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Now Yous Know Attachment-Based Solid Unit Of Measurement Therapy (Abft) For Depressed Too Suicidal Youth: Interview Amongst Guy Diamond, Ph.D., Too Suzanne Levy, Ph.D.

[Episode 96] In today's Social Work Podcast I speak alongside 2 of the 3 developers of Attachment-based Family Therapy (ABFT), Guy S. Diamond, Ph.D. too Suzanne Levy, Ph.D. The 3rd developer Gary M. Diamond (no relation to Guy Diamond) lives inward State of Israel too was unavailable for the interview.

ABFT is the only family-based psychotherapy alongside empirical back upwards for reducing suicidal ideation inward youth. In today's interview, Dr. Diamond too Dr. Levy hash out the theory too practise of Attachment-Based Family Therapy. Dr. Diamond generally covers theory too concepts, too Dr. Levy addresses the enquiry of "what does the therapist genuinely create inward the therapy room."

Download MP3 [50:36]


If you're interested inward learning to a greater extent than nearly ABFT, yous tin purchase the handling manual Attachment Based Family Therapy for Depressed Adolescents, spotter a gratis webinar http://youtu.be/KcwHznzq-S4, or attend a workshop (details on their website: http://drexel.edu/familyintervention/attachment-based-family-therapy/overview/)
ABFT is listed on the National Registry of Evidence-based Programs too Practices, besides referred to equally NREPP. According to NREPP, 
s Social Work Podcast I speak alongside 2 of the 3 developers of Now You Know Attachment-Based Family Therapy (ABFT) for Depressed too Suicidal Youth: Interview alongside Guy Diamond, Ph.D., too Suzanne Levy, Ph.D."Attachment-Based Family Therapy (ABFT) is a handling for adolescents ages 12-18 that is designed to care for clinically diagnosed major depressive disorder, eliminate suicidal ideation, too cut down dispositional anxiety. The model is based on an interpersonal theory of depression, which proposes that the lineament of identify unit of measurement relationships may precipitate, exacerbate, or forbid depression too suicidal ideation. In this model, ruptures inward identify unit of measurement relationships, such equally those due to abandonment, neglect, or abuse or a harsh too negative parenting environment, influence the evolution of adolescent depression. Families alongside these attachment ruptures lack the normative secure base of operations too prophylactic haven context needed for an adolescent's salubrious development, including the evolution of emotion rule too problem-solving skills. These adolescents may experience depression resulting from the attachment ruptures themselves or from their inability to plow to the identify unit of measurement for back upwards inward the confront of trauma exterior the home. ABFT aims to strengthen or repair parent-adolescent attachment bonds too ameliorate identify unit of measurement communication. As the normative secure base of operations is restored, parents locomote a resources to assist the adolescent acquire by alongside stress, experience competency, too explore autonomy. 
ABFT is typically delivered inward 60- to 90-minute sessions conducted weekly for 12-16 weeks. Treatment follows a semistructured protocol consisting of 5 sequential therapy tasks, each of which has clearly outlined processes too goals:
  1. Task 1: The Relational Reframe Task, with the adolescent too parents (or parent) together, sets the foundation of the therapy. After an assessment of the history too nature of the depression, the therapist focuses on relational ruptures. This shift pivots on the therapeutic question, "When yous experience thus depressed or suicidal, why don't yous locomote to your parents for help?" The progression of this conversation leads parents too the adolescent to concord that improving the lineament of their human relationship would hold upwards a skillful starting indicate for treatment.
  2. Task 2: The Adolescent Alliance Task, with the adolescent alone, identifies relational ruptures inward the identify unit of measurement too links them to the depression. The adolescent is encouraged too prepared to hash out these oft avoided feelings too memories alongside his or her parents.
  3. Task 3: The Parent Alliance Task, with the parents alone, explores their electrical current stressors too their ain history of attachment disappointments. These conversations activate parental caregiving instincts to behaviorally too emotionally protect their child, which helps motivate parents to acquire too usage novel attachment-promoting parenting skills.
  4. Task 4: The Attachment Task, with the adolescent too parents together, creates an chance for the adolescent to straight limited his or her thoughts too feelings nearly past times too electrical current relational injustices. Rather than defending themselves, parents assist the adolescent fully limited too explore these emotionally charged topics. This conversation helps the adolescent piece of work through trauma, address negative patterns inward the relationship, too practise novel conflict resolution too emotion rule skills.
  5. Task 5: The Autonomy Task, with the adolescent too parents together, helps consolidate the novel secure base. In solving day-to-day problems, parents render back upwards too expectations too the adolescent seeks to develop autonomy spell remaining appropriately attached to his or her parents." (http://legacy.nreppadmin.net/ViewIntervention.aspx?id=314)


s Social Work Podcast I speak alongside 2 of the 3 developers of Now You Know Attachment-Based Family Therapy (ABFT) for Depressed too Suicidal Youth: Interview alongside Guy Diamond, Ph.D., too Suzanne Levy, Ph.D.Download MP3 [50:36]
 

