Patterns and determinants of attitudes of psychiatric residents toward group therapy

The nature and origins of psychiatric residents' attitudes toward group psychotherapy were assessed by means of a semistructured interview. Subjects were 10 PGY-4 residents from five different residency training programs. Questions focused on subjects' perceptions of the possibilities and limitations of group therapy as a treatment modality, the efficacy and dangers of combined and conjoint treatment, the nature and extent of their training experiences in group approaches, the salient characteristics of their group therapy teachers and supervisors, and the attitudes of faculty about group psychotherapy that they were able to infer. Results suggest enormous variability of residents' attitudes. Hypotheses about the reasons for such variability are offered.     

An empirical examination of stigma toward mental health problems and psychotherapy use in Veterans and active duty service members

Although many Veterans and active duty service members experience mental health problems, most do not seek out any sort of mental health help. Stigma (a significant predictor of treatment-seeking) has been documented among Veterans and active duty service members; however, previous research on stigma in these groups has primarily utilized correlational and qualitative designs. The purpose of this study was to gain a better understanding of stigma toward mental health problems in Veterans and active duty service members using an experimental design. One hundred sixty-five Veterans and active duty service members were randomized to read a vignette that described a Veteran who either did or did not experience a mental health problem and did or did not seek psychotherapy. Results indicated that the participants held more stigmatizing attitudes toward the Veteran who was described as having a mental health problem, but not toward the Veteran who was described as seeking psychotherapy. Additionally, participants held more positive attitudes toward the Veteran, compared to the attitudes that they believed other military members would hold. Last, with this sample of Veterans and active duty service members, self-stigma toward seeking psychotherapy was found to partially mediate the relationship between perceived public stigma and attitudes. Implications for addressing stigma in military service members and Veterans are discussed.     

Anatomy Responses in the Rorschach Test

Investigated medical and psychological help-seeking attitudes and behaviors as a function of liberal-conservative attitudes toward women. Subjects participated in a structured interview concerning their attitudes toward and experiences with physicians and psychotherapists, and completed the Attitudes toward Women Scale. Compared to conservatives, liberals readily seek mental health services, stay in psychotherapy longer, and have relatively negative attitudes toward physicians in general. Conservatives endorse positive attitudes toward seeking psychological help but are less likely to visit a psychotherapist for psychological problems and more likely to have a physician available to consult about medical problems. The study suggests differential help-seeking tendencies among liberals and conservatives for medical and psychological problems, and affirms the utility of the Attitudes toward Women Scale in predicting such tendencies.     

Does Religiosity Predict Attitudes Toward Psychotherapy?

Several studies have demonstrated that Jewish people have positive attitudes toward psychotherapy. This study differentiates among Orthodox, Conservative, and Reform Jewish groups to test whether there are differences in the level of religiosity and practice among these different affiliations to Judaism and whether these differences may influence attitudes toward seeking psychological help. Despite significant differences in religiosity and level of practice, results indicate that positive attitudes are present among all affiliations. However, Orthodox Jews are significantly more likely to use their rabbi as a source for psychological counseling and perhaps as a conduit to professional treatment.     

Integrating Individual and Family Systems Psychotherapy to Treat Borderline Personality Disorder

This paper focuses on two areas. The first is the framework for psychotherapy integration used by Unified Therapy, a psychotherapy approach that is an integration of psychodynamic, cognitive–behavioral, and family systems therapy. The second is the use of this treatment paradigm in the psychotherapy of adults with borderline personality disorder. The theory posits that continuing and recurrent interpersonal behavior patterns within the patient's family of origin serve as behavioral triggers to typical acting-out behaviors. Therapy is geared toward planning strategies to alter these destructive patterns. A case example is presented to demonstrate the use of the therapy's theories and techniques.     

Preconscious Foundations of Human Experience by Trigant Burrow

Abstract

Based upon observations indicating decreasing attractiveness of groups within and outside the clinical field, the present study aimed to determine attitudes toward, and expectations of, groups in a representative sample of 2512 German citizens. The survey also included questions specifically related to group psychotherapy and its acceptance. In addition, psychological characteristics of respondents (measures of narcissism, psychological impairment, and emotion regulation) and socio-demographic variables were assessed to examine their potential association with group-related attitudes. In total, the survey revealed a relatively positive picture of attitudes and expectations toward groups in general and psychotherapy groups in particular. Those with more open attitudes towards groups were comparatively less distressed, anxious, and depressed; they favored emotional reappraisal instead of suppression as the dominant strategy to regulate their emotions. Contrary to prediction, narcissism did not influence attitudes towards groups. The results are related to current discussions of the attractiveness of groups and to implications for the practice of group psychotherapy.     

