Family Consulting: A New Role for Therapists

A new model for psychological practice entitled, "Family Consulting" is proposed. It is defined as a long-term, intermittent approach to working with families based on a developmental/non-pathological perspective. The specific format of intervention is described in detail. A brief review of the life-span perspective of development, the family life-cycle literature, and object relations family therapy, which serve as the building blocks of the model is provided. The role that family consulting can play in today's managed mental health care environment is discussed.     

Parent-child interaction and developmental outcomes in children with typical and elevated likelihood of autism

BackgroundEarly parent-child interactions have a critical impact on the developmental outcomes of the child. It has been reported that infants with a family history of autism and their parents may engage in different patterns of behaviours during interaction compared to those without a family history of autism. This study investigated the association of parent-child interactions with child developmental outcomes of those with typical and elevated likelihood of autism.MethodThis longitudinal study investigated the relationship between global attributes of parent-child interaction and the developmental outcomes of infant siblings with elevated likelihood (EL: n = 29) or typical likelihood (TL: n = 39) of developing autism. Parent-child interactions were recorded during a session of free-play when the infants were six months of age. Developmental assessments were carried out when the children were 12 and 24 months of age.ResultsThe intensity of mutuality was significantly higher in the TL group than in the EL group, and developmental outcomes were poorer in the EL group when compared to the TL group. Positive associations between parent-child interaction scores at six months and developmental outcomes at 12 months were observed only in the TL group. However, in the EL group, higher levels of infant positive affect and attentiveness paid to the caregiver is associated with lower autism symptoms. Due to the sample size and design of the study, the findings must be viewed as indicative.ConclusionThis preliminary investigation demonstrated differences in the association between parent-child interaction quality and developmental outcomes for children with typical and elevated likelihood for autism. Future studies should combine micro-analytic and macro-analytic approaches to parent-child interaction to further examine the nature of this relationship.     

Stone,Ken, Practicing Safer Texts: Food,Sex and Bible in Queer Perspective

Abstract

The past twenty years have witnessed much discussion about the place of lesbian, gay, bisexual and transgendered (LGBT) people in the Church, particularly through two sets of debates: on whether and under what circumstances LGBT people should be ordained, and on whether and under what circumstances LGBT people should have their marital unions blessed. The past twenty years have also witnessed the creation of various liturgical materials responsive to the needs of LGBT people, particularly for events that are crucial to an LGBT person's life and faith but for which there were no existing rites in public worship. However, by concentrating only on the occasional and extraordinary events in a person and a community's life as "queer worship" (with its double sense of both "unusual worship" and "worship for LGBT people"), we are neglecting the myriad ways in which day-to-day ordinary worship is, and is not, queer. This article therefore examines the ways in which heteronormativity and the demand for "covering" can create tacit prohibitions around worship for LGBT Christians. Arguing for the inherent queerness of Christian worship, it suggests practical ways in which LGBT people's lives can more fully integrate into a community's liturgical life, and vice versa.     

Psychosocial therapies for children and adolescents: Overview and future directions

The assessment and psychosocial treatment of children must consider developmental phase and stage, developmental tasks, the nature of the disorder (does it affect a narrow sector or one developmental line or is there a broad disruption of development?) and biological contributions (including constitution, maturational rate, and factors such as the onset of puberty). Treatments can be distinguished along dimensions, including theoretical emphases, degrees of definition of the treatment, scope, the “patient” (child, family), duration, frequency of contacts, combination with other modalities, etc. Similarly, choice of treatment is based on many factors, including the clinician's expertise, availability of resources, wishes of parents, cost, etc. Future research should be grounded in a theory of child developmentas well as a theory of therapeutic action.Treatments should be well defined and currently practiced, provided by experts, and arise from realistic situations. The study of therapies bridges basic and applied research and provides data of profound relevance for theories of child development.     

