Functional Family Therapy for Adolescent Behavior Problems

269 Pages·2013·4.88 MB·English

by  James F. Alexander

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Functional Family
Therapy for Adolescent
Behavior Problems
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Functional Family
Therapy for Adolescent
Behavior Problems
James F. Alexander
Holly Barrett Waldron
Michael S. Robbins
Andrea A. Neeb
American Psychological Association
Washington, DC
Copyright © 2013 by the American Psychological Association. All rights reserved. Except
as permitted under the United States Copyright Act of 1976, no part of this publication may
be reproduced or distributed in any form or by any means, including, but not limited to, the
process of scanning and digitization, or stored in a database or retrieval system, without the
prior written permission of the publisher.
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Library of Congress Cataloging-in-Publication Data
Alexander, James F.
Functional family therapy for adolescent behavior problems / authored by James F. Alexander,
Holly Barrett Waldron, Michael S. Robbins, and Andrea A. Neeb.
pages cm
Includes bibliographical references and index.
ISBN 978-1-4338-1294-1 — ISBN 1-4338-1294-0 1. Functional Family Therapy
(Program) 2. Family psychotherapy. 3. Behavior therapy for teenagers. I. Title.
RC488.5.A432 2013
616.89'156—dc23
2012038947
British Library Cataloguing-in-Publication Data
A CIP record is available from the British Library.
Printed in the United States of America
First Edition
http://dx.doi.org/10.1037/14139-000
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CONTENTS
Introduction .................................................................................................. 3
I. Clinical Foundations and Research Support ...................................... 15
Chapter 1. Early Influences: The Cultural, Conceptual,
and Intellectual Zeitgeist of FFT Development .............. 17
Chapter 2. Research on Change Mechanisms .................................. 27
Chapter 3. Research on FFT Outcomes ............................................ 37
II. The FFT Clinical Model .................................................................... 63
Chapter 4. Matching and General Parameters of FFT ...................... 65
Chapter 5. Engagement Phase ........................................................... 77
Chapter 6. Motivation Phase ............................................................ 87
Chapter 7. Relational Assessment Phase ........................................ 113
v
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Chapter 8. Behavior Change Phase ................................................ 129
Chapter 9. Generalization Phase ..................................................... 157
Chapter 10. Anthony: A Case Example ........................................... 167
III. Administering and Extending FFT ................................................ 185
Chapter 11. Features of Successful FFT Implementation ................. 187
Chaper 12. Training and Supervision .............................................. 199
Chapter 13. Application of FFT to Distinct Populations ................. 219
References ................................................................................................. 233
Index ......................................................................................................... 247
About the Authors.................................................................................... 259
vi contents
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Functional Family
Therapy for Adolescent
Behavior Problems
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inTrOduCTiOn
adolescents with behavior problems go by various labels, such as difficult-
to-treat adolescents, juvenile delinquents, at-risk youth, violent youth, and youth-
ful offenders. They may have disruptive behavior disorder or substance abuse
disorder, and they may be involved with the criminal justice system. These
youth have problematic behaviors, emotions, and ways of thinking that often
affect not only their families, but also their community. These youth, their
families, and their successful treatment represent the focus of this book.
Whatever labels are used to describe them, these adolescents represent
one of the most difficult and recalcitrant treatment populations. although
family members are often dissatisfied with the youth’s behavior and intensely
focused on the need for him or her to change, the youth rarely self-refers and
often seems undisturbed by his or her own behaviors. The impetus for treat-
ment often stems from problems that are identified in the youth’s immediate
social spheres (e.g., family or school) or formal social systems (e.g., juvenile
dOi: 10.1037/14139-001
Functional Family Therapy for Adolescent Behavior Problems, by James f. alexander, Holly Barrett
Waldron, Michael S. robbins, and andrea a. neeb
Copyright © 2013 by the american Psychological association. all rights reserved.
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