Expressions of existential philosophy in different therapeutic schools

Therapeutic schools vary greatly in their conceptualization of authenticity, a concept that grew out of existential philosophy. On one end of the spectrum, the real person is seen as one living in harmony with his or her environment and achieving fulfillment through relationships. An opposite view regards the person who has successfully adapted to his or her social environment as inauthentic. A basic dilemma which characterizes the therapeutic process is whether to put the emphasis on the client self acceptance or on adaptation to society. This article discusses authenticity from a philosophical point of view and reviews the attitudes toward the concept from various schools of therapy. Although existential psychotherapy is the only school that uses the concept of authenticity, one can find clues to the conflict between encouraging the client's own individuality and motivating him or her toward social adaptation in almost every therapeutic school. Authenticity is therefore an important subject to be dealt with in therapy. Moreover, the attitude toward authenticity is often influenced by the therapist's personal values and therapeutic orientation.     

Attitude of the two religious groups towards family planning

40 Muslim and 50 Hindu male high school teachers, working in the interior parts of the districts of Gaya and Shahabad in India, filled out questionnaires designed to determine attitudes toward family planning. All were married and had more than 1 child. They were ages 26-48. The Hindus were found to have significantly more favorable (p less than .05) attitudes toward family planning than the Muslims. If the statistics reflect reality, it is no wonder the birth rate among Muslims is much higher in India. Both Muslim and Hindu teachers were grouped according to age (below 35 years or above 35 years). While the younger Hindus had significantly more favorable (p less than .05) attitudes toward family planning than the older Hindus, the younger Muslims had only slightly more favorable attitudes (nonsignificant) toward family planning than the older Muslims.     

Stuttering attitudes among Turkish family generations and neighbors from representative samples

PurposeAttitudes toward stuttering, measured by the Public Opinion Survey of Human Attributes-Stuttering (POSHA-S), are compared among (a) two different representative samples; (b) family generations (children, parents, and either grandparents or uncles and aunts) and neighbors; (c) children, parents, grandparents/adult relatives, and neighbors of the same family/neighbor units vs. individuals from different family/neighbor units; and (d) attitudes from one Turkish city with an international database archive.MethodsFollowing a school-based, three-stage, cluster probability sampling scheme, two sets of children, parents, grandparents/adult relatives, and neighbors (50 each) in Eski?ehir, Turkey (PROB1 and PROB2) completed Turkish translations of the POSHA-S. The POSHA-S measures attitudes toward stuttering within the context of other attributes, such as obesity and mental illness.ResultsBoth replicates of the sampling procedure yielded strikingly similar attitudes for stuttering between children, parents, grandparents/adult relatives, and neighbors in PROB1 vs. PROB2, and between all pair-wise comparisons within PROB1 and PROB2. By contrast, attitudes toward obesity and mental illness were dissimilar. Correlations were small to moderate among attitudes of the same family/neighbor units but were essentially nonexistent between different family/neighbor units. Attitudes toward stuttering in Eski?ehir were estimated to be less positive than attitudes from a wide range of samples around the world, although exceptions occurred.ConclusionsA school-based probability sampling procedure yielded consistent findings that are likely different from results from convenience samples. Families appear to be an important influence in determining public attitudes toward stuttering and other human attributes.Educational objectives: The reader will be able to: (i) identify similarities and differences among attitudes toward stuttering across generations; (ii) identify similarities and differences among attitudes toward stuttering in Turkey vs. other places in the world; (iii) describe a school-based probability sampling scheme; (iv) describe advantages of using a standard instrument to measure public attitudes toward stuttering.     

Fertility Related Attitudes of Minority Mothers with Large and Small Families1

The relationship between certain attitudes and levels of fertility in five cultural groups–Blacks, Cubans, American Indians, migrant Chicanos, and white Protestants–was explored. Mothers, aged 35–45, with one or two children (small family, N= 253) or five children (large family, N= 196) were compared. Subjects responded to semantic differentials measuring attitudes toward pregnancy, family, abortion, sex, birth control, and parent. Large family mothers were generally more negative toward birth control, sex, and family. Cultures differed significantly on all six attitudes, with those toward abortion and pregnancy being the best discriminators. Significant interactions between cub ture and size were found on attitudes toward birth control and pregnancy. In general, large families wanted fewer children than they had and their negative attitudes toward birth control might be associated with their ineffective experiences; however, the trend was reversed in the migrant group where small family mothers were more negative toward birth control. Since small family mothers among migrant Chicanos were difficult to find and their estimates of ideal family size was large, it is likely that their negative attitudes toward birth mntrol reflected an aversion to its use.     