Ambiguity and the dialogical self: In search for a dialogical psychology

Abstract

It is intuitively felt that ambiguity plays a crucial role in human beings' everyday life and in psychologists' theoretical and applied work. However, ambiguity remains essentially non-problematised in psychological science since its foundation. This article analyses positivist and social constructionist perspectives on ambiguity in the context of their epistemological and ontological fundamental assumptions. The relational thesis of social constructionism is further analysed and it is argued that it constitutes a “weak thesis” concerning the relational constitution of human beings. In the second part, a dialogical alternative is elaborated. In this perspective, ambiguity is placed in the context of relationship and both are brought to an ontological ground. Therefore, it is argued, ambiguity is a fundamental property of human experience and plays a fundamental role in the constitution of (inter)subjective processes. The impact of this thesis on dialogical perspective on self is elaborated.     

The Relationship Between Marital Satisfaction,Marital Stability,Nuclear Family Triangulation,and Childhood Depression

This study was to examine the effect of triangulation on depression in children. Clinical samples and nonclinical samples were taken from Utah and Illinois. Families were assessed for marital satisfaction and stability, family triangulation, and children's depression levels by the Marital Adjustment Test, Marital Status Inventory, Nuclear Family Triangulation, and Children's Depression Inventory. Results showed children's depressive symptoms to be most strongly linked to fathers' level of marital satisfaction, marital stability, and perceived family triangulation. Mothers' variables did not affect children's depressive symptoms .     

A season-long examination of the intervention tone of coach–athlete interactions and athlete development in youth sport

ObjectivesCoaches are a primary influence on athletes' development in youth sport (Horn, 2008). However, the intervention tone of coaches' behaviour has not been directly observed. The purpose of this study was to examine associations between the intervention tone exhibited by youth sport coaches and athletes' individual developmental trajectories over the course of a season.DesignShort-term longitudinal study with behavioural observation.MethodFifty-five athletes and their coaches from five youth volleyball teams were observed at three time points, and the intervention tone of interactive behaviour was systematically coded and organized by coach–athlete dyad. Athletes completed measures of the 4C's of athlete development (competence, confidence, connection, character) at each time point, which were used to create individualized developmental trajectories. Person-centred analyses were used to examine associations between athletes' developmental trajectories and their unique interactive experiences with their coach.ResultsCluster analysis revealed the presence of three distinct clusters based on athletes' developmental trajectories: 1) high and increasing, 2) low and decreasing, and 3) moderate and maintaining, with athletes from each team distributed across clusters. Analysis of dyadic interaction profiles revealed significant differences in interactive behaviour between clusters.ConclusionsResults suggest that differences in coach–athlete interactive experiences are associated with different developmental trajectories over the course of a season, even for athletes working with the same coach, highlighting the individualized nature of coaches' influence on young athletes. Practical implications for coaches include a critical awareness of their unique interactive relationship with each athlete independently, as well as the importance of fostering these relationships with regard to young people as more than just athletes.     

Early life adversity potentiates the effects of later life stress on cumulative physiological dysregulation

Background and Objectives: Previous research indicates that early life adversity may heighten stress reactivity and impair mechanisms for adaptive coping, suggesting that experience of stress in early life may also potentiate adults' physiological vulnerability to stress in later life. The study tested this hypothesis by investigating whether the experience of stressful events and circumstances (SEC) in childhood or adolescence amplified the effect of adulthood SEC on physiological dysregulation (allostatic load, AL) in later midlife. Design: Observational data were used in the present study. Physiological functioning was measured in later midlife (participants' age ranged from 49 to 63 years). Both childhood/adolescence and adulthood SEC were reported retrospectively on the same occasion. Methods: Participants were 5309 Danish men and women from Copenhagen Aging and Midlife Biobank (CAMB). SEC included socioeconomic and family factors. The AL index was based on nine cardiovascular, metabolic, and immune biomarkers. Results: Experience of SEC in both early life and adulthood independently predicted higher AL. In men, experience of SEC in early life also potentiated the effect of SEC in adulthood on AL. Conclusions: The results provide further insight into the mechanisms behind the “biological embedding” of childhood stress.     

What Are Gay Men for?

