Preliminary psychometric evaluation of a standardized clinical family interview

Though multiple task interviews are often preferable for family interaction research, clinical-style interviews have a rôle to play. The 'Standardized Clinical Family Interview', whose development, structure and mode of administration have been described in an earlier paper, is designed to elicit family interaction in a clinically relevant fashion. A series of studies which evaluated the reliability, sensitivity, validity and acceptability of this instrument is now provided. The results suggest that the SCFI is useful and deserves further study; however, interviewer training is a major task.     

The Comprehensive Soldier Fitness program: family skills component

Field combat stress clinics and research have identified the signature event that precedes thoughts of suicide and homicide in combat soldiers in Iraq and Afghanistan: a distressing personal relationship event with a stateside partner. In response to this alarming information, we have identified critical factors and precipitating incidents as well as critical social skills that form the basis for changing communication between soldiers and their stateside partners. A pilot program is described that proved effective with small groups of soldiers who were led by a male-female professional team and given structured reading and social skills training exercises based on Gottman and Silver's (1999) book The seven principles for making marriage work. Recommendations for future training are made based upon our assessment of the family issues facing the combat soldier in Iraq and Afghanistan. In conclusion, we describe the family fitness interventions and program elements of the skill building trainings within the family component of the Comprehensive Soldier Fitness program, which can be delivered via online interactive technology as well as face to face with families.     

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.     

The family sculpt as an educational experience: an exploration of appropriate professional involvement

The paper focuses on the importance of the unconscious interaction between therapist and family as a factor of continuance in treatment. Previous research on continuation in treatment is reviewed, within which mutual expectations and social class factors are highlighted as being significant.
The issue is then reviewed as it effects family therapy and the theme is illustrated through an extended example of a family sculpted by a seminar of social work students. In this, particular attention was given to the interaction between the worker and the family.
It is concluded that the family's pressure on the worker to meet their expectations in reality, may be an important aspect of therapeutic breakdown.     

Social class and family size as determinants of attributed machismo,femininity, and family planning: A field study in two South American Communities

The major objective of the present investigation was to ascertain how stereotypes of machismo and femininity are related to acquired family size and perceptions of family planning. An indirect measurement approach was employed in which lower-class and upper-middle-class urban adults in Cali, Colombia, responded to photos of Colombian families which varied in size and completeness. The principal findings of the investigation revealed that (1) lower-class subjects described parents in the photos as significantly more macho and feminine because of their children than upper-middle-class subjects; (2) although no overall family size effect on attributions of machismo and femininity to parents emerged, lower-class female subjects described parents of large complete families as significantly more macho and feminine than parents of small complete families; (3) male subjects from both social classes described male spouses in the photos as more dominant and in greater control of the marital relationship as family size in the photos increased; and (4) perceptions of the incidence of family planning behaviors decreased linearly with family size for both social classes, although lower-class females attributed more family planning to spouses of large families than upper-middle-class females. Discussion of these results attempted to account for social class differences in the significance of parenthood as an indicator of sex-role identity and the psychological relevance of male dominance as a factor in fertility.This research was supported by a predoctoral research fellowship from the Council of Intersocietal Studies, Northwestern University, Evanston, Illinois 60201.     

Social Cognition Permeates Social Psychology: Motivated Mental Processes Guide the Study of Human Social Behavior

Social cognition provides a metatheoretical approach to understanding the mental underpinnings of human social behavior. This paper reviews some of the major themes in social cognition research, tracing its progression from a methodological hybrid between cognitive and social psychology to a major foundation of social psychology. We stress the most recent trend in social cognition research – the motivated tactician theme – which focuses on the roles of motives and goals in people's mental processes and social behavior; examples from our laboratory illustrate this theme. Our brief historical overview emphasizes diversity within the social cognition approach; its applicability to multiple psychological and social issues; and directions for collaboration with other notable research traditions, particularly cross-cultural perspectives.     

