Mastering Competencies in Family Therapy: A Practical Approach To Theory and Clinical Case Documentation 3rd Edition Diane R. Gehart
Mastering Competencies in Family Therapy: A Practical Approach To Theory and Clinical Case Documentation 3rd Edition Diane R. Gehart
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Want to turn your
C into an A? Obviously, right?
But the right way to go about it isn’t always so obvious. Go digital to
get the grades. MindTap’s customizable study tools and eTextbook
give you everything you need all in one place.
Third Edition
Dia ne R . Geha rt
California State University, Northridge
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Mastering Competencies in Family Therapy: © 2018, 2014 Cengage Learning
A Practical Approach to Theories and Clinical Unless otherwise noted, all content is © Cengage.
Case Documentation, Third Edition
Diane R. Gehart ALL RIGHTS RESERVED. No part of this work covered by the copyright herein
may be reproduced or distributed in any form or by any means, except as
Product Director: Marta Lee-Perriard permitted by U.S. copyright law, without the prior written permission of the
Product Manager: Julie Martinez copyright owner.
Loose-leaf Edition:
ISBN: 978-1-337-117739
Cengage Learning
20 Channel Center Street
Boston, MA 02210
USA
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Gianfranco Cecchin
Whose laughter, humility, and acceptance transformed me
Tom Andersen
Whose presence was angelic: the most “gentle” man I have ever met
Paul Watzlawick
Whose courage and kind words I shall never forget
Steve de Shazer
Whose brilliance dazzled me
Michael White
Whose ideas opened new worlds for me
Jay Haley
Who taught me the logic of paradox
Ivan Boszormenyi-Nagy
Who reminded me to focus on what really matters
Peggy Penn
Who taught me how putting pen to paper can transform the world
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Brief Table of Contents
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vi Brief Table of Contents
Index 631
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Detailed Table
of Contents
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viii Detailed Table of Contents
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Detailed Table of Contents ix
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x Detailed Table of Contents
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Detailed Table of Contents xi
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xii Detailed Table of Contents
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Detailed Table of Contents xiii
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xiv Detailed Table of Contents
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Detailed Table of Contents xv
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xvi Detailed Table of Contents
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Detailed Table of Contents xvii
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xviii Detailed Table of Contents
Index 631
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Foreword by Ronald J. Chenail, Ph.D.
Becoming Competent
with Competencies, or
What I Have Learned
About Learning
xix
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xx Becoming Competent with Competencies, or What I Have Learned About Learning
then
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Becoming Competent with Competencies, or What I Have Learned About Learning xxi
REFERENCE
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Preface
Text Overview
xxiii
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xxiv Preface
● Video series:
■■ Systemic–strategic therapy:
■■ Structural therapy:
■■ Satir Human Growth Model:
■■ Emotionally focused couples/family therapy:
■■ Bowen Intergenerational:
■■ Cognitive–behavioral family therapy:
■■ Solution-based:
■■ Narrative therapy:
■■ Collaborative therapy with reflecting teams:
● MindTap version of text:
● Cross-theoretical comparison:
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Preface xxv
■■
■■
■■
■■
● New theories:
● Try It Yourself:
● Chapter reorganization:
Appropriate Courses
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xxvi Preface
● Counseling:
Organization
■■
■■
■■
■■
■■
■■
● In a Nutshell:
● The Juice:
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Preface xxvii
● The Viewing:
● Targeting Change:
● The Doing:
● Scope It Out:
● Putting It All Together:
■■
■■
■■
● Tapestry Weaving:
■■
■■
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xxviii Preface
REFERENCES
The complete marriage and family therapy core competency assess-
ment system: Eight outcome-based instruments for measuring student learning.
