Aggressive behavior in normal and deviant members of intact versus mother-only families

Single-parent families have been identified as using more coercion and aggression to elicit compliance than intact families. The present study compared 9 mother-only and 15 intact families from a referred clinical sample to 9 mother-only and 16 intact nonreferred normal families using a family behavioral observation code. Clinical families emitted higher rates of aggressive behavior than normals, and mother-only emitted higher rates than intact. However, mother-only normals had lower rates than intact clinical families. The intact versus mother-only factor appears to be less important in understanding aggression than do the specific interactional patterns of family members.Support for this research was provided in part by NIMH grant 1 RO3 MN31509 CD, through the Center for the Study of Crime and Delinquency, and by support from the Indiana State University Faculty Research Committee. This is part of a 10-year project conducted by the Oregon Social Learning Center examining aggressive child families, and primary data collection was performed through the Oregon Social Learning Center. Appreciation is expressed to Betty Brummet, Gayle Home, and Patricia Reinker for assistance in data collection, to Brian Bauske and Barry Van Dyck for assistance in computer analyses, and to the staff of the Oregon Social Learning Center for constructive assistance.     

Treatment choice for PTSD

The impetus for seeking help for assault-related difficulties often rests upon the victims themselves. Yet, we know very little about what factors influence a woman's decision to seek a particular kind of help after an assault. To learn more about these factors, data from 273 women with varying degrees of trauma history and subsequent PTSD symptoms were collected. All participants read a standard, "if this happened to you, what would you do" scenario describing a traumatic event and subsequent trauma-related psychiatric symptoms. Participants were given the same trauma scenario (i.e., sexual assault) and three treatment options to choose from: sertraline (SER), prolonged exposure (PE), or no treatment. Ratings of treatment credibility, personal reactions to treatment options, and treatment choice were examined. Women were more likely to choose PE than SER for the treatment of chronic PTSD. Perceived credibility of the treatment and personal reactions coincided with women's choices. By better understanding who would choose which treatments for PTSD and why, we will improve our ability to tailor how we approach discussing treatment options with these women.     

Treatment of parental children and their families: Conceptual and technical issues

Abstract

This article focuses on conceptual and technical issues in family systems treatment of children who are assigned burdensome parental responsibilities. Specifically, after considering the role behaviors and family context of these children, we present therapeutic problems that predictably emerge at different stages in the treatment process. Some implications of these observations for theorizing about the interrelation of individual and family systems processes are discussed.     

Family-focused cognitive behaviour therapy versus psycho-education for adolescents with chronic fatigue syndrome: Long-term follow-up of an RCT

The aim of this study was to investigate the long term efficacy of family-focused cognitive behaviour therapy (CBT) compared with psycho-education in improving school attendance and other secondary outcomes in adolescents with chronic fatigue syndrome (CFS). A 24 month follow-up of a randomised controlled trial was carried out. Participants received either 13 one-hour sessions of family-focused CBT or four one-hour sessions of psycho-education. Forty-four participants took part in the follow-up study. The proportion of participants reporting at least 70% school attendance (the primary outcome) at 24 months was 90% in CBT group and 84% in psycho-education group; the difference between the groups was not statistically significant (OR = 1.29, p = 0.80). The proportion of adolescents who had recovered in the family-focused CBT group was 79% compared with 64% in the psycho-education, according to a definition including fatigue and school attendance. This difference was not statistically significant (Fisher's exact test, p = 0.34). Family-focused CBT was associated with significantly better emotional and behavioural adjustment at 24 month follow-up compared to psycho-education, as reported by both adolescents (F = 6.49, p = 0.02) and parents (F = 4.52, P = 0.04). Impairment significantly decreased in both groups between six and 24 month follow-ups, with no significant group difference in improvement over this period. Gains previously observed for other secondary outcomes at six month follow-up were maintained at 24 month follow-up with no further significant improvement or group differences in improvement. In conclusion, gains achieved by adolescents with CFS who had undertaken family-focused CBT and psycho-education generally continued or were maintained at two-year follow-up. The exception was that family-focused CBT was associated with maintained improvements in emotional and behavioural difficulties whereas psycho-education was associated with deterioration in these outcomes between six and 24-month follow-up.     

Secretarial and management students: Attitudes,attributes, and career choice considerations

Secretarial and management students were compared on characteristics that have differentiated between traditional and nontraditional career women. Fifty-five female secretarial students and 55 female management (bachelor of commerce) students completed the following measures: (a) the Work and Family Orientation Questionnaire (WOFO); (b) the Attitudes toward Women Scale (AWS); (c) the Powerful Others, Personal Control, and Chance Scales (I-E Scale); (d) the Personal Attributes Questionnaire (PAQ); and (e) a measure of career choice considerations. The groups differed on two aspects of the WOFO (competitiveness and desire to master difficult intellectual challenges), and on Personal Control, sex role orientation (PAQ), and career choice considerations. The results are discussed with respect to sex role socialization and the denigration of secretarial work.     

Meeting a deviant person: Subjective norms and affective reactions

Studied differences in verbal, nonverbal, and physiological responses during a confrontation with a male confederate role-playing either a physically handicapped (PH), homosexual (HS), or normal (NOR) person. One hundred and eight males from colleges of economics and engineering listened in a laboratory experiment to personal introductions by two confederates in succession. Whereas the first confederate always appeared normal, the second took one of the three roles mentioned. A further informal meeting with this confederate was arranged outside the laboratory; all subjects had taken a stereotype test before. Normative differences between PH and HS (p ≤ 0.05) are found on verbal measures including the stereotype test, self-rated emotion and consent to a further contact. General effects of deviance separating PH and HS from NOR (p ≤ 0.05) emerge on observed emotion, interpersonal distance during the informal meeting, and skin-resistance responses. The results largely confirm the hypotheses. They are interpreted as supporting a distinction between intended (action-type) components of behaviour which are strongly influenced by subjective norms, and unintended (reaction-type) components reflecting undifferentiated reactions to deviance.     