Bios

Guy S. Diamond Ph.D. is Professor Emeritus at the University of Pennsylvania School of Medicine too Associate Professor at Drexel University inward the College of Nursing too Health Professions. At Drexel, he is the Director of the Center for Family Intervention Science (CFIS) too the Director of the Ph.D. programme inward the Department of Couple too Family Therapy. He has received several federal, the world too foundation grants to develop too examination this model. Along alongside his co-authors, Drs. Gary Diamond too Suzanne Levy, Dr. Diamond has written the outset mass on ABFT, Attachment-Based Family Therapy for Depressed Adolescents, published past times the American Psychological Association inward Oct 2013.

Suzanne Levy, Ph.D. is the Training Director too a clinical kid psychologist at the Center for Family Intervention Science (CFIS) at Drexel University.  Dr. Levy conducts ABFT preparation workshops too supervision for therapists involved inward the center’s clinical trials, equally good equally therapists both nationally too internationally.  Dr. Levy has presented regionally, nationally, too internationally on ABFT, emotion coaching, kid too adolescent therapies, adolescent depression, adolescent development, too adolescent pith use.  Dr. Levy’s personal areas of enquiry involvement have got been related to ABFT too issues of kid psychotherapy too behavioral wellness inward primary care.  Dr. Levy is co-author on the ABFT manual, Attachment-Based Family Therapy for Depressed Adolescents.

Transcript

Introduction
Today’s episode of the Social Work Podcast is on identify unit of measurement therapy for depressed too suicidal youth. I spoke alongside 2 of the 3 developers of Attachment-Based Family Therapy, Guy Diamond too Suzanne Levy. The 3rd developer, Gary Diamond (no human relationship to Guy Diamond) lives inward State of Israel too was non available for the interview.

In 1996 I got my outset post-MSW chore equally a crisis worker for children too adolescents. Our chore was to assess youth for suicide risk, coordinate alongside schools, juvenile detention facilities, emergency shelters, residential handling facilities too hospital, too render what nosotros called short-term stabilization therapy. We’d have got thirty days to piece of work alongside the kids, parents, too the identify unit of measurement to cut down suicide remove chances too laid them upwards for longer-term treatment. It was assumed that we’d create identify unit of measurement therapy. No, nosotros assumed that working alongside the identify unit of measurement was an essential component of reducing suicide remove chances too getting the youth too identify unit of measurement dorsum to their pre-crisis functioning. Despite the first-class supervision too on-the-job preparation I received, nosotros were all but flight past times the spot of our pants.

In 1996 at that spot were no published enquiry studies on how to best piece of work alongside suicidal youth. There wasn’t genuinely much enquiry on what was effective for depressed youth. David Brent’s right away classic report comparison cognitive behavioral therapy, identify unit of measurement therapy, too supportive therapy for depressed teens wasn’t published until 1997. I didn’t realize this at the time. I kept asking, “how create nosotros best piece of work alongside suicidal youth too their families?” I would acquire answers like, “if it seems similar the parents aren’t thus strong, usage structural identify unit of measurement therapy,” or “if the kid seems suicidal because the identify unit of measurement doesn’t desire to bargain alongside their problems, convey a strategic approach.” Mostly nosotros would spot out i burn at a time. It wasn’t until years afterwards that I realized that nosotros relied on clinical wisdom because that’s all at that spot was.

I portion this alongside yous for 2 reasons: First, many of yous listening are working alongside populations too problems for which at that spot is generally clinical wisdom. If yous don’t if that’s true, too thus aspect it up. Find out if at that spot are empirically-supported interventions for the populations, problems, too settings inward which yous work. Second, yous tin imagine how excited I was inward 2008 – 12 years after my outset chore equally a crisis worker - when I constitute out that someone had developed a family-based intervention for suicidal youth. David Brent, the guy I mentioned a few minutes agone that did the 1997 study, told me that Guy Diamond inward Philadelphia was doing enquiry on families too suicidal youth. Fast forwards to 2012 too I learned that Guy was starting a 5-year clinical case comparison ABFT to… hold off for it… a version of the supportive therapy David Brent developed for his classic 1997 study.

