The Peter Pan Syndrome: Inpatient treatment of adolescent anorexia nervosa

Specific strategies designed for intervening in family, hospital, community, and school systems are discussed as crucial components in the treatment of adolescent anorexia nervosa. It is suggested that all these systems inadvertently collude in the “Peter Pan Syndrome”: maintaining the adolescent-identified patient in a latency age role in order to protect mother from depression and the family in its entirety from an “empty nest” developmental crisis. When strategic and structural alterations occurred within the above mentioned systems while the child was hospitalized and after discharge, the anorectic symptom was alleviated.     

Is Society “Sick”? Comment on Zerbe Enns's Article

The author responds critically to the argument (Zerbe Enns, 1988) that an integration of “feminist perspectives” within a “family systems” epistemology will advance the latter's treatment of “power” and “equality” issues.     

Soft Meaning and Sincerity in the Family System

The concept of “sincerity” is often dismissed as being irrelevant to the understanding of families as systems, since sincerity is seen as a linear, intrapsychic construct. This paper makes the opposite argument. Much family communication involves a particular kind of “soft” meanings. Such meanings are flexible and open to varied interpretation, but their use is nevertheless framed by social rules. Sincerity rules function as social agreements to refrain from manipulating “soft” meaning in particular ways. The expectation that family members are (or are not) likely to communicate sincerely is a crucial systems property, altering both the interpersonal strategies and relationship structures that are likely to emerge within families. The analysis of soft meaning developed in this paper suggests new ways of understanding the rich, tangled, sometimes paradoxical communication typical of families. However, a number of premises frequently associated with family systems theory must be abandoned before a clear analysis of family communication can proceed.     

Stepfamily Communication Strengths

This study used systems theory to examine the communication strategies that differentiate “strong” stepfamilies from stepfamilies having more difficulty, inductively deriving a composite of stepfamily “communication strengths.” A total of 90 in‐depth interviews were conducted with stepparents, parents, and stepchildren from 30 stepfamilies. The stepfamilies, regardless of their strength, faced 7 primary challenges in their development: “feeling caught,” regulating boundaries with a noncustodial family, ambiguity of parental roles, “traumatic bonding,” vying for resources, discrepancies in conflict management styles, and building solidarity as a family unit. However, the communicative tactics used to manage them differed according to the strength of the stepfamily. In general, strong stepfamilies reported using everyday talk, more openness, spending time together as a family, communicating clear rules and boundaries, engaging in family problem solving, promoting a positive image of the noncustodial parent, and more consistency in perceptions about the severity of their problems. Implications for appropriate boundary integration in stepfamilies are discussed.     

Predicting raters’ transparency judgments of English and Chinese morphological constituents using latent semantic analysis

The morphological constituents of English compounds (e.g., “butter” and “fly” for “butterfly”) and two-character Chinese compounds may differ in meaning from the whole word. Subjective differences and ambiguity of transparency make judgments difficult, and a computational alternative based on a general model might be a way to average across subjective differences. In the present study, we propose two approaches based on latent semantic analysis (Landauer & Dumais in Psychological Review 104:211–240, 1997): Model 1 compares the semantic similarity between a compound word and each of its constituents, and Model 2 derives the dominant meaning of a constituent from a clustering analysis of morphological family members (e.g., “butterfingers” or “buttermilk” for “butter”). The proposed models successfully predicted participants’ transparency ratings, and we recommend that experimenters use Model 1 for English compounds and Model 2 for Chinese compounds, on the basis of differences in raters’ morphological processing in the different writing systems. The dominance of lexical meaning, semantic transparency, and the average similarity between all pairs within a morphological family are provided, and practical applications for future studies are discussed.     

Cultural Dimensions,Gender, and the Nature of Self-concept: A Fourteen-country Study

Ratings of the importance of and satisfaction with 20 areas of the self were obtained from 3604 first or second year social science undergraduates from 14 countries (15 cultures). Factor analysis at the culture by gender level supported four factors for both sets of ratings. The resulting factor scores were analyzed for mean differences according to the cultural dimension of Individualism-Collectivism by Gender and by correlations with other cultural dimenions and economic indicators. It was found that participants from the 10 collectivist cultures placed greater salience for their self-concepts on “family values” than did those from the individualist cultures. However, this cultural difference was not found for “social relationships”. The expected gender differences, with females valuing “family values” and “social relationships” more highly, were found only for the individualist countries. The findings indicate that there may be a strong cultural level interaction effect between gender and Individualism-Collectivism on the nature of self-conceptions, and that the “family” and “social” aspects of self-concept in collectivist countries need to be considered separately.     

