Shame,attachment, and addictions: Implications for family therapists

Research based on attachment theory is reviewed for its relevance to the development of later addictions. The problem of internalized shame as an attachment related issue is discussed. Some original research into internalized shame using the Internalized Shame Scale is summarized. The relevance of this research and theory for family of origin based treatment of addictions is explored.     

Personality and cognitive functioning among hospitalized sexual offending Roman Catholic priests

A tremendous amount of media attention has been directed towards sexual abuse perpetrated by Roman Catholic priests in recent years. While there are countless research studies on both sexual abuse victims and perpetrators in the professional literature, very few have specifically investigated Roman Catholic priests who sexually abuse minors. The purpose of this study is to investigate the role of personality and cognitive variables among hospitalized sex offending Roman Catholic priests using specific MMPI-2, WAIS-R, and Halstead-Reitan measurements. Specifically, the role of defensive coping styles as measured by the L, K, O-H, and R scales of the MMPI-2 along with IQ scores from the WAIS-R and the Halstead impairment index were investigated. A total of 160 Roman Catholic priests (80 who sexually abused minors and 80 nonabusing control patients) hospitalized in a private psychiatric facility specializing in the diagnosis and treatment of clergy were evaluated. Results suggest that overcontrolled-hostility (O-H) was the most reliable predictor of group membership while Verbal IQ approached statistical significance. Implications for further research are offered.     

Understanding family violence: An orientation for family therapists

This paper offers clinicians an introduction to the broad, foundational issues underlying an informed approach to treating intrafamily violence. Important assumptions, drawn mostly from the work of empirical researchers, are provided. One holds that the recognition and treatment of family violence is an appropriate concern for most family therapists and not merely for those who work with the spectacular, notorious tip of the iceberg cases. Assessment and some treatment issues including spouse abuse, child abuse, and abusive adolescents are discussed briefly. Some commonly held therapeutic assumptions are challenged. Systemic approaches, rather than individual treatment, are considered appropriate for most cases.This paper draws heavily from the work of the Family Violence Research Program at the University of New Hampshire, although the interpretations made of such materials are the responsibility of the author. Appreciation is expressed to Craig A. Everett, PhD, and Alice Mancill Nichols for helpful comments and assistance.     

Chinese adolescents' perceptions of family functioning: personal,school-related,and family correlates

The author used two translated measures (Self-Report Family Inventory; D. T. L. Shek, 1998); and Family Assessment Device; N. B. Epstein, L. M. Baldwin, & D. S. Bishop, 1983) and a locally developed scale (Chinese Family Assessment Instrument; D. T. L. Shek, in press-a) to assess 3,649 Chinese adolescents' perceptions of how well their families function. He found that boys perceived their families to function worse than did girls and that younger adolescents perceived their families to function better than did older adolescents. Perceived family functioning was negatively related to grade level; students attending schools with higher academic standards perceived their families to function better than did students attending schools with lower academic standards; and students attending government and aided schools had higher levels of family functioning than did students attending private schools. Family types (intact vs. nonintact families) and the duration of parents' stay in Hong Kong were also related to the adolescents' perceptions of family functioning. Findings for the personal, school-related, and family correlates of perceived family functioning were statistically significant and stable across different measures of family functioning, but the practical significance of the findings was not high.     

Simulation in training family therapists: Process and outcome

This article reviews procedures for using simulated families in the training of novice-level family therapists. An evaluation of one training experience is described. The evaluation utilized a repeated measures analysis and found an increase in the student's observational and conceptual skill development.The authors would like to express appreciation to Douglas C. Breunlin, M.S.S.A. for helpful comments in the preparation of this article.     

Organizational and family systems factors in stress among ministers

Forty-one Protestant ministers completed measures of stress-related symptoms, family of origin contact, church governing body density, history of pastor-parish conflict in the church, and a measure of Bowen's (1959b/1985) concept of emotional triangles. A denominational executive provided ratings of each church's history of pastor-parish conflict. Path analysis using multiple regression showed support for a model in which governing body density and history of conflict predicted emotional triangles, and emotional triangles predicted stress symptoms. Contact with the pastor's family of origin moderated the relationship between emotional triangles and stress symptoms. Results suggest that the organizational and family ecology of the ministerial role can be important in understanding occupational stress among ministers.     