I was real excited to create an episode on ABFT for several reasons:

  • First, anyone who industrial plant alongside suicidal youth needs to consider the identify unit of measurement system. 
  • Second, although at that spot are several empirically supported identify unit of measurement therapies out there, such equally Jim Alexander's Functional Family Therapy, Howard Liddle's Multidimensional Family Therapy, Scott Henggler's Multisystemic Therapy, Jose Szapocznik's Brief Strategic Family Therapy, they generally been evaluated alongside youth alongside pith usage too / or juvenile jurist involvement. ABFT’s focus on depression too suicide remove chances is a unique contribution to the identify unit of measurement therapy universe. 
  • Third, inward social piece of work teaching too practise at that spot is a lot of verbalize nearly empirically supported treatments. I wanted to verbalize to the folks who are on the forepart lines of developing too testing an empirically supported treatment. 

And something that isn’t inward the interview, but that speaks to social work’s sense of social too economical jurist is that every fourth dimension at that spot is a large funded clinical psychotherapy trial, people have got access to unopen to of the best therapy inward the globe - for free. So, participants inward the ABFT report have top-notch supervised therapy for xvi weeks, too are followed past times a enquiry squad for a total of a year. So, fifty-fifty if yous don’t fully purchase into empirically-supported treatments, at that spot is a existent value to the community for having access to the form of treatments that are only available during a clinical trial.

In today's episode, I spoke alongside Guy Diamond too Suzanne Levy at the Center for Family Intervention Science at Drexel University inward Philadelphia, PA. I was grateful to hold upwards able to schedule a fourth dimension alongside Dr. Diamond too Dr. Levy because they are currently inward the middle of a five-year NIMH clinical case comparison ABFT to a non-directive supportive therapy.  In fact, nosotros spoke inward i of the therapy rooms where participants have either the experimental status - ABFT, or the command status - non-directive supportive therapy. If yous head closely yous tin hear the projection staff opening too closing doors, walking upwards too downward the halls, etc.

ABFT is the only family-based psychotherapy alongside empirical back upwards for reducing suicidal ideation inward youth. ABFT is listed on the National Registry of Evidence-based Programs too Practices, besides referred to equally NREPP. According to NREPP, 

"Attachment-Based Family Therapy (ABFT) is a handling for adolescents ages 12-18 that is designed to care for clinically diagnosed major depressive disorder, eliminate suicidal ideation, too cut down dispositional anxiety. The model is based on an interpersonal theory of depression, which proposes that the lineament of identify unit of measurement relationships may precipitate, exacerbate, or forbid depression too suicidal ideation. In this model, ruptures inward identify unit of measurement relationships, such equally those due to abandonment, neglect, or abuse or a harsh too negative parenting environment, influence the evolution of adolescent depression. Families alongside these attachment ruptures lack the normative secure base of operations too prophylactic haven context needed for an adolescent's salubrious development, including the evolution of emotion rule too problem-solving skills. These adolescents may experience depression resulting from the attachment ruptures themselves or from their inability to plow to the identify unit of measurement for back upwards inward the confront of trauma exterior the home. ABFT aims to strengthen or repair parent-adolescent attachment bonds too ameliorate identify unit of measurement communication. As the normative secure base of operations is restored, parents locomote a resources to assist the adolescent acquire by alongside stress, experience competency, too explore autonomy. 
ABFT is typically delivered inward 60- to 90-minute sessions conducted weekly for 12-16 weeks. Treatment follows a semistructured protocol consisting of 5 sequential therapy tasks, each of which has clearly outlined processes too goals:
  1. Task 1: The Relational Reframe Task, with the adolescent too parents (or parent) together, sets the foundation of the therapy. After an assessment of the history too nature of the depression, the therapist focuses on relational ruptures. This shift pivots on the therapeutic question, "When yous experience thus depressed or suicidal, why don't yous locomote to your parents for help?" The progression of this conversation leads parents too the adolescent to concord that improving the lineament of their human relationship would hold upwards a skillful starting indicate for treatment.
  2. Task 2: The Adolescent Alliance Task, with the adolescent alone, identifies relational ruptures inward the identify unit of measurement too links them to the depression. The adolescent is encouraged too prepared to hash out these oft avoided feelings too memories alongside his or her parents.
  3. Task 3: The Parent Alliance Task, with the parents alone, explores their electrical current stressors too their ain history of attachment disappointments. These conversations activate parental caregiving instincts to behaviorally too emotionally protect their child, which helps motivate parents to acquire too usage novel attachment-promoting parenting skills.
  4. Task 4: The Attachment Task, with the adolescent too parents together, creates an chance for the adolescent to straight limited his or her thoughts too feelings nearly past times too electrical current relational injustices. Rather than defending themselves, parents assist the adolescent fully limited too explore these emotionally charged topics. This conversation helps the adolescent piece of work through trauma, address negative patterns inward the relationship, too practise novel conflict resolution too emotion rule skills.
  5. Task 5: The Autonomy Task, with the adolescent too parents together, helps consolidate the novel secure base. In solving day-to-day problems, parents render back upwards too expectations too the adolescent seeks to develop autonomy spell remaining appropriately attached to his or her parents." (http://legacy.nreppadmin.net/ViewIntervention.aspx?id=314)
If you're interested inward learning to a greater extent than nearly ABFT, yous tin purchase the handling manual Attachment Based Family Therapy for Depressed Adolescents, spotter a gratis webinars http://drexel.edu/familyintervention/abft-training-program/webinars/, or attend a 3-day workshop Apr 22-24 inward Philadelphia.  More data too registration tin hold upwards constitute here: https://www.drexel.edu/cnhp/academics/continuing-education/Health-Professions-CE-Programs/ABFT/. And now, without farther ado, on to episode 96 of the Social Work Podcast: Attachment-Based Family Therapy for Depressed too Suicidal Youth: Interview alongside Guy Diamond too Suzanne Levy. 

