scholarly journals The Therapeutic Alliance with Parents and their Children Working Through a Relational Trauma in the Family

2021 ◽  
Author(s):  
Maria Lisa Gilson ◽  
Angela Abela
Keyword(s):  
Therapeutic Alliance ◽  
Working Through ◽  
Relational Trauma ◽  
The Family

Supportive Therapy Techniques Part II

2019 ◽  
pp. 192-207
Author(s):  
Brian A. Sharpless
Keyword(s):  
Therapeutic Alliance ◽  
Supportive Therapy ◽  
Self Awareness ◽  
Critical Component ◽  
Parenting Strategies ◽  
Working Through

This chapter concludes the section on supportive therapy and describes four additional sets of techniques with clinical examples. Interventions that are intended to reduce and prevent unhelpful anxiety or other emotions are discussed first. These include techniques such as supportive bypassing, encouraging the use of adaptive defenses, and reframing. Next, supportive approaches meant to enhance patient self-awareness are discussed (e.g., the use of “upward explanations”). A third set of interventions focuses on what have been called, for lack of a better term, “parenting strategies.” Examples include containing affect, setting limits, and providing limited advice. Techniques to create and sustain a positive therapeutic alliance are discussed last. Displaying interest and empathy, sharing agendas, jointly agreeing upon treatment contracts, and many other approaches and interventions serve to foster a therapeutic alliance. The alliance is a critical component of all therapies and may be particularly challenging to achieve with lower-functioning patients. The chapter concludes with a discussion of the process of “working through” in supportive therapies.

scholarly journals Using Relational Agents to Promote Family Communication Around Type 1 Diabetes Self-Management in the Diabetes Family Teamwork Online Intervention: Longitudinal Pilot Study

10.2196/15318 ◽  
2019 ◽  
Vol 21 (9) ◽  
pp. e15318 ◽  
Author(s):  
Debbe Thompson ◽  
Chishinga Callender ◽  
Caroline Gonynor ◽  
Karen W Cullen ◽  
Maria J Redondo ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Pilot Study ◽  
Therapeutic Alliance ◽  
Diabetes Management ◽  
Online Intervention ◽  
Program Satisfaction ◽  
The Family ◽  
Diabetes Family ◽  
Relational Agent

Background Family conflict can reduce adolescent adherence to type 1 diabetes management tasks. The Family Teamwork in-person intervention was shown to be efficacious in reducing conflict and low adherence to diabetes-related tasks. Its reach and potential impact, however, were limited by the need to deliver the intervention sessions in person. Relational agents (ie, computerized versions of humans) have been shown to appeal to diverse audiences and may be an acceptable replacement for a human in technology-based behavior change interventions. Objective The purpose of this paper is to present the results of a pilot study assessing feasibility and acceptability of Diabetes Family Teamwork Online, an adapted version of the Family Teamwork intervention, delivered over the internet and guided by a relational agent. Methods Parent-adolescent dyads were recruited through a diabetes care clinic at a large tertiary care hospital in the southwestern United States. A one-group design, with assessments at baseline, immediate postintervention, and 3 months later, was used to assess feasibility. A priori feasibility criteria included an assessment of recruitment, completion, attrition, program satisfaction, therapeutic alliance, attitudes toward the relational agent, and data collection. The institutional review board at Baylor College of Medicine approved the protocol (H-37245). Results Twenty-seven adolescents aged 10 to 15 years with type 1 diabetes and their parents were enrolled. Criteria used to assess feasibility were (1) recruitment goals were met (n=20), (2) families completed ≥75% of the modules, (3) attrition rate was ≤10%, (4) program satisfaction was high (≥80% of families), (5) therapeutic alliance was high (average score of ≥60/84), (6) families expressed positive attitudes toward the relational agent (average item score of ≥5 on ≥4 items), (7) ≥80% of data were collected at post 1 and post 2, and (8) few technical issues (≤10%) occurred during intervention delivery. All feasibility criteria were met. Qualitative data confirmed that adolescents and parents had positive reactions to both the content and approach. Conclusions The Diabetes Family Teamwork Online intervention proved to be a feasible and acceptable method for enhancing communication around diabetes management tasks in families with an adolescent who has type 1 diabetes. International Registered Report Identifier (IRRID) RR2-10.2196/resprot.5817

scholarly journals Family relations in eating disorders: the Genogram as instrument of assessment

2015 ◽  
Vol 20 (5) ◽  
pp. 1435-1447 ◽  
Author(s):  
Carolina Leonidas ◽  
Manoel Antônio Santos
Keyword(s):  
Eating Disorders ◽  
Therapeutic Alliance ◽  
Family Relationships ◽  
Health Professionals ◽  
Family Relations ◽  
Stressful Events ◽  
Semistructured Interview ◽  
Need For Care ◽  
Emotional Distance ◽  
The Family

The present study aimed to evaluate the transactional patterns in families of women with EDs, through the use of the Genogram. The study included 12 girls and women linked to a multidisciplinary service. For the preparation of Genograms, a semistructured interview script was built that included specific topics regarding family relationships. Genograms´ analysis followed the recommendations professed by the specialized literature. It was evident that families presented few skills in managing stressful events and resolving conflicts, resulting in emotional distance between members and vulnerability of bonds. The Genogram was proved useful as a resource for research and evaluation in the area of EDs, and the generated data was convergent with the literature. Results provide important subsidies for health professionals, since they indicate the need for care and development of therapeutic alliance with the family in the treatment for EDs.