Parent-adolescent communication, family functioning, and school performance

This paper presents the results of a test of theoretical postulates proposed by Olson, Russell, and Sprenkle (1983) using a matched set of adolescents and their parents. One set of families (n = 40) consisted of adolescents who had been unsuccessful in public school and were attending alternative schools, while the other (n = 52) was a matched group of public school adolescents and their families. Results showed predicted differences in the direction of greater balanced functioning (i.e., optimal cohesion and adaptability) and more positive communication in the public school families. Public school families also perceived greater congruence between perceived and ideal family functioning. Congruence and differences between adolescent and parent perceptions, the importance of positive communication for optimal functioning, and implications for family treatment are discussed.     

Confidentiality: an ethical and legal conundrum for family therapists

There are several important issues influencing the holding of confidences in family therapy, among them are privacy, family secrets, confidentiality, and privileged communication. Clinicians need to be aware that breach of confidentiality is considered a high-risk area in clinical practice, which could be brought within a "low profile" malpractice configuration by adopting certain risk management techniques. Family therapists have an obligation to maintain their practice under the guidance of professional ethics, agency policies/procedures, and within emerging judicial parameters. The questions of confidentiality that confront family therapists have no clear and easy answers and the legal dilemma is ever present.     

Alcoholism treatment and marriage and family therapists: An empirical study

This article reports on results of a mail questionnaire study conducted among 257 members of the American Association for Marriage and Family Therapy (132 respondents, response rate of 51%) on their attitudes toward alcoholism issues (acceptance of alcoholism as a disease, treatment philosophies used with clients and/or families, and acceptance and use of Alcoholics Anonymous as a resource). Results indicated that 69% of respondents (as compared with 42% formerly) considered alcoholism a disease after MFT education. A combination of individual, family therapy, and AA (81.1%); family therapy (66.7%); and AA only (60.6%) were most often used. Controlled use of alcohol by clients in treatment was believed to be unethical by 43.2%, legal by 39.4% and ineffective by 54.5%.     

Critical incidents: Life events for experienced family therapists

Summary The results of this investigation suggest that therapists' professional style and clinical use of self patterns are impacted by critical life events occurring in their personal life. Many subjects reflected on how changes in their family constellations (both family of origin and family of procreation) were important to their professional development. They frequently mentioned that marriage, children, divorce, and illness or death of a loved one impacted their personal and, then, their professional lives. The important life events of becoming a parent or losing a significant loved one was specifically mentioned as strongly influencing changes in one's professional direction and therapeutic style.Becoming a parent caused the interviewees to reevaluate their expectations of their own parents, their client families and themselves. Changes in career aspirations, interactional patterns, and the capacity to be consistent and calm were explored and understood differently. Many subjects described how this transition in their own life shifted their primary focus and altered many of their existing relationships. In particular, female therapists with younger children related how their sense of being female changed. They sought out other women for intimate contact more frequently, they understood their own mothers better, and they frequently were less judgmental of mothers in their client families.Along with creating their own families, death of a parent was keynoted as having a strong impact on the subjects' personal and professional lives. They described questioning (and frequently changing) the amount of time they spent working and the type of work they did. Many began to push for more emotionally intense relationships personally and therapeutically. Detailing how their therapeutic goals for a family now included connection-making rather than just problem solving, they described being much more willing to share their vulnerabilities and personal needs with clients.     

In vitro fertilization and the family: quality of parenting, family functioning, and child psychosocial adjustment

This study examined associations between homologous in vitro fertilization (IVF) and quality of parenting, family functioning, and emotional and behavioral adjustment of 3-7-year-old children. A cross-sectional survey was conducted in Taiwan with 54 IVF mother-child pairs and 59 mother-child pairs with children conceived naturally. IVF mothers reported a greater level of protectiveness toward their children than control mothers. Teachers, blind to condition, rated IVF mothers as displaying greater warmth but not overprotective or intrusive parenting behaviors toward their children. Teachers scored children of IVF as having fewer behavioral problems than control children. In contrast, IVF mothers reported less satisfaction with aspects of family functioning. Family composition moderated parenting stress: IVF mothers with only 1 child perceived less parenting stress than did those in the control group.     