ADOLESCENTS' PERCEPTION OF POLYGAMOUS FAMILY AND ITS RELATIONSHIP TO SELF-CONCEPT

This study investigated children's perception of the degree of affection present in their monogamous/polygamous families and assessed the influence of the perception on the subjects' self-concepts. It also examined the relationship of polygamy/monogamy to children's self-concepts. A total of 308 adolescents (134 from polygamous families and 174 from monogamous families) in eight secondary schools in Oyo State, Nigeria filled out a questionnaire and Akinboye's (1975) self-concept inventory. The subjects' assessment of their families was categorized into “secure ”and “insecure”. The results indicated that self-concept significantly correlated with the subjects' assessment of their families as “secure ”or “insecure”. Self-concept was also significantly related to the family being polygamous or monogamous. Family structure (polygamy/monogamy), however, showed no significant correlation with children's perception of their family as “secure ”or “insecure”.     

Family Therapy in China

This paper aims to provide an overview of the family therapy in mainland China, by analyzing its development, current situation and future directions. The authors argue that the history of family therapy can be understood as three stages: introductory stage from 1985 to 1994, “blossoming” stage from 1995 to 2004, and “fast growing” stage from 2005 to present. In every stage, we can see clear differences in each of the following fields: training (including training programs in universities and workshops held by companies or institutes), academics (including research articles, professional books and conferences), and general public environment (including media and policies). We also outline the development of China’s first university system family therapy training program as an example and evidence of family therapy’s significant present and future development in mainland China. Based on this, we highlight some points for future improvement in family therapy in mainland China, including developing indigenous theories and practice models, reinforcing training and research programs in university systems, and improving accreditation standard for all family therapists.     

With Onions and Tears: A Multidimensional Analysis of a Counter-Ritual

“Family rituals” and “family myths” are useful concepts for understanding some of the behavior of disturbed families and hence for planning therapeutic interventions. A case of a family of a schizophrenic patient is described in which a “counter-ritual” involving onion-peeling to induce tearing was invented. The intervention addressed the family's inappropriate laughter and denial of sadness and seemed to lead to therapeutic gains for the identified patient and the family. This counter-ritual, as an indirect affect-inducing experience, is analyzed from a variety of perspectives and a partial parallel is drawn to an Iranian cultural ritual. A suggestion is made that more light may be shed on the mechanisms and structures of myths and rituals in families by drawing on studies of myths and rituals in ethnography. “Counter-ritual” is offered as a general concept for a type of active family intervention that involves inventing and employing rituals antithetical to pathological ones engaged in by some families.     

“Do I really need it?”: An explorative study of acceptance and usage of in-vehicle technology

The vehicle is increasingly equipped with additional technology assisting and entertaining the driver. To improve the systems and increase their usage, it is important to understand what influences the acceptance of technology in the vehicle. An online survey was conducted assessing which systems drivers own and use in their vehicles today. For the equipped systems, the reasons why N = 304 drivers do not use their in-vehicle technology were qualitatively explored. An inductive content analysis revealed 13 categories in total. The three categories “Need”, “Context and Task”, and “Reliability” were associated with Perceived Usefulness while “Increased Effort” and “Aversion” were associated with Perceived Ease of Use (Venkatesh, 2000). In addition, the influencing factors are further extended with the “Preference for Own Action”, “Distrust”, “Safety”, “Knowledge”, and “Habit”. The findings reveal subjectively important antecedents of the acceptance of in-vehicle technology and provide new insights, especially on usage barriers. An Integrated Acceptance Model (IAM) is derived from the identified categories to inform future research and facilitate a holistic view on factors influencing technology acceptance.     