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Acknowledgments
I would like to thank the following content experts who gave their time and energy to
ensure that the information in this textbook was accurate and current:
Interpersonal patterns:
Socioemotional relational therapy:
Systemic–strategic therapies:
Structural therapies:
Satir Model:
Symbolic–experiential therapy:
Bowen Intergenerational Therapy:
Psychodynamic:
Cognitive-Behavioral Family Therapy:
Integrated behavioral couples therapy:
Gottman’s Marriage Clinic approach:
Solution-based therapies:
Narrative therapy:
Collaborative therapy:
Emotionally focused therapy:
Functional family therapy:
Emotionally focused therapy case study:
Multifamily group therapy:
Outcome and session rating scales:
Outcome questionnaire:
Competencies and learning assessment:
Clinical forms:
The following reviewers provided invaluable feedback on making this book work for
faculty:
William F. Northey, Jr. (Bill Northey):
John K. Miller:
Joshua M. Gold:
Brent Taylor:
xxix
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xxx Acknowledgments
Randall Lyle:
Cynthia T. Walley:
Graduate student research team for the third edition:
●
The following students and former students assisted in the development of the instruc-
tors’ manual for the first edition:
Brandy Lucus:
Tricia Lethcoe:
Karen Graber:
Julie Woodworth:
Alina Whitmore:
Instructor and student materials for the second edition were developed by:
Dana Stone:
Jessica Lopez:
Brooke Clarke:
Corie Loiselle:
The following students and colleagues assisted in researching and proofing the second
edition:
●
I would also like to thank the following people for their generous assistance:
Bill O’Hanlon:
Michael Bowers:
Marquita Flemming:
Seth Dobrin:
Guenther and Anna Gehart:
Michael and Alexander McNicholas:
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About the Author
xxxi
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Author’s Introduction:
On Saying “Yes” and
Falling in Love
xxxiii
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xxxiv Author’s Introduction: On Saying “Yes” and Falling in Love
The Invitation
common factors
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Author’s Introduction: On Saying “Yes” and Falling in Love xxxv
REFERENCES
Collaborative therapy: Relationships and conversa-
tions that make a difference.
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Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
Part I
Theoretical
Foundations
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spent much of his time in this place, has copied it accurately in his
description of Paradise. This enchanting spot, as his verses
beautifully describe,
“Crowns with her enclosure green,
As with a rural mound, the champion head
Of a steep wilderness, whose hairy sides,
With thicket overgrown, grotesque and wild,
Access denied; and overhead up-grew
Insuperable height of loftiest shade,
Cedar and pine and fir, and branching palm,
A sylvan scene; and as the ranks ascend,
Shade above shade, a woody theatre
Of stateliest view.”
A Melancholy Event.
V O L U M E I V . — N o . 4 .
Bethesda.
Jerusalem.
View of Jerusalem.
But the glory of this costly edifice lasted only thirty-four years; for,
during the reign of Rohoboam, the son and successor of Solomon,
Shishak, king of Egypt, seized and pillaged it, and carried away its
treasures. Indeed, the city of Jerusalem was several times taken,
during those early periods, and sometimes it was burnt; but it was as
often rebuilt.
About six hundred and two years before Christ, Nebuchadnezzar,
king of Egypt, invaded Palestine, and threatened the destruction of
the city and temple; but was prevented from effecting his object by
the submission of Jehoiakim, the king. Efforts being made, soon
after, however, to throw off the yoke, Nebuchadnezzar again
appeared with his army before the city, and, after a siege of fifteen or
sixteen months, took it, and laid both the temple and the whole city in
ashes. This was B. C. 590.
About B. C. 530, by permission of Cyrus, Jerusalem began to be
rebuilt under Nehemiah, and repeopled; but the walls were not
completed till B. C. 456. The temple was also rebuilt, by Zerubbabel;
but this last temple was never so splendid as the former.
The city itself was again destroyed, many years afterward, by
Ptolemy. It met with a similar fate still later, from Antiochus
Epiphanes, who slew forty thousand of the people, and made slaves
of as many more. It was rebuilt by Judas Maccabeus, and in the time
of our Savior was somewhat flourishing. But about A. D. 70, after a
dreadful siege of two years, by the Romans, during which the
inhabitants suffered so much from famine as to eat, in some
instances, the dead bodies of their friends, the city was taken, and,
according to the prediction of our Savior, nearly forty years before, it
was made a heap of ruins. The temple was completely destroyed, so
that not one stone lay upon another; and the ground where it had
stood, was ploughed up. Even the name of the city was changed.
Adrian, another Roman emperor, undertook afterwards to rebuild
the city, but his plan only partially succeeded. In the mean time, he
banished all the Jews, forbidding their return. Constantine the Great,
enlarged the city, and restored its ancient name.
Since that time the fate of Jerusalem has been various and
singular. In 614, the Persians captured it; and in the capture, ninety
thousand Christians were slain. In 637 it was seized by the
Saracens, who held it till 1079, when the Seljukian Turks got
possession of it. After the Crusades, the Ottoman Turks became its
masters; and these own it at the present day.
We have already represented Jerusalem as standing upon
several eminences, and surrounded by a wall, forty or fifty feet high.
Towers rose at various places on these walls, some of them to the
height of one hundred, or one hundred twenty feet. The length of the
wall, or circumference of the city, about the time of Christ, must have
been, according to the best accounts, about four miles and a half. It
was very thickly populated; containing, as some suppose, nearly
three million inhabitants. This may be too high an estimate; but the
population was certainly very large. One evidence of its great
population is the fact, that there were in it, at this time, nearly five
hundred Jewish synagogues. At present, Jerusalem contains five
synagogues, eleven mosques, and twenty monasteries.
But Jerusalem is very far from being now what it once was.
