Academic journal article American Journal of Psychotherapy

Book Reviews -- Integrating Individual and Family Therapy by Larry B. Feldman

Academic journal article American Journal of Psychotherapy

Book Reviews -- Integrating Individual and Family Therapy by Larry B. Feldman

Article excerpt

Feldman addresses the often conflicted interface between individual and family therapy. He states that the rigid separation between the two approaches impairs clinical assessment and treatment; and that using both approaches can promote more effective intrapsychic and interpersonal change. He presents a comprehensive model for integrating individual and family therapy with clinical examples. He labels his model the Integrative Multilevel Model.

This book provides a practical model of how to carry out an integrated therapy. The initial chapter on a multilevel conceptualization of clinical problems summarizes concisely the theoretical frameworks Feldman uses and provides an integrated approach. The frameworks are psychoanalytic, cognitive, behavioral, and family systems. His clinical illustrations are simplified formulations to illustrate theory. His chapter on integrating individual and family assessment describes how to carry out such an assessment with issues of benefits, limitations, and confidentiality addressed. It provides concise clinical process illustrations. His chapter on multilevel treatment planning provides a format for types of integration: symmetrical, asymmetrical, sequential, and combined. His illustrations offer a pragmatic rationale for using each of these types. His chapter on an integrative model of therapeutic change summarizes the processes he uses: intrapsychic (insight and working through, cognitive restructuring, and internalization) and behavioral (desensitization, suggestion, modeling and rehearsal, and reinforcement). …

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