Skip to main content
Top
Published in: Journal of Clinical Psychology in Medical Settings 1/2007

01-03-2007 | Original Paper

An Overview of Primary Care Family Psychology

Authors: Susan H. McDaniel, Pieter LeRoux

Published in: Journal of Clinical Psychology in Medical Settings | Issue 1/2007

Login to get access

Abstract

This paper describes the application of family psychology to the primary care setting—in service, education and training, and scholarship. Primary care family psychology integrates family systems with biopsychosocial theory, yielding an approach that is uniquely suited to the generalist demands of primary care. This approach attends especially to the effects of relationships on health and healthcare, using the family as a potential resource to the patient just as the healthcare team is a resource to the clinician. Training opportunities in primary care family psychology are growing. The University of Rochester School of Medicine and Dentistry fellowship is described as an example, with core primary care family psychology training in four different clinical sites: Family Medicine, Internal Medicine, Pediatrics, and Obstetrics/Gynecology.
Literature
go back to reference American College of Graduate Medical Education (2002). Core Competencies. Retrieved September 8, 2006, from http://www.acgme.org/outcome/compFull.asp. American College of Graduate Medical Education (2002). Core Competencies. Retrieved September 8, 2006, from http://​www.​acgme.​org/​outcome/​compFull.​asp.​
go back to reference Bakan, D. (1969). The dual reality of human existence. Chicago: Rand McNally. Bakan, D. (1969). The dual reality of human existence. Chicago: Rand McNally.
go back to reference Bray, J., & Rogers, J. (1995). Linking psychologists and family physicians for collaborative practice. Professional Psychology: Research and Practice, 26, 132–138.CrossRef Bray, J., & Rogers, J. (1995). Linking psychologists and family physicians for collaborative practice. Professional Psychology: Research and Practice, 26, 132–138.CrossRef
go back to reference Campbell, T. L. (2003). The effectiveness of family interventions for physical disorders. Journal of Marital and Family Therapy, 29, 263–281.PubMed Campbell, T. L. (2003). The effectiveness of family interventions for physical disorders. Journal of Marital and Family Therapy, 29, 263–281.PubMed
go back to reference Coons, H., Morgenstern, D., Hoffman, D., Striepe, M., & Buch, C. (2004). Psychologists in women’s primary care and Obstetrics-Gynecology: Consultation and treatment issues. In R. Frank, S. H. McDaniel, J. Bray, & M. Heldring (Eds.), Primary care psychology (pp. 209–226). Washington, DC: American Psychological Association.CrossRef Coons, H., Morgenstern, D., Hoffman, D., Striepe, M., & Buch, C. (2004). Psychologists in women’s primary care and Obstetrics-Gynecology: Consultation and treatment issues. In R. Frank, S. H. McDaniel, J. Bray, & M. Heldring (Eds.), Primary care psychology (pp. 209–226). Washington, DC: American Psychological Association.CrossRef
go back to reference Coyne, J. C., Rohrbaugh, M. J., Shoham, V., Sonnega, J. S., Nicklas, J. M., & Cranford, J. A. (2001). Prognostic importance of marital quality for survival of congestive heart failure. American Journal of Cardiology, 88, 526–529.PubMedCrossRef Coyne, J. C., Rohrbaugh, M. J., Shoham, V., Sonnega, J. S., Nicklas, J. M., & Cranford, J. A. (2001). Prognostic importance of marital quality for survival of congestive heart failure. American Journal of Cardiology, 88, 526–529.PubMedCrossRef
go back to reference Dickinson, L., DeGruy, F., Dickinson, W., & Candib, L. (1999). Health-related quality of life and symptom profiles of female survivors of sexual abuse in primary care. Archives of Family Medicine, 8, 35–43.PubMedCrossRef Dickinson, L., DeGruy, F., Dickinson, W., & Candib, L. (1999). Health-related quality of life and symptom profiles of female survivors of sexual abuse in primary care. Archives of Family Medicine, 8, 35–43.PubMedCrossRef
go back to reference Doherty, W. J., & Baird, M. (1983). Family therapy and family medicine. New York: Guilford. Doherty, W. J., & Baird, M. (1983). Family therapy and family medicine. New York: Guilford.
