If We Build It,They Will Come: Exploring Policy and Practice Implications of Public Support for Couple and Relationship Education for Lower Income and Relationally Distressed Couples

Over the past decade, public funding for Couple and Relationship Education programs has expanded. As program administrators have been able to extend their reach to low‐income individuals and couples using this support, it has become apparent that greater numbers of relationally distressed couples are attending classes than previously anticipated. Because psychoeducational programs for couples have traditionally served less distressed couples, this dynamic highlights the need to examine the policy and practice implications of more distressed couples accessing these services. This paper reviews some of the most immediate issues, including screening for domestic violence and couple needs, pedagogical considerations, and the potential integration of therapy and education services. We also make suggestions for future research that can inform policy and practice efforts.     

Living Under the Threat of Relocation: Spouses' Perceptions of the Threat and Coping Resources

This study examined the contribution of couples, shared perceptions of the threat of relocation, and the buffering effect of personal and marital resources in coping with stress. The study was conducted with a random sample of 95 couples in the Golan Heights region in Israel, where a unique situation exists in which families live under a threat of relocation, due to the peace negotiations between Israel and Syria. Two resources were examined: potency and marital quality Results showed that potency made the greatest contribution to coping either with demands or stress, both in couples who had similar or different future scenarios, while marital quality was found to relieve the stress only in couples who shared the same future scenarios. The average level of stress was found to be higher but not significant among couples with different future scenarios.     

Hope‐Focused and Forgiveness‐Based Group Interventions to Promote Marital Enrichment

The authors report a clinical trial (N = 43 couples) that compares a hope‐focused marital enrichment (E. L. Worthington et al., 1997) with empathy‐centered forgiveness‐based marital enrichment (M. E. McCullough, 1997; E. L. Worthington, 1998a) and a wait‐list control. Treatment group couples improved relative to the wait‐list control group in observational measures of communication. Hope‐focused marital enrichment produced clinically relevant changes in marital communication, increasing the ratio by 3 to 5 positive to negative interaction ratio units. Hope‐focused marital enrichment is discussed in comparison with previous research, which was conducted with couples meeting conjointly. The forgiveness‐based marital enrichment psychoeducational group is one of the 1st studies of forgiveness interventions in couples research.     

Characteristics and treatment of batterers

This article summarizes the substantial research conducted in the last decade concerning the characteristics of batterers. While certain characteristics appear to be associated with these abusers, no specific profile has emerged. Treatment programs have focused on anger management, improving communication, improving self-esteem, changing beliefs, and stress management, but research has not determined the effectiveness of these programs. Various approaches for treating abusers are presented in this article, including psychoeducational groups for batterers and conjoint therapy for couples. The legal system's use of diversion programs for referral/sentencing of batterers is also discussed as an important method for reducing spouse abuse.     

Evaluating a brief prevention program for improving marital conflict in community families.

Marital conflict is related to well-being in children and adults (E. M. Cummings & P. T. Davies, 2002). Marital conflict is likely most effectively ameliorated before it becomes clinically significant. However, families without significant problems may be unwilling to participate in couples therapies or other lengthy or intensive interventions. Responding to this gap, the authors developed a 4-session psychoeducational program about marital conflict for community families. Couples with children 4-8 years of age were randomly blocked into 1 of 3 groups: (1) a parent-only group (n = 24), (2) a parent-child group (n = 33), or (3) a self-study group (n = 33). Pre- and posttest and 6-month and 1-year assessments were conducted. This report evaluates (a) whether participation in a psychoeducational program for parents improved marital conflict, especially concerning ways of expressing disagreements, and (b) whether changes in marital conflict subsequently improved marital satisfaction, parenting, and child adjustment. Greater constructive and less destructive marital conflict was observed at all assessments for treatment groups, and these changes were linked with improvements in other family processes. The findings support the promise of brief, psychoeducational programs for improving marital conflict for community samples.     

