Profiles of wisdom among emerging adults: Associations with empathy,gratitude, and forgiveness

The objective of this cross-sectional study was to examine multidimensional profiles of wisdom among emerging adults. We expected individuals who displayed deeper perspective across multiple dimensions of wisdom to also report greatest adjustment in reports of empathy, gratitude, and forgiveness. Two hundred and sixty-three undergraduate students reported dispositional empathy, gratitude, and forgiveness. Participants also responded to situational vignettes concerning gratitude and forgiveness. Wisdom was measured by coding written advice to hypothetical dilemmas. Cluster analyses supported four wisdom profiles: ‘Procedure-Focused,’ emphasizing methods for addressing challenges; ‘Fact-Focused,’ accentuating factual knowledge; ‘Shallow Perspective,’ showing less perspective across all dimensions; and ‘Deep Perspective,’ showing greater perspective across all dimensions. Participants in the ‘Shallow Perspective’ profile reported less empathy than those in the ‘Deep Perspective’ and ‘Procedure-Focused’ profiles. There were no differences in gratitude and forgiveness across clusters. Results suggest that emerging adults who have more fully developed perspectives about life challenges show greater interpersonal strengths.     

The application of a domains‐based analysis to family processes: implications for assessment and therapy

Social domains are classes of interpersonal processes each with distinct procedural rules underpinning mutual understanding, emotion regulation and action. We describe the features of three domains of family life – safety, attachment and discipline/expectation – and contrast them with exploratory processes in terms of the emotions expressed, the role of certainty versus uncertainty, and the degree of hierarchy in an interaction. We argue that everything that people say and do in family life carries information about the type of interaction they are engaged in – that is, the domain. However, sometimes what they say or how they behave does not make the domain clear, or participants in the social interactions are not in the same domain (there is a domain mismatch). This may result in misunderstandings, irresolvable arguments or distress. We describe how it is possible to identify domains and judge whether they are clear and unclear, and matched and mismatched, in observed family interactions and in accounts of family processes. This then provides a focus for treatment and helps to define criteria for evaluating outcomes.     

Facilitating forgiveness in the treatment of infidelity: an interpersonal model

This article presents a unique clinical model of forgiveness developed specifically for use in the treatment of infidelity. The model focuses on forgiveness as a central component of the process of healing for couples who desire relationship reconciliation following an affair. Infidelity causes significant damage for couples and results in a loss of trust and relationship stability. However, couples can become reunified and trust may be restored as couples work through the process of forgiveness. Forgiveness is facilitated as therapists and clients focus on four unifying factors: empathy, humility, commitment and apology. Specific steps are outlined for therapists to help them guide clients through the process of forgiveness. The clinical application of the model is illustrated with a brief case example.     

Understanding Forgiveness as Discovery: Implications for Marital and Family Therapy

This article explores the concept of forgiveness in relationship systems and examines various conceptualizations and definitions found in the literature. Forgiveness is described as a complex psychological and relational process that is more a discovery than an act of will. A rationale for viewing forgiveness in a contextual, historical, and relational attachment paradigm is presented, and the association of forgiveness with empathy and emotional intelligence is discussed. Marital and family therapists are encouraged to attend to contextual family of origin issues and to facilitate an empathic relational environment where ambivalence is expected and tolerated for enhancing the process of forgiveness. Relevant clinical cases are shared to illustrate the process of forgiveness as discovery.     

Transforming or restraining rumination: The impact of compassionate reappraisal versus emotion suppression on empathy,forgiveness, and affective psychophysiology

We tested the effects of practicing compassionate reappraisal vs. emotional suppression as direct coping responses to victims’ ruminations about a past interpersonal offense. Participants (32 females, 32 males) were randomly assigned to learn one coping strategy which immediately followed three of six offense rumination trials (counterbalanced). For both strategy types, coping (vs. offense ruminating) reduced ratings of negative emotion, decreased the use of negative emotion language, and reduced tension at the brow muscle (corrugator EMG). Only compassionate reappraisal coping (vs. offense rumination) immediately prompted greater empathy and emotional forgiveness toward the offender. Empathy ratings for the first coping trial mediated the relationship between strategy type and empathy ratings for the final rumination trial. Compassionate reappraisal strategy participants increased their empathy toward the offender while ruminating at the end of the study. Compassionate reappraisal participants (vs. emotional suppression) described coping (vs. rumination) with more positive language, and also had calmer cardiac pre-ejection period responses.     