go back to reference Ellis, D. A., Naar-King, S., Frey, M., Templin, T., Rowland, M., & Cakan, N. (2005). Multisystemic treatment of poorly controlled Type I Diabetes: Effects on medical resource utilization. Journal of Pediatric Psychology, 30, 656–666.PubMedCrossRef Ellis, D. A., Naar-King, S., Frey, M., Templin, T., Rowland, M., & Cakan, N. (2005). Multisystemic treatment of poorly controlled Type I Diabetes: Effects on medical resource utilization. Journal of Pediatric Psychology, 30, 656–666.PubMedCrossRef
go back to reference Engel, G. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196, 129–136.PubMedCrossRef Engel, G. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196, 129–136.PubMedCrossRef
go back to reference Fiese, B. (2005). Introduction to the special Issue: Time for family-based interventions in pediatric psychology? Journal of Pediatric Psychology, 30, 626–630.CrossRef Fiese, B. (2005). Introduction to the special Issue: Time for family-based interventions in pediatric psychology? Journal of Pediatric Psychology, 30, 626–630.CrossRef
go back to reference Frank, R., McDaniel, S. H., Bray, J., & Heldring, M. (2004). Primary care psychology. Washington, DC: American Psychological Association. Frank, R., McDaniel, S. H., Bray, J., & Heldring, M. (2004). Primary care psychology. Washington, DC: American Psychological Association.
go back to reference Frankel, R., Quill, T., & McDaniel, S. H. (Eds.) (2003). The Biopsychosocial Approach: Past, Present, and Future. Rochester, NY: University of Rochester Press. Frankel, R., Quill, T., & McDaniel, S. H. (Eds.) (2003). The Biopsychosocial Approach: Past, Present, and Future. Rochester, NY: University of Rochester Press.
go back to reference Helgeson, V. S. (1994). Relation of agency and communion to well-being: Evidence and potential explanations. Psychological Bulletin, 116, 412–428.CrossRef Helgeson, V. S. (1994). Relation of agency and communion to well-being: Evidence and potential explanations. Psychological Bulletin, 116, 412–428.CrossRef
go back to reference House, J. S., Landis, K. R., & Umberson, D. (1988). Social relationships and health. Science, 241, 540–545.PubMedCrossRef House, J. S., Landis, K. R., & Umberson, D. (1988). Social relationships and health. Science, 241, 540–545.PubMedCrossRef
go back to reference Kahn, N. (2004). The future of family medicine: A collaborative project of the family medicine community. Annals of Family Medicine, 2, S3–32.CrossRef Kahn, N. (2004). The future of family medicine: A collaborative project of the family medicine community. Annals of Family Medicine, 2, S3–32.CrossRef
go back to reference Katon, W. (1985). Somatization in primary care. Journal of Family Practice, 21, 257–258.PubMed Katon, W. (1985). Somatization in primary care. Journal of Family Practice, 21, 257–258.PubMed
go back to reference Kazak, A. E., Rourke, M. T., & Crump, T. A. (2003). Families and other systems in pediatric psychology. In M. C. Roberts (Ed.), Handbook of pediatric psychology (pp. 159–175). New York: Guilford. Kazak, A. E., Rourke, M. T., & Crump, T. A. (2003). Families and other systems in pediatric psychology. In M. C. Roberts (Ed.), Handbook of pediatric psychology (pp. 159–175). New York: Guilford.
go back to reference King, D., & Wynne, L. C. (2004). The emergence of “family integrity” in later-life. Family Process, 43, 7–21.PubMedCrossRef King, D., & Wynne, L. C. (2004). The emergence of “family integrity” in later-life. Family Process, 43, 7–21.PubMedCrossRef
go back to reference Levine, C., & Zuckerman, C. (1999). The trouble with families: Toward an ethic of accommodation. Annals of Internal Medicine, 130, 148–152.PubMed Levine, C., & Zuckerman, C. (1999). The trouble with families: Toward an ethic of accommodation. Annals of Internal Medicine, 130, 148–152.PubMed
go back to reference McDaniel, S. H. (2005). The psychotherapy of genetics. Family Process, 25–44. McDaniel, S. H. (2005). The psychotherapy of genetics. Family Process, 25–44.