Long-Term successful Marriages in Israel

Long-Term Marriages (LTM) in Israel is part of a larger on-going international research. Our study focuses on two related questions: Are all long term marriages successful and satisfying? Similar studies have been undertaken in the United States, Sweden, Germany, and Chile. This paper focuses on the Israeli results with a few cross-cultural comparisons. Israel adds several unique features to the research: the people to whom LTM applies have emigrated to Israel from 112 different countries, with different cultures and nationalities; how Holocaust survivors are distributed in comparison to the rest of the population; Israel has the lowest divorce rate in the west; family life being a highly valued norm among Jewish people, it will be interesting to determine what keeps couples together and whether the motives and ingredients for satisfying marriages are similar or different from other countries.     

Refusing to be Marginalized: Groupwork in Mental Health Services for Women Survivors of Childhood Sexual Abuse

Childhood sexual abuse is a major aetiological factor in the development of mental health difficulties experienced by women. Although this conclusion is supported by two decades of extensive research, it has had little impact on the provision of mainstream mental health services. It remains exceptional for there to be specialist therapy or counselling provision for women survivors of childhood sexual abuse within statutory mental health services. This represents a serious gap in service provision and, it is argued, results in extended and inappropriate treatment for women survivors using mental health services. In this article, the development of a multi-agency approach to the provision of groupwork for women survivors of childhood sexual abuse within mental health service is described. A women-centred model of groupwork is outlined. Evaluation and funding are discussed. It is argued that, as a time-limited and effective treatment option, groupwork for women survivors of childhood sexual abuse should form a central part of service provision within statutory adult mental health services.     

Immigration, Gender, and Psychosocial Adjustment: A Study of 150 Immigrant Couples in Israel

Research on gender differences in the process of psychosocial adjustment of recent immigrants is scant. This study was designed to assess occupational, social, and personal/psychological aspects of adjustment to life in Israel among 150 heterosexual couples that immigrated together from the former Soviet Union after 1990. The mean age of participants was 46, over 60% had postsecondary education, and have lived in Israel for the average of 9 years. The study included a structured survey and in-depth interviews with 15 couples. The results suggest that overall levels of adjustment and well-being reported by men and women are rather similar, although they take somewhat different paths toward social integration. Men were doing better in the economic/occupational domain, whereas women were more active in the social domain (e.g., building their personal networks, exploring new lifestyles). Both men and women had experienced occupational downgrading in Israel, but more women worked in physically-demanding jobs such as geriatric nursing and cleaning. Women suffered a more dramatic occupational downgrading than men, as well as lower job security and under/unemployment. Yet, they showed more flexibility and tolerance of their new work roles. No tangible gender differences have been found in the general indicators of psychosocial well-being and overall satisfaction with life in Israel. Processes of social adjustment among immigrants from the former Soviet Union may be less gendered than in other immigrant communities, reflecting more egalitarian gender relations in the Russian/Soviet culture.     

Differences in intelligence between nondelinquent and dropout delinquent adolescents

This study examined differences in intelligence between dropout delinquent adolescents and nondelinquent adolescents in Israel. It was part of research aimed at using psychological tests to characterize dropout delinquents. The participants, 215 adolescents at a psychoeducational center, were divided into three groups and were tested using the WISC-R: dropout delinquent adolescents living in residential institutions, dropout delinquent adolescents living at home, and nondelinquent adolescents living at home and enrolled in the formal education system. Results showed significant differences among the three groups in Verbal IQ, Performance IQ, Total IQ, and the Freedom from Distractibility factor, and pointed out the relative weakness of the dropout delinquent groups.     

An experimental investigation of a psychoeducational strategy designed to reduce men's endorsement of societal ideals of women's attractiveness

The current study evaluated whether a psychoeducational manipulation, focused on reducing an unrealistic view of women's attractiveness, might affect men's ratings of the attractiveness of females. The participants were 159 male undergraduate students who were randomly assigned to four conditions: psychoeducational message (beauty ideals; marketing strategies) and photo exposure (attractive females; household products). The results indicated that males pre-exposed to attractive female images subsequently evaluated average females as less attractive than those exposed to household products. However, a psychoeducational information condition designed to challenge "beauty ideals" did not reduce the adverse exposure effect and was comparable in effectiveness to the "marketing strategies" manipulation. The limitations of the findings are discussed and avenues for future research in this area offered.     

