A study of the differential effects of Tomm's questioning styles on therapeutic alliance

To replicate and extend Dozier's (1992) test of Tomm's hypothesis about the differential effects of questioning styles on therapeutic alliance, an analogue study was conducted. Twenty-eight family triads, each including a son and his parents, viewed four videotaped, simulated family therapy scenarios in which Tomm's four questioning styles were separately portrayed. Participants were asked to identify with the client whose role corresponded to theirs (that is, father, mother, or son) and, on the basis of this, to rate the client's alliance with the therapist. They were also asked to rate the overall alliance between the family and the therapist. Finally, having viewed all four scenarios, they were invited to rate comparatively the quality of the therapeutic alliance across the four questioning styles. Compared with strategic and lineal questioning styles, circular and reflexive questions led to higher ratings of therapeutic alliance on all three measures. The results of this study support Tomm's hypothesis that questioning styles based on circular assumptions lead to a better therapeutic alliance at an individual and systemic level than do questions based on lineal assumptions.     

Interventive Interviewing: Part I. Strategizing as a Fourth Guideline for the Therapist

A clinical interview affords far more opportunities to act therapeutically than most therapists realize. Because so many of these opportunities remain outside the therapist's conscious awareness, it is useful to elaborate guidelines that orient his or her general activity in directions that are liable to be therapeutic. The Milan associates defined three such basic guidelines: hypothesizing, circularity, and neutrality. Hypothesizing is clear and easy to accept. The notions of circularity and neutrality have aroused considerable interest but are not as readily understood. These guidelines may be clarified and operationalized when reformulated as conceptual postures. This process is enhanced by differentiating a fourth guideline, strategizing, which entails the therapist's decision making, including decisions about how to employ these postures. This paper, the first in a series of three, explores these four interviewing guidelines. The other papers will appear in a subsequent issue. Part II will focus on reflexive questioning, a mode of inquiry oriented toward mobilizing the family's own healing capacity. Part III will provide a scheme for analyzing and choosing among four major types of questions: linear questions, circular questions, reflexive questions, and strategic questions.     

Interventive Interviewing: Part III. Intending to Ask Lineal,Circular, Strategic,or Reflexive Questions?

Every question asked by a therapist may be seen to embody some intent and to arise from certain assumptions. Many questions are intended to orient the therapist to the client's situation and experiences; others are asked primarily to provoke therapeutic change. Some questions are based on lineal assumptions about the phenomena being addressed; others are based on circular assumptions. The differences among these questions are not trivial. They tend to have dissimilar effects. This article explores these issues and offers a framework for distinguishing four major groups of questions. The framework may be used by therapists to guide their decision making about what kinds of questions to ask, and by researchers to study different interviewing styles.     

Increasing Deception Detection Accuracy with Strategic Questioning

One explanation for the finding of slightly above‐chance accuracy in detecting deception experiments is limited variance in sender transparency. The current study sought to increase accuracy by increasing variance in sender transparency with strategic interrogative questioning. Participants (total N = 128) observed cheaters and noncheaters who were questioned with either indirect background questions or strategic questioning. Accuracy was significantly below chance (44%) in the background questions condition and substantially above chance (68%) in the strategic interrogative questioning condition. The results suggest that transparency can be increased by strategic question asking and that accuracy rates well above chance are possible even for untrained judges exposed to only brief communications.     

Questioning as an instructional method: Does it affect learning from lectures?

What can be done to improve student engagement and learning in college lectures? One approach is to ask questions that students answer during the lecture. In two lab experiments, students received a 25‐slide PowerPoint lecture in educational psychology that included four inserted multiple‐choice questions (questioning group) or four corresponding statements (control group). Students in the questioning group used a personal response system (PRS), in which they responded to questions using a hand‐held remote control, saw a graph displaying the percentage of students voting for each answer, and heard the teacher provide an explanation for the correct answer. Students in the control group received the corresponding slide as a statement and heard the teacher provide an explanation. The questioning group outperformed the control group on a retention test in Experiment 1 (d = 1.23) and on a transfer test in Experiment 2 (d = 0.74), but not on other tests. The results are consistent with a generative theory of learning, and encourage the appropriate use of questioning as an instructional method. Copyright © 2008 John Wiley & Sons, Ltd.     

