Intensive family therapy: a way to change family functioning in multi-problem families

TA single group treatment outcome study of intensive family therapy (IFT) is presented. One hundred and nine families from five Swedish units participated and results on family measures for eighty-six of these families are reported. This multi-centre study is the largest so far of this treatment model. The units offered a full-day multi-impact treatment programme for families during an intensive period of approximately one month preceded by a period of extensive planning. Measures used were the self-rating 'Family Climate' and Family Relation Scale and observer-rated CRS-Turbo and the Beavers' System Scales. Significant changes in the direction towards a better family climate and a higher family functioning occurred. Given the very difficult circumstances of these multi-problem families the results are considered promising.     

Family interaction and communication deviance in disturbed and normal families: a review of research.

Recent family interaction studies are reviewed with an emphasis on looking for dimensions along which disturbed and normal families differ. Several areas of consistency in the literature were found, including: family coalition patterns, patterns of conflict, flexibility versus rigidity, family effectiveness and efficiency, and deviant styles of communication. It was concluded that several measures reliably discriminate disturbed from normal families and that one type of measure in particular is a reliable predictor of thought disorder in offspring. Implications for clinical practice and future research are discussed.     

Videotaped simulated families as a tool in family therapy outcome research

Twenty-two therapists who had treated 57 families in brief conjoint family therapy under supervision responded to a videotaped simulated family as if they were treating it. Their responses were audiotaped and coded on a system devised for this study. Positive relationships were found between the ratings of expertise based on the coding system, and independent ratings of the treated families' satisfaction with treatment and the status of the presenting symptoms 6 months after termination. Videotaped simulated families are potentially useful as standardizable methods of revealing individual differences in therapists for family therapy outcome research.     

Cardiac change scale: A brief, self-report research measure

The purpose of this study was to develop and evaluate a brief, self-report measure of the degree of perceived change resulting from cardiac illness. Life change has been widely recognized as stressful, but it is usually assessed with generic checklists of events which have been found wanting in terms of reliability and validity. The proposed measure was designed to assess life change in factors commonly reported to be important in recovery from cardiac illness. The Cardiac Change Scale was found to have very good internal consistency and acceptable test-retest reliability. The construct and criterion validity of the Cardiac Change Scale were supported.     

Cardiac change scale: A brief,self-report research measure

The purpose of this study was to develop and evaluate a brief, self-report measure of the degree of perceived change resulting from cardiac illness. Life change has been widely recognized as stressful, but it is usually assessed with generic checklists of events which have been found wanting in terms of reliability and validity. The proposed measure was designed to assess life change in factors commonly reported to be important in recovery from cardiac illness. The Cardiac Change Scale was found to have very good internal consistency and acceptable test-retest reliability. The construct and criterion validity of the Cardiac Change Scale were supported.     

Priority setting in family change and clinical practice: the Family FIRO Model.

We update a theoretical framework for understanding priority setting for the management of family change, with special emphasis on developmental change. We propose that three core dimensions of family interaction--inclusion, control, and intimacy--constitute an optimal priority sequence for managing major family change stemming from life-cycle transitions and other stressful experiences. In the next section of the article, we compare the Family FIRO Model and other models of family change. Finally, we suggest that therapists can benefit from an explicit, clinical decision-making model for setting priorities in treatment: issues of inclusion take precedence over issues of control, which in turn take precedence over issues of intimacy.     

Hiring family therapists for a research project via videotaped interviews: A brief report

The authors describe an interview procedure devised for use in hiring therapists for a research and demonstration project in which the employers viewed videotaped interviews of applicants responding to a standard set of questions posed by an on-site researcher/interviewer. The approach is considered potentially useful for agencies to use in hiring therapists with a systemic orientation.     

Evaluating a brief prevention program for improving marital conflict in community families.

