and is currently on the editorial board for the International Journal of Mental Health Addiction. He is co-owner of Mindscapes Counseling and Consulting, LLC.
Esther N. Benoit, PhD, received her MEd in marriage couple and family counseling and PhD in counselor education from the College of William and Mary in Williamsburg, Virginia. She has worked as a relationship and individual counselor in the Hampton Roads, Virginia, area since 2005. She has a small private practice specializing in relational counseling in Newport News, Virginia. She is currently faculty in the clinical mental health program at Southern New Hampshire University. Her research and clinical interests include consensual nonmonogamy, military families, and counselor education and supervision.
S. Todd Bolin, LCMHC, LMFT, RPT, is a PhD student in counselor education and supervision at the University of North Carolina at Charlotte. He earned a master's in marriage and family therapy from Converse College. He is an American Association for Marriage and Family Therapy (AAMFT) clinical fellow and approved supervisor. His clinical experience is from various mental health settings including a marriage and family teaching clinic, mental health agency, and private practice. He is an adjunct professor in the school of psychology and counseling at Gardner-Webb University, and he served as president (2018-2020) of the North Carolina Association for Assessment and Research in Counseling (NCAARC).
Brian S. Canfield, PhD, is professor of clinical mental health counseling in the Department of Counselor Education at Florida Atlantic University. He is a licensed psychologist, licensed professional counselor, and a licensed marriage and family therapist and has been in clinical practice for more than 30 years specializing in marriage counseling and couples therapy. He presents training workshops to professional groups on systemic therapy throughout the United States and internationally. Dr. Canfield is a fellow and past president of the American Counseling Association.
Montserrat Casado-Kehoe, PhD, is a middle school counselor, a licensed marriage and family therapist (LMFT), and registered play therapist (RPT). She is also an eye movement desensitization and reprocessing (EMDR), accelerated resolution therapy (ART), and trust-based relational intervention (TBRI) clinician and educator. She uses an attachment-trauma informed model when working with children and families. One of her passions is working with adoptive families. She integrates a strength-based model that includes the use of creative arts in counseling. She was a professor of counseling and supervisor for many years. Dr. Casado-Kehoe also values the need to incorporate a mind-body-spirit approach, which recognizes that healing is a sacred journey.
Yvonne O. Castillo, PhD, received her PhD in counselor education from Texas A&M University at Corpus Christi (TAMU-CC) in 2006. She obtained her MS in counseling and guidance from TAMU-CC in 2001 and her BS in secondary education from Corpus Christi State University in 1990. She is a licensed professional counselor and board-approved supervisor with 29 years of experience in public schools and higher education. Her specialized training includes dialectical behavior therapy (DBT), eye movement desensitization and reprocessing (EMDR), the Gottman Method for couples therapy, Nurturing Parenting Programs, Rainbow Days' Faith Connection for children and youth development, Rainbow Days' Strengthening Families Program for parents and youth, Prevention and Relationship Enhancement Program (PREP), being a certified anger resolution therapist (CART), and being a mental health facilitator master trainer for the National Board of Certified Counselors (NBCC) and NBCC International. As executive director of C2 Counseling, Dr. Castillo's work includes being board president of the Coastal Bend's Coalition Against Modern Day Slavery, facilitating healthy relationship classes and positive parenting programs. She counsels and presents in English and Spanish on a diversity of topics to schools and community agencies. Dr. Castillo's interests include families and individuals affected by trauma, incarceration, and human trafficking.
Astra B. Czerny, PhD, completed her master's in community counseling in 2009 and her PhD in counseling in 2014, both degrees earned from University of North Carolina at Charlotte. She is a licensed professional counselor (LPC) in North Carolina and Pennsylvania, a national certified counselor (NCC), and a board certified telemental health provider (BC-TMH). Dr. Czerny recently worked as assistant professor at Thomas Jefferson University in the community and trauma counseling program, where she was in charge of clinical development and taught clinical, addictions, and advanced trauma intervention courses. Currently, Dr. Czerny works at Lenoir Rhyne University in Hickory, North Carolina. Dr. Czerny has had private practices in Jenkintown, Pennsylvania, and Davidson, North Carolina. She is a certified eye movement desensitization and reprocessing (EMDR) therapist and specializes in working with women, trauma, and addictions. Dr. Czerny also provides clinical supervision for counseling graduates working toward licensure. Dr. Czerny's scholarly work reflects her passion for counseling women, trauma survivors, and underserved populations. Her larger research agenda encompasses the practical aspects of the healing and empowerment journey for victims of trauma, oppression, and abuse. She has developed and published a conceptual model of empowerment for women healing from abuse.
Judy A. Daniels, PhD, has dedicated her life work to human rights, social justice, and the empowerment of young people, persons with disabilities, and vulnerable populations. Her current focus within the counseling profession is on the intersection between the climate crisis and mental health. The World Health Organization has identified the climate crisis as one of the greatest human rights issues impacting our world and it has been recognized as the most significant challenge to humanity. In light of this threat to psychological well-being, Dr. Daniels chairs the American Counseling Association (ACA) Task Force on Climate Change and Mental Health. As a fellow and lifetime member of ACA, she has been involved with numerous task forces and committees related to human rights, portability, professional identity, and strategic planning. She is a founding member of Counselors for Social Justice (CSJ), a past president, and a former CSJ governing council representative. She is the director of the University of Hawaii rehabilitation counselor education program and has been a professor for 30 years. In her free time, she trains service dogs so that people can have the animal-assisted support they need to participate in society fully and with dignity.
Thelma Duffey, PhD, is professor and chair in the Department of Counseling at the University of Texas at San Antonio and past president of the American Counseling Association (ACA). An ACA fellow, she is currently serving as ACA treasurer. Dr. Duffey was the founding president of the Association for Creativity in Counseling (ACC), a division within the ACA, and she is editor for the Journal of Creativity in Mental Health. Dr. Duffey has received numerous awards from professional organizations, including the Association for Counselor Education and Supervision (ACES), the Southern Association for Counselor Education and Supervision (SACES), the American Counseling Association (ACA), the Texas Counseling Association (TCA), and the Texas Association...
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