Assessment of Couples and Families: Contemporary and Cutting-Edge Strategies by Len Sperry


35586cf4e855dc9-261x361.jpeg Author Len Sperry
Isbn 9780415946575
File size 7.7MB
Year 2004
Pages 308
Language English
File format PDF
Category family and friendship



 

RT6573_ half title page 6/3/04 1:23 PM Page 1 C M Y CM MY CY CMY K Assessment of Couples and FAMILIES RT6573_title page 6/8/04 12:39 PM Page 1 C M Y CM MY CY CMY K Assessment of Couples and FAMILIES Contemporary and Cutting-Edge Strategies EDITED BY LEN SPERRY, M.D., PH.D. NEW YORK AND HOVE RT6573_Prelims.fm Page i Thursday, June 3, 2004 2:49 PM Assessment of Couples and Families RT6573_Prelims.fm Page ii Thursday, June 3, 2004 2:49 PM THE FAMILY THERAPY AND COUNSELING SERIES Consulting Editor Jon Carlson, Psy.D., Ed.D. Ng Global Perspectives in Family Therapy: Development, Practice, Trends Erdman and Caffery Attachment and Family Systems: Conceptual, Empirical, and Therapeutic Relatedness Crenshaw Treating Families and Children in the Child Protective System Sperry Assessment of Couples and Families: Contemporary and Cutting-Edge Strategies RT6573_Prelims.fm Page iii Thursday, June 3, 2004 2:49 PM Assessment of Couples and Families Contemporary and Cutting-Edge Strategies Edited By LEN SPERRY Brunner-Routledge New York and Hove RT6573_Prelims.fm Page iv Wednesday, June 9, 2004 10:48 AM Cover image: ©Racioppa/Getty Images Cover design: Elise Weinger Published in 2004 by Brunner-Routledge 270 Madison Avenue New York, NY 10016 www.brunner-routledge.com Published in Great Britain by Brunner-Routledge 27 Church Road Hove, East Sussex BN3 2FA www.brunner-routledge.com Copyright © 2004 by Taylor & Francis Books, Inc. Brunner-Routledge is an imprint of the Taylor & Francis Group. Printed in the United States of America on acid-free paper. All rights reserved. No part of this book may be reprinted or reproduced or utilized in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording or in any information storage or retrieval system, without permission from the publishers. 10 9 8 7 6 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data Assessment of Couples and Families: Contemporary and Cutting-Edge strategies / Len Sperry, Editor. p. cm. ISBN 0–415–94657–3 (hardcover) 1. Family assessment. 2. Marital Psychotherapy. 3. Family Psychotherapy. 4. Couples-Psychology. [DNLM: 1.Couples Therapy–methods. 2. Family Relations. 3. Family Therapy–methods. 4. Models, Psychological. 5. Spouses–psychology. WM 430.5.M3 A846 2004] I. Sperry, Len. II. Title. III. Series. RC488.53.A875 2004 616.89’156—dc22 2003027250 RT6573_Prelims.fm Page v Thursday, June 3, 2004 2:49 PM THIS BOOK IS DEDICATED TO THE MEMORY OF THE LATE KENNETH I. HOWARD, PH.D., A CHERISHED MENTOR, COLLEAGUE, AND FRIEND TO ME, AND A MAJOR FIGURE IN THE FIELD OF PSYCHOLOGICAL MEASUREMENT , EVALUATION , AND OUTCOMES RESEARCH. RT6573_Prelims.fm Page vi Thursday, June 3, 2004 2:49 PM RT6573_bookTOC.fm Page vii Thursday, June 3, 2004 2:49 PM Contents Contributors Series Foreword Foreword by Jay Lebo Preface Acknowledgments ix xi xiii xvii xix PART I. BASIC CONSIDERATIONS AND MODELS 1. Assessment of Couples and Families: An Introduction and Overview Len Sperry 2. Models and Issues in Couple and Family Assessment James H. Bray 3 13 PART II. GENERAL STRATEGIES 3. Qualitative Strategies in Couple and Family Assessment Maureen Duffy and Ronald J. Chenail 33 4. Effective Use of Psychological Tests with Couples and Families A. Rodney Nurse and Len Sperry 65 5. Observational Assessment of Couples and Families Robert B. Hampson and W. Robert Beavers 91 6. Clinical Outcomes Assessment of Couples and Families Len Sperry 117 PART III. SPECIFIC APPLICATIONS 7. Couples Assessment: Strategies and Inventories Dennis A. Bagarozzi and Len Sperry 135 8. Child and Family Assessment: Strategies and Inventories Lynelle C. Yingling 159 9. Child Custody and Divorce Assessment: Strategies and Inventories M. Sylvia Fernandez and Sloane E. Veshinski 183 vii RT6573_bookTOC.fm Page viii Thursday, June 3, 2004 2:49 PM viii CONTENTS 10. Child Abuse and Family Assessment: Strategies and Inventories William N. Friedrich, Erna Olafson, and Lisa Connelly 207 PART IV. POSTSCRIPT AND FUTURE PROSPECTS 11. Couple and Family Assessment: Current and Future Prospects Luciano L’Abate 251 Index 275 RT6573_C00.fm Page ix Thursday, June 3, 2004 2:50 PM Contributors Editor Len Sperry, M.D., Ph.D. Professor of mental health counseling at Florida Atlantic University and clinical professor of psychiatry and behavioral medicine at the Medical College of Wisconsin; he is coauthor of The Disordered Couple; The Intimate Couple; Marital Therapy: Integrating Theory and Technique; Family Therapy: Ensuring Treatment Efficacy, Brief Therapy With Individuals and Couples; and the forthcoming, Family Therapy Techniques: Integrating and Tailoring Treatment. He has also edited Integrative and Biopsychosocial Therapy: Maximizing Treatment Outcomes With Individuals and Couples. Dr. Sperry serves on several editorial boards, including The Family Journal and the American Journal of Family Therapy. Chapter Authors Dennis A. Bagarozzi, Ph.D. President of Human Resources Consultants. He is the author of Enhancing Intimacy in Marriage: A Clinician’s Guide and editor of the Family Measurement