‘The Great Moral Object’ in Joanna Baillie’s Drama

2020 ◽  
pp. 112-148
Author(s):  
Gerard Lee McKeever
Keyword(s):  
Social Power ◽  
Dialectical Logic ◽  
Dramatic Theory ◽  
Moral Improvement ◽  
Working Through ◽  
The Enlightenment ◽  
Moral Growth ◽  
Alternative Vision ◽  
The Family ◽  
Important Approach

This chapter offers a new reading of Joanna Baillie’s path-breaking drama and dramatic theory, suggesting that it is working through the dialectical logic of improvement. Baillie attempts to counter what she finds to be pernicious aspects of commercial modernisation and politeness with an alternative vision of moral improvement. She presents the drama as uniquely placed to engender moral growth because of its capacity to invoke ‘sympathetick curiosity’ in reader or audience. This volatile force is explored in Count Basil (1798), read as a model example of historical dialectic; in The Family Legend (1810), an important approach to the ‘primitive’ past; and in The Alienated Manor (finally published in 1836), a satire of improvement’s pitfalls. With roots in the Enlightenment science of man, Baillie’s writings sustain a powerful sense of the individual’s contribution to networks of social power and the involvement of this contribution in grand narratives of improvement. Yet, while Baillie seeks to repurpose the enlarged patent theatres into instruments of moral improvement, the pessimism of her social diagnosis threatens to infect her didactic project.

When the family is opposed to coming to therapy: A study on outcomes and therapeutic alliance with involuntary and voluntary clients.

2018 ◽  
Vol 7 (1) ◽  
pp. 47-61 ◽  
Author(s):  
Luciana Sotero ◽  
Mariana Moura-Ramos ◽  
Valentín Escudero ◽  
Ana Paula Relvas
Keyword(s):  
Therapeutic Alliance ◽  
The Family

scholarly journals Using Relational Agents to Promote Family Communication Around Type 1 Diabetes Self-Management in the Diabetes Family Teamwork Online Intervention: Longitudinal Pilot Study (Preprint)

2019 ◽  
Author(s):  
Debbe Thompson ◽  
Chishinga Callender ◽  
Caroline Gonynor ◽  
Karen W Cullen ◽  
Maria J Redondo ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Pilot Study ◽  
Therapeutic Alliance ◽  
Diabetes Management ◽  
Online Intervention ◽  
Program Satisfaction ◽  
The Family ◽  
Diabetes Family ◽  
Relational Agent

BACKGROUND Family conflict can reduce adolescent adherence to type 1 diabetes management tasks. The Family Teamwork in-person intervention was shown to be efficacious in reducing conflict and low adherence to diabetes-related tasks. Its reach and potential impact, however, were limited by the need to deliver the intervention sessions in person. Relational agents (ie, computerized versions of humans) have been shown to appeal to diverse audiences and may be an acceptable replacement for a human in technology-based behavior change interventions. OBJECTIVE The purpose of this paper is to present the results of a pilot study assessing feasibility and acceptability of Diabetes Family Teamwork Online, an adapted version of the Family Teamwork intervention, delivered over the internet and guided by a relational agent. METHODS Parent-adolescent dyads were recruited through a diabetes care clinic at a large tertiary care hospital in the southwestern United States. A one-group design, with assessments at baseline, immediate postintervention, and 3 months later, was used to assess feasibility. A priori feasibility criteria included an assessment of recruitment, completion, attrition, program satisfaction, therapeutic alliance, attitudes toward the relational agent, and data collection. The institutional review board at Baylor College of Medicine approved the protocol (H-37245). RESULTS Twenty-seven adolescents aged 10 to 15 years with type 1 diabetes and their parents were enrolled. Criteria used to assess feasibility were (1) recruitment goals were met (n=20), (2) families completed ≥75% of the modules, (3) attrition rate was ≤10%, (4) program satisfaction was high (≥80% of families), (5) therapeutic alliance was high (average score of ≥60/84), (6) families expressed positive attitudes toward the relational agent (average item score of ≥5 on ≥4 items), (7) ≥80% of data were collected at post 1 and post 2, and (8) few technical issues (≤10%) occurred during intervention delivery. All feasibility criteria were met. Qualitative data confirmed that adolescents and parents had positive reactions to both the content and approach. CONCLUSIONS The Diabetes Family Teamwork Online intervention proved to be a feasible and acceptable method for enhancing communication around diabetes management tasks in families with an adolescent who has type 1 diabetes. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR2-10.2196/resprot.5817

Family of Origin as Cultural Messengers in the Training Context

2021 ◽  
pp. 106648072110000
Author(s):  
Russell Haber ◽  
Cristina Braga ◽  
John Benda ◽  
Jenelle Fitch ◽  
Carrie Leigh Mitran ◽  
...  
Keyword(s):  
Therapeutic Alliance ◽  
Family Systems ◽  
Family Of Origin ◽  
Training Model ◽  
Training Context ◽  
Resource Model ◽  
Training Paradigm ◽  
The Family ◽  
Three Phases

A novel Family of Origin as Supervisory Resource Model that harnesses the family of origin of the therapist-in-training as a cultural supervisory resource in the training paradigm is presented. The format of the model comprises three phases: supervisor’s exploration of the trainee’s professional dilemmas, supervisor’s exploration of the same dilemma through stories narrated by the supervisee’s family of origin members, and supervisee’s presentation of a case that is an example of the dilemma. The application of this training model during supervision strengthens the trainee’s flexibility in divergent family systems and enhances the ability to handle dilemmas and to form a healthy therapeutic alliance.

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