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Clinical Manual of Couples and Family Therapy

Gabor I. Keitner, M.D., Alison Margaret Heru, M.D., and Ira D. Glick, M.D.

  • ISBN 978-1-58562-290-0
  • Item #62290
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The Clinical Manual of Couples and Family Therapy presents a conceptual framework for engaging families of psychiatric patients. It outlines practical, evidence-based family therapy skills that make it easier for clinicians to effectively integrate families into the treatment process. Moreover, it reestablishes the role of the psychiatrist as the leader of the team of professionals providing mental health care to patients in need.

The underlying assumption in this concise manual is that most psychiatric symptoms or conditions evolve in a social context, and families can be useful in identifying the history, precipitants, and likely future obstacles to the management of presenting problems. The book clarifies the clinical decision-making process for establishing family involvement in patient care in different clinical settings, and it outlines distinct steps in family assessment and treatment within a biopsychosocial organizing framework that can be applied to all families, regardless of the patient's presenting problems. The book's approach is based on a broad model of family functioning, which provides a multidimensional description of families and has validated instruments to assess family functioning from both internal and external perspectives. Unique features and benefits of the manual include:

  • A focus on one consistent model of assessment and treatment that can be applied to a wide range of psychiatric conditions and clinical settings
  • Numerous case examples, tables, and charts throughout the text to further highlight the material
  • A summary of key concepts at the end of each chapter
  • A companion DVD, keyed to discussion in the text, that demonstrates how to perform a family assessment and treatment

All psychiatrists should be proficient in assessing the social and familial context in which a patient's psychiatric illness evolves. The Clinical Manual of Couples and Family Therapy is a practical guide designed to facilitate a clinician's ability to evaluate and treat couples and families.


  • A Guide for Using the Text and DVD
  • Acknowledgments
  • Chapter 1. Introduction
  • Chapter 2. Healthy Family Functioning
  • Chapter 3. Family Research
  • Chapter 4. Family Assessment
  • Chapter 5. Site-Specific Family Assessment
  • Chapter 6. Biopsychosocial Formulation
  • Chapter 7. Diagnostic Reasoning and Clinical Decision-Making Process
  • Chapter 8. Family/Couples Therapy: Models
  • Chapter 9. Problem-Centered Systems Therapy of the Family
  • Chapter 10. Integrating Family Treatment Into Biopsychosocial Care
  • Chapter 11. Family Interventions With Specific Disorders
  • Chapter 12. Special Situations
  • Chapter 13. Training in Family Skills and Family Therapy
  • Chapter 14. Conclusions and Future Directions
  • Index

About the Authors

Gabor I. Keitner, M.D., is Professor of Psychiatry at The Warren Alpert School of Medicine and Brown University/Rhode Island Hospital in Providence, Rhode Island.

Alison Margaret Heru, M.D., is Associate Professor of Psychiatry at the University of Colorado in Denver, Colorado.

Ira D. Glick, M.D., is Professor of Psychiatry at Stanford University School of Medicine in Stanford, California.

This book has long been needed. It teaches you how to incorporate family assessment and intervention strategies in everyday clinical practice, whether you are a physician or a psychologist. This highly readable manual is an essential reference for health care providers.—Giovanni A. Fava, M.D., Editor-in-chief, Psychotherapy and Psychosomatics, Professor of Clinical Psychology, University of Bologna, Bologna, Italy

Keitner and colleagues have developed a superb manual for doing marital therapy, part of which is integrating somatic and psychosocial treatments. A must read for anyone seeing couples and families.—Alan F. Schatzberg, M.D., Chairman and Professor of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California

My training in family and couples therapy has mostly been drawn from photocopies of various books and journal articles and I appreciate that this book provides an efficient yet complete framework for basic therapeutic practices with family members. Before reading this book, I often felt overwhelmed by how to organize the information I would get when meeting with families, but now I feel more confident in my ability to work more effectively with them. Listing references at the end of the chapter makes for smoother reading than citing them in the body of the text. However, the title may be misleading because the book does not make a clear distinction between family therapy and couples therapy.—Aaron Plattner, M.D., Doody Enterprises, Inc., 1/1/2010

This book is written by three distinguished professors of psychiatry and is a clinical training manual for family and couples therapy. The book is well written, jargon free, and deserves a place on the bookshelf of every psychiatric trainee.—William Vogel, Ph.D., A.B.P.P., Psychiatric Services, 1/1/2010

This book is recommended for all practitioners. It succeeds as a useful, well- written testimony to the importance of living families in mental health treatment.—W. David Lohr, M.D., Psychiatric Times, 1/1/2010

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