Marital conflict is related to well-being in children and adults (E. M. Cummings & P. T. Davies, 2002). Marital conflict is likely most effectively ameliorated before it becomes clinically significant. However, families without significant problems may be unwilling to participate in couples therapies or other lengthy or intensive interventions. Responding to this gap, the authors developed a 4-session psychoeducational program about marital conflict for community families. Couples with children 4-8 years of age were randomly blocked into 1 of 3 groups: (1) a parent-only group (n = 24), (2) a parent-child group (n = 33), or (3) a self-study group (n = 33). Pre- and posttest and 6-month and 1-year assessments were conducted. This report evaluates (a) whether participation in a psychoeducational program for parents improved marital conflict, especially concerning ways of expressing disagreements, and (b) whether changes in marital conflict subsequently improved marital satisfaction, parenting, and child adjustment. Greater constructive and less destructive marital conflict was observed at all assessments for treatment groups, and these changes were linked with improvements in other family processes. The findings support the promise of brief, psychoeducational programs for improving marital conflict for community samples.     

Quanta, quarks, and families: implications of quantum physics for family research

This paper offers recommendations for family research in light of the scientific paradigm ushered in by quantum physics in the early twentieth century. After summarizing the basic discoveries of quantum physics, the author discusses philosophical implications of these discoveries, and then presents implications for conducting scientific research about families within a post-Newtonian paradigm that emphasizes relations, process, and dynamic causation. The author argues for using complementary research models, including linear and systemic, because no one theory or methodology can illuminate fully the inscrutable nature of family processes.     

Eliciting children's thinking in families and family therapy.

In this article, I introduce a way of talking between a therapist and children, which aims to be more adaptive to the family therapy context than the modes of communication with children often reported by individual psychotherapists. Although the recent increase in articles concerned with the role of children in family therapy is welcomed, I suggest that the common recommendation of the use of "play" and nonverbal methods of communication with young children can at times introduce its own constraints on a child's thinking. A method of engagement in "dialectical" conversations with children is described, and illustrated with verbatim case examples. It is argued that this offers one route to a discourse commonly used between children, and one that acknowledges their capacity to think.     

Attachment and family therapy: clinical utility of adolescent-family attachment research

The divide separating research and clinical work is narrowing. New therapies have been informed by research from specialties such as developmental psychology and developmental psychopathology. In this article, we attempt to illustrate the usefulness of research on attachment relations for family-based therapy with adolescents. We examine the clinical utility of adolescent attachment research within the context of multidimensional family therapy, an empirically supported treatment model that has incorporated developmental research, including basic research on attachment, in its assessment and intervention framework.     

The family check-up: a pilot study of a brief intervention to improve family functioning in adults

Many barriers exist for families seeking appropriate treatment for family problems. In an effort to minimize some of these barriers, we developed the Family Check-Up, a brief two-session family intervention. The Family Check-Up is based on the Drinker's Check-Up and consists of assessment, feedback, discussion, and goal setting. The purpose of the intervention is to help families identify and become motivated to make needed changes in any aspect of their family functioning. We conducted an open pilot trial of the Family Check-Up with 32 families. Our data suggest that the Family Check-Up (1) is sought out by the target audience, namely those with family problems; (2) is sought out by people with elevated depression symptoms or a history of treatment for depression or anxiety; (3) is feasible to conduct; (4) is acceptable to families; and (5) may be associated with changes in family functioning and depression symptoms over time. These results suggest that further research, particularly a randomized clinical trial, is warranted.     

Multichannel communication in normal and delinquent families

Families containing adjudicated delinquents or nondisturbed adolescents were engaged in a laboratory interaction procedure aimed at assessing inconsistent (nonredundant) verbal-nonverbal communication patterns. Detailed analyses of verbal, facial, and auditory channels indicated higher rates of positive nonverbal, negative verbal communications in control versus delinquent families and in parent-parent versus parent-child interaction. Results are discussed in terms of the potential adaptive characteristics of such positive inconsistent communications.This article is based on a doctoral dissertation submitted by the first author, under the direction of the second author, to the University of Pittsburgh. Portions of this work were supported by NIMH Grant No. 2 RO1MH 25802 and NIAAA Grant No. 1 K01 AA00027 to Theodore Jacob.