Engaging families as experts: collaborative family program development

This article presents the collaborative family program development (CFPD) model, a collaborative research-based approach to creating community-based programs for families. In this approach, families are viewed as experts on the nature of their challenges and on what they desire in a program. This approach is particularly useful in developing programs for families who have experienced social oppression and who may have been reluctant to participate in programs created for them by professionals without their consultation. In contrast, when professionals adopt the stance of respectful learners, families respond by actively engaging in the program development research and in the program created from it. This article describes the nature and complexities of a collaborative program development stance, the unique contribution to community-based program development offered by a family systems focus, and the 10 steps in the CFPD approach. These 10 steps guide movement from initiating the project and forming collaborative professional partnerships to engaging cultural consultants; conducting in-depth research to understand the problems, resources, contexts, and recommendations from the perspective of families who will receive the program and from the perspective of front-line professionals working with these families; transforming research findings into program contents and formats; and implementing, evaluating, revising, and replicating the program. The approach is illustrated by a program called Fresh Start for Families, developed and replicated for families in New York City who are homeless and attempting to move from welfare to work.     

Enhancement of social learning family interventions for childhood conduct disorder

Social learning family intervention (SLFI) is the treatment of choice for young children exhibiting severe conduct disorder and antisocial behavior. Despite the reported success of this intervention, high levels of resistance, poor engagement, and inadequate maintenance of improvements are observed for a substantial proportion of distressed families. These obstacles have inspired enhancement efforts to improve basic social learning family-intervention models. The present review identifies promising approaches for maximizing treatment gains for the conduct-disordered child. Relevant studies were organized into 3 approaches: enhancements and expansions (a) within a dyadic (parent-child) interaction model, (b) within a broad-based model that acknowledges a wider range of family influences, and (c) through a multisystems model. SLFI enhancements within the dyadic model have centered on either the strengthening of parental skills already included in the SLFI regimen or the adding of new interactional strategies. Some gains, but only partial success, have been achieved with the dyadic model supplements. SLFI expansions from a broad-based model have focused on parental adjustment, parental expectations during treatment, and social-environmental stressors. The multisystems adjuncts to SLFI include cognitive-behavioral interventions to affect peer relations and ecological approaches to sweep across domains. The broad-based and multisystems expansions have produced promising but undertested treatment regimens. Related areas of investigation included therapy process research, medication combined with SLFI, and the involvement of fathers in treatment. Recommendations are offered for improvement of SLFI research. The apparent theoretical crossroads for SLFI treatment of childhood conduct disorder are discussed.     

Theme-focused family therapy: the inner emotional world of the family

This paper is an account of a method of family work developed for social workers in social services departments which allows them to work with the emotional impact on children and adults of traumatic events in family life. Theme-focused family therapy has been designed to meet the needs of the families and also to enable social workers and their supervisors to develop both psychodynamic and systemic perspectives m their work with families. It is a staged approach, moving from individual work to a structured family interview through to a series of theme-focused family sessions. It is phased in this way both to facilitate the development of a therapeutic attachment between social worker and family and to take account of the crises that can interrupt planned work in social services departments. Theme-focused family therapy is carried out in partnership with families, and gives children a voice and a leading role in the therapeutic process. The approach is illustrated with a case example.     

Family psychology and family therapy in Japan

The development of family psychology and family therapy in Japan has occurred mostly since the 1980s. This development was originally activated by the major social issue in contemporary Japan of school refusal, in which more than 127,000 children either overtly refuse to or claim that they cannot go to school. From a family perspective, this problem is analyzed as it relates to the confusion that children experience from unbalanced and unclear boundaries in family relations or "membranes." An approach to family therapy that adapts systems theory and integrates a clay sculpting medium has been developed to work with Japanese families confronting this problem. The design and implementation of preventative family psychology programs applied at the community level are also an important part of the future development in these fields.     

Attachment within family systems: An overview

A family systems approach provides a context for the development and maintenance of dyadic attachment relationships. An attachment approach provides a focus on the expression of and response to attachment behavior within a family. Uniting the two approaches has implications for both research and intervention. Characteristics of attachment theory and family systems theory are briefly outlined: Both involve systemic thinking. Different styles of interacting at the level of the family as a whole, working models of relationships, and dyadic interactions appear to correspond in a coherent way. Further research is needed in order to identify which dimensions of family functioning are relevant to the development of secure attachments, and how the relevant dimensions may change with age and stage in the family life cycle. This will provide targets for preventive interventions, with the development of secure relationships as a primary goal.     

Les études des relations sociales précoces : sommes-nous trop « sécure » avec l'attachement ou trop « attaché » à la sécurité ?

