Dr. Anne Fishel argues that teenagers exploring their separate identities fare best when they stay connected with their family. Honoring the simultaneous pulls on adolescents to be attached to, and independent of, their families, she challenges conventional assumptions about this developmental phase and suggests treatment approaches that promote growth while protecting and strengthening family relationships. The key features of family therapy are delineated by imaginatively addressing the problems of a single family with adolescents using seven perspectives_psychodynamic, experiential, structural, behavioral, strategic, systemic, and narrative. Drawing on her own rich clinical experience with adolescents in crisis, Dr. Fishel identifies and illustrates interventions for typical treatment dilemmas such as drug and alcohol use, truancy, suicidal risk, and sexual and aggressive feelings. Two common developmental variations are explored: adolescents having trouble growing up/leaving home, and those whose difficulties are actually rooted in their parents' marital problems. Literate, lively, and engaging, this book presents complex clinical material in an accessible way, offering practical clinical wisdom to therapists working with adolescents and their families.
Anne K. Fishel, Ph.D., is the director of Couples Therapy Training at Massachusetts General Hospital in Boston, and a clinical instructor at the Harvard Medical School. She has won several teaching awards from the psychiatry and psychology departments at Massachusetts General Hospital where she supervises staff in individual, couples, and family therapy, directs a reflecting team for evaluation and treatment of couples, and teaches family crisis intervention in the emergency room setting. Dr. Fishel is the author of many book chapters and articles on couples and family therapy, and has presented widely on adolescents, families in crisis, and couples treatment.