Family Focused Grief Therapy : A Model of Family-Centered Care During Palliative Care and Bereavement

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Edition: 1st
Format: Paperback
Pub. Date: 2002-04-01
Publisher(s): Open University Press
List Price: $55.65

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Summary

"To those of us who have been aware of the innovative service to families facing death and bereavement that has been developed by David W. Kissane and Sidney Bloch this book has been eagerly awaited. Their work is a logical development in the field of Palliative Care in which it has long been recognized that, when life is threatened, it is the family (which includes the patient) which is, or ought to be, the unit of care. The work also has great relevance for the wider field of bereavement care...all who work to help families at times of death and bereavement will find much to learn from this book which represents a useful addition to our understanding of the losses which, sooner or later, we all have to face."- Colin Murray ParkesFamily members are often intimately involved in the care of dying people and themselves require support through both their experience of palliative care and bereavement. This innovative book describes a comprehensive model of family care and how to go about it -Family Focused Grief Therapyis an approach which is new, preventive, cost effective and with proven benefits to bereaved people. It describes a highly original and creative approach to bereavement care, one likely to revolutionize psychosocial care in oncology, hospice or palliative care and grief work.The book has been designed rather like a therapy manual, providing a step-by-step approach to assessment and intervention. Its rich illustration through many clinical examples brings the process of therapy alive for the reader, anticipating the common challenges that arise and describing how the therapist might respond. Families are recognised throughout as the central social unit, pivotal to the success of palliative care.Family Focused Grief Therapywill be of use to doctors, nurses, psychologists, social workers, pastoral care workers, psychiatrists and other allied health professionals who work in caring for the dying and for their bereaved relatives. Based soundly on a decade of internationally regarded research, this book will alter the direction of future medical practice and is destined to become a classic in its field.

Author Biography

David Kissane is Professor/Director of Palliative Medicine and Professor of Psychiatry at the University of Melbourne, President of The International Psycho-Oncology Society and an internationally renowned psycho-oncologist, bereavement researcher and clinician.

Sidney Bloch has a personal Chair in Psychiatry at the University of Melbourne, is an internationally regarded teacher and has authored several books on psychotherapy, ethics and families.

Table of Contents

Series editor's preface x
Foreword xiv
Colin Murray Parkes
Acknowledgements xvii
Introduction 1(1)
Setting the Scene
2(2)
Outline of the book
4(2)
Conclusion
6(1)
Family care and family grief
7(23)
What is the family?
9(4)
Psychosocial morbidity within the family
13(2)
Current knowledge about family grief
15(7)
Grief and infant loss
22(1)
Grief and the loss of a child
23(2)
Grief and adult loss
25(1)
Studies of family intervention
26(2)
Family grief and family grief therapy
28(1)
Conclusion
29(1)
A typology of family functioning
30(17)
Methodology in the Melbourne family grief studies
30(3)
Determinants of family types
33(1)
Classification of family types
34(3)
Clinical utility of this classification
37(5)
Selection of families by screening
42(2)
Which models of therapy apply to those selected by screening?
44(2)
Conclusion
46(1)
Conducting family focused grief therapy
47(28)
The family
48(1)
Stages of therapy
48(2)
Training and experience of the therapist
50(1)
Standard principles of family therapy utilized in FFGT
51(1)
Arranging the introductory session
52(1)
Session 1: the first assessment session
53(8)
Session 2: the genogram and completion of the assessment
61(6)
Sessions 3--6: active focused treatment
67(5)
The final sessions: Consolidation and termination
72(1)
Conclusion
73(2)
Common themes that arise during FFGT
75(24)
Care provision
75(3)
The emotional challenge of suffering
78(4)
Intimacy
82(1)
Discussing death
83(2)
Saying Goodbye
85(1)
Good death or disappointment
86(1)
Cultural issues and religious practices
87(3)
Needs of particular family members, including children
90(2)
Historical influences on the family
92(3)
Family grief
95(3)
Conclusion
98(1)
A typical encounter of therapy
99(30)
Session 1
100(4)
Session 2
104(5)
Session 3
109(2)
Session 4
111(2)
Session 5
113(3)
Session 6
116(2)
Session 7
118(4)
Session 8
122(2)
Session 9
124(2)
Independent assessment of the family's outcome
126(1)
Conclusion
127(2)
Challenges and problems in the delivery of FFGT
129(23)
Engaging reluctant members
129(4)
Setting realistic goals of therapy
133(4)
Conducting therapy in the home
137(1)
Managing conflict in the home
138(4)
Living with the uncertainty of prognosis
142(1)
Dropouts from FFGT
143(2)
Telephone contact initiated by the therapist
145(1)
The therapist's role and style of intervening during therapy
146(5)
Conclusion
151(1)
The impact of specific life events upon families
152(25)
`Double cancer' in a family
152(1)
Families with an alcoholic parent
153(4)
The family with adopted children
157(1)
Families with a mentally ill member
158(2)
Families with chronic physical illness
160(3)
Families with prominent cultural differences
163(5)
Divorce and remarriage - issues in blended families
168(3)
Families with adolescent children
171(3)
Families with an obvious symptom bearer
174(2)
Conclusion
176(1)
The ethical dimension
177(17)
Is there an ethical framework that guides FFGT?
177(3)
Ethical issues that arise in the practice of FFGT
180(2)
Who is the family when gaining their informed consent?
182(1)
Our model of functioning - an invitation to consider or imposition?
183(1)
Brief and focused versus long-term and exploratory
183(2)
Practical issues that arise in therapy
185(8)
Conclusion
193(1)
Clinical application of the FFGT model
194(8)
FFGT - a structured, preventative and cost-effective model
194(2)
Bereavement care begins with palliative care
196(1)
What is the current status of a `family meeting' in palliative care?
197(1)
Service development issues
197(1)
Application of the model
198(1)
Screening
199(1)
Does FFGT work?
199(1)
Conclusion
200(2)
Appendix 1: The Family Relationships Index (FRI) 202(2)
Appendix 2: Tables of results from the Melbourne family grief studies 204(25)
Bibliography 229(18)
Index 247

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