Family focused grief therapy : a model of family-centred care during palliative care and bereavement

Title:

Personal Author:

Kissane, David W.

Series:

Facing death

Publication Information:

Buckingham : Open University Press, 2002

ISBN:

9780335203505

Subject Term:

Grief therapy

Family psychotherapy

Added Author:

Bloch, Sidney

Available:*

Library	Item Barcode	Call Number	Material Type	Item Category 1	Status
Searching... PSZ JB	30000010038283	RC455.4.L67 K57 2002	Open Access Book	Book	Searching... Unknown

The family is intimately involved in the care of the dying and requires support through its experience of both palliative care and bereavement. This volume describes a comprehensive model of family care and how to go about it - an approach which is new, preventive, cost effective and with proven benefits to the bereaved.

Author Notes

David W. Kissane is Professor/Director of Palliative Medicine and Professor of Psychiatry at the University of Melbourne
Sidney Bloch has a personal Chair in Psychiatry at the University of Melbourne

Colin Murray Parkes

Series editor's preface	p. x
Foreword	p. xiv
Acknowledgements	p. xvii
Introduction	p. 1
Setting the scene	p. 2
Outline of the book	p. 4
Conclusion	p. 6
1 Family care and family grief	p. 7
What is the family?	p. 9
Psychosocial morbidity within the family	p. 13
Current knowledge about family grief	p. 15
Grief and infant loss	p. 22
Grief and the loss of a child	p. 23
Grief and adult loss	p. 25
Studies of family intervention	p. 26
Family grief and family grief therapy	p. 28
Conclusion	p. 29
2 A typology of family functioning	p. 30
Methodology in the Melbourne family grief studies	p. 30
Determinants of family types	p. 33
Classification of family types	p. 34
Clinical utility of this classification	p. 37
Selection of families by screening	p. 42
Which models of therapy apply to those selected by screening?	p. 44
Conclusion	p. 46
3 Conducting family focused grief therapy	p. 47
The family	p. 48
Stages of therapy	p. 48
Training and experience of the therapist	p. 50
Standard principles of family therapy utilized in FFGT	p. 51
Arranging the introductory session	p. 52
Session 1 The first assessment session	p. 53
Session 2 The genogram and completion of the assessment	p. 61
Sessions 3-6 Active focused treatment	p. 67
The final sessions: consolidation and termination	p. 72
Conclusion	p. 73
4 Common themes that arise during FFGT	p. 75
Care provision	p. 75
The emotional challenge of suffering	p. 78
Intimacy	p. 82
Discussing death	p. 83
Saying goodbye	p. 85
Good death or disappointment	p. 86
Cultural issues and religious practices	p. 87
Needs of particular family members, including children	p. 90
Historical influences on the family	p. 92
Family grief	p. 95
Conclusion	p. 98
5 A typical encounter of therapy	p. 99
Session 1 p. 100
Session 2 p. 104
Session 3 p. 109
Session 4 p. 111
Session 5 p. 113
Session 6 p. 116
Session 7 p. 118
Session 8 p. 122
Session 9 p. 124
Independent assessment of the family's outcome	p. 126
Conclusion	p. 127
6 Challenges and problems in the delivery of FFGT	p. 129
Engaging reluctant members	p. 129
Setting realistic goals of therapy	p. 133
Conducting therapy in the home	p. 137
Managing conflict in the home	p. 138
Living with the uncertainty of prognosis	p. 142
Dropouts from FFGT	p. 143
Telephone contact initiated by the therapist	p. 145
The therapist's role and style of intervening during therapy	p. 146
Conclusion	p. 151
7 The impact of specific life events upon families	p. 152
'Double cancer' in a family	p. 152
Families with an alcoholic parent	p. 153
The family with adopted children	p. 157
Families with a mentally ill member	p. 158
Families with chronic physical illness	p. 160
Families with prominent cultural differences	p. 163
Divorce and remarriage--issues in blended families	p. 168
Families with adolescent children	p. 171
Families with an obvious symptom bearer	p. 174
Conclusion	p. 176
8 The ethical dimension	p. 177
Is there an ethical framework that guides FFGT?	p. 177
Ethical issues that arise in the practice of FFGT	p. 180
Who is the family when gaining their informed consent?	p. 182
Our model of functioning--an invitation to consider or imposition?	p. 183
Brief and focused versus long-term and exploratory	p. 183
Practical issues that arise in therapy	p. 185
Conclusion	p. 193
9 Clinical application of the FFGT model	p. 194
FFGT--a structured, preventative and cost-effective model	p. 194
Bereavement care begins with palliative care	p. 196
What is the current status of a 'family meeting' in palliative care?	p. 197
Service development issues	p. 197
Application of the model	p. 198
Screening	p. 199
Does FFGT work?	p. 199
Conclusion	p. 200
Appendix 1 The Family Relationships Index (FRI)	p. 202
Appendix 2 Tables of results from the Melbourne family grief studies	p. 204
Bibliography	p. 229
Index	p. 247

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Author Notes

Table of Contents