Developing operating principles for systems change

Based on an analysis of the articles in this special issue, the authors propose five operating principles for systems change work. These principles are: clarifying the purpose of the systems change; identifying whether the change is one to an existing system or the change is to create a new system; conceptualize the work as systems change from the beginning; use an eclectic approach; and be open to opportunities that emerge while also undertaking forma analysis to identify leverage points. The authors argue that the time is now ripe to develop such principles and encourage community change agents to engage in a dialogue to explore, revise, eliminate or expand on these principles.     

Towards a unified model of aesthetic pleasure in design

In this study we test the Unified Model of Aesthetics (Hekkert, 2014), which posits that the aesthetic sense has evolved to identify and value prospects for safety and accomplishment. The principles of unity-in-variety, most-advanced-yet-acceptable and autonomous-yet-connected are considered manifestations of these conflicting urges at separate levels of stimulus processing. We empirically integrate these principles to gauge their unique contribution to the aesthetic experience, using two distinct surveys (study 1–300 respondents and 20 stimuli, study 2–60 respondents and 24 stimuli). Both surveys confirm the three principles constituting the Unified Model of Aesthetics. The principles are found to operate independently and jointly, although unity-in-variety has the strongest impact on aesthetic pleasure.     

TARGET ARTICLE: Duality Models in Social Psychology: From Dual Processes to Interacting Systems

Dual-system models explain social cognition and behavior as a joint function of 2 interconnected mental faculties, each operating according to different principles. In this article, we use the Reflective-Impulsive Model as an example and first describe 3 major advantages of dual-system models, i.e., their integrative power, their foundation in well-established constructs of cognition and neuroscience; and the ease with which they can explain the interplay of judgments and nonjudgmental processes. We then turn to current debates on the adequate number of systems, as well as on the role of freedom and consciousness. We conclude by stating that dual-system models are versatile tools to integrate existing findings and to stimulate new research in social cognition and beyond.     

Evaluating a Complex and Uncertain Future

Social systems are emergent complex systems that are prone to uncertainty and change. Complexity and uncertainty increase the difficulty of evaluating for sustainability. However, backcasting from visions of sustainability using indicators that are positively correlated to principles of sustainability allows for congruence and complexity in achieving the vision. This article presents a model of how this can be done using Causal Layered Analysis and the Ecological Framework. Reiterating the evaluation and visioning process allows for indicators to accommodate change while remaining relevant to sustainability principles.     

Second order change and evidence‐based practice

Since its inception, family therapy (FT) has been distinguished by its explicit theoretical and practical focus on families and relationships as systems, with an emphasis on second order rather than first order change. As a result of these conceptual underpinnings we suggest that FT needs to look for manifestations of change which differ from individually focused disciplines such as clinical psychology. Studies of second order change have most commonly appeared in the form of conceptual papers and doctoral dissertations. We begin by revisiting the conceptual underpinnings of second order change. Building on this framework, we develop these aspects of change within the framework of recent developments in the empirical study of change. Finally, we point towards some promising directions for further evaluative work of FT as well as ways to incorporate some of these principles into training of FT students.     

Healing Principles: A Model for the Use of Ritual in Psychotherapy

The author presents a model, based on 5 healing principles (i.e., centering, assessment, gathering energy, directing energy, and gratitude and closure), for using ritual in psychotherapy. Application of the model is illustrated in a case study of a neopagan ritual designed to assist the client in strengthening her sense of self, differentiating from her mother, and making a career decision. The author also suggests using the Healing Principle Ritual Therapy Model with other belief systems.     

The heart of the matter 2: integration of ecosystemic family therapy practices with systems of care mental health services for children and families

Many children in this country do not receive the mental health care they need. At the same time, a nationwide movement known as systems of care is providing innovative services for families and children. This article links the ideas inherent in systems of care with ecosystemic family therapy principles and practices. Based on a study of nine innovative systems of care pilot projects in Massachusetts, it describes how these innovative programs, and others like them, have been most successful in increasing access to services and providing for coordinated services. They have been less successful in accomplishing positive clinical and functional outcomes. Change in these systems is often described in terms of how services are provided. Not enough attention is given to the conversations that take place between families and case coordinators and how these conversations lead to long-term change. This article contends that the ways in which services are delivered in these systems of care fit well with ecosystemic family therapy principles and practices. We, as family therapists, have an opportunity to link these two sets of ideas, which share common assumptions and values and increase the likelihood of positive clinical outcomes for children and families.     

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.     

