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In this age of accountability, and irrespective of whether they work in health-care settings or conventional mental health settings, all therapists will be increasingly expected to provide effective psychosocial treatment to individuals and families who face co-morbid medical conditions. Statistics these conditions are daunting: 75 percent of adults over age 65 and 50 percent of Americans constantly experience chronic medical symptoms, and prevalence rates of chronic medical conditions that are more than three times higher than mental illness. While it can be helpful to conceptualize treatment in terms of individual dynamics and utilize cognitive behavioral strategies, it can be much more effective to conceptualize family as well as individual dynamics and to utilize systemic interventions when indicated. Effective Treatment of Individuals and Families Facing Medical Conditions addresses the need for these types of interventions. It provides background information on 12 common medical conditions, and includes discussions of family dynamics as well as medical and psychosocial treatments. While recognizing the role of personality, culture, and illness dynamics, it emphasizes the centrality of family dynamics in conceptualizing and implementing interventions.
Len Sperry, MD, PhD, is Professor of Mental Health Counseling at Florida Atlantic University, and Clinical Professor of Psychiatry and Behavioral Medicine at the Medical College of Wisconsin where, for several years, he held appointments as a tenured full professor in the Departments of Psychiatry, Preventive Medicine, and Family and Community Medicine, and is board certified in Psychiatry and in Preventive Medicine. He has more than 600 publications, including 60 professional books. He is also a member of 13 book and journal editorial boards.
Part 1 Integrated Behavioral Health; Chapter 1 Integrated Behavioral Health; Chapter 2 Family Dynamics1.Adapted from Sperry, L. (2011). Recognizing family dynamics in the treatment of chronic fatigue syndrome. The Family Journal: Counseling and Therapy for Couples and Families, 20, 79-85.; Chapter 3 Personality Dynamics1.Adapted from Sperry, L., & Carlson, J. (2000). Couples therapy with a personality-disordered couple. The Family Journal: Counseling and Therapy for Couples and Families, 8, 118-123.; Chapter 4 Illness Perceptions1.Adapted from Sperry, L. (2007). Illness perceptions and receptivity to counseling: Implications for individual and couples therapy. The Family Journal: Counseling and Therapy for Couples and Families, 15, 298-302.; Chapter 5 Stages of Chronic Illness1.Adapted from Sperry, L. (2009). Therapeutic response to patients and families experiencing chronic medical conditions. The Family Journal: Counseling and Therapy for Couples and Families, 17, 180-184.; Chapter 6 ). Health counseling with individuals, couples, and families: Three perspectives on ethical and professional practice. The Family Journal: Counseling and Therapy for Couples and Families, 13, 328-331.; Chapter 7 ). Spiritually competent practice with individuals and families dealing with medical conditions. The Family Journal: Counseling and Therapy for Couples and Families, 19, 42-416.; Chapter 8 Compliance Considerations1.Adapted from Sperry, L. (2006). Family-oriented compliance counseling: A therapeutic strategy for enhancing health status and lifestyle change. The Family Journal: Counseling and Therapy with Couples and Families, 14, 412-416.; Chapter 9 Motivational Interviewing1.Adapted from Sperry, L. (2012). Motivational interviewing, non-adherence with medical treatment, and families. The Family Journal: Counseling and Therapy for Couples and Families, 20, 306-308.; Chapter 10 Case Conceptualization1.Adapted from Sperry, L. (2013).../part contents
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