Functional Family Therapy for Adolescent Behavior Problems by James F. Alexander

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By James F. Alexander

Young people with disruptive habit difficulties symbolize essentially the most tough and recalcitrant therapy populations. those early life and their mom and dad frequently input therapy unwilling or not able to aim new behaviors. This ebook explains tips to offer practical relations treatment (FFT), an empirically supported, hugely winning family members intervention for antisocial and substance-using kids. FFT systematically alters very important probability and protecting elements linked to the matter behaviors. The FFT therapist first raises relatives motivation to alter by way of disrupting and changing their dysfunctional attributions approximately themselves and every different. The therapist then works with the kin to cast off the matter behaviors and generalize new abilities and interplay styles to broader group family members.

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If a youth’s pattern of being rude to a parent typically produces an argument with the parent about “who’s in charge in this house,” FFT posits that the function of the child’s pattern of rudeness is to elicit similar behaviors in the parent (arguing and being rude in return), creating a more symmetrical relational configuration. , one-up in relation to the parent). Ecological Theory Finally, during the evolution of FFT, we were heavily influenced by Bronfenbrenner’s (1977, 1986) ecological theory of human development, which embeds an individual’s behavior in the influences of surrounding systems (see also Berk, 2000).

Integrated FFT + CBT Recidivism: Youth with competent and adherent FFT therapists had significantly lower recidivism (34%) and felony recidivism (13%) compared with controls (43% and 19%, respectively). 50 for each dollar of program cost for adherent therapists. Substance use: Significant pre–post reductions in substance use were found for all youth in FFT and FFT + CBT. Hispanic youth with Hispanic therapists showed greater decreases in substance use compared with Hispanic youth with Anglo therapists.

FFT was also associated with significantly greater improvements in family functioning compared with the other three conditions. , iatrogenic) effects. , family functioning, recidivism), the importance of these studies in forming the empirical foundation for FFT has endured over time. Subsequent research built on the early studies, evaluating FFT across new settings and populations of clients and therapists. For example, in a 3-year follow-up investigation of families participating in the study, Klein, Alexander, and Parsons (1977) evaluated the impact of FFT on recidivism and sibling delinquency.

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