Abstract
The aim of this paper is to describe a structured approach to managing the disengagement process. Six distinct disengagement scenarios are first outlined. Thereafter, phasing out therapy, dealing with family belief systems concerning the permanence of improvements and relapse management are discussed. Ways in which disengagement from specific episodes of therapy may be construed as part of an ongoing therapeutic relationship and the practicalities of recontracting for further episodes of therapy, handing over cases, and referring cases on to other professionals are considered. An approach to therapeutic failure analysis is presented. Finally, ways in which disengagement may lead to significant loss experiences are discussed.
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References
Abramson, L., Seligman, M., & Teasdale, J. (1978). Learned helplessness in humans: Critique and reformulation.Journal of Abnormal Psychology, 87, 49–74.
Carpenter, J., & Treacher, A. (1989).Problems and solutions in marital and family therapy. Oxford: Basic Blackwell.
Carr, A. (1989). Countertransference reactions to families where child abuse has occurred.Journal of Family Therapy, 11, 87–97.
Carr, A. (1990a). Failure in family therapy: A catalogue of engagement mistakes.Journal of Family Therapy, 12, 371–386.
Carr, A. (1990b). A formulation model for use in family therapy.The Australian and New Zealand Journal of Family Therapy, 11, 85–92.
Carr, A. (1990c). Giving directives effectively: The implications of research on complicance with doctor's orders for family therapy.Human Systems: Journal of Systemic Consultation and Management, 1, 115–127.
Carr, A. (1991a). Milan systemic family therapy: A review of 10 empirical investigations.Journal of Family Therapy, 13, 237–264.
Carr, A. (1991b). Power and influence in systemic consultation.Human Systems: Journal of Systemic Consultation and Management, 2, 15–30.
Carr, A. (1993). Systemic consultation and goal setting.Human Systems: Journal of Systemic Consultation and Management, 4, 49–59.
Carr, A. (1995a).Positive practice: A step-by-step guide to family therapy. Reading: Harwood.
Carr, A. (1995b). Resistance, dilemmas, and crises in family therapy: A framework for positive practice.Journal of Family Psychotherapy, 6, 29–42.
Coleman, S. (Ed.) (1985).Failures in family therapy. New York: Guilford.
Cummings, C., Gordon, J., & Marlatt, A. (1980). Relapse: Prevention and prediction. In W. Miller (Ed.),The addictive behaviours (pp. 291–321), Oxford: Pergamon.
Heath, A. (1985). Ending family therapy sessions: Some new directions.Family Therapy Collections, 14, 33–40.
Herbert, M. (1991).Clinical child psychology. Chichester: Wiley.
Lask, B., & Matthew, D. (1979). Childhood asthma: A controlled trial of family psychotherapy.Archives of Disease in Childhood, 54, 116–119.
Levy, S., & Heiden, L. (1991). Depression, distress, and immunity: Risk factors for infectious disease.Stress Medicine, 7, 45–51.
Maslach, C., & Jackson, S. (1982). Burnout in health professions: A social psychological analysis. In G. Sanders & J. Suls (Ed.),Social psychology of health and illness (pp. 227–251) Hillsdale, NJ: Erlbaum.
Segal, L. (1991). Brief therapy: The MRI approach. In A. Gurman & D. Kniskern (Eds.),Handbook of family therapy, Vol. 2. (pp. 171–199). New York: Brunner/Mazel.
Selvini Palazzoli, M., Boscolo, L., Cecchin, G., & Prata, G. (1978).Paradox and counterparadox. New York: Jason Aronson.
Spellman, D., & Harper, D. (1995). Failure, mistakes regret, and other subjugated stories in family therapy.Journal of Family Therapy, 18, 205–214.
Wehr, T., & Rosenthal, N. (1989). Seasonality and affectiveness illness.American Journal of Psychiatry, 146, 829–839.
Weeks, G., & L'Abate, L. (1982).Paradoxical psychotherapy. New York: Brunner/Mazel.
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Carr, A. A structured approach to disengagement in family therapy with child-focused problems. Contemp Fam Ther 18, 471–487 (1996). https://doi.org/10.1007/BF02195711
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DOI: https://doi.org/10.1007/BF02195711