家庭抗逆力理论在风险应对领域的应用：演变、价值及挑战

家庭抗逆力理论是近年来风险应对研究领域中被引最高的理论之一。该理论的提出源自McCubbin等人对军人家庭应对战争危机的观察与思考,得益于早期学者对家庭压力和家庭系统理论的探究。经数次修订后,该理论经历了由静态特征到动态变化的发展过程,形成了一个具有较广泛内涵与外延的理论体系。其早期应用集中于创伤修复、家庭压力应对等主题,之后涉及复原力等更丰富的研究议题,已成为临床干预工作的实践导引和COVID-19大流行以来国家和社会、家庭和个体层面“危机事件—适应能力”关系的重要解释机制。其应用面临来自元理论研究、方法学及跨文化与社会变迁观点的挑战。未来研究应明晰概念与整合模型、使用混合方法与制定评估指标体系、强化家庭抗逆力理论的本土化研究与构建中国特色家庭抗逆力理论体系。     

Cost Effectiveness of Strategies for Recruiting Low-Income Families for Behavioral Parent Training

The goal of this study was to assess cost, effectiveness, and cost-effectiveness of recruitment strategies used to engage low-income families of young children with disruptive behavior disorder to participate in a Behavioral Parent Training (BPT) program. For this analysis, we used data on labor and non-labor resources associated with 13 recruitment strategies implemented in February 2014 through February 2016. We assessed the effectiveness of each strategy as the number of families that enrolled into the study. Cost-effectiveness of each recruitment strategy was expressed as cost per family enrolled; analysis was conducted in 2016. We calculated the cost of total recruitment effort for 13 strategies during the 2-year period to be $11,496 with an average cost of $885 per recruitment strategy or $255 per enrolled family. Across strategies, total costs ranged from $25 to $2540. “University mass e-mail” and “school flyers” resulted in the most phone screens (34 each); however, only 10% of these families enrolled in the study (three and four families, respectively). “Craigslist” was the most effective strategy with 30 families screened and 11 of them enrolling. Three strategies did not yield any participants. The four strategies with the lowest cost per family enrolled were “Facebook page,” “Craigslist,” “university mass e-mail,” and “organization/agency” (<$90). In conclusion, we found that some recruitment strategies were more successful at engaging low-income families to participate in a BPT program than others. Our results indicate that using a combination of recruitment strategies may be the optimal approach for recruiting low-income families.     

Living in with Normal Families

Connie Hansen participated in my project, “Methodology for Studying Family Interaction,” in the mid 1960s. One of the purposes of that project was to compare several groups of families, including “normals.” Connie suggested that it might provide a rich source of data if she were to “live in” with a few of the “normal” families and observe them day to day on their own territory. (A year or so before, Dr. Jules Henry had given a talk to the MRI staff about living-in with “schizogenic” families, and I believe that Connie had discussed her idea with him.) Connie was an experienced family therapist — she was one of Virginia Satir's first students — and a most perceptive observer. She lived with three “normal” families for a week each during 1966–67; she was excited by the wealth of material and exhausted by the experience. She tried to develop a group of central themes from her data and gave me a preliminary draft of a paper in 1969. It clearly contained a number of important observations about the complexities and subtleties of family systems and some beginning attempts at conceptualization. She struggled for years to clarify and elaborate on her material. Several times she sent me portions and fragments of new drafts, each with additional insights, but she was never satisfied with her efforts. It seems a fitting tribute to Connie — she died early in 1979 — to attempt to put together her various drafts. We wanted to publish this very important material in a readable form and yet still preserve the immediateness, enthusiasm, and vividness of her observations. I hope, that if she were to read it, she would not be overly critical of this final draft. JULES RISKIN, M.D. It is a special privilege for me to participate in this posthumous publication of Connie Hansen's unique contribution to the further knowledge of family interaction. She died before the material could be published. I feel particular gratitude to the young woman who entered my first training program in 1961 at the Mental Research Institute. This was a time when such training seemed “far out” and was regarded as “probably only a fad.” She was willing to face the risks inherent to her professional standing by choosing to do this training. It was this same courage together with her imagination and curiosity and her willingness to document her experience without judging it that resulted in the article now being published. Farewell, Connie, and thank you for your presence in my life. VIRGINIA M.SATIR     

