Rural Marriage and Family Therapists: A Pilot Study

Marriage and family therapists practice in more than a third of the rural counties in the United States. However, little is known about the practice patterns of marriage and family therapists who practice in rural settings. This pilot study examined the clinical practice and community involvement of a sample of licensed marriage and family therapists in rural Texas. The results contribute to a small but developing body of research about a relatively unknown group of practitioners.     

A Cross-National Study of Family Therapy Training: A Collaborative Pilot Project

We examine family therapy training from the perspective of a sample of 99 family therapists from the United States and another 101 from a total of six countries (Colombia, India, Iran, Indonesia, the Philippines, and two regions of China, mainland China and Taiwan). We compared the responses of the United States sample to that of the other countries, both individually (for trends) and as a combined group. We found differences in training experiences both within and between countries, and discuss the implications of our findings for the continued development of family therapy training and the professionalization of the field in the countries studied.     

Forgiveness and Interpersonal Relationships: A Nepalese Investigation

ABSTRACT

The present study examined the practice of forgiveness in Nepal. A model relating collectivism and forgiveness was examined. Participants (N = 221) completed measures of collectivism, individualism, forgiveness, conciliatory behavior, and motivations for avoidance and revenge toward the offender. Collectivism was positively related to forgiveness. Forgiveness was strongly related to conciliatory behavior and motivations for avoidance and revenge toward the offender. Decisional forgiveness was a stronger predictor of motivations for revenge than was emotional forgiveness.     

Family Dynamics and Changes in Sibling of Origin Relationship After Lesbian and Gay Sexual Orientation Disclosure

Despite the knowledge that the entire family system plays a role in the development of an individual, research on the disclosure of LG sexual orientation to the family of origin is mostly concentrated on the parental reaction. Siblings are rarely a focus of such research. Thus, the purpose of this qualitative study was to provide an understanding of the experiences of 14 heterosexual biological siblings of LG persons after they learn that their sister or brother is LG. More specifically, this study explored the changing family dynamics with a focus on the sibling of a LG sister or brother and the ways in which sexual orientation disclosure affects the sibling relationship. Data analysis identified ten themes: personal reaction to disclosure, suspecting sibling was LG based on stereotyping, protectiveness/concern, gay equals being different, anger/disappointment in how parent(s) handled LG sibling coming out, sibling relationship changes, increased comfort with having a LG sibling, disclosure of LG sibling sexual orientation to others, dealing with and challenging heterosexism, and changes to self as a result of sibling sexual orientation.     

Treating Obsessive-Compulsive Disorder in Intimate Relationships: A Pilot Study of Couple-Based Cognitive-Behavior Therapy

Although cognitive-behavioral therapy (CBT) involving exposure and response prevention (ERP) is an established treatment for obsessive-compulsive disorder (OCD), not all patients respond optimally, and some show relapse upon discontinuation. Research suggests that for OCD patients in close relationships, targeting relationship dynamics enhances the effects of CBT. In the present study, we developed and pilot tested a 16-session couple-based CBT program for patients with OCD and their romantic partners. This program included (a) partner-assisted ERP, (b) techniques targeting maladaptive relationship patterns focal to OCD (e.g., symptom accommodation), and (c) techniques targeting non OCD-related relationship stressors. OCD, related symptoms, and relationship functioning were assessed at baseline, immediately following treatment (posttest), and at 6- and 12-month follow-up. At posttest, substantial improvements in OCD symptoms, relationship functioning, and depression were observed. Improvements in OCD symptoms were maintained up to 1 year. Results are compared to findings from studies of individual CBT for OCD and discussed in terms of the importance of addressing interpersonal processes that maintain OCD symptoms.     

China's Marriage Law: A Model for Family Responsibilities and Relationships

China's Marriage Law of 1981 is presented with a brief commentary. The law encompasses the responsibilities of spouses, parents, children, grandparents, and siblings to one another. The new law is contrasted with the 1950 Marriage Law, which prohibited such feudal practices of former times as arranged marriages and child betrothals. The 1981 law is concerned with equality and the lawful needs of women, children, and the aged. Family planning is encouraged. Divorce is made easier to obtain. Adoptees and stepchildren are provided for. The law provides a legislative model for personal relationships.     

