Family focused grief therapy : a model of family-centred care during palliative care and bereavement / David W. Kissane, Sidney Bloch.

Format:

Book

Author/Creator:

Kissane, David W. (David William)

Contributor:

Bloch, Sidney.

Series:

Facing death

Language:

English

Subjects (All):

Grief therapy.

Family psychotherapy.

Physical Description:

xviii, 254 pages : illustrations ; 23 cm.

Place of Publication:

Buckingham ; Philadelphia : Open University Press, 2002.

Contents:

1 Family care and family grief 7

Psychosocial morbidity within the family 13

Current knowledge about family grief 15

Grief and infant loss 22

Grief and the loss of a child 23

Grief and adult loss 25

Studies of family intervention 26

Family grief and family grief therapy 28

2 A typology of family functioning 30

Methodology in the Melbourne family grief studies 30

Determinants of family types 33

Classification of family types 34

Clinical utility of this classification 37

Selection of families by screening 42

Which models of therapy apply to those selected by screening? 44

3 Conducting family focused grief therapy 47

Stages of therapy 48

Training and experience of the therapist 50

Standard principles of family therapy utilized in FFGT 51

Arranging the introductory session 52

Session 1 The first assessment session 53

Session 2 The genogram and completion of the assessment 61

Sessions 3-6 Active focused treatment 67

The final sessions: consolidation and termination 72

4 Common themes that arise during FFGT 75

Care provision 75

The emotional challenge of suffering 78

Intimacy 82

Discussing death 83

Saying goodbye 85

Good death or disappointment 86

Cultural issues and religious practices 87

Needs of particular family members, including children 90

Historical influences on the family 92

Family grief 95

5 A typical encounter of therapy 99

Independent assessment of the family's outcome 126

6 Challenges and problems in the delivery of FFGT 129

Engaging reluctant members 129

Setting realistic goals of therapy 133

Conducting therapy in the home 137

Managing conflict in the home 138

Living with the uncertainty of prognosis 142

Dropouts from FFGT 143

Telephone contact initiated by the therapist 145

The therapist's role and style of intervening during therapy 146

7 The impact of specific life events upon families 152

'Double cancer' in a family 152

Families with an alcoholic parent 153

The family with adopted children 157

Families with a mentally ill member 158

Families with chronic physical illness 160

Families with prominent cultural differences 163

Divorce and remarriage

issues in blended families 168

Families with adolescent children 171

Families with an obvious symptom bearer 174

8 The ethical dimension 177

Is there an ethical framework that guides FFGT? 177

Ethical issues that arise in the practice of FFGT 180

Who is the family when gaining their informed consent? 182

Our model of functioning

an invitation to consider or imposition? 183

Brief and focused versus long-term and exploratory 183

Practical issues that arise in therapy 185

9 Clinical application of the FFGT model 194

FFGT

a structured, preventative and cost-effective model 194

Bereavement care begins with palliative care 196

What is the current status of a 'family meeting' in palliative care? 197

Service development issues 197

Application of the model 198

Screening 199

Does FFGT work? 199

Appendix 1 The Family Relationships Index (FRI) 202

Appendix 2 Tables of results from the Melbourne family grief studies 204.

Notes:

Includes bibliographical references (pages [229]-246) and index.

ISBN:

0335203507

0335203493

OCLC:

49206439