First published in 1988, behavioural family therapists worked in an
area that had greatly changed since its inception over 20 years
before. Growing out of the pioneering work of Gerald Patterson,
Robert Paul Liberman, and Richard Stuart, whose backgrounds vary
from psychology to psychiatry to social work, behavioural family
therapy (BFT) had evolved to encompass systems theory,
considerations of the therapeutic alliance, as well as approaches
to accounting for and restructuring family members' subjective
experiences through cognitive strategies. As BFT had not been the
'brain child' of any one charismatic innovator, but rather of a
wide array of clinicians and researchers developing and rigorously
testing hypotheses, it is fitting that this much-needed summation
of the field was a collaborative product of an array of
well-established practitioners of the time. They discuss in Part 1
of the book the theoretical parameters of BFT, focusing on modular
behavioural strategies, the indications for therapy, assessment of
family problems, pertinent issues arising in clinical practice, and
approaches to the problem of resistance to change. Contributors to
Part 2 then apply theory to such clinical situations as 'parent
training' and helping families cope with patients suffering from
developmental disabilities, alcoholism, schizophrenia, senile
dementia, as well as anxiety, obsessive-compulsive, and depressive
disorders. Specific attention is also given to acute inpatient and
primary health-care settings. While BFT had already proved quite
effective in treating a great number of family problems, it was
only in its infancy at the time of writing. As Falloon says in his
overview 'all exponents of the method are constantly involved with
the process of refinement, each clinician is a researcher, each
family member is a research subject, and each researcher is
contributing to clinical advancement.' This openness, in
combination with a willingness to modify 'sacred' tenets of
behaviourism while adapting proven techniques from other family
therapies, made this title a landmark in its field. As such, it was
not only of interest to all clinicians and researchers with a
behavioural slant, but also to all family therapists who wished to
challenge themselves to develop an integrative approach.
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