The Impact of Specific Psychotherapist Beliefs Regarding Managed Care on Prospective Psychotherapy Clients

The purpose of this study was to investigate the separate impact of each of thirteen therapist beliefs that, presented collectively, were previously found to have a significantly negative impact on prospective clients' attitudes toward managed care psychotherapy (Pomerantz, 2000). Participants in this study initially completed a brief questionnaire measuring their willingness to enter psychotherapy and their expectations regarding psychotherapy under managed care. Participants subsequently completed the same brief questionnaire again after being instructed to imagine seeing a hypothetical psychologist and being presented with the psychologist's supposed beliefs regarding managed care (which were actually derived from survey data by Murphy et al., 1998). Results suggest that almost every discrete therapist belief had a significantly negative impact on participants' attitudes toward managed care psychotherapy. Several specific therapist beliefs produced particularly salient negative effects. Implications regarding ethics and informed consent are discussed.     

家庭心理治疗：一种科学的治疗理念

家庭心理治疗作为一种新的、科学的治疗理念正引起心理治疗专家和学者的普遍兴趣和关注。它着眼于家庭和家庭内部关系,把一种新的治疗理念引入了心理治疗领域。在介绍家庭心理治疗基本问题和国内外发展概况的基础上,论述其在中国存在和发展的必然性及可能性,旨在为我国家庭心理治疗的发展和应用提供参考。     

Young adults' reactions to gay and lesbian peers who became suicidal following "coming out" to their parents

Rates of nonfatal suicidal behavior among gay and lesbian youth surpass those recorded among their heterosexual peers. A frequently cited precipitant of gay and lesbian nonfatal suicidal behavior is the turmoil associated with coming out to one's family. This study investigated young adults' attitudes toward peers who engaged in suicidal behavior after coming out and being rejected by their parents, and compared them with attitudes toward persons who had become suicidal in response to other stressors (a physical illness, a relationship loss, or an academic failure). Our goal was to explore whether young persons hold beliefs that may encourage lesbian and gay suicidal behavior. We found that gays and lesbians who engaged in suicidal behavior following coming out were not viewed in particularly forgiving or empathic ways, as was the case for persons who became suicidal following an incurable illness. All suicidal persons were perceived as relatively feminine. At the same time, suicidal males were rated as more masculine if they engaged in suicidal behavior because of an academic failure or a physical illness, while suicidal females were viewed as more masculine only if their suicidal behavior followed an academic failure. Finally, we found that both respondent sex and respondent gender-identity influenced evaluations of suicidal persons. Building on these findings, future research should explore attitudes toward the permissibility of a suicidal decision by lesbian and gay persons.     

Citizenship attitudes and allegiances in diverse youth

This study examined the relationships among three sets of variables in a sample of 299 diverse high school youth: (a) demographic variables such as ethnicity and immigrant status, (b) attitudes toward citizenship responsibilities, and (c) allegiances to three socializing institutions--family, school, and community. A measure of citizenship attitudes was found to identify two distinct constructs--Polity-Oriented and Civic-Oriented attitudes toward citizenship responsibilities, relating to the polity or nation-state, and to serving the community. European Americans were consistently lower on Polity-Oriented attitudes than Hispanic teens, and lower on family allegiance than other non-European American groups. Hispanic youth reported significantly lower community involvement than other non-European American groups as well as European American youth. Whereas the only significant correlation between allegiance and citizenship attitudes was between family allegiance and Polity-Oriented attitudes, there were multiple moderating effects of immigrant status and ethnicity. Results are discussed in terms of ethnicity and allegiances as contexts of socialization for the development of attitudes toward citizenship responsibilities.     

