ABSTRACT
Chapter 3 discusses the theory, clinical observation, patient and family member lived experience, and empirical work that contributed to the development of the Reconnecting for Recovery (R4R) Multifamily Therapy Group (MFTG) approach and manual. It emphasizes that R4R was borne out of more than a decade of planning and early development in partnership with patients and families. The chapter acknowledges the similarities between R4R and other MFTGs while also outlining their differences. The differences include R4R MFTG's particular integrated relational/motivational approach with a theoretical grounding in Relational-Cultural Theory (R-CT) and an emphasis on healing disconnections and creating reconnections with self and others via development of perceived mutuality (PM—mutual trust, empathy, and empowerment). Chapter 3 describes PM, including strategies for how R4R therapist self-disclosure fosters PM with and among group members. Other differences include R4R’s focus on emotional and relational skill building versus nutritional rehabilitation; inclusion of family of origin and choice members; and its 16-week, closed-ended outpatient group model. Chapter 3 ends with a review of why clinicians should use the R4R manual; who is qualified to use the treatment manual; the importance of working closely with other treatment team members when conducting R4R; and an outline of R4R MFTG goals, group sessions, and topics.