Dimensions of family rituals across two generations: relation to adolescent identity.

Family rituals are considered part of a generational process that fosters a sense of identity for individual members and is reflective of the family's shared belief system. The symbolic significance attached to family rituals is considered central to the force of family rituals. Three questions were addressed in the study: (1) Are the dimensions of family rituals viewed similarly across generations?; (2) Is level of ritualization related to adolescent identity?; (3) If there is disagreement about the relative level of ritualization in a family, is there a negative relation to adolescent identity? A total of 77 families with an adolescent member completed the Family Ritual Questionnaire, and the adolescents completed a measure of self-esteem. Results of a factor analysis demonstrated shared representation of family rituals across two generations, with one factor loading on the symbolic qualities of family rituals and the second factor loading on the routine aspects of family rituals. Positive relations were found between adolescent identity and the family's report of symbolic significance and affect associated with family rituals. A negative relation was found between mother-adolescent disagreement about family rituals and adolescent feelings of belonging. Distinguishing between meaning and routine aspects of family rituals is discussed as well as clinical implications.     

Does History End with Postmodernism? Toward an Ultramodern Family Therapy*

Although the end of history has often been announced, human thought continues to renew itself, always incorporating, in each of its stages, important aspects of what has come before. In this sense, neither family therapy in general, nor its more particular postmodern orientations, have led to a radical break with the past. Neither can they claim to have reached a comfortable, definitive position. The subjectivist turn that introduced postmodernism into the systemic model has enriched it with important theoretical and practical elements, such as the critique of a therapist's supposed objectivity, circular and reflexive questioning, or the technique of externalization. This article proposes to take the renewal of systemic family therapy farther by addressing still unresolved issues, such as the role of the individual in relational systems, the place of emotions, or the construction of a relational psychopathology. The term "ultramodern family therapy" is proposed until such time as there is agreement upon a better one.     

Therapist response modes in the exploration stage: timing and effectiveness

In an investigation of the exploration stage of single counselling sessions with 26 anxious female volunteer clients and 13 female doctoral student therapists, no overall association was found between client narrative processing modes and subsequent therapist verbal response modes. There was evidence in a third of the sample for an association between therapist response modes and subsequent client narrative modes, such that clients used more internal than external or reflexive narrative processing modes when therapists used open questions about feelings and reflections of feelings. Client and therapist helpfulness ratings did not differ for different therapist response modes or client narrative process modes. Hence, overall results suggested that all four therapist response modes (open questions about thoughts, open questions about feelings, restatements, reflections of feelings) are effective during the exploration stage.     

Coaching preferences of adolescent youths and their parents

Abstract

This study compared preferred coaching styles of children and their parents using the Leadership Scale for Sport (LSS; Chelladurai & Saleh, 1980). The LSS preferred form was revised and then administered to children ranging from 10 to 18 years of age who competed in summer youth sport leagues and to one parent within each family unit (n = 239). A doubly multivariate repeated measure MANOVA revealed a significant multivariate difference for adolescent athletes and their parents on the five subscales of the LSS. Discriminant function and univariate analyses indicated that male and female children and their parents differed on autocratic and democratic behavior and children had a significantly higher score on democratic behavior and social support than did their parents. Parents, coaches, and researchers in youth sports could use the revised LSS to determine children-athletes’ preferences for coaching styles and for developing more effective programs.     