Community violence, family conflict, and preschoolers' socioemotional functioning

This study examined the relations among family conflict, community violence, and young children's socioemotional functioning and explored how children's social cognition and mothers' psychological functioning may mediate the outcomes associated with this exposure. Mothers of 431 Head Start preschoolers completed questionnaires about their family demography, exposure to community violence, family conflict, and children's distress symptoms. Children were administered a social cognition assessment, and teachers rated their behavior. Results showed that mothers' reports of children's co-witnessing of community violence were positively associated with police department crime rates, children's distress symptoms, and teachers' ratings of aggression. A path analysis revealed that children's social awareness and mothers' depressive symptoms partially mediated the effects of community violence and family conflict on outcomes for children.     

Family therapists and family business: A view of the future

The family business is a unique entity that has recently come to the attention of business consultants and family therapists. The unique processes of family business are amendable to the applications of family systems theory, organizational development theory, and various theories that focus on individual growth and development. In this paper we review some of the basic concepts relative to understanding family businesses and briefly outline our approach to consultation with family businesses.     

Mankind and Kind Men: an agenda for male family therapists

This article examines some of the gender issues involved when male therapists interview women, children and other men. It looks at issues in the family life of male therapists which have parallels with therapy, and offers some practical suggestions for beginning to overcome obstacles of gender in therapy.     

What bats have to say about speech and language

Understanding the biological foundations of language is vital to gaining insight into how the capacity for language may have evolved in humans. Animal models can be exploited to learn about the biological underpinnings of shared human traits, and although no other animals display speech or language, a range of behaviors found throughout the animal kingdom are relevant to speech and spoken language. To date, such investigations have been dominated by studies of our closest primate relatives searching for shared traits, or more distantly related species that are sophisticated vocal communicators, like songbirds. Herein I make the case for turning our attention to the Chiropterans, to shed new light on the biological encoding and evolution of human language-relevant traits. Bats employ complex vocalizations to facilitate navigation as well as social interactions, and are exquisitely tuned to acoustic information. Furthermore, bats display behaviors such as vocal learning and vocal turn-taking that are directly pertinent for human spoken language. Emerging technologies are now allowing the study of bat vocal communication, from the behavioral to the neurobiological and molecular level. Although it is clear that no single animal model can reflect the complexity of human language, by comparing such findings across diverse species we can identify the shared biological mechanisms likely to have influenced the evolution of human language.     

Significant and other: systemic family therapists on lesbians and gay men

This paper discusses a questionnaire survey done with a sample of 130 systemic family therapists, which investigated their training in, and experience of, working with lesbian and gay male clients and attitudes towards lesbians and gay men using the Index of Attitudes to Homosexuals. The findings indicate that the majority of respondents had received relatively little training in working with this client group within their systemic training. It also indicated that their attitudes towards lesbians and gay men generally may have been influenced by the degree of social, professional or familial contact that they had with them.     

Negotiating transitions: a supervision model for home-based family therapists

Home-based family-centered treatment programs provide mental health and case management services to families in their own home. Treatment objectives include the prevention of residential or psychiatric placement, strengthening the family unit, and promoting family self-sufficiency. Little has been written, however, regarding the supervision of home-based, family-centered therapists. The purpose of this article is to describe a supervision model to teach novice-level family therapists to think systemically and to do family therapy with multiproblem at-risk families.     

What you say and how you say it: the contribution of speech content and voice quality to judgments of others

In three studies, judgments based on separated channels (speech content, voice quality, face alone and body alone) were correlated with judgments based on combined channels (speech, face + speech, and face + body + speech). The judges observed spontaneous behavior in two different types of interview situations and rated various aspects of the behavior. Correlations between separated and combined channels varied significantly depending on the kind of behavior judged, the attribute rated, and whether other channels of information were available.     

Testosterone and occupational choice: actors, ministers, and other men

Occupational differences in testosterone concentrations, focusing on actors and ministers, were explored in 3 studies. The 1st examined salivary testosterone in 7 occupational groups and an unemployed comparison group and found actors and football players higher than ministers but no other significant differences. The 2nd examined salivary testosterone in 2 kinds of actors (stage actors and comedians) and 2 kinds of ministers (pastoral ministers and missionaries) and found actors high and ministers low but no differences between subgroups within each occupation. The 3rd examined serum testosterone in entertainers and ministers in an archival sample of military veterans and found entertainers high and ministers low. The results are interpreted in terms of dominance and antisocial tendencies, with the conclusion that these variables are complex and can affect occupational preference in subtle ways.