Poetry in Existential Psychotherapy with Couples and Families

The use of poetry during the process of existential psychotherapy with couples and families is described and illustrated. In this approach, poems can be utilized to help the couple and/or family notice meaning potentials in the future, actualize and make use of such meaning potentials in the here and now, and re-collect and honor meanings previously actualized and deposited in the past.     

Psychosocial Impact of Predictive Testing for Illness on Children and Families: Challenges for a New Millennium

Predictive testing for adult- and child-onset diseases is becoming widely available. The identification of individuals prone to develop certain illnesses is often medically advantageous in that it may afford opportunities to engage in risk reduction behaviors to detect or delay disease onset. However, sometimes the knowledge gained from these tests can be ambiguous, generate distress, and potentially affect several generations of family members. Overall, these factors create a challenging set of circumstances for persons considering genetic and other forms of predictive testing, particularly parents and children. In this article, we (1) address conceptual issues involved in determining the impact of predictive testing on child and family well-being, (2) review empirical data on this topic, and (3) provide a case example to illustrate these findings. Recommendations are made for additional psychological research on child- and family-focused outcomes associated with participation in testing, highlighting their clinical implications.     

Re-Collection in Existential Psychotherapy with Couples and Families Dealing with Death

Re-collection is a treatment dynamic in existential family therapy in which the client family is helped to remember and honor meanings that family members have previously actualized and deposited in the past. This shrinks the family meaning vacuum and those symptoms and problems that grow and flourish in a family meaning vacuum. In this article, an existential orientation to re-collection with families who are dealing with the death of a loved one is presented, described, and illustrated with case material.     

Construing Couples: The Challenges of Marital Therapy

Many therapists report that working with couples is very difficult and stressful. In this article 1 offer a few evolving thoughts on working with couples, based on Kelly's Sociality corollary and the field of hermeneutic inquiry. The primary task of marital therapy is to work together with couples in coauthoring (or coconstructing) a story that (a) is specific to the concerns of each spouse, (b) is meaningful to the two of them as a couple, and (c) provides new options for effective action in the situation confronting them. This coauthoring process, if it is to be successful with couples, must address a number of related issues, including codefining the problem, connecting with the relevant system, codeveloping specific and workable goals, maintaining flexibility, and coconstructing alternatives.     

Benefits and Challenges of Dual-Earning: Perspectives of Successful Couples

The purpose of this study was to discover the benefits and challenges derived from the dual-earner lifestyle for couples who successfully balance family and work. The data for the study are part of a larger data set drawn primarily from in-depth interviews with 47 couples. While the intent of the overall project was to discover the adaptive strategies that these couples utilized at home and work to successfully balance family and work, this paper focuses specifically on the couples’ perceived benefits and challenges of dual earning. Many therapists harbor negative and stereotypical assumptions of the quality of dual-earner family life and appear to believe there are inevitable and significant challenges that are intrinsic to the dual-earner family arrangement (Haddock & Bowling, 2001), but the findings of this study are helpful in providing a more balanced, informed view of the possibilities of this family arrangement.     

Challenges and Opportunities for Intervening with Couples in the Aftermath of the Global War on Terrorism

The unique culture of the military family in the early part of the twenty-first century will be examined, including the high operational tempo, frequent geographic moves, high rates of service among women, and the unique constellation of deployed troops from Active Duty, National Guard and Reserve components. Challenges faced by these couples are described, followed by key issues for clinicians to assess. Several developing couple-based interventions will be described, followed by a vignette which will highlight the issues and opportunities for these couples. In addition to reviewing common difficulties among military families, the authors will highlight strengths inherent to the military culture that clinicians can utilize in helping families develop resiliency.     

An Object-Relations Approach to Psychotherapy with Marital Couples,Families, and Children

AN APPROACH to object relations is presented here that conceptualizes the dynamics of interpersonal relationships. Although it is beyond the scope of this paper to provide a thorough review of the object-relations school of thought, the concepts introduced here have direct clinical implications for understanding and influencing the dynamics of the patient-therapist dyad, of the marital pair, and of the family unit. Included are the following concepts: (a) Couples in conflict are viewed as more similar than dissimilar despite apparent differences; (b) The therapist's countertransference reactions are seen as not irrational but a valid reflection of the patient's struggle; (c) The adult or child who is the identified patient is often a carrier or container of the split-off, unacceptable impulses of the other(s); (d) The individual is perceived as part of a unit in which even the more obvious pathological traits have an inherent healthy reparative function.     

Couples coping with cancer: Research issues and recent findings

The diagnosis of cancer in one partner can impose numerous changes for both the individual diagnosed with cancer and his or her healthy spouse. In this article, the literature on spouse social support in the context of cancer is reviewed. The importance of understanding support given and received within a close relationship using an interactional, contextual perspective is emphasized. Examining support-related interactions and understanding the personal characteristics that determine the type and amount of support that providers give and the kind of support individuals prefer, and investigating why significant others respond in supportive or critical ways is important. In addition, the study of support interactions must be placed in the both in the context of a marriage and in the context of a catastrophic life event such as cancer. A longitudinal study of patients with gastrointestinal cancer and their healthy partners was undertaken to examine these issues, and the design of this study is described. General problems conducting research with couples undergoing a severe life stressor as well as specific problems our research group has encountered while setting up a research program in the cancer setting are reviewed.     

Performance Self-Predictions: The Impact of Expectancy Strength and Incentives1

Performance self-predictions represent an individual's anticipated level performance on an upcoming task. This study focused on the accuracy of these predictions, as well as subjective reactions to making them under varying expectancy and incentive conditions. Results indicate that performance-contingent incentives had a positive effect on task performance, but a negative effect on preferences for making performance predictions. Expectancy strength also influenced these predictions, their subjective interpretations, and task performance. Additional results address the role of other task-relevant judgments (e.g., self-assessed ability and intended effort) when predicting one's performance on a task. Implications of these findings for work motivation and judgment accuracy are discussed.     

