ISBN:
9783319506753
Language:
English
Pages:
1 Online-Ressource (288 pages)
Series Statement:
European Family Therapy Association Series
Series Statement:
European Family Therapy Association Ser.
Parallel Title:
Print version Tilden, Terje Routine Outcome Monitoring in Couple and Family Therapy : The Empirically Informed Therapist
DDC:
150
Keywords:
Psychotherapy
;
Psychotherapy
;
Electronic books
Abstract:
Foreword -- Contents -- Editors and Contributors -- Introduction -- 1 How Do I Know Whether My Efforts Are Helpful for the Client? Implementing Feedback in Norway -- Introduction -- Our Mission and Challenge -- The Professional Development of Systemic Practices -- Evidence-Based Practice and Levels of Evidence -- The Governmental Guidelines -- The Characteristics of Feedback -- The Implementation and Dissemination of ROM in Norway -- Practice-oriented Research -- The Pros and Cons of ROM -- The Pros -- The Cons -- Concluding Section -- References -- Couple and Family Therapy in Norway -- 2 The History of Family Therapy in Norway -- What Paved the Ground for the Development of Family Therapy in Norway? -- Overarching Themes-Trends and Headlines Seen as Historical Processes -- Family Therapy in Norway Through the Decades -- Family Therapy in the 1960s and 1970s -- The 1980s -- The 1990s -- After 2000 -- The Important Working Contexts for Family Therapists -- Family Counseling Services -- Child and Adolescent Psychiatry -- Adult Psychiatry -- Modum Bad -- History -- The Treatment -- Evaluation and Research -- Diagnostic Challenges -- International Contacts and Inspirations -- The Research Institute -- Publishing About Family Therapy -- Norsk Forening for Familieterapi (NFFT) -- Family and Family Therapy Research in Norway -- Research Concerning Family Therapy with Children and Adolescents -- Educating Family Therapists -- Family Therapy in Norway-Is There a Future? -- References -- 3 A Sociological Perspective on Changes in the Family in Norway -- Introduction -- Background Information on Norway -- A Snapshot of Contemporary Norwegian Families -- "Liquid" Relationships -- The Gendered Division of Labor, Homemaking, and Money -- "New" Fatherhood and Motherhood: Intensive Parenting -- Family Changes and Couple/Family Therapy -- Concluding Remarks
Abstract:
References -- 4 Family Therapy and Philosophy: Inspiration and Frustration -- Introduction -- My Journey to Family Therapy and Norway's Family Counseling Service -- Family Therapy Education: Constructivism and Anti-psychiatry -- Change and Second-Order Cybernetics -- Constructivism + The Legacy of Descartes = Epistemological Skepticism? -- The Therapy Room as a Space of Freedom -- The Profession's Three Philosophical Pillars -- A Paradox -- Fiction Versus Reality -- Constructivism + Social Constructionism = Relativism -- Pragmatism and Evidence-Based Practice -- Language and the World: There Is also a Correspondence Theory -- First Preliminary Summary -- The Problematic "Not-Knowing" Position -- Both Therapy and Counseling? -- Socratic Approach: The Midwife Method -- Kierkegaard and the Art of Helping -- The Not-Knowing Position and Solipsism: No Man Is an Island -- Second Preliminary Summary -- The Informed Versus the Not-Knowing Therapist -- Proximity Ethics and Second-Order Cybernetics Go Hand in Glove -- Proximity Ethics Challenge: An Inadequate Therapist -- Courtesy, Respect, and Sound Methods May Be Enough -- Conclusion -- References -- Practice-Oriented Research and Routine Outcome Monitoring -- 5 The Systemic Therapy Inventory of Change-STIC: A Multi-systemic and Multi-dimensional System to Integrate Science into Psychotherapeutic Practice -- The STIC System -- The STIC Initial -- The STIC Intersession -- The STIC Online Data Collection and Feedback System -- An Evolving Measurement and Feedback System -- The STIC as a Research Tool -- The STIC as a Clinical Tool -- The Collaborative Use of the STIC -- Collaborative, Empirically Informed Assessment -- The Big Six and the Big Three -- Individual Versus Couple Versus Family: Whom to See? -- Creating an Empirically Informed Problem Narrative
Abstract:
Creating an Empirically Informed Intervention Plan-What to Address When? -- Empirically Informed Progress Evaluation -- Collaborative, Empirically Informed Termination Assessment/Planning -- Empirically Informed Multi-systemic Therapy -- The Clinical-Research Loop -- The STIC System as a Comprehensive Clinical and Research Tool -- References -- 6 The Norwegian Directorate for Children, Youth and Family Affairs' Efforts to Implement Feedback in Routine Couple and Family Therapy -- Introduction -- Evidence-Based Practice in FCS -- "The Norwegian Study" -- Decision to Implement KOR in All FCS Offices -- PCOMS, the Measures ORS and SRS, and the Norwegian Term KOR -- Clinical Cutoff of the ORS -- Electronic Systems for Administering and Scoring the KOR Measures -- The Validation of ORS and SRS -- Implementation -- Implementing KOR in the FCS: Model and Pilot