False pretense and deviant exploitation: Fortunetelling as a con

This paper presents a dramaturgical analysis of the backstage manipulations carried out by practitioners of the deviant occupation known as fortunetelling. It is generally believed that con games require a dishonest victim, although many practitioners manipulate their impressions with clients who are seeking a service rather than a profit. The group of fortunetellers included in this study are nonbelievers and hence fundamentally misrepresent themselves to their clients. Drawing upon depth interviews with 21 non‐Gypsy fortunetellers, including two key informants, six backstage routines are analyzed. Each routine in the fortuneteller's performance presents the client with a frontstage definition of the activity designed to sell more and more “psychic services.” The implications of the dramaturgical analysis of con games are discussed.     

Social distance of deviants and deviant offenders

Previous studies have focused on the seriousness of the offenses but have neglected the offenders. This analysis used a Bogardus-type social distance scale of 23 deviant roles using a sample of 524 respondents who indicated decided preferences for some types of deviant offenders over others. It was concluded that individuals occupying various roles such as judges, defenders, juries, and so on may feel great social distance toward certain types of offenders and may act differentially toward them.     

Treatment of families in conflict: Recurrent themes in literature and clinical practice

This article undertakes to demonstrate, through works of great literature throughout the ages, that our best writers have always understood the primacy and linkages between individual growth, character and destiny, and the context of the various living systems that impinge upon each individual, the primary context being the family of origin. Beginning with the immortal classic, theSophoclean Trilogy, which inspired Freud's use of the major character's name in these three dramas, Oedipus has been used to explain the psychological complex which Freud regarded as universal. The author in this article finds a rather different point of view borne out by these same dramas, as well as in the other literary works cited. It is the discovery that the identified patient is not Oedipus, but his natural and adoptive families.This often-quoted classic in family therapy literature is slightly revised and reprinted, with permission, fromNew Directions in Mental Health, NY: Grune & Stratton, 1968.     

Group psychotherapy with the aging gay male: Treatment of choice

This article summarizes many issues facing gay men as they age. Aging for gay men is a complex phenomenon involving identity, self-esteem, internalized homophobia, stereotypes about older gay men, and the paucity of positive gay male images or role models to help direct their development. In this article, I will attempt to illuminate some of the complex variables of aging, as well as illustrate through case examples that group psychotherapy is a particularly helpful forum for skills development for middle age and older gay men. The themes covered include: 1) commitment struggles—especially anxiety management and conflict resolution, 2) self-esteem regulation, 3) projections and internalizations, 4) capacity for intimacy, and 5) unresolved grief and loss due to the impact of AIDS: Alone vs. Lonely.     

An outcome management program for extending advances in choice research into choice opportunities for supported workers with severe multiple disabilities

We evaluated an outcome management program for increasing choice opportunities provided by 2 job coaches for 5 supported workers with severe multiple disabilities in a community job. The program involved specifying and monitoring behavioral outcomes among workers and staff, training staff, and supportive and corrective feedback. Increased choice provision occurred for both job coaches across a 1-year period. Results indicate how outcome management can help translate advances in choice research into routine practice.     

The relationship between the need for closure and deviant bias: an investigation of generality and process

The need for closure predicts an evaluative bias against people whose opinions or behaviors deviate from those of other members of their social groups. In the present study, we investigated whether the relationship between the need for closure and deviant bias generalized to nonsocial stimuli, and we examined the process underlying this relationship. Sixty-one undergraduate students completed measures of the need for closure, the need for structure, intolerance for ambiguity, and the ability to be decisive and achieve cognitive structure. They then rated their liking for letters of the Latin alphabet ("A" & "B") whose locations were consistent and inconsistent with relevant categories ("A circle" and "B circle"). Participants liked category-inconsistent letters less than category-consistent letters. Measures related to the need for structure and closed-mindedness correlated positively with this deviant bias, whereas measures related to the ability to be decisive and achieve cognitive structure did not. These results imply that the relationship between the need for closure and deviant bias is a relatively basic and pervasive effect that is not unique to social deviance and is driven by the need for structure and closed-mindedness. Implications for social and nonsocial stimuli are discussed.     

Neighborhood and community factors: effects on deviant behavior and social competence

Socialization in a neighborhood and community at risk, defined in terms of violence, social alienation, school failure, and disruptive behavior, is a risk factor for the acquisition of antisocial and delinquent behavior. In order to test this hypothesis and examine the underlying mechanisms involved, 346 participants, 155 high-risk and 191 low-risk, aged 11 to 13, that is, under the age of criminal responsibility as established by the Spanish Law 5/2000 were selected. The results reveal that high-risk youngsters had higher rates of antisocial behavior and lower levels of social skills (i.e., greater tendency to externalize attribution of responsibility, fewer conflict resolution strategies, lower self esteem, and a lower degrees of emotional intelligence) in comparison to the lower-risk group. Finally, the results and implications of the study are discussed in the light of designing prevention programs.     

Treatment of families during life transitions: matching treatment to family response

This article examines the conceptualization and treatment of families during normative and non-normative life transitions. Variables identified by individual and family developmental theorists account for some variation in responses of families to life transitions. Three family variables are identified as critical to practitioners' understanding of families: disruption of time schedules, number of new decisions involving initial disagreement, and pretransition family conflict. Different responses are hypothesized for families high or low on each variable. Six treatments of families are identified: historical family therapy, structure/process family therapy, experiential family therapy, psychoeducational approaches, family crisis intervention, and enrichment. The likelihood of success of each treatment is predicted on the basis of a family's response to the transition.