Bipolar disorder : a family-focused treatment approach / David J. Miklowitz, Michael J. Goldstein ; foreword by Lyman C. Wynne.

Includes bibliographical references (p. 301-309) and index.

Machine generated contents note: PART I: BIPOLAR DISORDER AND FAMILIES: -- CLINICAL AND RESEARCH BACKGROUND -- 1. Bipolar Disorder: Why Family Treatment? -- How Is Bipolar Disorder a Family Problem? 5 -- Why FFT? 6 -- The Six Objectives of FFT 6 -- The Core Assumptions and Structure of FFT 12 -- Is FFT Helpful? 13 -- The Organization of This Book 15 -- For Whom Is This Book Intended? 16 -- A Word about Terminology 17 -- 2. The Nature of Bipolar Disorder and Its Impact -- on the Family -- Chapter Overview 19 -- What Is Bipolar Disorder? 19 -- The Impact of the Disorder on Family Members 22 -- The Topography of Manic and Depressive Episodes 23 -- The Role of the Family in Differential Diagnosis 27 -- The Variable Life Courses of Bipolar Disorder 28 -- Developmental Precursors to Bipolar Disorder 31 -- The Interface between Drug Treatment and FFT 34 -- Concluding Comments 40 -- 3. Family and Social Factors in the Course -- of Bipolar Disorder -- Chapter Overview 42 -- The Vulnerability-Stress Model 42 -- Family Environmental Factors in Bipolar Disorder 43 -- Life Events Stress 52 -- The Vulnerability-Stress Model Revisited 54 -- Concluding Comments 56 --PART II: CONDUCTING THE FAMILY-FOCUSED TREATMENT -- 4. Planning the First Encounter -- Chapter Overview 60 -- Who Is Appropriate for FFT? 60 -- The Mechanics of FFT 63 -- Getting Started: The Initial Contacts 66 -- Concluding Comments 73 -- 5. The Functional Assessment -- Chapter Overview 74 -- Assessing the History of the Patient's Disorder 75 -- Assessing Family Interactions 82 -- Concluding Comments 86 -- 6. Family Psychoeducation: The Initial Sessions -- Overview of the Psychoeducation Section 87 -- The Therapeutic Stance 88 -- "Setting the Stage" for the Psychoeducation Module 90 -- Introducing the Treatment Program 91 -- Presenting the Didactic Material: Reviewing the Index Episode 97 -- Events Leading Up to the Episode: The Life Events Survey 105 -- Discussing the Hospitalization Experience 110 -- The Expected Course of Bipolar Disorder 113 -- Concluding Comments 115 -- 7. Family Psychoeducation: Etiology, Treatment, -- and Self-Management -- Chapter Overview 116 -- The Etiology of Bipolar Disorder 117 -- Treatment of the Disorder within the Vulnerability-Stress -- Model 130 -- How the Family Can Help 137 -- The Self-Management of Bipolar Disorder 142 -- The Relapse Drill 144 -- Addressing Unanswered Questions 148 -- Concluding Comments 149 -- 8. Family Psychoeducation: Dealing with Resistances -- Chapter Overview 151 -- Manifestations of Denial and Resistance 152 -- Anticipating and Preempting Denial and Resistance 153 -- The Meaning of Bipolar Disorder within the Family Context 157 -- Differing Perceptions of the Disorder as a Source of Family -- Conflict 162 -- The Stigma of Bipolar Disorder within the Larger Society 173 -- Medication Nonadherence: Its Management within the -- Family Context 174 -- Concluding Comments 185 -- 9. Communication Enhancement Training: -- Rationale and Mechanics -- Chapter Overview 187 -- Objectives of CET 188 -- Why Introduce Communication Exercises at This Point -- in Treatment? 189 -- CET: Getting Started 190 -- Teaching the Four Basic Communication Skills 194 -- Concluding Comments 214 -- 10. Communication Enhancement Training: Clinical Issues -- Chapter Overview 217 -- The Clinical Handling of Communication Enhancement -- Exercises 217 -- Problems in the Generalization of Skills 220 -- Using CET to Modify Family Dynamics 225 -- Concluding Comments 235 -- 11. Dealing with Family Problems -- Chapter Overview 238 -- Problem Solving: Why at This Point in Treatment? 238 -- What Kinds of Problems Do the Families of Bipolar -- Patients Have? 239 -- Conducting Problem Solving 240 -- Dealing with Resistance 247 -- The Problems of the Families of Bipolar Patients: Are There -- Good Solutions? 254 -- Concluding Comments 260 -- 12. Managing Crises in Family-Focused Treatment -- Chapter Overview 262 -- General Principles for Managing Crises within FFT 263 -- The Clinical Handling of Crisis Management Sessions 265 -- Manic Relapses and Hospitalization 266 -- Depressive Relapses 271 -- The Suicidal Crisis 272 -- Alcohol and Substance Abuse 278 -- Other Psychiatric Crises 284 -- Concluding Comments 286 -- 13. Termination -- Chapter Overview 287 -- Terminating FFT: Two Examples 287 -- The Structure of Termination Sessions 291 -- Reviewing the Course of Treatment 291 -- Anticipating Future Problems 293 -- Evaluating Future Treatment Needs 293 -- Arranging for Follow-Up Visits 299 -- Concluding Comments 299.