go back to reference McDaniel, S. H., Belar, C., Schroeder, C., Hargrove, D. S., & Freeman, E. L. (2002). A training curriculum for professional psychologists in primary care. Professional Psychology: Research and Practice, 33, 65–72.CrossRef McDaniel, S. H., Belar, C., Schroeder, C., Hargrove, D. S., & Freeman, E. L. (2002). A training curriculum for professional psychologists in primary care. Professional Psychology: Research and Practice, 33, 65–72.CrossRef
go back to reference McDaniel, S. H., Hargrove, D. S., Belar, C., Schroeder, C., & Freeman, E. (2004). Recommendations for education and training in primary care psychology. In: R. Frank, S. H. McDaniel, J. Bray, & M. Heldring (Eds.), Primary care psychology (pp. 63–92). Washington, DC: American Psychological Association.CrossRef McDaniel, S. H., Hargrove, D. S., Belar, C., Schroeder, C., & Freeman, E. (2004). Recommendations for education and training in primary care psychology. In: R. Frank, S. H. McDaniel, J. Bray, & M. Heldring (Eds.), Primary care psychology (pp. 63–92). Washington, DC: American Psychological Association.CrossRef
go back to reference McDaniel, S. H., & Campbell, T. L. (1997). Editorial: Training health professionals to collaborate. Families, Systems & Health, 15, 353–359. McDaniel, S. H., & Campbell, T. L. (1997). Editorial: Training health professionals to collaborate. Families, Systems & Health, 15, 353–359.
go back to reference McDaniel, S. H., & Campbell, T. L. (1996). Editorial: Training for collaborative family healthcare. Families, Systems & Health, 14, 147–150. McDaniel, S. H., & Campbell, T. L. (1996). Editorial: Training for collaborative family healthcare. Families, Systems & Health, 14, 147–150.
go back to reference McDaniel, S. H., Campbell, T., Hepworth, J., & Lorenz, A. (2005). Family-oriented primary care (2nd ed.) New York: Springer-Verlag. McDaniel, S. H., Campbell, T., Hepworth, J., & Lorenz, A. (2005). Family-oriented primary care (2nd ed.) New York: Springer-Verlag.
go back to reference McDaniel, S. H., Campbell, T., & Seaburn, D. (1990). Family-oriented primary care. New York: Springer-Verlag. McDaniel, S. H., Campbell, T., & Seaburn, D. (1990). Family-oriented primary care. New York: Springer-Verlag.
go back to reference McDaniel, S. H., & Cole-Kelly, K. (2003). Gender, couples, and illness: A feminist analysis of medical family therapy. In T. J. Goodrich & L. Silverstein (Eds.), Feminist family therapy (pp. 267–280). Washington, DC: American Psychological Association.CrossRef McDaniel, S. H., & Cole-Kelly, K. (2003). Gender, couples, and illness: A feminist analysis of medical family therapy. In T. J. Goodrich & L. Silverstein (Eds.), Feminist family therapy (pp. 267–280). Washington, DC: American Psychological Association.CrossRef
go back to reference McDaniel, S. H., & Hepworth, J. (2004). Family psychology in primary care: Managing issues of power and dependency through collaboration. In: R. Frank, S. H. McDaniel. J. Bray, & M. Heldring (Eds.), Primary care psychology (pp. 113–132). Washington, DC: American Psychological Association.CrossRef McDaniel, S. H., & Hepworth, J. (2004). Family psychology in primary care: Managing issues of power and dependency through collaboration. In: R. Frank, S. H. McDaniel. J. Bray, & M. Heldring (Eds.), Primary care psychology (pp. 113–132). Washington, DC: American Psychological Association.CrossRef
go back to reference McDaniel, S. H., Hepworth, J., & Doherty, W. J. (1992). Medical family therapy: A biopsychosocial approach to families with health problems. New York: Basic Books. McDaniel, S. H., Hepworth, J., & Doherty, W. J. (1992). Medical family therapy: A biopsychosocial approach to families with health problems. New York: Basic Books.