Quality of Family Relationships as Protective Factors of Eating Disorders: An Investigation Amongst Italian Teenagers

The study here presented aims to investigate the links between quality of family relationships and some prodromes in eating disorders. A sample of 1,083 subjects took part in the study by filling PBI, FACES and EDI questionnaires. In order to clarify the role played by family relationships in the onset of EDs, two subgroups (high risk–low risk) were individuated by using the EDI cut-offs as discriminator factors and tested separately from the main sample. The results revealed some significant relationships between the analysed dimensions. It was shown that by increasing the values from the parents’ caring style scale and the real family’s cohesiveness scale the probability for subjects to fall into the high risk group decreases. Also, by increasing the family adaptability’s values, an increase of the probability for subjects to fall into the high risk group occurs. These results support the implementation of preventive and therapeutic plans to promote health and quality of life of adolescence.     

Looking into the One‐way Mirror: A Pilot Study on the Impact of Reflecting Teams on Family Members

Reflecting Teams (RTs) are an internationally recognized clinical consultation methodology, first developed by Tom Andersen in 1985. Over the last three decades, family therapists around the world have used RTs to enhance treatment. However, this innovation to family therapy practice is not well‐standardized nor evaluated. The pilot study described in this article is an attempt to expand on the previous studies on RTs, and quantitatively examines RTs conducted with family therapy participants at a university medical center psychiatric institute. Preliminary analyses indicate that after participating in a single RT, family members may feel more hopeful, believe they can better support each other in times of stress, have more confidence in working together, and resolve conflicts. Additionally, the analyses suggest that family members may feel better understood and have more ideas about how to have a conversation with their family members, even though, after the RT, they may not view their family differently. These preliminary results suggest that further studies should explore the influence of RTs on family functioning.     

Scene-Based Psychodramatic Family Therapy With Troubled Adolescents and Parents: A Pilot Study

Scene-Based Psychodramatic Family Therapy (SB-PFT) is an innovative treatment used with troubled adolescents and their parents to improve family relationships and reduce adolescents’ problematic behavior. It integrates the principles of family therapy, psychodrama, and multiple-family group methodology. This research is a pilot study to obtain empirical evidence on the SB-PFT therapeutic process by gauging the perception of change of troubled adolescents and their parents, and assess the perceived helpfulness of its methodology and techniques. Ten multiple-family intervention groups were drawn up, with 110 participants (63 adolescents and 47 parents), and we adopted a qualitative methodology with focus groups, using an inductive analysis of 290 active constructions of participant narratives. Concerning perception of change, the adolescents reported mainly gaining in social support, prosocial attitudes, keys to problem solving, and expression of emotions due to the treatment. The parents perceived improvement in social support, keys for educational practices, emotional well-being, and expression of emotions due to the treatment. Regarding the perceived helpfulness of methodology and techniques, both adolescents and parents highlighted the usefulness of the group methodology for gaining social support, relativizing the problem, and expressing emotions. Additionally, participants referred to role-playing and mirror techniques as the most useful techniques. In conclusion, this first study on SB-PFT presents and describes its treatment for troubled adolescents and their parents. The participants’ positive perception of their personal and relational change after treatment should serve to promote further studies with quantitative methodology in order to verify the effectiveness of SB-PFT treatment.     

Informed Consent in Asymmetrical Relationships: an Investigation into Relational Factors that Influence Room for Reflection

In recent years, informed consent has been suggested as a way to deal with risks posed by engineered nanomaterials. We argue that while we can learn from experiences with informed consent in treatment and research contexts, we should be aware that informed consent traditionally pertains to certain features of the relationships between doctors and patients and researchers and research participants, rather than those between producers and consumers and employers and employees, which are more prominent in the case of engineered nanomaterials. To better understand these differences, we identify three major relational factors that influence whether valid informed consent is obtainable, namely dependency, personal proximity, and existence of shared interests. We show that each type of relationship offers different opportunities for reflection and therefore poses distinct challenges for obtaining valid informed consent. Our analysis offers a systematic understanding of the possibilities for attaining informed consent in the context of nanomaterial risks and makes clear that measures or regulations to improve the obtainment of informed consent should be attuned to the specific interpersonal relations to which it is supposed to apply.     