Project -- Pilot FCS Offices -- The Role of the Coordinator -- Skill-Building Conferences -- Consultation -- The Four Phases of the Implementation from 2009 to 2012 -- KOR Supervision -- Implementing an Electronic System -- Positive Experiences -- Objections from the Clinicians -- Problems and Challenges that Occurred in the Implementation Process -- The Importance of Adequate KOR Introduction -- Clinical Autonomy Versus User Involvement -- Looking into the Mirror of Implementation Research -- Lessons Learned -- References -- 7 Feedback as Means to Enhance Client-Therapist Interaction in Therapy -- Introduction -- A Very Short History of the Introduction of Routine Outcome Monitoring and Service User Feedback in Norway -- Client-Directed, Outcome-Informed Therapy in a Family Therapy Context -- The Outcome Rating Scale and The Session Rating Scale as Conversational Tools -- The CD of the CDOI-The Question of Service User Participation -- The OI of the CDOI-The Question of Being Informed by Data
Abstract:
What Could Be New in Client-Therapist Interactions as a Result of Feedback? -- To Follow the Client and Be Challenged by Data -- Closing Remarks -- References -- 8 Does Feedback Enhance User Involvement in Therapy? -- Introduction -- User Involvement Through Structured Feedback -- The Systemic Therapy Inventory of Change (STIC) Feedback Procedure -- Three Ways of Making Meaning from a Feedback Questionnaire Procedure -- The Study -- Expectations About the Use of STIC -- Experiences with the Use of STIC -- Feedback Procedures Give the Opportunity to Ask Difficult Questions -- Feedback Procedures Give the Opportunity to Explore Multiple Meanings -- Feedback Procedures Give the Opportunity to Share Information with Everyone in the Room -- Conclusion -- References -- 9 Empirically Informed Therapy Conducted at the Family Unit, Modum Bad -- Introduction -- The Modum Bad Context -- Theoretical and Empirical Background -- The CFT Treatment Approach -- The Use of ROM at the Family Unit -- Treatment-Planning and Building Alliances -- Collaborative Approach to Therapy Enhances Change -- Addressing Lack of Changes and Alliance Ruptures -- Clinical Judgement -- Closing Remarks -- References -- 10 Family Therapy and Holistic Complexity-An Ethnographic Approach to Therapeutic Practice in a Norwegian Psychiatric Clinic -- Introduction -- Our Ethnographic Approach -- Dilemmas of Symmetrical Reciprocity -- Autonomy and Boundaries -- A Therapeutic Agora -- Perspectivism -- Contextual Complexity in Therapy -- Summing Up -- References -- 11 An Anthill of Questions that Made Me Prepare for the First Session: A Clinical Vignette of the Usage of STIC Feedback System -- Introduction -- Our Context -- Our Theoretical Platform and the STIC Procedures -- Answering Before Meeting the Therapist in Person -- Too Burdensome for a Family in Crisis? -- To Become Visible
Abstract:
Forced to Be Clearer -- To Be Exposed -- Does STIC Open Up for Untold Stories? -- Changes Displayed and not Displayed on the STIC Graphs -- STIC Works Outside the Therapy Room -- Youth, Truth, and STIC -- Is STIC in the Way? -- One Size Fits All? -- Alliance -- Conclusion -- References -- 12 Lessons Learned from the Implementation of a Feedback System in Couple and Family Therapy -- Introduction -- Background -- Implementation -- Studies on ROM Implementation -- Lessons Learned from Our Project -- The Honeymoon Phase -- From Initial to Action Phase -- The Downturn Phase -- The Upturn Phase -- The Consolidation Phase -- Implications -- Conclusion -- Acknowledgements -- References -- Reflections from Abroad on Couple and Family Therapy in Norway -- 13 How, When, and Why Do People Change Through Psychological Interventions?-Patient-Focused Psychotherapy Research -- Introduction -- Dose-Response and Phase Models of Therapeutic Change -- Decision Support Rules -- Rationally Derived Methods -- Empirically Derived Methods -- Nearest Neighbors Techniques -- Detecting Typical Patterns of Patient Change -- Rationally or Empirically Derived Decision Rules -- Mediators and Moderators of Psychometric Feedback Effects -- Therapist and Patient Differences -- How Does Feedback Work? -- Summary -- References -- 14 How to Use Research to Become More Effective Therapists -- The Contextual Model -- Initial Therapeutic Bond -- The Real Relationship -- Creation of Expectation Through Explanation and Treatment -- Enacting Health Promoting Actions -- The Three Pathways in Summary -- Actions of Effective Therapists -- Alliance -- Facilitative Interpersonal Skills -- Delivery of a Cogent Treatment -- Professional Self-doubt and Deliberate Practice -- Characteristics and Actions of Therapists that Are not Related to Outcome -- Conclusions -- References
Abstract:
15 How Can Outcome Data Inform Change? Experiences from the Child Mental Health Context in Great Britain, Including Barriers and Facilitators to the Collection and Use of Data
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