The effect of questioning on young children's memory for an event

The effect of adult questioning on young children's memory for an event was examined. Three groups of 4- and 5-year-old children experienced two special events. The questioning group was then asked a set of questions about one of the events on four different occasions over a 7-week period. At the end of the 7 weeks, all children were tested for recall of the two events. The experience of answering questions enhanced the memory performance of the children in the questioning group. However, comparison of the performance of the questioning group with that of two control groups showed that their memory improvement was extremely specific: (a) The questioning group did better only on the specific questions they had been repeatedly asked, (b) There was no general enhancement of recall; they were no better on new questions about the same event, (c) The enhancement was not specific to the experience of retrieving information from long-term memory; the performance of a control group with no long-term memory demands was almost identical to that of the questioning group. The results of this study support the view that adult questioning of young children enhances memory for the specific information about which questions have been asked, but it does not have generalized effects on memory performance or development.     

Therapeutic Assessment With an Adolescent: Choosing Connections Over Substances

This case study provides an in-depth example of a comprehensive therapeutic assessment with an adolescent (TA–A) and his parents. The TA–A addressed parental concerns about their son's drug experimentation as well as the adolescent's own private questions about his distinctiveness from others, all set against a backdrop of ongoing parental conflict and poor communication. The TA–A process and how it is specifically tailored to balance the needs of adolescents and their parents is discussed. Subsequently, each step of TA–A is illustrated through the case study. Research findings at the conclusion of the assessment and at follow-up indicated significant decreases in internalizing symptomology and school problems, increases in self-esteem and self-reliance, and improved family functioning as reported by the adolescent. At follow-up, the father spoke of developing a more assertive parenting approach and successful follow-through on recommendations. This case study provides a template for clinicians interested in conducting TA–A.     

Questions as Interventions: Perceptions of Socratic, Solution Focused, and Diagnostic Questioning Styles

A videotaped psychotherapy analogue compared psychology trainees' (n = 67) and undergraduate non-therapists' (n = 115) perceptions of three theoretically derived questioning styles: Socratic disputation in Rational Emotive Behavior Therapy (REBT), solution focused questioning (e.g. the miracle question), and diagnostic interviewing. Non-therapists rated REBT and diagnostic styles more highly than psychology trainees. All subjects rated solution focused questioning more highly than both other styles, perceiving it as more collaborative and conducive to the client's independent thinking. The constructs of collaborative empiricism and solution focused cooperation are discussed in relation to findings. The study also compared psychology trainees' and non-therapists' Big Five personality profiles, a topic which has not previously been addressed in the literature. Psychology trainees were higher in Big Five Openness and Agreeableness than non-therapists. Openness was negatively associated with ratings for solution focused and diagnostic questioning styles, replicating findings of previous analogue studies, in which undergraduate subjects preferred straightforward approaches to therapy.     

Ethical beginnings: Reflexive questioning in designing child sexuality research

Background: Counselling young children referred for sexualised behaviour can challenge therapists' ideas about childhood and sexuality. This area of practice is complex and sensitive, and calls upon collaboration with a range of significant adults in children's lives. Purpose: This paper examines a researcher's process of movement from counselling practice into qualitative research practice, and the use of reflexive questioning to explore ethical issues within the study. Design: Shaped by social constructionist ideas and discourse theory, ethical questions are outlined within the design stage of a doctoral research project on sexuality in children's lives in Aotearoa New Zealand. Limitations: This paper explores ethics in the design of a current study: there are no results or conclusions.     

Family factors related to adolescent autonomy

This paper analyzes the role that the family plays in the development of adolescent autonomy. Three family factors are analyzed in relation to the development of adolescent autonomy; parenting styles, family interaction, and transitions related to the family life cycle.     

Using circular questions to explore individual family member experiences of youth gender dysphoria in Australia

Abstract

Background: The number of young people reporting gender dysphoria is increasing worldwide, with gender dysphoria known to affect everyone in the family in unique ways. Previous research has highlighted the importance of family support and understanding; however, much less is known about individual and collective family member experiences, particularly for siblings under the age of 18?years.

Aims: This study sought to identify, describe and interpret individual family member experiences of youth gender dysphoria using semi-structured interviews, incorporating circular questioning, within a whole of family, clinical and wider social context.