Abstract

The question asked in the title is one that Mark Vernon takes from Michael Vasey's own writings on sexuality. Vernon notes that Vasey presents a clearly constructavist account of sexuality in which the nature and meaning of homosexuality will change with historical and social circumstances. This raises the question of what gay men might be for in contemporary society. In order to explore this question Vernon looks at the literature on friendship, drawing on the work of Aristotle and others. He aims to show that the kind of friendship experienced by and shown to others through gay men, is of a particular, perhaps disturbing, kind. It is from this position that Vernon answers Vasey's question by suggesting that gay men may be able to offer a prophetic message to contemporary society about the nature of friendship beyond, and within, the family structures of society.     

Pandora's box: An investigation of essay anxiety in adolescents

Abstract

This paper is an investigation into possible causes of essay anxiety experienced by adolescent students. The three students are presented as being representative of three broader categories: the non-starter, the non-completer and the non-exhibitor. Parallels are drawn between the student essay and student family relationships, and essay anxiety is explored in terms of the utilization of defences against the anxiety of loss. In the process, there is an attempt to appreciate some of the deeply rooted, inter-related, developmental factors - in particular, tolerance of aggressive impulses and the experience of the good object as modifying container - which might affect the student's ability to deal productively with an essay.     

Mountain Bike Trail Building, “Dirty” Work,and a New Terrestrial Politics

Abstract

Dirt is evoked to signify many important facets of mountain bike culture, including its emergence, history, and everyday forms of practice and affect. These significations are also drawn on to frame the sport's (sub)cultural and counterideological affiliations. In this article we examine how both the practice of mountain biking and, specifically, mountain bike trail building, raises questions over the object and latent function of dirt, hinting at the way that abjection can, under certain circumstances, be a source of intrigue and pleasure. In doing so, we suggest a resymbolization of our relationship with dirt via a consideration of the terrestrial.     

Into the Haunted House of Mirrors

Abstract

The treatment of youth with histories of multiple victimization is discussed. A developmental treatment approach is presented based on Eriksonian theory that highlights particular difficulties abuse presents for a child's successful movement through different developmental stages. Interventions addressing these difficulties are also discussed with many case examples. Finally, the issue is raised concerning which multiple abuse victims can be helped by the therapeutic process.     

TO INTERPRET,OR TO BE OMNISCIENT

Abstract

Susan Moller Okin has criticized Michael Sandel's view that the family is an example of an institution that is sometimes ‘above’ or ‘beyond’ justice, and for which justice is not, under the best conditions, a virtue. She argues that he both misses the point of justice as a virtue of social institutions and that he idealizes the family, and after undertaking this ‘ground-clearing’, goes on to argue that families should be just. This paper offers a qualified defense of Sandel. I argue, first, that Sandel has not missed the point of justice as a virtue of social institutions. But I go on to argue, more centrally, that if we distinguish between what I call ‘internal’ and ‘social’ justice of the family, and look carefully at the conclusions of Okin's own arguments, we see that she has really argued for the social justice of the family, and that this can be maintained alongside Sandel's vision of the family as an institution within which considerations of justice are neither central, nor necessarily appropriate. I try to carve out space both for Sandel's vision of the family, and for Okin's substantive feminist conclusions about family-based gender injustice.     

The (Neglected) role of the father in Children's mental health

BackgroundAlthough the bulk of the literature on child development, historically, has focused on the significant role of the mother, less attention has been given to that of the father. Therefore, more attention has been given to fathers’ roles in the last 20–30 years.AimThe aim of the current review was to explore the role of the father on a child's development.MethodsAn extensive literature search using 'Psycharticles', ‘PsychInfo’, and ‘Google Scholar’ databases using terms like 'father's role', 'child/children's', 'child development', and 'mental health' was conducted to achieve the objective of the study.ResultsFathers were found to play a significant role in nurturing their children. Fathers are considered to be important for the development of the child's autonomy, the shaping of gender identity, and the development of the moral system of the child. Usually, he is the one who establishes the feeling of security in the child's mind. He is considered to be the protector and defender of the family Freud's position is that the father is the symbol of security, power, and authority for the child.ConclusionAlthough the original aim of the research was to draw a line between parents' roles in the family and shed light on the father's role, the findings suggest that the fundamental concept in nurturing children depends on the complementary roles of parents as children need their parents equally.     

