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Journal of Pediatric Psychology Advance Access originally published online on October 19, 2005
Journal of Pediatric Psychology 2005 30(8):694-697; doi:10.1093/jpepsy/jsi057
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© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Commentary: Is it Time for Family-Based Interventions in Pediatric Psychology?

Beatrice L. Wood, PhD, ABPP

Division of Child and Adolescent Psychiatry School of Medicine and Biomedical Sciences State University at Buffalo

All correspondence concerning this article should be addressed to Beatrice L. Wood, Children’s Hospital of Buffalo, 219 Bryant Street, Buffalo, New York 14222. E-mail: bwood@buffalo.edu.

The first 150 words of the full text of this article appear below.

Is it time for family-based interventions in pediatric psychology? On the one hand, I am tempted to say that it is not only "time" but past time, particularly given the documented tradition of family systems intervention for children with pediatric illness (Minuchin et al., 1975Go; Kazak, Rourke, & Crump, 2003Go). On the other hand, I have a cautionary note to offer: beware of "blind empiricism" in the press for evidence-based intervention. There is a great deal of pressure, led in part by funding priorities, to develop evidence-based interventions (including family interventions for a variety of disorders). The pressure is likely due in part to an appropriate corrective retreat from a previous standard of care that included endless expensive therapies without basis for their effectiveness. It seems to me that this is a very healthy correction. But there is a potential risk in a narrow pragmatic approach to developing . . . [Full Text of this Article]


    Lack of Heuristic Models Guiding Family Intervention Research
 

    Lack of Investigation of Pathways and Mechanisms
 
The Operational Definition of "Family"

    Ethnocultural Considerations
 

    Methodological Shortcomings
 

    The Family Systems Paradigm: Unique Assumptions and Valuable Features
 

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