Evaluating Family Mental Health: History, Epidemiology, and Treatment IssuesAt the time of this writing, there is much uncertainty about the form of this country's future healthcare system and the role of psychiatry and other mental health disciplines in that system. Current experience with various managed healthcare programs is not encouraging. Most often patients with severe psychiatrie disturbances receive, at best, so me form of crisis intervention or brief treatment. Marital and family approaches to treatment receive even less support. This discouraging socioeconomic context makes the work of John Schwab and his colleagues even more important than it would be in more favorable times. Their message is clear: The family is crucial to an understanding of psychiatrie disorders and must often be the major focus in the treatment of these disorders. This book is unique in its direct reflection of the senior author's long-term professional interests-the family, epidemiology, and history. A careful reading provides family therapists and researchers with won derful opportunities to examine the ways in which history, socio economie and politieal contexts, and epidemiology can be used to in crease understanding of the family. This his tory of the family is unusually thorough; in particular, I found fascinating the information about early Egyptian families (3000 B.C.) and their accordance of high status of women. |
Contents
The Crisis | 1 |
History of the Family | 29 |
A Century of Concern | 85 |
Copyright | |
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adolescents adult children alcohol and/or antifamilism associated assortative mating behavior black family CBCL CES-D changes child clinical clinicians cohesion conflict couples culture daugh decades decline distress divorce rate drug problems early economic effects emotional emphasized epidemiological epidemiological study especially factors fami familistic family consisted family environment family functioning family members family studies family system family therapy father females FES subscale genogram Goodsell household husband income increasing number individual influences institutions interactions interview living living systems theory logistical regressions Louisville major males marital marriage married mental disorder mental health mental illness monogamous mother nuclear family Oedipus complex parents patients percentage persons poverty Psychiatry psychopathology psychosexual development relationships responsible returnee roles schizophrenia sexual single-parent SLES social spouses stepfamilies stressors subscale scores superego symp symptom status symptomatic families theory therapy tion tomatic United wife wives women World War II York young adults Zimmerman