由三个宽恕模型看宽恕研究新进展

西方学者已普遍接受宽恕的本质即为亲社会性动机转变过程。从这一取向出发, 介绍Worthington提出的宽恕压力应对模型、Koutsos等人提出的人际间相关变量模型以及Hall和Fincham提出的自我宽恕模型这三个模型。三个模型从三个不同角度对宽恕的动机转变观点提供支持, 通过论述三个模型之间的关系, 对宽恕的动机转变观点进行更加深入的阐述。同时在宽恕模型论述中总结分析近年来宽恕的认知加工、人际相关变量的作用以及自我宽恕方面的研究进展等。最后对宽恕在西方以及我国的研究进行回顾, 指出中西方宽恕研究发展中存在的研究不全面、缺乏理论支持等问题。     

解释水平视角下的道德判断

道德判断对社会合作有重要意义。近20年来涌现出大量对道德判断的研究。经典的社会直觉模型和双加工模型已经不足以解释所有的研究发现。近年来,解释水平理论为道德判断的研究提供了一个新的视角。通过文献梳理发现,基于解释水平理论的道德判断研究可以分为两难的道德判断研究和一般的道德判断研究。两难的道德判断研究已经有了较为一致的结论,但是一般的道德判断研究还存在争议。解释水平影响道德判断的深层原因可能是通过关注点影响道德判断的标准。未来的研究可以着眼于跨文化研究和深层机制的剖析,为解释水平视角下的道德判断研究提供更多的实验证据,加深人们对道德判断的理解。     

A complex dynamic systems approach to lasting positive change: The Synergistic Change Model

This paper argues that psychological and social functioning is fundamentally complex, and that this complexity is critical to understanding how lasting positive changes can be achieved. Principles from complex systems theory are integrated into an empirical positive psychological framework to propose a domain-based systems model of positive change called the Synergistic Change Model. This model proposes that enduring positive change depends on the formation of mutually supportive interactions across multiple domains of psychological and social functioning. The paper uses the model to explore three types of response to intervention – relapse, spill-over, and synergy – which have been supported in the existing positive psychology literature. Three practical intervention strategies arising from the model are outlined to inform the design of future positive interventions. The model challenges reductionistic approaches to positive change and offers several approaches to embrace the complexities of lasting positive change in future theory and research.     

Using system differences to orchestrate change: a systems-guides intervention model

Successful community-based interventions require that change agents give attention to the complexities of interwoven systems, described in the literature as complicated or complex, purposeful or purposive. The author further notes the separate standards, norms, principles and/or goals (here-named systems-guides) of systems. This paper describes the author's experience as a consultant to a multi-system collaboration where observed tensions among participants resulted in the author's implementation of a three-step systems-guides model, which can increase change agents' effectiveness with systems. The steps comprise: detection (of systems, systems-guides, and discrepancies between them; here through observation); documentation (of discrepancies; here through small group discussions); dissemination (to systems participants; here to the collaboration). Two small but fundamental systems changes emerged from systems participants, not from the change agent/author who facilitated systems members' recognition of discrepancies. A major limitation in the implementation of this systems-guides model centers on the critical necessity of the close relationship change agents must have with the involved systems.     

COMPARISON OF MODELLING AND REINFORCEMENT PROCEDURES IN INCREASING QUESTION-ASKING OF MILDLY RETARDED CHILDREN1

Questioning is an important skill, particularly for retarded children with deficits in accumulated information. Recent strategies for modifying a variety of verbal behaviors have included both token reinforcement systems and modelling procedures. However, the relative effectiveness (i.e., the rate of behavior change) of certain reinforcement procedures, especially with low base-rate behavior (used alone) have recently been questioned. The present study, using an ABAB design, compared the effect of a Token reinforcement system, a Trainer-Model procedure, and a combination of the two procedures on increasing the rate of question-asking. Each condition was in effect for six sessions. Groups of four mildly retarded children (mean age: 10.1 yr) were prompted to ask questions about large photographs, and each of their questions was immediately answered. For the Model group, the Trainer modelled four questions for each subject for each photograph. For the Token group, each question earned the subject a point, which was exchangeable after the session for various items (e.g., candy, ice cream) from a “store”. For the Modelling plus Token group, the procedures were combined. The Model and the Control groups were yoked to receive the same amount of candy as the Token and the Model plus Token groups for behaviors other than question-asking (i.e., being polite). The results indicated that during Baseline conditions, performance across groups was comparable and that the performance of the Control group did not change across time. The Model procedure had only minimal effects on the rate of question-asking, while both the Model plus Token and the Token groups showed significant performance increments. The only significant difference between the Model plus Token and the Token groups was a faster rate of increase early in the first Training condition for the Model plus Token group. This difference, and the low level of performance change for the Model group, was interpreted as suggesting a facilitory effect of modelling procedures on reinforcement contingencies. The discrepancy between previous findings showing relatively minimal changes following reinforcement of low base-rate responses and the present results were discussed in terms of various procedural differences. Educational implications of the present results were also discussed.     

Different is good: connectionism and dynamic systems theory are complementary emergentist approaches to development

Connectionist and dynamic systems approaches to development are similar in that they are both emergentist theories that take a very different perspective from more traditional symbolic systems. Moreover, they are both based on similar mathematical principles. Nevertheless, connectionism and dynamic systems differ in the approach they take to the study of development. We argue that differences between connectionist and dynamic systems approaches in terms of the basic components of the models, what they see as the object of study, how they view the nature of knowledge and their notions of developmental change mean that they each stand to make different and unique contributions to a more complete theory of development. We present an example from our work on how children learn to learn words that illustrates the complementary nature of connectionist and dynamic systems theories.     