Techniques section of the American Journal of Family Therapy. W. Robert Beavers, M.D. Director of the Family Studies Center in Dallas and clinical professor of psychiatry at the University of Texas Southwestern Medical School; his approach to family assessment is described in Successful Families: Assessment and Intervention. James H. Bray, Ph.D. Associate professor of family and community medicine and director of the Family Counseling Clinic at Baylor College of Medicine; he has published in the areas of divorce, remarriage, and family assessment. Ronald J. Chenail, Ph.D. Professor of family therapy at Nova Southeastern University in Ft. Lauderdale, Florida; he serves on the editorial boards of the Journal of Systemic Therapies, Qualitative Research in Psychology, and is the editor-elect of the Journal of Marital and Family Therapy. Lisa Connelly, M.A. Clinical research coordinator at the Mayerson Center for Safe and Healthy Children and The Childhood Trust at Cincinnati Children’s Hospital Medical Center; she is also project coordinator for the Trauma Treatment Replication Center. Maureen Duffy, Ph.D. Associate professor and chairperson of the counseling program at Barry University in Miami Shores, Florida; her areas of clinical and research interest are qualitative approaches and neuroscience application in systemic family therapy. RT6573_C00.fm Page x Thursday, June 3, 2004 2:50 PM M. Sylvia Fernandez, Ph.D. Associate professor of counseling at Barry University in Miami Shores, Florida; she is a licensed professional counselor, national certified counselor, an approved clinical supervisor, and a national certified school counselor. William N. Friedrich, Ph.D., ABPP Professor and consultant in the Department of Psychiatry and Psychology at the Mayo Clinic, Rochester, Minnesota, and a diplomate in clinical and family psychology; he has published widely on the assessment and treatment of child abuse. Robert B. Hampson, Ph.D. Associate professor of psychology at Southern Methodist University and research coordinator of the Family Studies Center in Dallas, Texas; with Robert Beavers, he is the coauthor of Successful Families: Assessment and Intervention. Luciano L’Abate, Ph.D. Professor emeritus of psychology, Georgia State University and president, Workbooks for Better Living; he is the editor of Family Psychology and Therapy, vols. I and II, and author of Family Evaluation. A. Rodney Nurse, Ph.D., ABPP Director of family psychological services, Boyer Foundation, and codirector of Collaborative Divorce Associates; he is the author of Family Assessment: Effective Use of Personality Tests with Couples and Families. Erna Olafson, Ph.D., Psy.D. Associate professor of clinical psychiatry and pediatrics at Cincinnati Children’s Hospital Medical Center and the University of Cincinnati School of Medicine; she has published widely on assessment and treatment of child abuse. Sloane E. Veshinski, M.S. Instructor and the director of the Barry Family Enrichment Center at Barry University, where she is currently a doctoral student; she is a licensed marriage and family therapist and certified addictions professional. Lynelle C. Yingling, Ph.D., LMFT President of J&L Human Systems Development and coauthor of GARF Assessment Sourcebook: Using the DSM-IV Global Assessment of Relational Functioning. RT6573_C00.fm Page xi Thursday, June 3, 2004 2:50 PM Series Foreword For one who is free from views There are no trees, For one who is delivered by understanding There are no follies, But those who grasp after views and philosophical opinions, They wander around the world annoying people. Sutta Nipata Whether it is mental or physical, accountability is mandated in today’s world of health care. We once practiced therapy. As therapy has evolved, we no longer can practice but must instead perform at acceptable professional levels. We can no longer do something because we feel that it is the right thing to do. We are held accountable by our clients, professional licensing boards, insurance companies, and even the legal system. I am frequently asked to provide objective data about the effectiveness of my clinical practice. I once used statements like “they returned for treatment”; “paid their bill”; “referred others”; “didn’t divorce”; or “seemed happy.” This no longer works. This helpful book shows how to create assessment-based couple and family therapy. Readers are provided with the strategies and inventories needed to document their work; specifically, the assessment strategies focus on child custody; child abuse and family violence; divorce; couple conflict; and intimacy. The 100+ assessment devices can be easily compared by reviewing the matrix provided at the end of chapter 3 through chapter 10. This book can quickly assist the practitioner in assessing and documenting family factors and dynamics. I thank Len Sperry and his collaborators for providing information that most of us did not have available in our professional training. JON CARLSON Lake Geneva, Wisconsin RT6573_C00.fm Page xii Thursday, June 3, 2004 2:50 PM REFERENCE Nipata, S. (1924). Sacred Books of the East, Vol. 10. E. Max Miller, (Ed.), London: Oxford University Press. RT6573_C00.fm Page xiii Thursday, June 3, 2004 2:50 PM Foreword by Jay Lebow The field of couple and family