Instead of containing millions of inhabitants, as some suppose it
formerly did, it scarcely contains twenty thousand. Of these, perhaps
ten thousand are Mohammedans, six thousand are Jews, two
thousand are Greeks, one thousand five hundred Catholics, and five
hundred Armenians. Instead of being four and a half miles in
circumference, the city scarcely measures two miles and two thirds.
The following spirited account of Jerusalem, as it now is, is from the
“Modern Traveller.”
When seen from the valley of Jehoshaphat, Jerusalem presents
an inclined plane, descending from west to east. An embattled wall,
fortified with towers, and a Gothic castle, compasses the city all
round, excluding, however, a part of Mount Zion, which it formerly
enclosed. In the western quarter, and in the centre of the city, the
houses stand very close; but in the eastern part, along (towards) the
brook Kidron, you perceive vacant spaces.
The houses of Jerusalem are heavy, square masses, very low,
without chimneys or windows. They have flat terraces or domes on
the top, and look like prisons or sepulchres. The whole would appear
to the eye one uninterrupted level, did not the steeples of the
churches, the minarets of the mosques, and the summits of a few
cypresses, break the uniformity of the plan. On beholding these
stone buildings, in the midst of a stony country, you are ready to
inquire if they are not the confused monuments of a cemetery in the
midst of a desert.
Enter the city; and you will find nothing there to make amends for
the dulness of its exterior. You lose yourself among narrow, unpaved
streets, here going up hill, there down, from the inequality of the
ground, and you walk among clouds of dust, or loose stones.
Canvas stretched from house to house, increases the gloom.
Bazars, roofed over, and fraught with infection, completely exclude
the light from the desolate city. A few paltry shops expose nothing
but wretchedness to view; and even these are frequently shut from
apprehension of the passage of a cadi.
Not a creature is to be seen in the streets, not a creature at the
gates, except now and then a peasant gliding through the gloom,
concealing under his garments the fruits of his labor, lest he should
be robbed of his hard earnings by the rapacious soldier.
Aside, in a corner, the Arab butcher is slaughtering some animal,
suspended by the legs, from a wall in ruins. From his haggard and
ferocious look, and his bloody hands, you would suppose that he
had been cutting the throat of a fellow-creature, rather than killing a
lamb.
The only noise heard from time to time in the city, is the galloping
of the steed of the desert: it is the Janissary, who brings the head of
the Bedouin, or who returns from plundering the unhappy Fellah.
Here reside (that is, among the ruins of Jerusalem) communities
of Christian monks, whom nothing can compel to forsake the tomb of
Christ; neither plunder, nor personal ill-treatment, nor menaces of
death itself. Night and day they chant their hymns around the holy
sepulchre.
Driven by the cudgel and the sabre, women, children, flocks, and
herds, seek refuge in the cloisters of these recluses. What prevents
the armed oppressor from pursuing his prey, and overthrowing such
feeble ramparts? It is the charity of the monks; they deprive
themselves of the last resources of life, to ransom their supplicants.
Cast your eyes between the temple and Mount Zion. Behold
another petty tribe, (the Jews,) cut off from the rest of the inhabitants
of this city! These people bow their heads without murmuring; they
endure every kind of insult, without demanding justice; they sink
beneath repeated blows without sighing; if their head be required,
they present it to the cimeter. On the death of any member of this
proscribed community, his companion goes at night, and inters him,
by stealth, in the shadow of Solomon’s temple.
Enter the abodes of these people. You will find them, amidst the
most abject wretchedness, instructing their children to read a (to
them) mysterious book, which they in their turn will teach to their
offspring. What they did five thousand years ago, this people still
continue to do. Seventeen times have they witnessed the destruction
of Jerusalem, yet nothing can discourage them, nothing can prevent
them from turning their faces towards Zion.
To see the Jews scattered over the whole world, according to the
word of God, must, doubtless, excite surprise. But to be struck with
astonishment, you must view them at Jerusalem; you must behold
these rightful masters of Judea, living as slaves and strangers in
their own country; you must behold them expecting, under all
oppressions, a king who is to deliver them.
We will only mention, in conclusion of this article, that the most
ancient as well as most splendid edifice in the whole modern city of
Jerusalem, is the mosque of Omar. It stands on Mount Moriah,
precisely—it is supposed—where once stood the temple of Solomon.
It is one thousand four hundred eighty-nine feet—more than a
quarter of a mile!—long, and nine hundred ninety-five feet broad. It
was built A. D. 636, and has, therefore, stood exactly one thousand
two hundred years. It is, indeed, rather a collection of mosques, than
a single one. The whole is included in two grand divisions; the
Sakhara, in the centre, and the Akhsa, on the south side.
Valley of Jehoshaphat.