Making Sense of Groups,Computers, and Mathematics

In this article, we report the findings of research that was designed to identify factors associated with learning mathematics in groups with computers. The study was influenced by different theoretical perspectives on social interaction and learning mathematics, and we describe how we attempted to integrate these approaches into the research design. To cope with complex data based on eight groups of six students (aged 9-12 years), we developed a methodology that involved moving between quantitative and qualitative approaches in an iterative spiral. In this article, we focus on the patterns of learning associated with two group tasks incorporating the use of Logo. Quantitative analysis of learning measures indicated positive learning gains as a result of the groupwork, with no differences across gender or ability; qualitative and quantitative analysis of process factors pointed to explanations for the differing profiles of success across groups. Although balanced coconstruction at the computer, coupled with the coordination of others' perspectives, was most advantageous for learning conceptually based mathematics, this was not the case with "technology-driven" mathematics, where fragmentation and concentrated work at the computer proved to be more efficient. These findings suggest that detailed specification of the learning goal is crucial when evaluating groupwork within educational settings.     

Psychoeducational Croups With Older Adults: An Integrative Personal Construct Rationale And Some Guidelines

A psychoeducational approach is proposed as an alternative to exclusively therapeutic work with older adults in recreational settings. An integrative rationale based on personal construct theory and some general guidelines for the group leader are presented. Two possible psychoeducational group formats (guided autobiography and coping skills) are discussed.     

The impact of religious conflict within orthodox Jewish families in Israel

While prior research suggests that religion influences relationships positively, it may also be a source of conflict. This may be particularly relevant in religion-centric cultures and in families with individuating adolescent children. The current research analysed data from 789 orthodox Jewish couples residing throughout Israel and we hypothesised that religious conflict is related to lower family functioning and higher parenting stress, and that it is more frequent among couples with insecure attachment. Results of a structural equation model indicated that religious conflict was significantly associated with outcome variables within various religious subgroups, and that attachment insecurity was related to higher levels of conflict and was fully or partially mediated by religious conflict. This suggests that within the orthodox community, religious conflict is an important correlate, and perhaps cause, of family dysfunction. Future research exploring causality, cross-cultural relevance, comparability to other forms of conflict, and effective treatment appears warranted.     

Psychoeducational Interventions with Pediatric Cancer Patients: Part II. Effects of Information and Skills Training on Health-Related Outcomes

In Part I of this paper, we described a model that was used as a framework for reviewing studies of psychoeducational interventions intended to influence illness- and treatment-related behaviors and attitudes in pediatric cancer patients. In Part II, we distinguish between interventions that attempt to influence patients' behaviors just by providing information and interventions that specifically teach skills related to the behaviors they are trying to change. Many types of psychoeducational interventions appear to be effective and those that are training-based generally appear more effective than those that are information-based. Training-based interventions may face a barrier to wide adoption because they are resource-costly, but the development of digital-based training interventions may potentially overcome this barrier.     

Student attitudes towards socially acceptable and unacceptable group working practices

While there is much support for co‐operative learning among learning theorists, not all learners exhibit the same enthusiasm for groupwork. A number of factors such as sex, group size and ability mix, subject domain, task type and organization have been shown to influence the effectiveness of co‐operative and collaborative learning. This study established learners' attitudes to various shared working scenarios. In this mixed design, 140 post‐graduate teacher trainees were asked to imagine their responses to seven groupwork scenarios presented as a series of short vignettes. The vignettes varied on the degree of co‐operation required; the sex of the prospective co‐worker(s) including single and mixed‐sex groups; type of assessment, including no assessment at all; and on academically acceptable and unacceptable ‘shared’ working practices. Anticipated attitudinal and behavioural responses of the students were assessed by questionnaire. On the whole, students were cautiously willing to be involved in groupwork. There were caveats, however. Factors such as the characteristics of the group members, the level and type of assessment procedures in operation, and individual differences, including sex and self‐reported social deviance, also governed their responses. There was very limited agreement to be involved in socially undesirable collaborative group activities at a personal level or to condone such activities by others. Those students who showed a tendency towards mild anti‐social behaviour were more willing to take direct punitive action against non‐contributors than their peers. Female students were more willing to invoke the help of the tutor than their male counterparts, but only if the anti‐social behaviour impacted on them personally.     