References


  1. Feder, M. & Diamond, G.M. (in press). Parent-therapist alliance too nurture attachment promoting behaviors inward attachment-based identify unit of measurement therapy for suicidal too depressed adolescents.  Journal of Family Therapy.
  2. Diamond, G.S., Diamond, G.M., & Levy, S.A. (2014) Attachment Based Family Therapy for Depressed Adolescents. Washington D.C: American Psychological Association.
  3. Diamond, G.M. (2014). Attachment-based identify unit of measurement therapy interventions. Psychotherapy, 51, 15-19.
  4. Diamond, G.M., & Shpigel, M. (2014). Attachment-based identify unit of measurement therapy for lesbian too gay immature adults too their persistently non-accepting parents. Professional Psychology: Research too Practice, 45, 258-268.
  5. Krauthamer Ewing, E. S., Levy, S. A., Boamah-Wiafe, L., Kobak, R., Diamond, G. (2014). Attachment-based identify unit of measurement therapy alongside a 13-year-old daughter presenting alongside high remove chances for suicide. Journal of Marital too Family Therapy. doi: 10.1111/jmft.12102
  6. Diamond, G.M., Diamond, G.S., Levy, S., Closs, C., Ladipo, T., & Siqueland, L. (2012). Attachment-based identify unit of measurement therapy for suicidal lesbian, gay too bisexual adolescents: Influenza A virus subtype H5N1 handling evolution report too opened upwards case alongside preliminary findings. Psychotherapy, 49, 62-71.
  7. Diamond, G.S., Creed, T., Gillham, J., Gallop, R., & Hamilton, J. L. (2012). Sexual trauma history does non moderate handling outcome inward Attachment-Based Family Therapy (ABFT) for adolescents alongside suicide ideation. Journal of Family Psychology, 26, 595. 
  8. Higgins, J., Friedlander, M., Escudero, V., & Diamond, G.M. (2012). Engaging reluctant adolescents inward identify unit of measurement therapy: An exploratory alter procedure study. American Journal of Family Therapy, 34, 24-52.
  9. Diamond, G.S., Wintersteen, M.B., Brown, G.K., Diamond, G.M., Gallop, R., Shelef, K.& Levy, S.A. (2010). Attachment-based identify unit of measurement therapy for suicidal adolescents: Influenza A virus subtype H5N1 randomized controlled trial. Journal of the American Academy of Child too Adolescent Psychiatry, 49,122-131. 

Resources



APA (6th ed) citation for this podcast:

Singer, J. B. (Producer). (2015, March 10). #96 - Attachment-based identify unit of measurement therapy (ABFT) for depressed too suicidal youth: Interview alongside Guy Diamond, Ph.D., too Suzanne Levy, Ph.D. [Audio Podcast]. Social Work Podcast. Retrieved from   /search?q=ABFT

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