Forgiveness in Javanese collective culture: The relationship between rumination,harmonious value,decisional forgiveness and emotional forgiveness

Forgiveness in Javanese collective culture is examined by considering harmonious value (HV) a subjective value on maintaining social harmony and rumination. In Study 1, we conducted an exploratory sequential mixed‐method study to develop a scale measuring HV. In‐depth interviews with eight Javanese adolescents revealed three major domains of HV (Study 1a). In a second quantitative study (Study 1b), we developed items and assessed 347 Javanese adolescents in Yogyakarta, Indonesia. Principal component analysis and confirmatory factor analysis supported three factors: cooperation during conflict, forbearing and resolving conflict. After confirming that the translated scales had acceptable reliability, we conducted Study 2 with 424 Javanese adolescents from both urban and village settings. Using hierarchical multiple regression, we found that HV accounted for a variance in decisional forgiveness above and beyond rumination. In addition, decisional forgiveness also accounted for variance in emotional forgiveness above and beyond rumination. In fact, HV accounted for variance in emotional forgiveness above and beyond both rumination and decisional forgiveness together. This revealed the importance of valuing social harmony in this collectivistic culture. Moreover, decisional forgiveness was also important in predicting the Javanese collectivists’ emotional forgiveness.     

Attachment-based family therapy for depressed adolescents: programmatic treatment development

Few effective psychosocial treatment models for depressed adolescents have been developed, let alone ones that use the developmentally potent context of the family as the focus of intervention. Attachment-based family therapy (ABFT) is a brief, manualized treatment model tailored to the specific needs of depressed adolescents and their families. Attachment theory serves as the main theoretical framework to guide the process of repairing relational ruptures and rebuilding trustworthy relationships. Empirically supported risk factors for depression are the primary problem states that therapists target with specific treatment strategies or tasks. Parent problem states include criticism/hostility, personal distress, parenting skills, and disengagement. Adolescent problem states include motivation, negative self-concept, poor affect regulation, and disengagement. Intervention tasks include relational reframing, building alliances with the adolescent and with the parent, addressing attachment failures, and building competency. A small, randomized clinical trial provides initial support for the model. Several process research studies, using both qualitative and quantitative methods, have helped refine the clinical guidelines for each treatment task. ABFT is a promising new treatment for depressed adolescents and more research on it is warranted.     

Therapeutic alliance and progress in couple therapy: multiple perspectives

Therapeutic alliance research in couple therapy using multiple perspectives and longitudinal data has been sparse. This study used structural equation modelling to explore relationships between changes in alliance and in progress from clients' and therapists' perspective in a fairly large sample of couples (N=195) during the initial stage of therapy at an on‐campus training clinic. Self‐rated alliance was measured after sessions 2 through 4 with the Working Alliance Inventory. There was very little change in alliance over the early sessions of therapy, and changes in alliance did not always account for changes in relationship satisfaction. Husbands' perceptions of satisfaction and alliance seem to play an important role in the dynamics of the therapeutic process. Findings suggest a reciprocal relationship between perceptions of alliance and progress in therapy when combining perceptions of therapists and couple clients. Clinical implications and future research are discussed.     

Assessing the role of aggression,empathy, and self‐serving cognitive distortions in trait emotional manipulation

This study extended the examination of the predictors of emotional manipulation. Participants (N = 243) completed measures of trait emotional manipulation, emotional intelligence, social skills, psychopathy, aggression, empathy, and self‐serving cognitive distortions in a cross‐sectional correlational design. For males, higher levels of emotional intelligence, social information processing, indirect aggression, and self‐serving cognitive distortions significantly predicted emotional manipulation. For females, being younger, higher levels of emotional intelligence, indirect aggression, primary psychopathic traits, and lower levels of social awareness significantly predicted emotional manipulation. However for females, emotional intelligence acted as a suppressor. These findings support previous indications that the mechanisms behind emotional manipulation differ as a function of gender. Future research could include ability, rather than trait measures of emotional manipulation, as well as the role of context (such as intimate relationships or workplace environments), thereby allowing additional examination of the nomological network of emotional manipulation.     