Multiple Maltreatment and the Development of Self and Emotion Regulation

Abstract

The impact of multiple victimization on the development of social and emotional regulatory processes is examined. Questions are raised regarding both the quantitative and qualitative impact of singular versus multiple maltreatment. Normal development of self regulation is discussed as well as measures commonly used to assess it. Abuse research findings relevant for considering the development of regulatory processes are reviewed. Finally, the influence of family, individual child, and parenting factors is considered as related to regulation. The recommendation is made for more careful research, guided by developmental theory and using more specific measures of developmental problems and competencies.     

Power and Pleasure

SUMMARY

In exploring issues of power and pleasure in relationships the author uses Erikson's (1965) developmental 'eight ages of man' as both a conceptual framework and a way of describing aspects of the developmental growth of boys as men, and he completes Erikson's (1968) epigenesis of the life cycle in relation to identity and intimacy. Drawing on literature on male psychology, his own experience and his experience as a counsellor and a Transactional Analysis (TA) psychotherapist in clinical training, the author focuses on male identity and men's capacity for intimacy in relationships. The use and abuse of power in achieving male identity, and the implications for mutual pleasure and interdependence in intimate relationships are outlined and practice issues for counselling and psychotherapy with men in relation to identity and intimacy issues are considered.     

Maltreated Adolescents

Abstract

The authors review literature on the developmental tasks of adolescence and the unique problems faced by adolescent victims of maltreatment. The developmental domains addressed include cognition, identity, behavior and affect regulation, family and peer relationships, and sexuality. Research on the co-occurrence of multiple types of victimization is discussed. The relationship between multiple victimization and violent crime, with a focus on parricide, is examined. The authors call for greater attention to the assessment and study of multiple forms of maltreatment and its outcomes in adolescence, since adolescence is one of the least researched developmental periods in terms of single or multiple victimization.     

Expanding the family systems approach: Cultural,class, developmental and gender influences in drug abuse

Abstract

The family systems approach to drug abuse has illuminated the dysfunctional family dynamics often associated with adolescent drug abuse. However, for adults with long histories of drug problems, the model is less compelling. Evidence suggests that cultural variations, social class differences, individual and family life cycle development, and gender influence the origins and continuance of long-term drug abuse. Examples are offered of how these factors shape the adult course of drug addiction. The authors suggest that clinicians learn the particular meanings of individuals' family ties, dependencies and living arrangements. In doing so, they will consider the broader context in which drug abuse occurs and will enhance the accuracy and effectiveness of their assessments and treatment strategies.     

The transgender parent: Experiences and constructions of pregnancy and parenthood for transgender men in Australia

Background: Transgender (trans) men are commonly born with the reproductive anatomy that allows them to become pregnant and give birth and many wish to do so. However, little is known about Australian trans men's experiences of desiring parenthood and gestational pregnancy.

Aims: The present study aims to address this gap in the literature through addressing the following research questions: how do Australian trans men construct and experience their desire for parenthood? And, how do Australian trans men construct and experience gestational pregnancy?

Methods: This study aimed to explore these experiences, through a mixed-methods research design using online survey data and one-on-one interviews, with 25 trans men, aged 25–46 years old, who had experienced a gestational pregnancy. Data were analyzed using thematic analysis.

Results: For our participants, parenthood was initially described as alienating and complex, however transitioning enabled participants to negotiate and construct their own parenting identity. Pregnancy was positioned as a problematic but “functional sacrifice,” however formal assisted fertility experiences were rife with exclusion. At the same time dysphoria associated with withdrawing from testosterone and the growing fecund body were significantly troubling. Changes to the chest were of particular concern for participants. Exclusion, isolation, and loneliness were the predominant features of trans men's experiences of gestational pregnancies. Healthcare systems are not generally supportive of trans bodies and identities and trans men encounter significant issues when interacting with healthcare providers. As such, the results reinforce the importance of inclusive and specialized health services to support trans men through pregnancy.