How to Begin A Therapy Group: Six Approaches

Japanese “groupism,” or the tendency to emphasize groups rather than individuals, often favors the use of group psychotherapy with Japanese patients. However, the author recommends that the clinician should be sensitive to other cultural phenomena, which are thought to be related to groupism that will influence the nature of group treatments. For example, the traditional Japanese relationship to authority may make it difficult for many patients to express negative attitudes and to share intimate material. Differences regarding confidentiality and gender, distinction between “miuchi” (families) and “tanin” (strangers), and attitudes toward silence may also influence the nature of group therapy. The author discusses these and related cultural differences and highlights implications for the therapist's style of intervention. Finally, the amount of influence that groupism has on group psychotherapy must be considered. The author suggests that it is greater for patients with mild neurosis than severe psychosis.     

The Archaic Personality Structure of Alcoholics and Its Implications for Group Therapy

The purpose of this investigation was to obtain a better understanding of the nature of expectations about group psychotherapy, given a consistent body of research pointing to the relationship between specific treatment expectancies and premature termination. The Group Therapy Survey was developed and utilized to assess the predominant beliefs, attitudes, and expectations of 206 clinical and nonclinical subjects toward group therapy. The results of the investigation reflected three major categories of expectations: (1) Group therapy is unpredictable, (2) group therapy is not as effective as individual therapy, and (3) group therapy can be detrimental to participants. Possible explanations for the origin and development of such expectations are entertained, including the publicizing of the more radical aspects of the encounter group movement and other negative portrayals of group therapy in the media and the film industry. Recommendations are offered concerning the use of the survey prior to intake or a pregroup orientation interview in order to tailor a discussion to the prospective client's personality, expectations, and problems.     

Family,gender, and attitudes toward retirement

The relationships between marital status, proximity of children, and attitudes toward retirement of 432 men and 373 women on the verge of retirement were studied. Three dimensions of attitudes were examined: attitudes toward losses associated with retirement, toward gains in entering retirement, and toward gains in leaving work. Women hold significantly more positive attitudes toward both types of gains; there are no gender differences concerning attitudes toward losses. The married of both sexes perceive more gains in entering retirement. Proximity of children is curvilinearly related to gain in entering retirement, especially among women. Attitudes toward losses and gains in leaving work are not associated with familial state. The meaning of work and the myth of the primacy of family for women are discussed.This paper draws on research supported by Grant Number 1 R01 AG 05206-01 from the National Institute on Aging.     

The relationship between out-of-school activities and positive youth development: an investigation of the influences of communities and family

There is growing evidence that participation in constructive leisure activities facilitates positive youth development. Empirical evidence also supports the influence of families and communities on positive developmental outcomes for adolescents. This study examined the relationship among attitudes toward family and community, participation in structured out-of-school activities, and pro-social behavior. As predicted, community aspects such as opportunities available and the attitudes the youth held toward the community, as well as their attitude toward family were predictive of activity involvement. Activity involvement, in turn, was predictive of pro-social behavior. Attitude toward family was also predictive of attitude toward the community. Attitude toward community was a direct predictor of the positive developmental outcome of pro-social behavior, although contrary to the original hypothesis, family influences did not have a direct effect on pro-social behavior. Implications for continued practice and change for a variety of sectors in the positive youth development field such as educators and educational institutions, youth-serving organizations, families, and policy makers are discussed, along with recommendations for continued research in this field.     

Expressed attitudes of adolescents toward marriage and family life

In the U.S., modifications in family structure and in attitudes concerning marriage and family life have been numerous. Areas such as sexual behavior and alternative living arrangements have become highly varied and nontraditional compared to past generations. This study examined the attitudes of adolescents toward aspects of marriage and family life. The majority of adolescents expressed negative attitudes toward divorce and viewed marriage as a lifelong commitment. While only about a third of the adolescents expressed positive attitudes toward premarital sex, a majority indicated they would engage in sexual intercourse before marriage, or already have. Interestingly, about half of the adolescents held positive attitudes toward cohabitation. Lastly, the adolescents demonstrated a growing acceptance of premarital counseling and psychoeducational interventions regarding marriage and family life.     

Psychotherapy with families of psychosomatic patients

Paradigmatic complexes in family psychotherapy have been indicating a revolutionary change and the creation of new paradigms for the past thirty years. Starting with the application of the general systems theory and the development of those concepts that have been emerging regarding psychosomatic illnesses we discuss the epistemological confusion created, the methodological problems and the dissociation between theory and practice. We suggest a double process of investigation of the family structure using a knowledge of the basic attitudes and the development of a psychotherapy programme within the family of the psychosomatic patient.