Multidimensional Family Therapy

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Running Fourth dimension: Over 100 minutes

Item#: 4310853

ISBN: 978-i-4338-0363-5

Copyright: 2009

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Description

In Multidimensional Family Therapy, Dr. Howard A. Liddle demonstrates this integrative, empirically supported arroyo for working with families of adolescents with behavior and substance abuse issues. Multidimensional family therapy (MDFT) protocols guide therapists in assessing and intervening simultaneously in developmentally critical domains of a teen'due south and family'south life. Emotions, cerebral processes, and behavior are interconnected and are all addressed in MDFT. Boyish bug such as drug corruption and delinquency are multidimensional in etiology and current manifestation, and therefore attempted remedies and therapist behavior must be multidimensional also.

As a multisystems model, MDFT clinicians work individually with the adolescent and the parent, with the family unit as a whole to facilitate new relationships, and with family members in relation to sources of ongoing influence such as schoolhouse and juvenile justice systems to accost current functioning and new solutions for the adolescent.

In this session, Dr. Liddle works with a fifteen-year-old male child, recently diagnosed with ADHD and depression, who seeks a better human relationship with his begetter. Dr. Liddle meets with the adolescent customer and his mother to help them movement across previous therapy to make changes in their lives.

Arroyo

Multidimensional family therapy (MDFT) is a family-based handling developed for adolescents with drug and behavior problems. MDFT evolved over the past 17 years within a National Institute on Drug Abuse-funded research plan designed to develop and evaluate family unit-based drug corruption treatment for adolescents. This approach has been recognized as one of a new generation of multicomponent, theoretically derived, and empirically supported drug abuse treatments for adolescents. This multidimensional perspective seeks symptom reduction and enhancement of prosocial and appropriate developmental functions past facilitating adaptive developmental events and processes in several domains of functioning.

The treatment seeks to significantly reduce or eliminate the adolescent's substance corruption and other trouble behavior, and to improve overall family operation.

Objectives for the adolescent include transformation of a drug-using lifestyle into a developmentally normative lifestyle and improved operation in several developmental domains, including positive peer relations, healthy identity germination, bonding to school and other prosocial institutions, and a developmentally on-target balance between increased autonomy and emotional connection within the parent–boyish relationship.

For the parents, objectives include facilitating parental commitment and emotional investment; improving the overall relationship and day-to-twenty-four hours communication between parent and boyish; increased knowledge about and changes in parenting practices (due east.thou., limit-setting, monitoring, advisable autonomy granting); and attention to the other operation and needs of the parents.

The treatment approach has multiple components, and cess and intervention occurs in several cadre areas of the teen'southward life simultaneously.

The MDFT model has been applied in a variety of customs-based clinical settings targeting a range of populations. These clinical groups have comprised ethnically (White, African American, and Hispanic) and linguistically (Spanish and English) diverse adolescents at risk for abuse or abusing substances; the groups have included these adolescents' families. The parents of adolescents targeted in MDFT controlled studies have had a range of economic and educational levels. Adolescents treated in MDFT trials have ranged from high-risk early adolescents, to multiproblem, juvenile justice-involved, dually diagnosed female and male adolescent substance abusers.

By design, the MDFT approach has been developed and tested in dissimilar forms or versions, making it a uniquely flexible approach. The different forms of MDFT are practical according to the clinical needs of the target population and clinical setting. Sessions may occur multiple times during the week, in a variety of contexts including the dwelling house, the MDFT clinic, customs settings such as schools or courts, or by telephone.

Five cess and intervention modules construction the MDFT approach. Session content and foci vary by the stage of handling, but core content or focus, derived from the developmental literature on the most important functional areas to target, is worked with each instance (e.thou., boyish's developmental tasks and concerns, peer relations, interest in legal and juvenile justice systems, drug utilize equally a manner of coping with circumstances or psychological condition).

The 3 treatment stages are as follows:

  • stage i, build the foundation
  • stage 2, piece of work the themes
  • stage 3, seal the changes and exit

The five cess and intervention modules are

  • interventions with the adolescent
  • interventions with the parent
  • interventions to change the parent–adolescent interaction
  • interventions with other family members
  • interventions with systems external to the family

A multiple systems-oriented and developmentally focused therapy, MDFT targets the known areas of adventure associated with adolescent drug abuse and delinquency and enhances those protective factors and processes known to promote successful teen and family development.

To further the development of MDFT, Dr. Liddle has engaged in a systematic program of process research aimed at uncovering the primary mechanisms of alter within the model. These studies have helped to illuminate the interior of treatment, and hence there are at present empirical clues nigh why MDFT is effective.

An example includes the MDFT process studies on the therapeutic alliance. Studies accept established a link betwixt the quality of the two interdependent but individual therapeutic alliances betwixt the therapist and the teenagers, and the therapist and the parent, and engagement and retention in treatment. Other studies have determined the all-time methods to establish effective therapeutic alliances with the boyish and the parent, how to transform in-session therapeutic stalemates between parents and teens into productive discussions, how to change parenting behaviors and improve the overall psychosocial functioning of the teen's parent, and how to enhance the treatment engagement of teens using culturally specific interventions.

About the Therapist

Howard A. Liddle, EdD, ABPP (Family Psychology), received his doctorate in education in 1974 at Northern Illinois Academy. He is managing director of the Centre for Treatment Inquiry on Boyish Drug Abuse and professor in the departments of epidemiology and public wellness, psychology, and counseling psychology at the University of Miami Miller Schoolhouse of Medicine.