Differential Influence of Social Support in Emerging Adulthood Across Sources of Support and Profiles of Interpersonal and Non-Interpersonal Potentially Traumatic Experiences

Social support is protective against the negative effects of trauma, yet how these effects vary across sources of support and patterns of trauma exposure has not been examined. High co-occurrence exists among different types of trauma across domains and ages, yielding patterns of trauma exposure that may affect social support. This study identified profiles of potentially traumatic events (PTEs) experienced by 252 college students and examined the relationships between social support and mental health across these profiles. Five profiles emerged: “Non-Interpersonal Trauma Exposure,” “Adult Intimate Partner Violence,” “Poly-trauma Exposure,” “Low Trauma Exposure,” and “Childhood Family Violence.” The link between social support and adjustment differed across profiles. Family support was valuable for promoting resilience across patterns of PTEs. Friend and romantic partner support were related to lower mental health problems. Support from family and friends is particularly valuable in the context of adult intimate partner violence and childhood family violence.     

Family Conflict and Forgiveness Among Survivors of Suicide

This study explored the lived experiences of immediate family members who were left behind and their intra- and interpersonal struggles with other family members and their coping efforts to overcome these struggles. We used interpretative phenomenological analysis for data collection and analysis and conducted in-depth interviews with 11 participants in Korea. Two superordinate themes, with two ordinate themes in each, were identified: (a) family conflict after a family member’s suicide (“discordant grieving” and “suicide loss as a catalyst for family conflict”) and (b) forgiveness (“struggling to forgive other family members, the deceased, and themselves” and “the process and importance of forgiveness”). The implications of these findings are discussed.     

Perceived Intrafamilial Connectedness and Autonomy in Families With and Without an Anxious Family Member: A Multiple Informant Approach

Perceived intrafamilial “emotional connectedness” and “autonomy” were investigated within families with and without an anxious family member using a multiple informant approach. The sample consisted of 32 mothers with a current anxiety disorder and 56 controls, their partners, and their anxious and nonanxious teenage children. No differences were found with respect to the perceived family relationships of family members with versus without anxious mothers. However, compared with nonanxious adolescents, anxious adolescents perceived less autonomy in relation to both parents. Mothers of anxious adolescents also perceived their children to be less autonomous toward them and their partners, than mothers of nonanxious adolescents. In contrast with “autonomy,” “emotional connectedness” was not reported to be different between families with and without an anxious adolescent. Agreement among family members and the importance of perceived individual autonomy in the development of anxiety are discussed.     

“Growing your own herbs” and “cooking from scratch”: Contemporary discourses around good mothering,food, and class‐related identities

In a cultural climate of “intensive parenting” and concerns about the “obesity epidemic,” parents are expected to take responsibility for their children's health, particularly through the provision of a “healthy” diet. This study involved intergenerational dyad interviews with both middle‐class and working‐class mothers and daughters from the United Kingdom. Analysing the data using discourse analysis informed by feminist poststructuralist theory, we found that mothers were positioned as having prime responsibility for the nurturing of family members, including the provision of a healthy diet. However, providing a healthy diet alone was insufficient; mothers needed to demonstrate that time and effort had been taken in the preparation of meals using fresh ingredients. Those who failed to do so were positioned as “lazy,” thus inviting the blaming of mothers for any current or future health problems encountered by family members (especially children). However, talk from some of the working‐class mothers pointed to the unattainable and “classed” ideals that are set by such cultural expectations.     

The dissemination and research of Laszlo's systems philosophy in China

Since the 1980s, the so‐called “new six‐theory” (Dissipative structure theory, Synergetics theory, Catastrophe theory, Chaos theory, Fractal theory, and Hypercycle theory), different from the traditional “systems theory,” “information theory,” and “cybernetics theory” (the “old three theory") has been introduced into China. With it, Laszlo's systems philosophy has been given close attention by Chinese scholars. The main elements of this work are analyzed in terms of the publication and research of Laszlo's work on systems philosophy, and more specifically on systems philosophy and the theory of knowledge, systems philosophy and general evolution theory, systems philosophy and the theory of value, and systems philosophy and metaphysics.