Steigerung des ?empowerment“ bei Angeh?rigen von schizophren Erkrankten

Objective

Enhancing empowerment is one of the aims of psychoeducational family interventions but it has never been examined in psychoeducational groups for relatives led by professionals. This study investigated the knowledge gain and the increase of empowerment of psychoeducational group programs for relatives in a naturalistic setting.

Methods

A total of 54 relatives of persons with schizophrenia or schizoaffective disorders took part in a psychoeducational group program of 8 sessions. A short questionnaire was used to assess the empowerment before and after the group programs. Knowledge gain was measured with the knowledge of illness about schizophrenia questionnaire (WFB).

Results

Among the participants of the psychoeducational groups the level of empowerment was significantly enhanced and the knowledge was significantly increased (p?<?0.01). The improvement of empowerment was independent of the knowledge gain and did not correlate with gender, age, education or group attendance.

Conclusions

Psychoeducational groups for family members not only reduce the rehospitalization rates of the ill relatives but also have additional positive effects on the family members themselves: better knowledge of the illness and enhanced empowerment. The findings emphasize the importance of psychoeducational groups for the relatives of persons with schizophrenia.     

A controlled evaluation of group cognitive therapy in the treatment of irritable bowel syndrome

We randomized, at two sites, 210 patients with Rome II diagnosed irritable bowel syndrome (IBS), of at least moderate severity, to one of three conditions: group-based cognitive therapy (CT; n=120), psychoeducational support groups (n=46) as an active control, or intensive symptom and daily stress monitoring (n=44). One hundred eighty-eight participants completed the initial treatment. Those in symptom monitoring were then crossed over to CT. For an intent to treat analysis on a composite GI symptom measure derived from daily symptom diaries, both CT and the psychoeducational support groups were significantly more improved than those in the intensive symptom monitoring condition, but the CT and psychoeducational support group did not differ. Among treatment completers on the same composite measure of GI symptoms, again, both CT and psychoeducational support groups were statistically superior to symptom monitoring but did not differ on the symptom composite, or on any other measure. On individual IBS symptoms, both CT and psychoeducational support were statistically superior to symptom monitoring on reductions in abdominal pain and tenderness and for flatulence. Patient global ratings at the end of treatment showed the two active conditions statistically superior to symptom monitoring on change in Bowel Regularity, with CT superior to symptom monitoring on reduction in overall pain and in improvement in sense of well-being. Three-month follow-up data on 175 patients revealed maintenance of significant improvement or continued significant improvement on all IBS symptoms, including the McGill Pain Questionnaire. Group CT and psychoeducational support groups continued not to differ on any measure. We thus conclude that group CT is not superior to an attention placebo control condition.     

Gaps Between Immigrant Spouses in Host Country Language Proficiency: Longitudinal Effects on Marital Satisfaction

Research on immigration underscores the importance of language acculturation in successful adjustment to life in a new country. However, the profound impact of different levels of language proficiency between immigrant spouses on their married life is an understudied topic. The current study explores whether differences between immigrant spouses in host language proficiency predict marital satisfaction in their first four years in the host country. Using a three-wave longitudinal study, with intervals of one to two years, we collected data from 316 married couples who immigrated from the Former Soviet Union to Germany and Israel. Language proficiency and marital satisfaction were measured via self-report questionnaires. We conducted an Actor-Partner Interdependence Model analysis to control for dyadic and time data dependencies. The results indicate that differences between spouses in their host language proficiency predict marital dissatisfaction, and that this effect is exacerbated over time. These associations held across gender and host country. The findings are discussed in light of the gap-distress model.