Families today are assailed on all fronts by the profound changes, such as the decline of real wages and the loss in many industries of job security, that have shaken society over the past forty years and forced the monolithic family structure to take on a multitude of new forms, including the now-common dual-income family and the single-parent family. With families now more dependent on outside institutions for help and support—from the day care center to social services to neighbors and friends—family therapy needs a model of intervention that is capable of dealing with the new role these outside institutions and their representatives play in the life of the family.In this groundbreaking book, H. Charles Fishman takes this next logical step in the evolution of the treatment of families and details how to assess the broader system supporting and affecting the family and how to intervene effectively. Assessment techniques show how to decide which people and institutions (such as siblings, friends, co-workers, employers, social workers, teachers, clergy) need to be incorporated into the treatment. Fishman outlines how and when representatives of these outside institutions should meet with the therapist and the family. Rich case examples extensively illustrate principles of intervention for working within the family's context and for identifying who or what is maintaining the dysfunction of the family system.A concluding section reveals that altruism, a side of human nature too easily forgotten or dismissed, is the driving force behind the cooperative spirit regularly shown by participants in intensive structural therapy. This surprising finding is sure to inspire all who help families deal with the stresses of life today.

An esteemed theorist and clinician develops a comprehensive approach to treatment that recognizes the impact on families of social change and larger social organizations such as schools, courts, and employers.

Enduring Change in Eating Disorders provides a unique perspective on the successful treatment of eating disorders, which are among the most debilitating and recalcitrant psychiatric diseases. Unique in the field, this book details effective Structural Family Therapy with qualitative follow-ups of up to 20 years. A practical approach providing concrete tools to the clinician to creating change that holds over time with bulimia, anorexia, and compulsive overeating. The text draws on cases from the author's practice of over twenty-five years and follows his approach in the theoretical tradition of Intensive Structural Family Therapy (IST). Chapters discuss the nature and significance of eating disorders, a review of current treatment approaches, and the importance of the family in the therapeutic process. Cases of eating disorders in youths and adults are provided as well as instances of bulimia, anorexia, and compulsive overeating. Three appendices provide the reader with information regarding the scientific basis of the IST model, the effectiveness of the approach in treating conditions other than eating disorders and preventing eating disorders.

No other book in the field so fully combines vivid clinical examples, specific details of technique, and mature perspectives on both effectively functioning families and those seeking therapy. The views and strategies of a master clinician are presented here in such clear and precise form that readers can proceed directly from the book with comparisons and modifications to suit their own styles and working situations. Salvador Minuchin presents six chapter-length transcripts of actual family sessions—two devoted to ordinary families who are meeting their problems with relative success; four concerned with families seeking help. Accompanying each transcript is the author’s running interpretation of what is taking place, laying particular stress on the therapist’s tactics and maneuvers. These lively sessions are interpreted in a brilliant theoretical analysis of why families develop problems and what it takes to set them right. The author constructs a model of an effectively functioning family and defines the boundaries around its different subsystems, whether parental, spouse, or sibling. He discusses ways in which families adapt to stress from within and without, as they seek to survive and grow. Dr. Minuchin describes methods of diagnosing or “mapping” problems of the troubled family and determining appropriate therapeutic goals and strategies. Different situations, such as the extended family, the family with a parental child, and the family in transition through death or divorce, are examined. Finally, the author explores the dynamics of change, examining the variety of restructuring operations that can be employed to challenge a family and to change its basic patterns.

Your family is falling apart and everyone is grudgingly unhappy, the kids are misbehaving and in trouble with the law, your dreams are disintegrating as midlife pokes through, you want your children to thrive and do well. ... Trying to solve family problems? This wise, practical book will guide you. You will find yourself and your family on many of its pages and quickly discover that those precious relationships can be saved and preserved. Expertly written by psychiatrist Dr Charles Fishman, the book's principles of change and transformation reach across the many stages of a family life, from "new baby in the house" and "off to school" to "an adolescent has emerged" and "elderly parents come to live". If you want to know how to fix your family and fix your work environment this book offers brilliant solutions. Dr. Charles Fishman develops a refreshing conversation with the reader; you'll feel sure he is talking directly with you and your family. He has 35 years of experience interviewing and treating thousands of families, both in the United States and abroad, and as a psychiatrist, specialising in children, adolescents and adults, he has dedicated his work to the enduring future of the power of the modern family. An Associate Clinical Professor of Psychiatry at the University of Hawaii, John A. Burns School of Medicine, Dr Fishman is recruited for his supervision and teaching in Europe, South and Central America, United States, Southeast Asia, and New Zealand and Australia.You will find his other important books and publications via his web page: http://youcanfixyourfamily.com Pre-publication reviews: Wise and caring, this book can help you and your family. Professor Salvador Minuchin, Founder, Structural Family Therapy As a 28 year old mother this book definitely helped me prepare for the developmental passages that are to come for me and my family. Ruth I wish I had this book before my marriage fell apart. Steve I was asked to edit this book by the publisher. I found it so helpful - my mother had just died and Dr. Fishman's perspective and advice helped me greatly. Christine

In this groundbreaking book, Charles Fishman uniquely incorporates and develops results-based accountability (RBA) into the framework of structural family therapy. Collaborating with the founder of RBA, Mark Friedman, this approach aims to transform the field of family therapy by allowing clinicians to track performance effectively and efficiently with their clients. The book begins by reviewing the historical foundations of family therapy and evaluates why challenges in the field, alternative methods, and the reliance on evidence-based medicine (EBM) have meant that family therapy may not have flourished to the extent that many of us expected. It then explores how RBA can be integrated into intensive structural therapy (IST), with chapters examining how RBA can be applied in context, such as in treating eating disorders, supervision, and how it can be used to transform the professional’s clinical contexts. Relevant and practical, the book also introduces the community resource specialist to help in the treatment of socially disadvantaged families, as well as practical appendices and "tracking tools" to empower clinicians to track their data and choose treatment models that obtain best outcomes. This new approach offers transparent and measurable outcomes for both clinicians and training family therapists, lending a helping hand in making family therapy the gold standard in psychotherapy. It is essential reading for undergraduate and graduate students of family therapy, course leaders, and all clinicians in professional contexts, such as social workers, psychotherapists, and marriage, couple, and family therapists.