Methods: Thirty-five individual family members living in Australia (nine young people aged 12-17?years experiencing gender dysphoria, 10 mothers, eight fathers, and eight siblings aged 11-17?years) were interviewed, exploring positive and negative experiences of youth gender dysphoria, within and outside of the family. Family relationships, support and healthcare experiences were also explored.

Results: All participants reported a mixture of positive and negative experiences of youth gender dysphoria. Levels of acceptance tended to change with the duration of transition, with most family members adapting with time. Siblings reported mixed experiences within the same family, with some struggling to adapt. Most family members felt that including the whole family in the healthcare of the young person was important, although dependent on individual circumstances and family context. Specialist gender care experiences were unanimously positive, although services were considered difficult to access.

Discussion: Family members reported shared and individual positive and negative experiences of youth gender dysphoria across social contexts. Accepting and facilitating gender transition for young people appeared to improve individual and family functioning. Most participants valued a whole of family approach within specialist healthcare. The use of circular questioning in the study helped dispel assumptions and facilitated curiosity for others’ experiences in the family.     

Identity status and perceived parenting style in adolescents living in central South Africa

This study investigated the relationship between black South African adolescents’ identity statuses and their perceived parenting styles. Participants (n = 188; 66% = females) were from central South Africa. They completed the Objective Measure of Ego Identity Status and the Parental Authority Questionnaire in addition to a biographic survey that included questions on their family structures (nuclear, extended, other types). Findings suggest that diffused and achieved identity statuses relate to perceived authoritative and permissive parenting styles respectively. Results bring into question the universality of Western identity development and parenting style theories.     

The Social Ecology of Parental Monitoring: Parent–Child Dynamics in a High‐Risk Peruvian Neighborhood

While parental monitoring is understood to protect adolescents from engaging in risk behaviors, little is known about how the family dynamics involved in parental monitoring differ across sociocultural contexts. We sought to gain an in‐depth understanding of parent–child relationship dynamics and parental knowledge of adolescents’ activities in an urban Peruvian neighborhood with high levels of crime and adolescent substance use. We conducted 15 in‐depth interviews and two focus groups with adolescents and 12 in‐depth interviews with mothers sampled from a secondary school in Callao, Peru. Our findings emphasize the importance of parent–child confianza (trust) as a foundation for parental awareness of adolescents’ lives and activities. Participants in our sample characterized confianza as encouraging adolescent disclosure and shaping how parental solicitation and rules were interpreted by adolescents. Participants described how confianza was rooted in features of the parent–child relationship, including shared parent–child time, parental affection, adolescent perceptions of parents’ ability to give good advice, and awareness of how parents would react to delicate topics. Participants linked these family dynamics, in turn, to economic hardship, parental feelings of sacrifice and stress, perceptions of neighborhood risk, and gender norms limiting fathers’ involvement in caregiving. Results have implications for the planning and adaptation of family‐based prevention programs for use in high‐risk contexts in Latin America.     

Self‐Concept Clarity in Adolescents and Parents: A Six‐Wave Longitudinal and Multi‐Informant Study on Development and Intergenerational Transmission

The purpose of this study was twofold: (a) to disentangle patterns of change and stability in self‐concept clarity (SCC) in adolescents and in their parents and (b) to examine processes of intergenerational transmission of SCC in families with adolescents. Participants were 497 Dutch families including the father (baseline M_age = 46.74), the mother (baseline M_age = 44.41), and their adolescent child (56.9% males; baseline M_age = 13.03). Each family member completed the SCC scale for six waves, with a one‐year interval between each wave. Latent growth curve analyses indicated that adolescent boys reported higher SCC than girls. Furthermore, fathers and mothers reported higher SCC than their children, and it increased over time. Indices of SCC rank‐order stability were high and increased from T1 to T2, T2 to T3, etc., for each family member, especially for adolescents. Multivariate latent growth curve analyses and cross‐lagged models highlighted a unidirectional transmission process, with fathers’ and mothers’ SCC influencing adolescents’ SCC. This result was not moderated by adolescent gender. These findings indicate that self‐concept clarity is transmitted from parents to children.