Systemic training for healthcare professionals: the Chicago Center For Family Health approach

There has been increasing interest in family-centered, collaborative, biopsychosocial models of care by health and mental health professionals and consumers. This trend has led to growing demand and development of specialized training in family systems approaches to health care. This article describes the Families, Illness, and Collaborative Healthcare programs developed at the University of Chicago affiliate, the Chicago Center for Family Health. The program philosophy is guided by the following principles: a systems orientation focused on the family, a Family Systems Illness Model, a family resilience framework, a family-centered collaborative model of health care, and a social justice and advocacy orientation. Specific training components that implement these principles are described, including intensive certificate and fellowships; workshops, conferences, and institutes; and consultation and training services for community-based organizations. Discussion includes professional networking opportunities, funding challenges, and policy recommendations.     

Counselling and psychotherapy,complementary and alternative medicine and the future of healthcare

The counselling and psychotherapy profession is undergoing considerable change as a result of government intervention in the form of regulation, funding and efficacy research. In this paper we argue that these changes, even though they challenge some of the basic ways of thinking which have come to underpin the profession since its inception, also offer an opportunity to stimulate debate and thought in regard to how the profession might contribute to the development of healthcare systems in the future. We argue that this could be enhanced if therapists can learn from the experience of practitioners in the field of complementary and alternative medicine (CAM), which has been experiencing similar changes in recent years. Indeed, both fields of clinical activity adopt many similar underlying clinical principles and, according to Samuels (2001), have similar political outlooks. With reference to anthroposophic psychotherapy which, as well as being a form of psychotherapy, is also part of a ‘whole systems’ approach to CAM, we will examine those characteristics of psychotherapy and CAM that can inform the thinking of healthcare systems as a whole.     

Group affective learning in training for psychotherapy and psychoanalysis

This paper describes The Group Affective Model, a method for teaching psychoanalytic concepts and their clinical application, using multi‐channel teaching, process and review in group settings, and learning from experience in an open systems learning community for psychoanalysts and psychotherapists. This innovation arose in response to criticism of existing methods in psychoanalytic education that have subordinated the primary educational task to that of the training analysis. Noticing this split between education and training analysis, between cognition and affect, and between concepts of individual and group unconscious processes, we developed the Group Affective Model for teaching and learning psychoanalysis and psychotherapy in an open psychological space in which students and faculty experience individual and group processes of digestion, assimilation, and review, which demonstrate the concepts in action and make them available for internalization selectively. We discuss our philosophy and our educational stance. We describe our institution and our participants. We give examples of teaching situations that we have studied to provide some insight about assimilation and internalization of the concepts and clinical approaches being taught. We discuss the transferability of the Group Affective Model to other teaching settings and psychoanalytic training institutions and propose it as the fourth pillar of psychoanalytic training, next to analytic treatment, clinical supervision, and didactic seminars.     

System-of-Care Practice Review Scores as Predictors of Behavioral Symptomatology and Functional Impairment

The longitudinal comparison study of the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program assesses factors in service delivery systems that may shape the impact of systems of care. We evaluated the extent to which services embodying the principles of a system of care, as measured by the System-of-Care Practice Review (SOCPR), affect clinical outcomes for children being served in federally-funded systems of care and matched comparison communities. The participants included 75 children and families selected for participation in the SOCPR. Results indicated that experience of services embodying system-of-care principles at a high level was associated with lower symptom and impairment scores one year after entry into services. Children in systems of care were rated to have experienced high levels of system-of-care principles implemented within their services, and their symptom severity and functional impairment did not vary as a function of their experiences. Children in matched comparison communities had more variable rated experiences of system-of-care principles within their services, and their symptom severity and functional impairment decreased as their experiences of the principles increased.     

Extending adaptive world modeling by identifying and handling insufficient knowledge models

Adaptive knowledge modeling is an approach for extending the abilities of the Object-Oriented World Model, a system for representing the state of an observed real-world environment, to open-world modeling. In open environments, entities unforeseen at the design-time of a world model can occur. For coping with such circumstances, adaptive knowledge modeling is tasked with adapting the underlying knowledge model according to the environment. The approach is based on quantitative measures, introduced previously, for rating the quality of knowledge models. In this contribution, adaptive knowledge modeling is extended by measures for detecting the need for model adaptation and identifying the potential starting points of necessary model change as well as by an approach for applying such change. Being an extended and more detailed version of [17], the contribution also provides background information on the architecture of the Object-Oriented World Model and on the principles of adaptive knowledge modeling, as well as examination results for the proposed methods. In addition, a more complex scenario is used to evaluate the overall approach.