go back to reference McDaniel, S. H., Hepworth, J., & Doherty, W. J. (1997). The shared experience of illness: Stories of patients, families, and their therapists. New York: Basic Books. McDaniel, S. H., Hepworth, J., & Doherty, W. J. (1997). The shared experience of illness: Stories of patients, families, and their therapists. New York: Basic Books.
go back to reference McDaniel, S. H., & Pisani, A. (in press). Family dynamics and caregiving for an individual with disabilities. In R. Talley, R. McCorkel, & B. Walter (Eds.), Caregiving and disability. Oxford: Oxford University Press. McDaniel, S. H., & Pisani, A. (in press). Family dynamics and caregiving for an individual with disabilities. In R. Talley, R. McCorkel, & B. Walter (Eds.), Caregiving and disability. Oxford: Oxford University Press.
go back to reference McDaniel, S. H., & Speice, J. (2001). What family psychology has to offer women’s health: The examples of conversion, somatization, infertility treatment, and genetic testing. Professional Psychology: Research and Practice, 32, 44–51.CrossRef McDaniel, S. H., & Speice, J. (2001). What family psychology has to offer women’s health: The examples of conversion, somatization, infertility treatment, and genetic testing. Professional Psychology: Research and Practice, 32, 44–51.CrossRef
go back to reference Matter, C. A., Speice, J., McCann, R., Mendelson, D., McCormick, K., Friedman, S., et al. (2003). Hospital to home: Improving internal medicine residents’ understanding of the needs of older persons after a hospital stay. Academic Medicine, 78, 793–797.PubMedCrossRef Matter, C. A., Speice, J., McCann, R., Mendelson, D., McCormick, K., Friedman, S., et al. (2003). Hospital to home: Improving internal medicine residents’ understanding of the needs of older persons after a hospital stay. Academic Medicine, 78, 793–797.PubMedCrossRef
go back to reference McDaniel, S. H., Beckman, H., Morse, D., Seaburn, D., Silberman, J., & Epstein, R. (under review). Enough about you, what about me? Physician self-disclosure in a primary care visit. McDaniel, S. H., Beckman, H., Morse, D., Seaburn, D., Silberman, J., & Epstein, R. (under review). Enough about you, what about me? Physician self-disclosure in a primary care visit.
go back to reference McGoldrick, M., Gerson, R., & Schellenberger, S. (1999). Genograms: Assessment and intervention (2nd ed.). New York: Norton. McGoldrick, M., Gerson, R., & Schellenberger, S. (1999). Genograms: Assessment and intervention (2nd ed.). New York: Norton.
go back to reference Medalie, J. (1978). Family medicine: Principles and applications. Baltimore, MD: Williams & Wilkins. Medalie, J. (1978). Family medicine: Principles and applications. Baltimore, MD: Williams & Wilkins.
go back to reference Miller, S. M., McDaniel, S. H., Rolland, J., & Feetham, S. (2006). Individuals, families and the new genetics: A biopsychosocial approach. New York: Norton. Miller, S. M., McDaniel, S. H., Rolland, J., & Feetham, S. (2006). Individuals, families and the new genetics: A biopsychosocial approach. New York: Norton.
go back to reference Morse, D. (1996). A family-oriented interview with George L. Engel, M.D. Families, Systems & Health, 14, 413–424.CrossRef Morse, D. (1996). A family-oriented interview with George L. Engel, M.D. Families, Systems & Health, 14, 413–424.CrossRef
go back to reference Pediatric Resident Review Committee. (2003). Program Requirements for Residency Education in Pediatrics. Retrieved September 8, 2006, from http://www.acgme.org/acWebsite/downloads/RRCprogReq/320pr701.pdf. Pediatric Resident Review Committee. (2003). Program Requirements for Residency Education in Pediatrics. Retrieved September 8, 2006, from http://​www.​acgme.​org/​acWebsite/​downloads/​RRCprogReq/​320pr701.​pdf.​
go back to reference Piercy, F., McDaniel, S., & Sprenkle, D. (1996). Teaching professional writing to family therapists. Journal of Marital and Family Therapy, 22, 163–180. Piercy, F., McDaniel, S., & Sprenkle, D. (1996). Teaching professional writing to family therapists. Journal of Marital and Family Therapy, 22, 163–180.
