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Biomedical subjects

Jay Lebow

Publications and source records attributed to Jay Lebow.

3 recordsLinked to original sources

Integrative principles for treating substance use disorders.

This article, based on B. McCrady, D. Haaga, and J. Lebow (2006), provides guidance for the treatment of substance use disorders by identifying empirically based principles that underpin effective treatment systems and effective treatments. To promote the flexible application of empirically based principles to individual clients, the authors (a) integrate therapeutic, participant, and relationship factors (drawn from reviews by B.S. McCrady & P.E. Nathan, 2006; D.A.F. Haaga, S.M. Hall, & A. Haas, 2006; and J. Lebow, J. Kelly, L.M. Knobloch-Fedders, & R. Moos, 2006) into a comprehensive description of treatment, (b) integrate common and specific principles of changes into articulated descriptions of treatment, and (c) identify directions for research to improve the sensitivity and specificity of treatment.

Clinical Protocols↗

You cannot choose what is not on the menu--obstacles to and reasons for the inclusion of relational processes in the DSM-V: comment on the special section.

Relational diagnosis has crucial importance in clinical treatment, but its development and inclusion in systems of classification such as the Diagnostic and Statistical Manual has been constrained by a number of factors. First, there is little consensus about what relational assessment and/or diagnosis entails. A second obstacle is the innate complexity of relational assessment and diagnosis, which results in a lack of definitive, well-accepted, evidence-based operational definitions of difficulties. Third, empirical testing of relational issues has lagged well behind the development of elegant theory. A fourth significant block to including relational disorders in the DSM is the discomfort engendered in some quarters about labeling social difficulties as disorders. Finally, the political process that is part of the evolution of diagnostic systems poses difficulties in the acceptance of new disorders or dimensions. This comment on the articles in the special section on relational disorders of the Journal of Family Psychology addresses how each of these articles contributes to overcoming these constraints.

Diagnostic and Statistical Manual of Mental Disord↗

Integrative family therapy for disputes involving child custody and visitation.

This article describes integrative multilevel family therapy for disputes involving child custody and visitation, a multiple-level systems-based treatment specifically targeted at those engaged in intractable conflicts over child custody and visitation. Parents and children engaged in these conflicts are at risk for a variety of difficulties. Key aspects of the approach include the articulation of clear therapy contracts, the utilization of multiple therapy session formats, the maintenance of a systemic perspective, intervention on multiple system levels, the tailoring of intervention strategy based in an assessment of the locus of difficulty in each case, planning for intervention over time, and working at the interface of the legal system in order to impact on these problems.

Child↗