Measuring Empathy in Couples: Validity and Reliability of the Interpersonal Reactivity Index for Couples

Aboriginally probably equivalent, following divergent acculturative patterns, the perceptual and cognitive techniques of the Chiricahua and Mescalero Apaches differed. Today, half of Apache children (the learners) adjust to ordinary expectations in grammar school: their Rorschach patterns resemble those of aged Chiricahuas; half (the nonlearners) fail to adjust: their responses are those of the less-acculturated Mescaleros:

It was hypothesized that the learners would have identified with the techniques of the more-acculturated Chiricahuas. Adults influential in the early lives of the children were tested. The hypothesis as stated was not verified. What was consistent in the responses of learner influentials was a more balanced approach to Rorschach stimuli than was shown by nonlearner influentials.     

The Impact of Depressive Symptoms and Health on Sexual Satisfaction for Older Couples: Implications for Clinicians

This study of 535 older married couples examined the relationship between depression and health and sexual satisfaction directly and when mediated by communication. The sample included 535 older couples who completed a survey questionnaire known as Project Couple Retire. Among the items in the questionnaire were measures of depression, health, perception of sexual intimacy, communication and other demographic information. Results from Structural Equation Modeling indicated that for women, health was a significant predictor of sexual satisfaction. For both genders, the results suggest that depression, when mediated by communication, is a predictor of sexual satisfaction among older couples. Implications for clinicians are discussed.     

Differential Correlates of Positive-Based and Negative-Based Incentives in Motivation

We studied the distinction between two contrasting types of positive incentive value, one type based on approaching positive affect (positive-based value or PBV), the other on avoiding negative affect (negative-based value or NBV). Indices of the two types were highly correlated with each other, but structural equations modeling also suggested different patterns of relationships for the two. NBV increased and PBV decreased when goals were perceived as necessary rather than freely chosen. Frequent prior attainment of a goal was associated with reduced PBV but had no clear relation to NBV. Results were qualified by interactions with motivational orientation of raters, but the NBV—PBV contrast may be functional and may overlap with other theoretical distinctions in the literature.     

Educational Cultural Brokers and the School Adaptation of Refugee Children and Families: Challenges and Opportunities

Canadian schools are utilizing services previously provided by settlement and community-based agencies to ensure the successful school adaptation of refugee children and families. This study examined the role of educational cultural brokers during the adaptation. Research queries addressed include strategies that cultural brokers use to facilitate the adaptation of refugee children in school settings, and opportunities and barriers to cultural brokering that exist in educational settings. A qualitative case study of eight educational cultural brokers was employed, using focus groups, critical incidents, document review, and semistructured interviews. Results suggest brokers engage in micro- and macrolevel activities through six brokering roles, with each role encompassing challenges and opportunities at the school, agency, and community level. This paper discusses aspects of these roles that have relevance for practice and policy for both cultural brokers and other providers of school-based services to refugee families.     

The Impact of Christianity on Therapy with Latino Families

Unquestioned patriarchal beliefs prescribed by religion often place women and racial and sexual minorities in positions of victimization. In the therapeutic framework, “God” represents unquestioned values that must be challenged and evaluated in order to have a transformative effect. As a result of the increase in the number of Latino immigrants to the United States, it is inevitable for therapists to work with Latino families, a highly religious population. The purpose of this paper is to explore, through a feminist perspective, the role of Christianity and the feminist movement in Latin America and the impact of Christianity on therapists’ work with Latino families.     

A Report: Couples with Medical Conditions, Attachment Theoretical Perspectives and Evidence for Emotionally-Focused Couples Therapy

This brief report examines the contribution of Emotionally-focused Therapy for distressed couples, particularly in the context of medical illness. An attachment theoretical framework is provided to assist in understanding individual differences in the experience of both the ill and the care-giving partner.     

Family Impact and Parenting Styles in Families of Children with ADHD

Attention deficit hyperactivity disorder (ADHD) begins in childhood and is characterized by attention deficits, hyperactivity, or impulsiveness that is inconsistent with a child’s developmental level. The effects of ADHD are not limited to the child alone but can affect their familial context, particularly parenting styles. Using data from 68 parents of 6–11-year-old ADHD-diagnosed children, we attempted to identify the predictive variables of two parenting styles: criticism-rejection and permissiveness-indulgence. We analyzed two complex predictive models using structural equation modeling. We hypothesized that family impact variables would mediate the relation between the child’s behavior and parenting. The data showed that the child’s ADHD was only indirectly related to parenting styles, whereas child’s behavior problems had a direct relationship. The results stressed the central role of the child’s behavior on family social life, parents’ marital relationship, and parents’ feelings about their children. These variables mediated the relationship between the children’s disorders and parenting styles. On the other hand, perceived social support had an inverse relationship with this negative family impact, and it even had relevant indirect effects on criticism and permissiveness.     

Shyness and Relationship Satisfaction: Evaluating the Associations Between Shyness,Self-Esteem,and Relationship Satisfaction in Couples

In the present study we explored the relationship between personality characteristics and relationship satisfaction in couples. Using a sample of 14,807 couples from the RELATE dataset, a model was tested examining the direct and indirect (via self-esteem) associations between personality traits (i.e., shyness) and relationship satisfaction. Furthermore, the model assessed shyness, self-esteem, and relationship satisfaction for both partners in the relationship. The results indicated that higher levels of shyness were associated with lower self-esteem in individuals, as well as lower relationship satisfaction. Implications of results and the use of partner ratings of personality indicators are discussed.