go back to reference Pisani, A., Berry, S., & Goldfarb, M. (2005). A predoctoral field placement in primary care: Keeping it simple. Professional Psychology: Research and Practice, 36, 151–157.CrossRef Pisani, A., Berry, S., & Goldfarb, M. (2005). A predoctoral field placement in primary care: Keeping it simple. Professional Psychology: Research and Practice, 36, 151–157.CrossRef
go back to reference Pisani, A., & McDaniel, S. H. (2005). An integrative approach to health and illness in family therapy. In J. Lebow (Ed.), Handbook of clinical family therapy (pp. 569–590). New York: Wiley. Pisani, A., & McDaniel, S. H. (2005). An integrative approach to health and illness in family therapy. In J. Lebow (Ed.), Handbook of clinical family therapy (pp. 569–590). New York: Wiley.
go back to reference Poleshuck, E. L. (2005). Women’s health and the role of primary care psychology. In L. James (Ed.), The primary care consultant: The next frontier for psychologists in hospitals and clinics (pp. 217–241). Washington, DC: American Psychological Association.CrossRef Poleshuck, E. L. (2005). Women’s health and the role of primary care psychology. In L. James (Ed.), The primary care consultant: The next frontier for psychologists in hospitals and clinics (pp. 217–241). Washington, DC: American Psychological Association.CrossRef
go back to reference Poleshuck, E. L., Giles, D. E., & Xin, T. (2006). Chronic pain and depressive symptoms among financially disadvantaged women’s health patients. Journal of Women’s Health, in press. Poleshuck, E. L., Giles, D. E., & Xin, T. (2006). Chronic pain and depressive symptoms among financially disadvantaged women’s health patients. Journal of Women’s Health, in press.
go back to reference Poleshuck, E. L., & McDaniel, S. H. (2000). Postdoctoral training in primary care family psychology. Association of Psychology Postdoctoral and Internship Centers Newsletter, 25(2), 24–26. Poleshuck, E. L., & McDaniel, S. H. (2000). Postdoctoral training in primary care family psychology. Association of Psychology Postdoctoral and Internship Centers Newsletter, 25(2), 24–26.
go back to reference Prochaska, J. (1991). Prescribing the stages and levels of change. Psychotherapy, 28, 462–468. Prochaska, J. (1991). Prescribing the stages and levels of change. Psychotherapy, 28, 462–468.
go back to reference Rohrbaugh, M. J., Shoham, V., Coyne, J. C., Cranford, J. A., Sonnega, J. S., & Nicklas, J. M. (2004). Beyond the “self” in self-efficacy: Spouse confidence predicts patient survival following heart failure. Journal of Family Psychology, 18, 184–193.PubMedCrossRef Rohrbaugh, M. J., Shoham, V., Coyne, J. C., Cranford, J. A., Sonnega, J. S., & Nicklas, J. M. (2004). Beyond the “self” in self-efficacy: Spouse confidence predicts patient survival following heart failure. Journal of Family Psychology, 18, 184–193.PubMedCrossRef
go back to reference Rolland, J. (1994). Families, illness & disability. New York: Basic Books. Rolland, J. (1994). Families, illness & disability. New York: Basic Books.
go back to reference Ruddy, N. B., & McDaniel, S. H. (1995). Domestic violence in primary care: The psychologist’s role. Journal of Clinical Psychology in Medical Settings, 2, 49–69.CrossRef Ruddy, N. B., & McDaniel, S. H. (1995). Domestic violence in primary care: The psychologist’s role. Journal of Clinical Psychology in Medical Settings, 2, 49–69.CrossRef
go back to reference Ruddy, N. B., & Schroeder, C. (2004). Making it in the real world: Diverse models of collaboration in primary care. In R. Frank, S. H. McDaniel, J. Bray, & M. Heldring (Eds.), Primary care psychology (pp. 149–168). American Psychological Association. Ruddy, N. B., & Schroeder, C. (2004). Making it in the real world: Diverse models of collaboration in primary care. In R. Frank, S. H. McDaniel, J. Bray, & M. Heldring (Eds.), Primary care psychology (pp. 149–168). American Psychological Association.
