ABSTRACT

One of the most important tasks for clinicians facilitating multi-family therapy is to ensure the group is contained and participants are engaged in the process. This requires clinicians to simultaneously monitor multiple inter- and intra-family processes as well as any team dynamics. This chapter outlines how to monitor affect and engagement effectively during multi-family therapy for anorexia nervosa and what to do when the process feels uncontained. Different aspects of group process are discussed and why they are useful to monitor. Step-by-step instructions are provided for how to identify and manage unhelpfully high and low affect during treatment. Clinical examples are used to describe these techniques and how families have responded to them.