Meta-analytic connections between forgiveness and health: the moderating effects of forgiveness-related distinctions

Objective: We explore meta-analytic associations between health and forgiveness, testing a number of potential theoretical and methodological factors that could alter that association, including the type of forgiveness measure (e.g. state vs. trait), the type of health measure (i.e. physical vs. psychological) and the target of forgiveness (e.g. self- vs. other-forgiveness).

Design: Our findings below reflect the meta-analysis of 103 independent samples consisting of 606 correlations with a total sample of 26,043 participants. The final sample included papers from 17 countries. The included samples were diverse including students, older adults, divorced mothers, combat veterans and others.

Main Outcome Measures: Various health measures, including physical health outcomes (e.g., blood pressure, cortisol levels, bodily pain) and psychological health outcomes (e.g., depression, anxiety, PTSD).

Results: We found a reliable overall association between forgiveness and health outcomes. The association was stronger for psychological health than for physical health, though associations with cardiovascular health indicators (i.e. heart-rate and blood pressure) were robust.

Conclusion: The findings provided considerable support to current theorizing about the health benefits of forgiveness. It is plausible that forgiveness might improve psychological health and reduce cardiovascular stress.     

Association between attachment insecurity and couple adjustment: Moderation by couple memory networks

This study investigated whether couple‐related memories and their organization in memory networks could act as cognitive resources to protect against the negative impact of insecure attachment on couple adjustment. In two studies (n1 = 153, n2 = 567), participants in a romantic relationship described a significant couple‐related memory and provided networked memories associated with their couple‐related memory, to assess its organization in the memory system, and rated each memory for its level of need satisfaction. Findings across the two studies revealed significant moderations of need satisfaction in couple‐related memory networks, such that a higher level of satisfaction need within couple‐related memory networks was associated with a reduced negative association of attachment anxiety and avoidance with couple adjustment. When examined separately, it was shown that need‐satisfying networked memories, but not main couple‐related memories, moderated the negative association of insecure attachment with couple adjustment.     

Developing an indicator of family function and a practicable outcome measure for systemic family and couple therapy: the SCORE

There is a need for a measure of outcome in systemic family and couples therapy (SFCT) that reflects current theory and practice. To meet the needs of SFCT practice the measure needs to use self‐report by family members, take a short time to complete and be easy to understand. The development of such a measure, called the SCORE, is reported in this article. Substantial piloting, consultation and review in terms of clinical judgement led to the construction of the SCORE 40 which has forty items about how the family functions, rated by family members over 11 years of age on a Likert scale, in addition to independent ratings of the family and its difficulties. The SCORE 40 is shown to be a viable instrument but is too substantial for everyday clinical use. In a research project to reduce and refine the measure and determine its psychometric properties the SCORE 40 was administered to 510 members of 228 families at the start of their first appointment for family therapy at clinics throughout the UK. The scale has good psychometric properties and could operate with either three or four dimensions. The analyses of these data, combined with data from a convenience sample of 126 non‐clinical families, allowed a reduction to fifteen items while retaining most of the information provided by the SCORE 40. This version is offered with three dimensions of: (1) Strengths and adaptability; (2) Overwhelmed by difficulties; and (3) Disrupted communication. It is hoped that the ready availability of the SCORE 15 will encourage routine evaluation of outcomes in clinics as well as the SCORE being used flexibly for both therapy and research.     

Program for advanced studies in integrative psychotherapy: Family,couple, and individual therapy (an interdisciplinary program)

This article describes briefly an advanced program in integrative marital and family therapy and individual psychotherapy established at the Hebrew University of Jersusalem in 1993–94 and its first two years of successful operation.     