go back to reference Satcher, D., Kaczorowski, J., & Topa, D. (2005). The expanding role of the pediatrician in improving child health in the 21st century. Pediatrics, 115, 1124–1128.PubMedCrossRef Satcher, D., Kaczorowski, J., & Topa, D. (2005). The expanding role of the pediatrician in improving child health in the 21st century. Pediatrics, 115, 1124–1128.PubMedCrossRef
go back to reference Schroeder, C. (1996). Psychologists and pediatricians in collaborative practice. In R. J. Resnick & R. H. Rosensky (Eds.), Health psychology through the life span (pp. 109–131). Washington, DC: American Psychological Association.CrossRef Schroeder, C. (1996). Psychologists and pediatricians in collaborative practice. In R. J. Resnick & R. H. Rosensky (Eds.), Health psychology through the life span (pp. 109–131). Washington, DC: American Psychological Association.CrossRef
go back to reference Seaburn, D., Mauksch, L., Gunn, W., Lorenz, A., & Gawinski, B. (1996). Models of collaboration. New York: Basic Books. Seaburn, D., Mauksch, L., Gunn, W., Lorenz, A., & Gawinski, B. (1996). Models of collaboration. New York: Basic Books.
go back to reference Seaburn, D. B., McDaniel, S. H., Kim S., & Bassen, D. (2004). The role of the family in resolving bioethical dilemmas: Clinical insights from a family systems perspective. Journal of Clinical Ethics, 15, 123–134.PubMed Seaburn, D. B., McDaniel, S. H., Kim S., & Bassen, D. (2004). The role of the family in resolving bioethical dilemmas: Clinical insights from a family systems perspective. Journal of Clinical Ethics, 15, 123–134.PubMed
go back to reference Seaburn, D., Morse, D., McDaniel, S., Beckman, H., & Epstein, R. (2005). Physicians’ response to ambiguous symptoms. Journal of General Internal Medicine, 20, 525–530.PubMedCrossRef Seaburn, D., Morse, D., McDaniel, S., Beckman, H., & Epstein, R. (2005). Physicians’ response to ambiguous symptoms. Journal of General Internal Medicine, 20, 525–530.PubMedCrossRef
go back to reference Speice, J., Farley, A., & McDaniel, S. H. (2000). Relational Problems. In M. Smith & L. Shimp (Eds.), 20 Common problems in women’s health care (pp. 303–320). New York: McGraw-Hill. Speice, J., Farley, A., & McDaniel, S. H. (2000). Relational Problems. In M. Smith & L. Shimp (Eds.), 20 Common problems in women’s health care (pp. 303–320). New York: McGraw-Hill.
go back to reference Speice, J., McDaniel, S. H., Rowley, P., & Loader, S. (2002). A family-oriented psychoeducation group for women found to have a BRCA mutation. Clinical Genetics, 62, 121–127.PubMedCrossRef Speice, J., McDaniel, S. H., Rowley, P., & Loader, S. (2002). A family-oriented psychoeducation group for women found to have a BRCA mutation. Clinical Genetics, 62, 121–127.PubMedCrossRef
go back to reference Stephens, G. G. (1982). The intellectual basis of family practice. Tucson: Winter Publishing. Stephens, G. G. (1982). The intellectual basis of family practice. Tucson: Winter Publishing.
go back to reference Wynne, L. C. (2003). Systems theory and the biopsychosocial model. In R. Frankel, T. Quill & S. McDaniel (Eds.), The biopsychosocial approach: Past, present, and future (pp. 219–230). Rochester, NY: University of Rochester Press. Wynne, L. C. (2003). Systems theory and the biopsychosocial model. In R. Frankel, T. Quill & S. McDaniel (Eds.), The biopsychosocial approach: Past, present, and future (pp. 219–230). Rochester, NY: University of Rochester Press.
Metadata
Title
An Overview of Primary Care Family Psychology
Authors
Susan H. McDaniel
Pieter LeRoux
Publication date
01-03-2007
Published in
Journal of Clinical Psychology in Medical Settings / Issue 1/2007
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-006-9050-7

Other articles of this Issue 1/2007

Journal of Clinical Psychology in Medical Settings 1/2007 Go to the issue