Treating Family of Origin Problems

Book excerpt: This groundbreaking volume shows how the clarity and discipline of cognitive therapy can be applied to the treatment of family of origin issues, such as alcoholism and incest, without compromising depth and clinical sophistication. Treating Family Of Origin Problems begins with a discussion of the characteristics of dysfunctional families and an overview of the cognitive model. Subsequent chapters explore coping strategies, goals of recovery and treatment, diagnostic considerations, and assessment of family of origin issues. Ways in which the therapist's own family of origin issues and the therapist's posture can influence the treatment process are addressed in a discussion of various metacommunicative elements that can affect the client's ability to use treatment constructively. Throughout, illustrative clinical material shows how clinicians can utilize embedded messages and other techniques to circumvent resistance; confront various types of acting-out behavior while remaining in a supportive, collaborative posture; and provide a consistent focus in treatment, highlighting the underlying mechanisms that cause distress without becoming mired in unproductive attention to the presenting symptoms. The volume concludes with discussions of building coping strategies, utilizing relationship material, and variations in the recovery process.