Technolatry, Methodolatry, and the Results of Family Therapy

Wells and Dezen's revisited results of research on the outcomes of nonbehavioral family therapy are themselves revisited. While their conclusions are largely defensible in terms of conventional criteria for research design and for assessing change in psychotherapy, we question whether such standard criteria are sufficient for studying the outcomes of family therapy. Moreover, Wells and Dezen's preoccupation with therapeutic technology at the expense of relationship factors and of "objective" change measures at the expense of more inferential measures severely limits the clinical and conceptual meaningfulness of their review.     

Ideologies,Idols (and Graven Images?): Rejoinder to Gurman and Kniskern

Three major issues raised in Gurman and Kniskern's commentary are discussed. These are (a) the suitability of established research design criteria for studying the outcome of family therapy; (b) the impact of therapist relationship factors on therapy outcome; and (c) the place of concrete or objective change measures in psychotherapy outcome research. Areas of agreement and disagreement with Gurman and Kniskern's observations are identified.     

The Effects and Effectiveness of Marital Therapy A Review of Outcome Research

The literature on outcome research in marital therapy is reviewed. Issues considered include the nature of outcome criteria, the need to establish a base line against which to measure improvement, and therapeutic effectiveness as a function of treatment type and time-in-therapy. The overall improvement rate across a heterogeneous collection of patients, therapists, and treatment modalities was 66 per cent, suggesting, conservatively, at least a moderately positive therapeutic effect in light of the judgment that “spontaneous” rates appear to be much lower in marital than in individual therapy. Evidence of deterioration in marital therapy also was discovered. No support was found for the contention that co-therapy is more effective than treatment of the couple by a single therapist. The needs of future research in the outcome of marital therapy are discussed and possible fruitful directions for such investigations suggested.     

A student-operated crisis center

In this article we describe an attempt to meet a university community's needs for emergency mental health services through the establishment of a student-operated telephone emergency service. The service provides an interesting model for use of nonprofessionals in mental health services, in which the professional functions primarily as a trainer and consultant rather than offering direct services. We describe the structure of the center and then discuss further innovations and projects.