therapy began with two broad foci: building a systemic theory applicable to families and creating innovative family-centered methods of intervention. This earliest era in family therapy was a time of “big” ideas (e.g., epistemology, systems theory, and cybernetics) that challenged the prevailing individual-centered paradigm. In this context, the systemic paradigm was presented as the explanation for all psychopathology (for that matter, for most human behavior) and family intervention was seen as the antidote for all human problems. Although the positive impact of the systemic revolution cannot be overstated (it changed the fundamental way most mental health professionals view the social context in relation to individual behavior), it is striking that this early work in family systems theory and family intervention occurred without development of a technology for measuring couple or family process. Without such a technology, those interested in understanding the processes within couples and families were left to rely completely on their own observational skills and those of their colleagues when they needed data testing their hypotheses. Given this, it is not surprising that, despite the considerable time and energy devoted to efforts to observe families in that era, family process remained very much in the eye of the beholder, subject to the idiosyncrasies of individual observation and construction. Many alternative strong arguments emerged about how these “data” from families provided evidence in support of various theoretical vantage points about what was essential to “healthy” family process, leading to widely disparate viewpoints about what was crucial in the lives of these families. Using these “data,” proponents of each approach could look at families through their particular lens and present convincing arguments for the accuracy of their particular vantage points. The hindsight of history indicates that this state of affairs allowed the emergence and development of many vital core insights, such as the importance of the social system on individual functioning and of circular arcs of causality, but also led to the promulgation and wide dissemination of several regrettable errors, such as claims that double binds by mothers caused schizophrenia and the vision of a mutually shared co-creation of family violence. For all of the dramatic and important insights of the first generation of family therapists, the emergence of a true science of family relationships required development of a body of methods for assessing couples and families. Such instruments number among the core elements for building a science as well as methods of clinical practice. Science fully depends on instrumentation; without measures, we are left without the means to operationalize key RT6573_C00.fm Page xiv Thursday, June 3, 2004 2:50 PM independent and dependent variables in research and thus to test hypotheses. This leaves the field mired in the prescientific state of early family therapy. Clinical practice is no less limited in the absence of instrumentation and remains deficient in methods of assessment to enable case formulation and to track treatment progress. Unfortunately, the technology of instrumentation evolves slowly. Instruments not only need to be developed in relation to the core constructs within a domain, but also need to be shown to be reliable; to be tested for their content and construct validity; to establish norms on a large enough and sufficiently diverse sample; and to be marketed in a form that allows for dissemination. A good instrument often takes years to develop; some of the best instruments described in this volume have evolved over decades. Furthermore, the technology of instrumentation requires a diversity of instruments. Self-report measures and those completed by raters serve different purposes and typically show less than perfect convergence, so both types of measures are needed. There also are needs for brief measures and longer ones to serve different purposes; measures of general couple and family functioning; measures targeted to more specific aspects of family life (e.g., domestic violence); and measures that easily translate into scale scores. Other measures that provide a wider range of qualitative information in the way of open ended responses are also needed. Assessment of Couples and Families: Contemporary and Cutting-Edge Strategies marks the progress made in instrumentation to assess couples and families and also delineates that progress. Its publication heralds the emergence of a body of validated measures that are now available for use in assessing couples and families. Bringing together a number of experts in specific kinds of instrumentation, this volume covers the breadth of methods for assessing couples and families. A number of chapters cover measures specifically constructed for assessing couples and families; others provide a guide to the applicability of measures developed to assessing individual functioning in children and adults in the context of looking at couple and family functioning. Each chapter provides considerable depth within the specific domain covered. The succinct format for descriptions of the measures makes access to and comparison of their most salient properties easy and