Types of Paradoxical Intervention and Indications/Contraindications for Use in Clinical Practice

A review of theoretical mechanisms underlying paradoxical interventions is undertaken in an effort to classify them into three broad types: redefinition, symptom escalation and crisis induction, and redirection. A list of individual and family patient characteristics and problems particularly applicable to each type of paradoxical intervention is presented along with contraindications for use. Last, implications for training and cautions as to their use are presented.     

Anorexia Nervosa: The Hospital's Role in Family Treatment

When an anorexia nervosa patient requires hospitalization for her ¹ 1 We will use the pronoun “her” to refer to anorexic patients since the overwhelming majority are female. Our discussion will focus mainly on younger adolescent girls who are still living with their families.
medical condition, the treatment team faces the problem of integrating the individual focus of inpatient care with the systems focus of family therapy. In this paper we propose a family-systems model of hospitalization, the aim of which is to facilitate such integration. The model draws on current theories of anorexia nervosa, as well as general concepts from psychodynamic, developmental, and family systems theories. The major hypothesis of the model is that all members of the anorexic family are developmentally arrested in the area of separation-individuation. On this assumption, we propose that the entire treatment team (including medical professionals and therapists) needs to function as “parents” to the anorexic family in much the same way that two cotherapists become parental figures in family therapy. Specifically, the team needs to provide those parenting responses that facilitate the family's individuation process.     

DETERMINING JOB GROUPS: APPLICATION OF HIERARCHICAL AGGLOMERATIVE CLUSTER ANALYSIS IN DIFFERENT JOB ANALYSIS SITUATIONS

The present study showed that researchers must consider underlying data structure when using hierarchical agglomerative cluster analysis to group jobs. Five cluster procedures were applied to four simulated data sets constructed to reflect common job analysis situations. The structures contained jobs varying in degree of task overlap, number of tasks performed, and relative number of people doing the jobs. Average linkage/distance was the most accurate procedure when jobs had highly positively correlated task profiles, a situation characteristic of jobs within a career family over a restricted range of levels. Average linkage/correlation was the most accurate for three other structures containing jobs whose profiles were not highly positively correlated. Such are characteristically found when analyzing (a) jobs in different functional units, (b) jobs over a wide range of hierarchical levels such as entry to advanced, and (c) jobs differing markedly in the number of incumbents.     

The Effect of Life Events and Relationships on Adult Women's Decisions To Enroll in College

This study was designed to investigate the role of life events and “relationship” morality in women's decisions to enroll in college. Interviews with 38 women, ages 25–46, indicated that the timing for women returning to college was determined by the state of their relationships and life events and not solely by motivation. Enrollment was often postponed until children were “old enough,” family responsibilities were lessened, or fellow workers or employers would not be inconvenienced.     

Counselor Applications of Research Findings to Practice: Learning To Stay Current

There is evidence that many counselors currently perceive research as irrelevant to their work, possibly because the present model of training counselors to solve problems is inadequate. The authors point out ways in which applied training can be restructured so that counselors will be better able to apply research findings to their practice.     

What Client Behaviors Make Counselors Angry? An Exploratory Study

Counselors may feel anger when clients do not behave according to their expectations of what is a good client. Client resistance, client impositions, verbal attacks on the counselor, and overinvolvement by the counselor in client dynamics seem to be relatively common occurrences that annoy counselors. Possible counselor responses to these feelings are discussed.     

A QUANTIFIED APPROACH TO MEASUREMENT OF JOB CONTENT: PROCEDURES AND PAYOFFS1

Procedures used for developing a quantified job analysis system for 1710 exempt employees in a power utility firm are described. Factor analysis of these data yielded 60 job dimensions which were used to describe position and job profiles. These job profiles then served as the basic input into the development of job clusters, defined as jobs at the same organizational level which have similar job content. The usefulness of information in this format for selection, promotion, transfer, compensation and training decisions is discussed.     

Religion As Experience in the Family

The simple fact is that whatever is seen or heard has its impact on the person seeing or hearing it. Anything that is seen and/or heard by a person asks that person to make an explanation to himself about it. As we've seen so many times before, if there is no opportunity to check out the explanation, then that explanation becomes the “fact.” The “fact” may be accurate or inaccurate, but it will be the basis upon which the individual will base his actions and opinions. This is the reason I believe so many children grow up to be adults who see themselves as versions of saints or devils instead of living, breathing human beings who feel.     

Bulimic Beliefs: Food for Thought

Individuals suffering from bulimia nervosa share a characteristic pattern of thinking which needs to be understood if effective treatment is to take place. This article presents these beliefs, gathered by clinical experience and a review of the literature, in a format which describes each belief, discusses the common causes for its development, and suggests therapeutic interventions.