A Psycho-Educational Intervention for People with a Family History of Depression: Pilot Results

We developed and pilot-tested the first online psycho-educational intervention that specifically targets people with a family history of depression (‘LINKS’). LINKS provides genetic risk information and evidence-rated information on preventive strategies for depression and incorporates a risk assessment tool and several videos using professional actors. LINKS was pilot-tested in the general practitioner (GP) setting. The patient sample included people with a family history of at least one first-degree relative (FDR) with major depressive disorder (MDD) or bipolar disorder (BD). Patients attending participating GP practices were invited to enroll in the study by letter from their GP. Patients who self-identified as having at least one first-degree relative (FDR) with MDD or BD were eligible. Patients completed questionnaires, pre-post viewing LINKS, with measures assessing satisfaction, relevance, emotional impact and perceived improvement of understanding. Six GP practices participated, and 24 patients completed both questionnaires. Of these, all reported that they were satisfied or very satisfied with LINKS, and 74 % reported that LINKS met their expectations, and 21 % that it exceeded their expectations. LINKS was judged highly acceptable by this sample of GP attendees, and results indicate that an assessment of its effectiveness in a larger controlled trial is warranted.     

In Our Lives and Under Our Skin: An Investigation of Specific Psychobiological Mediators Linking Family Relationships and Health Using the Biobehavioral Family Model

The objective of this study was to use the Biobehavioral Family Model (BBFM) to delineate which psychophysiological variables link romantic and family relationship satisfaction variables to health outcomes. Data from individuals who reported being partnered from the second wave of the National Survey of Midlife Development in the United States (MIDUS II), Project 4 (n = 812) were used to test a structural equation model which explored which psychophysiological variables potentially mediated associations between positive and negative family emotional climate variables and disease activity. This model found that current and past family variables had larger associations with the psychophysiological variables than romantic partner variables; depressive symptoms, anxiety, and inflammation partially mediated associations between family relationships and health; and, contrary to the hypotheses, romantic partner and family support were linked to worse health outcomes. However, the findings should be viewed with regard to the cross‐sectional design of the study. Overall, the findings support the use of the BBFM as a model that can guide clinical interventions.     

家庭关系对青少年自伤的影响路径:一项序列中介效应分析

采用问卷法对湖南省6所中学2800名学生进行调查,探究家庭无效环境和青少年对父母冲突的认知评价在父母冲突与青少年自伤间的序列中介作用。结果表明:(1)冲突程度与解决情况能显著正向预测青少年自伤。(2)冲突程度对青少年自伤的影响有2条路径:直接影响及家庭无效环境的中介作用。(3)解决情况对青少年自伤的影响有4条路径:直接影响,家庭无效环境的中介作用,涉己冲突的中介作用,家庭无效环境与涉己冲突的序列中介作用。     

Family Peer Advocates: A Pilot Study of the Content and Process of Service Provision

Professional family peer advocates are increasingly employed by public mental health systems to deliver family-to-family support that reduces barriers families face in accessing children’s mental health care. These services, however, are neither uniformly available nor standardized. This pilot study describes the process, content and context of family-to-family support services. Simulating a parent seeking services, a trained standardized parent participated as a client in meetings with advocates in four programs and collected data through structured observations, a structured survey, and session audiotapes. The “walk-through” process was determined to be feasible and acceptable to family peer advocates as a way of evaluating services. Four family peer advocates provided an average of 25 services during each 2-session simulation with the standardized parent, including the following: information and educational support, instruction and skills development, emotional and affirmational support, instrumental support, and advocacy. Findings also revealed variability in the range of services provided and identified challenges in aspects of service provision, such as boundaries of advocate roles, availability of confidential service environments, and addressing crises and parent concerns about child safety. This paper provides the first in-depth look at services provided by this emerging workforce.     

高一学生的错题管理行为

在三次团体焦点访谈基础上自编高中生错题管理行为调查问卷,对内蒙古某中学110位高一学生被试的错题管理行为进行了调查。结果表明:(1)高一学生被试普遍认识到了错题对于学习的影响,从情感上不回避错题,但对错题的价值认识不足,尤其缺乏良好的错题管理的意识与系统的错题管理策略;(2)学优生在错题管理观念与态度上显著优于普通生;(3)学优生与普通生在错题管理行为与策略上不存在显著差异。在某些管理行为上,前者显著优于后者;在个别管理策略的使用上,后者却显著优于前者。