very reader friendly. The large number of sophisticated and well-constructed measures described in this volume speaks to the advance of measurement assessing couples and families. This advance runs parallel to and merges with the greater sophistication of the newest generation of couple and family therapies and of the most recent research on couple and family process. The measures surveyed in this volume now can serve admirably to anchor research focused on couples and families and in the clinical assessment and in the tracking of progress in treatment. These measures can also be used as the foundation for sophisticated assessment that can provide the basis for developing relational diagnoses of the future. RT6573_C00.fm Page xv Thursday, June 3, 2004 2:50 PM This important book will surely become a core resource for students, practicing clinicians, and family researchers. However, as indicated in the concluding chapter, instrumentation in couple and family therapy remains a work in progress. Assessment of Couples and Families: Contemporary and Cutting-Edge Strategies marks the state of the art in the continuously evolving field of instrumentation for assessing couples and families. Jay Lebow, Ph,D., ABPP The Family Institute at Northwestern University Evanston, Illinois RT6573_C00.fm Page xvi Thursday, June 3, 2004 2:50 PM RT6573_C00.fm Page xvii Thursday, June 3, 2004 2:50 PM Preface Assessment of couples and families today is quite different than it was 10 years ago. Then, traditional assessment tended to be informal and theory driven. Today, contemporary assessment is likely to be more formal and accountability driven. Not surprisingly, couples and family therapy is facing the same pressures of cost-effectiveness and outcomes-oriented accountability as individual therapy is. Of the various reasons for this change, not the least is the tumultuous changes in health care, including managed care. In addition to financial and accountability demands, there have been major social changes in the family and scientific advances and research developments that affect the assessment process, resulting in demand for more cutting-edge assessment strategies. One indication of how social changes have affected couple and family assessment is that in the past, assessment tended to focus largely on premarital and marital issues; however, formal assessment now focuses on—and is even court ordered for—child custody and family violence issues. Finally, recent research has led to development of cutting-edge strategies that have considerable clinical value and utility for those who practice couples and family therapy as well as for those who are training to practice this type of therapy. This book briefly reviews the impact of various changes and research developments on the assessment process and their implications for couple and family therapy today as well as future couple and family assessment. Then, it provides an in-depth description of the many increasingly sophisticated assessment tools available to clinicians today, including issue-specific, selfreport inventories, standardized inventories, and observational methods. More important, it provides readers with strategies for systematically utilizing these various inventories and observational methods as well as collateral information to address critical clinical treatment issues and legal questions involving premarital decisions; separation; divorce; mediation; family violence; child custody; and so on. This book brings together in a single publication the major contemporary and cutting-edge assessment tools and strategies relevant to clinical and legal issues encountered in working with couples and families. It identifies and describes assessment strategies for specific issues and applications: child custody; child abuse and family violence; divorce; couple conflict; and intimacy. Each chapter in part II and part III ends with a matrix summarizing pertinent information on all instruments reviewed in that chapter. This feature allows readers to compare over 100 assessment devices (interview, observational,

Author Len Sperry Isbn 9780415946575 File size 7.7MB Year 2004 Pages 308 Language English File format PDF Category Family and Friendship Book Description: FacebookTwitterGoogle+TumblrDiggMySpaceShare Assessment of Couples and Families considers the impact of recent changes on the assessment process and provide practitioners with a review of contemporary techniques and the means by which they can be implemented into practice in conjunction with new reporting inventories and observational methods. These new assessment strategies will be presented collaterally with case material that addresses a specific problem, such as family violence or marital suitability. This unique problem focus will provide practitioners with a handy point of reference to acquaint themselves with modern practice techniques that address issues new to the therapy session while providing a supplement to coursework on assessment.     Download (7.7MB) Violent Emotions: Shame and Rage in Marital Quarrels Common Dilemmas in Couple Therapy Culture and System in Family Therapy Destructive Myths in Family Therapy How to Handle Hard-to-Handle Parents Load more posts

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