Bipolar disorder
Subtitle: a family-focused treatment approach
By: David J. Miklowitz, Michael J. Goldstein ; foreword by Lyman C. Wynne.
Contributors: Goldstein, Michael J. 1930-
Publisher: Guilford Press
Published: 1997
Place of publication: New York
Language: eng
Number of pages: 318
Subjects: Manic-depressive illness -- Treatment.; Family counseling.
Description: This cogent and practical manual by David J. Miklowitz and Michael J. Goldstein presents a complete 9-month outpatient program designed to help patients and families understand, accept, and manage the effects of bipolar disorder. The book builds upon both the late Dr. Goldstein's pioneering work with the families of schizophrenia patients and Dr. Miklowitz's extension of this work to bipolar disorder.

Aimed to improve family functioning, facilitate patient willingness to follow a medication regimen, and reduce the risk and severity of relapse, this unique psychoeducational treatment approach maximizes limited time and resources and can be readily incorporated in a range of clinical settings.

This guide is an invaluable tool for therapists from any background and contains much information of relevance to patients and family members as well. FFT also has important implications for other serious psychiatric and medical conditions, making the book a useful resource for researchers. It serves as a supplementary text for advanced undergraduate and graduate-level courses.
Notes: Includes bibliographical references (p. 301-309) and index.
Table of contents: title: Machine generated contents note: PART I: BIPOLAR DISORDER AND FAMILIES:; title: CLINICAL AND RESEARCH BACKGROUND; title: 1. Bipolar Disorder: Why Family Treatment?; title: How Is Bipolar Disorder a Family Problem? 5; title: Why FFT? 6; title: The Six Objectives of FFT 6; title: The Core Assumptions and Structure of FFT 12; title: Is FFT Helpful? 13; title: The Organization of This Book 15; title: For Whom Is This Book Intended? 16; title: A Word about Terminology 17; title: 2. The Nature of Bipolar Disorder and Its Impact; title: on the Family; title: Chapter Overview 19; title: What Is Bipolar Disorder? 19; title: The Impact of the Disorder on Family Members 22; title: The Topography of Manic and Depressive Episodes 23; title: The Role of the Family in Differential Diagnosis 27; title: The Variable Life Courses of Bipolar Disorder 28; title: Developmental Precursors to Bipolar Disorder 31; title: The Interface between Drug Treatment and FFT 34; title: Concluding Comments 40; title: 3. Family and Social Factors in the Course; title: of Bipolar Disorder; title: Chapter Overview 42; title: The Vulnerability-Stress Model 42; title: Family Environmental Factors in Bipolar Disorder 43; title: Life Events Stress 52; title: The Vulnerability-Stress Model Revisited 54; title: Concluding Comments 56; title: PART II: CONDUCTING THE FAMILY-FOCUSED TREATMENT; title: 4. Planning the First Encounter; title: Chapter Overview 60; title: Who Is Appropriate for FFT? 60; title: The Mechanics of FFT 63; title: Getting Started: The Initial Contacts 66; title: Concluding Comments 73; title: 5. The Functional Assessment; title: Chapter Overview 74; title: Assessing the History of the Patient's Disorder 75; title: Assessing Family Interactions 82; title: Concluding Comments 86; title: 6. Family Psychoeducation: The Initial Sessions; title: Overview of the Psychoeducation Section 87; title: The Therapeutic Stance 88; title: "Setting the Stage" for the Psychoeducation Module 90; title: Introducing the Treatment Program 91; title: Presenting the Didactic Material: Reviewing the Index Episode 97; title: Events Leading Up to the Episode: The Life Events Survey 105; title: Discussing the Hospitalization Experience 110; title: The Expected Course of Bipolar Disorder 113; title: Concluding Comments 115; title: 7. Family Psychoeducation: Etiology, Treatment,; title: and Self-Management; title: Chapter Overview 116; title: The Etiology of Bipolar Disorder 117; title: Treatment of the Disorder within the Vulnerability-Stress; title: Model 130; title: How the Family Can Help 137; title: The Self-Management of Bipolar Disorder 142; title: The Relapse Drill 144; title: Addressing Unanswered Questions 148; title: Concluding Comments 149; title: 8. Family Psychoeducation: Dealing with Resistances; title: Chapter Overview 151; title: Manifestations of Denial and Resistance 152; title: Anticipating and Preempting Denial and Resistance 153; title: The Meaning of Bipolar Disorder within the Family Context 157; title: Differing Perceptions of the Disorder as a Source of Family; title: Conflict 162; title: The Stigma of Bipolar Disorder within the Larger Society 173; title: Medication Nonadherence: Its Management within the; title: Family Context 174; title: Concluding Comments 185; title: 9. Communication Enhancement Training:; title: Rationale and Mechanics; title: Chapter Overview 187; title: Objectives of CET 188; title: Why Introduce Communication Exercises at This Point; title: in Treatment? 189; title: CET: Getting Started 190; title: Teaching the Four Basic Communication Skills 194; title: Concluding Comments 214; title: 10. Communication Enhancement Training: Clinical Issues; title: Chapter Overview 217; title: The Clinical Handling of Communication Enhancement; title: Exercises 217; title: Problems in the Generalization of Skills 220; title: Using CET to Modify Family Dynamics 225; title: Concluding Comments 235; title: 11. Dealing with Family Problems; title: Chapter Overview 238; title: Problem Solving: Why at This Point in Treatment? 238; title: What Kinds of Problems Do the Families of Bipolar; title: Patients Have? 239; title: Conducting Problem Solving 240; title: Dealing with Resistance 247; title: The Problems of the Families of Bipolar Patients: Are There; title: Good Solutions? 254; title: Concluding Comments 260; title: 12. Managing Crises in Family-Focused Treatment; title: Chapter Overview 262; title: General Principles for Managing Crises within FFT 263; title: The Clinical Handling of Crisis Management Sessions 265; title: Manic Relapses and Hospitalization 266; title: Depressive Relapses 271; title: The Suicidal Crisis 272; title: Alcohol and Substance Abuse 278; title: Other Psychiatric Crises 284; title: Concluding Comments 286; title: 13. Termination; title: Chapter Overview 287; title: Terminating FFT: Two Examples 287; title: The Structure of Termination Sessions 291; title: Reviewing the Course of Treatment 291; title: Anticipating Future Problems 293; title: Evaluating Future Treatment Needs 293; title: Arranging for Follow-Up Visits 299; title: Concluding Comments 299.