During the past thirty years, empirical research has amply demonstrated the central role of early mother-child relations for subsequent social, cognitive and affective development. However, this confirmation of the vital role of primary attachment for later personal development has been accompanied by a relative neglect of the contribution of other social partners to the emerging competence of the young child. A critical review of the attachment literature underscores the need to replace the monotropic model of primary attachment by a more systemic model of development within the polyadic context of the family. For both theoretical and empirical reasons, a social ecological approach to early development permits overcoming the prosocial, positivistic biases of a single dimension, dyadic model of early socialization. The formulation of more systemic, multi-dimensional models of early family relations promises to advance our understanding of the complex adaptive processes that serve as developmental foundations for children’s emerging interpersonal competence.     

Uncommon strategies for a common problem: addressing racism in family therapy

Race and racism have a profound effect on our daily lives and the practice of family therapy. Whether individual or institutional level, overt or covert, intentional or unintentional, there are a variety of ways in which racism can infiltrate the therapeutic process. Before therapists can take steps to address racism effectively within the context of family therapy, it is important to attend to the development of their racial awareness and racial sensitivity. These provide the critical foundation upon which specific skills and strategies associated with effectively identifying and responding to racism in therapy are based. This article defines racial awareness and sensitivity and provides suggestions for enhancing both. In the section that follows, three major ways in which racism can infiltrate the therapeutic process are described. Skills and strategies for addressing each of these in family therapy are presented.     

Defining a family heritage and a new relationship identity: two central tasks in the making of a marriage

The roles of origin family environmental characteristics and couple consensus-building process within the development of marital relationships were examined prospectively in 16 premarital couples. Three important findings emerged. First, significant correlations were found between dimensions of origin family environment and the reported level of satisfaction within the couple's current relationship. Second, measures of the couple's ability to reach consensus concerning important interpersonal relationships appeared to be important mediators of the association between origin family environment and current relationship satisfaction. Third, important gender differences emerged that replicate and extend prior findings that portray women in the role of "relationship specialist" within their marriages. As a group, these findings were best explained by a developmental model of early marriage that envisions the young couple as facing two entwined tasks: to define both their family heritage and their new relationship identity. Overall, the importance of examining family-of-origin characteristics and consensus-building process as critical determinants of the fate of intimate relationships received strong support. The gender differences found in the literature reviewed, as well as the results of this study, have largely been overlooked by the theory and practice of family therapy. Efforts on both the research and theory construction fronts are needed to increase our understanding of the mechanisms whereby prior family experience is brought forward into current intimate relationships.     

Constructing an understanding of mind: the development of children's social understanding within social interaction

Theories of children's developing understanding of mind tend to emphasize either individualistic processes of theory formation, maturation, or introspection, or the process of enculturation. However, such theories must be able to account for the accumulating evidence of the role of social interaction in the development of social understanding. We propose an alternative account, according to which the development of children's social understanding occurs within triadic interaction involving the child's experience of the world as well as communicative interaction with others about their experience and beliefs (Chapman 1991; 1999). It is through such triadic interaction that children gradually construct knowledge of the world as well as knowledge of other people. We contend that the extent and nature of the social interaction children experience will influence the development of children's social understanding. Increased opportunity to engage in cooperative social interaction and exposure to talk about mental states should facilitate the development of social understanding. We review evidence suggesting that children's understanding of mind develops gradually in the context of social interaction. Therefore, we need a theory of development in this area that accords a fundamental role to social interaction, yet does not assume that children simply adopt socially available knowledge but rather that children construct an understanding of mind within social interaction.     

A review of social disinhibition after traumatic brain injury

Acquired social disinhibition refers to a debilitating behavioural syndrome commonly reported after a severe traumatic brain injury (TBI) and is characterized by inappropriate social behaviour, often described as immaturity and insensitivity towards others. These behaviours can have enduring effects on the social capability of the individual and their relationships with others. However, research into socially disinhibited behaviour after TBI has been thwarted by a lack of consensus in the literature on definition and measurement. This review provides an overview of our current understanding of the definition, measurement, prevalence, associated outcomes, neuropathology, and underlying mechanisms of social disinhibition after TBI. In addition, suggestions are made for future research to further our understanding of this syndrome with the eventual aim of rehabilitating problematic behaviours. It is concluded that an improved understanding of what causes disinhibited behaviour after TBI will be necessary for the development of effective treatment strategies aimed at the rehabilitation of underlying impairments.