His research program began in 1985 and addresses the development, testing, refinement, and dissemination of a family-based treatment for boyish substance abuse. This handling model, multidimensional family unit therapy (MDFT), has been recognized equally an "exemplary" or "all-time practice" model by the Center for Substance Corruption Prevention, the Office of Juvenile Justice and Malversation Prevention's "Strengthening Families" initiative, and as an empirically supported treatment in both the National Found on Drug Abuse (NIDA) publication, Principles of Effective Drug Treatment, and the Heart for Substance Corruption Treatment'southward Treatment Improvement Protocol Series book, Adolescent Substance Abuse. MDFT has been transported to clinics around the U.South. and in six European countries.

Dr. Liddle was the founding editor of the Journal of Family Psychology in 1987, and he is also known for his piece of work in the family therapy training and supervision expanse. His 1988 book, Handbook of Family Therapy Training and Supervision, remains a classic textbook in that specialty.

Reviews

Suggested Readings

  • Adolescent Substance Corruption: An Interview with Howard A. Liddle, EdD. (2001, Feb 21). Retrieved May 1, 2008, from http://www.athealth.com/practitioner/particles/interview_howardliddle.html.
  • Liddle, H. A. (2004). Family-based therapies for boyish alcohol and drug employ: Research contributions and future enquiry needs. Addiction, 99 (Suppl. two), 76–92.
  • Liddle, H. A., Rowe, C. L., Gonzalez, A., Henderson, C. E., Dakof, G. A., & Greenbaum, P. E. (2006). Changing provider practices, program environment, and improving outcomes by transporting multidimensional family therapy to an adolescent drug handling setting. The American Journal on Addictions, 15, 102–112.
  • Liddle, H. A. (2009). Multidimensional family therapy: A science-based handling system for adolescent drug and behavior problems. In J. Bray & One thousand. Stanton (Eds.), Blackwell handbook of family psychology. London: Blackwell.
  • Liddle, H. A., Rowe, C. L., Quille, T. J., Dakof, K. A., Mills, D. S., Sakran, E., & Biaggi, H. (2002). Transporting a enquiry-based boyish drug treatment into practice. Journal of Substance Abuse Treatment, 22, 231–243.
  • Liddle, H. A., Jackson-Gilfort, A., & Marvel, F. A. (2006). An empirically supported and culturally specific engagement and intervention strategy for African American adolescent males. American Periodical of Orthopsychiatry, 75 (2), 215–225.
  • Shelef, M., Diamond, G. Grand., Diamond, G. South., & Liddle, H. A. (2005). Adolescent and parent brotherhood and treatment effect in multidimensional family therapy. Journal of Consulting and Clinical Psychology, 73 (4), 689–698.
  • Liddle, H. A., Rowe, C. L., Dakof, One thousand. A., Henderson, C., & Greenbaum, P. (in press). Multidimensional family therapy for early adolescent substance abusers: Twelve month outcomes of a randomized controlled trial. Journal of Consulting and Clinical Psychology.
  • Liddle, H. A., Dakof, K. A., Turner, R. Grand., Henderson, C. E., & Greenbaum, P. E. (in press). Treating adolescent drug abuse: A randomized trial comparing multidimensional family therapy and cognitive–behavior therapy. Addiction.
  • Marvel F. A., Rowe, C. R., Colon, 50. DiClemente, R., & Liddle, H. A. (in printing). Multidimensional family therapy HIV/STD risk-reduction intervention: An integrative family-based model for drug-involved juvenile offenders. Family Procedure.

APA Videos

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  • Family Therapy Over Fourth dimension
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  • Functional Family unit Therapy
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  • Functional Family Therapy for High-Risk Adolescents
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  • Harm Reduction With High School Students
    Mary E. Larimer
  • Integrative Family Therapy
    Jay Lebow
  • Treating Adolescents With ADHD
    Robert J. Resnick
  • Working With Children With ADHD
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APA Books

  • Casebook for Integrating Family unit Therapy: An Ecosystemic Approach
    Edited by Susan H. McDaniel, Don-David Lusterman, and Carol Fifty. Philpot
  • Family Psychology: Science-Based Interventions
    Edited by Howard A. Liddle, Daniel A. Santisteban, Ronald F. Levant, and James H. Bray
  • Helping Others Help Children: Clinical Supervision of Child Psychotherapy
    Edited by T. Kerby Neill
  • Intervening in Children'due south Lives: An Ecological, Family-Centered Approach to Mental Health Care
    Thomas J. Dishion and Elizabeth A. Stormshak
  • Parenting Children With ADHD: ten Lessons That Medicine Cannot Teach
    Vincent J. Monastra
  • Treatments That Work With Children: Empirically Supported Strategies for Managing Childhood Problems
    Edward R. Christophersen and Susan L. Mortweet
  • 50 Activities and Games for Kids with ADHD
    By Patricia O. Quinn and Judith M. Stern; Illustrated past Kate Sternberg
  • Add and the Higher Student: A Guide for High School and College Students with Attending Deficit Disorder, Revised Edition
    Edited past Patricia O. Quinn
  • Adolescents and ADD: Gaining the Advantage
    By Patricia O. Quinn
  • Cory Stories: A Kid'southward Book About Living with ADHD
    By Jeanne Kraus; Illustrated by Whitney Martin
  • Learning to Slow Downward and Pay Attention: A Book for Kids About ADHD, Third Edition
    Past Kathleen Thousand. Nadeau and Ellen B. Dixon; Illustrated past Charles Beyl
  • The "Putting On the Brakes" Activity Book for Young People with ADHD
    By Patricia O. Quinn and Judith M. Stern; Illustrated by Neil Russell
  • Survival Guide for College Students With ADHD or LD, 2nd Edition
    Past Kathleen Thou. Nadeau
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