Factors Associated with Engagement in Family Therapy

Thirty-eight families who continued in conjoint family therapy were compared on a variety of antecedent variables to 13 families who dropped out. Three potentially important predictors of continuance in family therapy were found: (a) which spouse initiated the search for treatment; (b) the level of authoritarianism in the spouses; and (c) family socioeconomic status. Families that dropped out of treatment tended to be of lower socioeconomic status and contained spouses who had more highly authoritarian attitudes as measured by the California F Scale ( 1 ). Families that contained a severly disturbed member had a poor rate of engagement in treatment, but if both spouses in such a family were low in authoritarianism, the engagement rate was 100 per cent. When both spouses initiated the search for treatment, engagement was also nearly perfect. The difficulty in engaging families from the lowest socio-economic class may be attributed partly to the authoritarian attitudes of the husband.     

Using a Session Feedback Form in Cognitive Therapy with Children

This article presents a new written form for eliciting session feedback from children. The importance of session feedback is discussed and the specific written form is presented. Clinical applications and advantages of the session feedback form are also reviewed. Additionally, the uses of the session feedback form in supervision are explained. Finally, cautions and limitations are outlined.     

Implementation of DBT-Informed Therapy at a Rural University Training Clinic: A Case Study

University training clinics offer state-of-the-art treatment opportunities for clients, particularly for underserved and underinsured client populations. Little has been published regarding the implementation of Dialectical Behavior Therapy (DBT) in settings such as a university training clinic, which may face challenges in utilizing such a comprehensive treatment. This single-case study describes the application of a DBT-informed treatment with a female BPD client, highlighting how the modifications made can ease implementation in a rural university training clinic. Data collected from DBT diary cards document minimal time demands required for the use of between session-coaching, along with clinically meaningful changes in suicidality and misery ratings, and effective DBT skill use. A discussion of the unique components and contributions of this case to informing potential DBT modifications within university clinics are presented.     

Enhancing Family Therapy with Analytical Psychology

In a postmodern era of changing values and competing world views this article suggests that analytical psychology can enter the epistemological debate and speak to contemporary family therapy. Key concepts and contributions are examined and highlighted with an emphasis on their relevance for enhancing the field of family therapy. Individuation is discussed in light of Jung's analytical treatment stages, which include confession, explanation, education, and transformation. The relevance for family therapy is illustrated throughout the article as each treatment stage is explicated. Jung's emphasis on the spiritual is also discussed with implications for the importance of recognizing and attending to issues of spirituality in family therapy.     

Associated Factors of Suicide Among University Students: Importance of Family Environment

The aim in this study was to underline the importance of family environment as a significant associate of suicide probability among university students. For this aim 226 Turkish university students completed Suicide Probability Scale, Family Environment Questionnaire, Beck Depression Inventory, and Positive and Negative Affect Scale. As a result of the formulated regression analysis, after controlling for the 51% of the total variance accounted for by the control variables (i.e., gender, age, living with family versus away from family, and Grade Point Averages) and mood related variables (i.e., depressive symptoms, and positive and negative affect), family cohesion still emerged as a significant associate of the suicide probability. These findings underline the importance of family relations as a risk factor of suicide among university students.This work has been supported by the Turkish Academy of Sciences, in the framework of the Young Scientist Award Program. (TG-TUBA-GEBİP/2002-1-11).     

Exploring the Use of Family Therapy with Adults with a Learning Disability

Clients with a learning disability have received little attention so far from psychotherapeutic services. Systems thinking seems to have obvious potential for this group, given the stresses which such a disability puts on the client and his family and the variety of different organizations with which they become involved. This paper describes the use of family therapy within a clinic setting and considers similarities to and differences from general family therapy practice. Ways of overcoming communication difficulties are highlighted, as is the need to redress the power imbalance within the therapeutic situation.     

Parent-Child Interaction Therapy With a Spanish-Speaking Family

There is relatively little information on the treatment effectiveness of child behavior-management programs with Spanish-speaking populations. Though there are several empirically supported treatments available in English, research on the applicability of these programs in Spanish is virtually nonexistent. This single-case study discusses the application of Parent-Child Interaction Therapy (PCIT) with a Spanish-speaking mother-child dyad to address the child’'s externalizing behavior problems. Both observational and parent self-report data are presented. Results suggest that PCIT was effective in increasing positive parent behaviors, decreasing child behavior problems, and reducing parental stress level. Implications for future clinical and research work with Spanish-speaking families are discussed.     

结构式家庭治疗在精神分裂症患者中应用的研究概况

精神分裂症属于重性精神病,在世界人口中的患病率约为1％,其特点是病程迁延,治疗进展缓慢,且复发率以及病残率均相对较高.它是一类病因尚未完全明了的精神障碍,社会心理因素(尤其是家庭关系)在其发病、转归和预后方面具有重要作用.针对精神分裂症家庭特点的研究,推动了家庭治疗的发展,也增加了帮助患者全面康复的治疗手段.结构式家庭治疗假设家庭中被标定的个体的问题与家庭的动力和结构有着密切的联系,改变家庭的动力及其组织过程,可改变个人及家庭,可以应用于精神分裂症患者家庭中,并且具有良好的治疗效果.     

Community Family Therapy with Military Families Experiencing Deployment

The length and frequency of deployments in the current wars in Iraq and Afghanistan are associated with increased vulnerability for both part- and full-time military families who stand to benefit from systems-oriented practice by marriage and family therapists. Community Family Therapy (CFT) is a modality designed to promote resilience both within and beyond the four walls of the therapy room, facilitate family connections in the community, and empower them for local leadership. The effects of deployment on families are summarized and CFT principles are adapted as a framework for intervention with this population.     

Family Centred Brief Solution-focused Therapy with Chronic Schizophrenia: a Pilot Study

The purpose of the study was to pilot a family centred brief solution-focused therapy model (BSFT) with families and clients diagnosed with schizophrenia. A control group of clients and their families received traditional outpatient therapy, while an experimental group of clients and their families were treated with a BSFT model. All participants were pre-tested and then post-tested with the Family Environment Scale after five therapy sessions over a ten-week period. Significant differences between the groups were found on expressiveness, active-recreational orientation, moral-religious emphasis and family incongruence. The participation of families and clients with schizophrenia in family centred brief solution-focused therapy produced encouraging results and demonstrated the need for expanded studies using BSFT with other chronically mentally ill clients and their families.