Advertisement

Family Assessment and Intervention for Physicians

  • Gabor I. KeitnerEmail author
Chapter

Abstract

Most symptoms or illnesses evolve in a social context: understanding the social context of the presenting problem is critical to biopsychosocial formulation and treatment planning. Families (including nonrelative significant others) can help in identifying history, precipitants, and potential future obstacles to the management of presenting problems and thereby significantly impact ongoing treatment. How a patient with an illness interacts with his or her significant others and how they in turn interact with the patient has a significant impact on the duration of the presenting problems, their likelihood of resolving and recurring over time.

Keywords

Family Functioning Family Therapy Family Intervention Affective Responsiveness Family Assessment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Campbell, T. (2003). The effectiveness of family interventions for physical disorders. Journal of Marital and Family Therapy, 29, 263–281.PubMedCrossRefGoogle Scholar
  2. 2.
    Molloy, G. J., Johnston, D. W., Johnston, M., et al. (2005). Extending the demand-control model to informal caregiving. Journal of Psychosomatic Research, 58, 243–251.PubMedCrossRefGoogle Scholar
  3. 3.
    Fisher, I. (2006). Research on the family and chronic disease among adults: Major trends and directions. Families, Systems & Health, 24(4), 373–380.CrossRefGoogle Scholar
  4. 4.
    Fisher, L., & Weihs, K. (2000). Can addressing family relationships improve outcomes in chronic disease? Report of the national working group on family-based interventions in chronic disease. The Journal of Family Practice, 49, 561–566.PubMedGoogle Scholar
  5. 5.
    Keitner, G. I., Ryan, C. E., & Epstein, N. B. (2006). Family assessment. In D. Goldbloom (Ed.), Psychiatric clinical skills (pp. 327–338). Maryland Heights, MO: Mosby Elsevier.CrossRefGoogle Scholar
  6. 6.
    Ryan, C. E., Epstein, N., Keitner, G. I., et al. (2005). Evaluating and treating families: The Mcmaster approach. New York: Routledge Taylor & Francis Group.Google Scholar
  7. 7.
    Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 15–28.CrossRefGoogle Scholar
  8. 8.
    Moos, R., & Moos, B. (1981). Family environment scale manual. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
  9. 9.
    Epstein, N. B., Baldwin, L. M., & Bishop, D. S. (1983). The mcmaster family assessment device. Journal of Marital and Family Therapy, 9, 171–180.CrossRefGoogle Scholar
  10. 10.
    Rosen, K. H., Mccollum, E. E., Middletown, K., et al. (1997). Interrater reliability and validity of the global assessment of relational functioning (GARF) scale in a clinical setting: A preliminary study. American Journal of Family Therapy, 4, 357–360.CrossRefGoogle Scholar
  11. 11.
    Beavers, R., & Hampson, R. B. (1990). Successful families: Assessment and intervention. New York: Norton.Google Scholar
  12. 12.
    Miller, I. W., Kabacoff, R. I., & Keitner, G. I. (1994). The development of clinical rating scale for the McMaster model of family functioning. Family Process, 33, 53–69.PubMedCrossRefGoogle Scholar
  13. 13.
    Chesla, C., Fisher, L., Mullan, J., et al. (2004). Family and disease management in African-­American patients with type 2 diabetes. Diabetes Care, 27, 2850–2855.PubMedCrossRefGoogle Scholar
  14. 14.
    DiMatteo, M. (2004). Variations in patients’ adherence to medical recommendations: A quantitative review of 50 years of research. Medical Care, 42, 200–209.PubMedCrossRefGoogle Scholar
  15. 15.
    Martire, L., Lustig, A., Schultz, R., et al. (2004). It is beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychology, 23, 599–611.PubMedCrossRefGoogle Scholar
  16. 16.
    Hartmann, M., Bazner, E., Wild, B., et al. (2010). Effects of interventions involving the family in the treatment of adult patients with chronic physical diseases: A meta-analysis. Psychotherapy and Psychosomatics, 79, 136–148.PubMedCrossRefGoogle Scholar
  17. 17.
    Nichols, M. (2010). Family therapy concepts and methods (9th ed.). Boston: Allyn & Bacon.Google Scholar
  18. 18.
    Gurman, A. S., & Jacobson, N. S. (2002). Clinical handbook of couple therapy (3rd ed.). New York: The Guilford Press.Google Scholar
  19. 19.
    Pisani, A., & McDaniel, S. (2005). An integrative approach to health and illness in family therapy. In J. L. Lebow (Ed.), Handbook of clinical family therapy (pp. 569–590). Hoboken, NJ: Wiley.Google Scholar
  20. 20.
    Keitner, G. I., Heru, A. M., & Glick, I. D. (2010). Family assessment. In Clinical manual of couples and family therapy (pp. 63–92). Washington, DC: American Psychiatric Publishing.Google Scholar
  21. 21.
    Miller, I. W., Keitner, G. I., Ryan, C. E., et al. (2005). Treatment matching in the post hospital care of depressed patients. The American Journal of Psychiatry, 162, 2131–2138.PubMedCrossRefGoogle Scholar
  22. 22.
    Miller, I. W., Keitner, G. I., Ryan, C. E., et al. (2008). Family treatment for bipolar disorder: Family impairment by treatment interactions. The Journal of Clinical Psychiatry, 69, 732–740.PubMedCrossRefGoogle Scholar
  23. 23.
    Solomon, D. A., Keitner, G. I., Ryan, C. E., et al. (2008). Preventing recurrence of bipolar 1 mood episodes and hospitalizations: Family psychotherapy plus pharmacotherapy versus pharmacotherapy alone. Bipolar Disorders, 10, 798–805.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Psychiatry, Rhode Island and Miriam HospitalsBrown UniversityProvidenceUSA

Personalised recommendations