Clinician experiences of homework in couples and family therapy: A survey of perceived impact on the working alliance

The process of engaging clients in homework assignments has been studied extensively in research settings, but rarely have the challenges in the implementation of the science been considered in couples and family therapy. A survey was conducted of 226 clinicians regarding (1) their experience of homework adherence (quantity and quality) with couple and family clients, and (2) their experience of the impact of homework non-completion (IHN) on the working alliance. Clinicians working with families reported less overall homework quantity and quality. However, across both couples and family clients, more negative IHN was reported among clinicians experiencing less homework quantity, both in terms of IHN bond (couple ρ = 0.71, p < 0.001; family ρ = 0.78, p < 0.001) and IHN agreement (couples ρ = 0.25, p < 0.001; ρ = 0.19, p = 0.006), and among clinicians with fewer years of clinical experience (r = 0.19, n = 136, p < 0.05). The present findings suggest that, in the context of couples and family therapy, there is a risk of perceived negative IHN on the working alliance. There would be merit to future investigations examining the processes of facilitating homework engagement within the context of a strong working alliance.     

I and thou in dialogue: Becoming more relational in couple therapy

Couple therapists have the unique and challenging opportunity of helping people find deeper connection in their intimate relationships. These clinicians apply therapeutic models and interventions designed to help couples. However, many of these models are derived from theoretical, scientific, and sociocultural traditions that conceptualize human phenomena as individualistic and reductionistic, and the language in these theories may not match clients' experiences, which include deeply relational phenomena such as love and loss. We review how Western scientific and sociocultural traditions have shaped conceptualization of problems and clinical intervention in couple therapy. In contrast, we provide an alternative, strongly relational framework for couple therapy that draws upon philosophical perspectives asserting that relational, rather than individual, experience is fundamental in human interaction. These ideas provide relational language which can influence how couple therapy is viewed and enacted. Specifically, we discuss how a strongly relational approach changes how therapists understand and intervene with conflict, abuse, love, and deception. This relational framework can help couples in their own goals to become more unified. Implications for the therapeutic relationship, interventions, and scholarship are provided.     

Therapist empathy,homework compliance,and outcome in cognitive behavioral therapy for generalized anxiety disorder: partitioning within- and between-therapist effects

Although client-perceived therapist empathy relates to positive therapy outcomes, including in cognitive behavioral therapy (CBT), little is known about how empathy exerts its ameliorative effect. One possible way is by promoting clients’ subsequent homework compliance, a variable that also predicts positive outcomes in CBT. The present study sought to investigate simultaneously, in the context of 43 therapist–client dyads receiving 15 sessions of CBT for generalized anxiety disorder, (1) the association of early client-perceived therapist empathy (averaged over sessions 1, 3, 5) with mid-treatment client homework compliance (averaged over sessions 6, 8, 10); (2) the association of mid-treatment homework compliance on client posttreatment worry severity; and (3) the indirect effect of early perceived therapist empathy on posttreatment worry through mid-treatment homework compliance. Given that clients were nested within therapists, we examined both within- and between-therapist differences in clients’ ratings of therapist empathy and homework compliance, and tested both of these indices as predictors of the relevant dependent variables in a multilevel model. At the within-therapist level (i.e., differences between clients within a given therapist’s caseload), greater early empathy was associated with greater mid-treatment homework compliance. At the between-therapist level (i.e., differences between therapists across all of their cases), greater between-therapist homework compliance was related to lower posttreatment worry. Finally, homework compliance was not found to mediate the relationship between empathy and posttreatment outcome. The results underscore the importance of parsing client and therapist effects, and are discussed with regard to their training and research implications.     

D.H. Lawrence's The daughter-in-law: Transforming a family system

Abstract

D.H. Lawrence's play The daughter-in-law, written in 1912, explores underlying, implicit conflict within a family. Set in a small mining town in England, the family consists of Mrs. Gascoyne, her sons Luther and Joe, and her daughter-in-law, Minnie, Luther's wife. The central conflict is between Mrs. Gascoyne and Minnie, who challenges her mother-in-law's control over her sons, who also compete with each other for the love and recognition of their mother. Joe, the youngest son, perturbs the family system and acts as a mediator, functioning as a family therapist. He sets a process in motion through which the rigid family alliances are challenged and ultimately realigned. Mrs. Gascoyne's self-image as a perfect, self-sacrificing, self-righteous mother ultimately is transformed, and she accepts Minnie as a family member. Brandchaft's concept of “pathological accommodation” explicates how enmeshed family members can collide, and thereby stultify their personal development. As Joe plays his role of “family therapist,” the family dynamic changes. Through the process of rupture and repair, each family member begins to recognize the needs of the other, and thereby a path for differentiation, individuation, and autonomy becomes possible for them.