Beyond home-based family intervention: A multi-family approach toward change

A growing specialty area in the mental health field involves working with emotionally disturbed youth and families-at-risk by providing services in the context of the home environment. A review of the literature provides documentation for family systems, social learning, and ecological interventions with at-risk families receiving home-based intervention but there is an absence of material on the use of multi-family groups with this population. The purpose of this article is to outline the implementation of a multi-family therapy (MFT) component for home-based programs serving at-risk families. Advantages and disadvantages when using MFT are also addressed.The authors are grateful to Linda Pannell for her helpful comments on drafts of this article.     

The role of network therapy in the treatment of relational disorders: Cults and folie a deux

This article discusses the successful outcome of a network intervention in a case of cult-involvement andfolie a deux. The intervention, specifically designed to help a family in which one member had become involved with an individual who claimed to be the Messiah—an involvement that entailed the exclusion and alienation of all other family members—used a team of network specialists and consisted of a pre-network planning meeting, the network meeting itself which included approximately 70 persons over four hours, and several follow-up meetings with network subgroups.     

What's in a therapist's name?

For some years there has been interest in and research on the psychological and sociological influences of names. Little attention has been given to the influence of the names given to mental health professionals. The author describes some of the influence his own name has had on his personal and professional development as well as some of the effects names have had on students and colleagues. A rationale for the exploration of therapists' and clients' names is provided.Except for the name of the author and the names of his family members and those of public figures, all other names used in this article are pseudonyms designed to maintain anonymity and preserve individuals' privacy.     

The effect of constant outcome value on judgments and decision making given linguistic probabilities

Two experiments were performed to determine whether judgments of the relative chances of two independent events occurring are biased by constant outcome values contingent on the events when the uncertainties are specified by linguistic expressions (e.g. doubtful). In Experiment 1, subjects directly judged the relative chances of the two events, of which one was represented by a spinner and the other by a linguistic probability expression. In Experiment 2, only linguistic probability expressions were used to describe the two events and a betting procedure was used. A bias was evident in both studies, such that the relative judgments tended to favour the event with the positive rather than the negative contingent outcome. The bias was smaller for the low- than for the high-probability phrases. Individual differences were great, with the bias appearing strongly in only about one-third of the population. Theoretical implications of the present and related results are discussed.     

CHRONIC SOCIAL STRESS, AFFILIATION, AND CELLULAR IMMUNE RESPONSE IN NONHUMAN PRIMATES

Abstract ——We report the first experimental study of the effect of long–term (over 2 years) exposure to a stressor on cellular immune response Forty–three male cynomolgus monkeys were randomly assigned to stable or unstable social conditions for 26 months The proportion of time spent in affiliative behaviors was assessed by observations made twice weekly T–cell immune response (mitogen–stimulated cell proliferation) was assessed weekly for 3 weeks immediately following the 26–month manipulation The possibility that affiliative behavior represents an attempt to cope with social stress was supported by greater affiliation among animals m the unstable condition than in the stable condition Animals in the unstable condition also demonstrated relatively suppressed immune response More affiliative animals showed enhanced immune response, with the beneficial effects of affiliation occurring primarily among unstable animals The data are interpreted as consistent with the stress–buffering hypothesis, that IS, affiliation protects animals from the potentially pathogenic influences of chronic social stress     

The language of feelings

The acquisition of a language of feelings is similar to the acquisition of other language and can be conceptualized within a Piagetian framework. The acquisition of this language of feelings is subject to certain pitfalls that are reflective of various emotional problems. The linguistic poverty for affect that is concomitant with being unable to label feelings points to the need for parents and therapists to be involved in helping the child or patient develop an affective schema. The development of a differentiated, accurate, and flexible language of emotion to both express personal feelings and evoke responses in others is a schematic gift which parents provide. We find that when parents have not provided this, a reparative language developmental task is part of a psychotherapy. A grasp of the interplay of the concepts ofassimilation andaccommodation in Piaget (1952) appears essential to encouraging a healthy language of feelings. Related concepts drawn from Schacter (1965), Laing (1967), Krystal (1979), Kelly (1955) and Malerstein and Ahern (1979) are interwoven in a Piagetian structure for a language of feelings.     

Training mildly retarded individuals to control their anger through the use of cognitive-behavior therapy techniques

Four mildly retarded adults with chronic anger problems were treated with a cognitive-behavioral approach similar to stress-inoculation training. The treatment techniques included a simplified version of rational-emotive therapy (RET), coping self-statements, relaxation training, biofeedback, coping imagery, behavioral rehearsal, and assertiveness training. The treatment techniques varied in each case so as to meet the needs of the individual clients. The emphasis was on the development of self-control as opposed to control through external contingencies, such as rewards and punishments. There were decreases in the frequency of anger outbursts in all four clients. Violent behavior, such as hitting and kicking others, and destruction of property, was totally eliminated. In addition, the clients reported decreases in anxiety and stress-related symptoms. Although experimental research is needed in this area, these preliminary findings suggest that at least some mildly retarded individuals can be taught self-control through a cognitive-behavioral approach.     

Self-evaluation maintenance and the perception of friends and strangers

A self-evaluation maintenance (SEM) model was used to make predictions about the positivity of perception of the performance of friends and strangers. The model predicts that when the target of perception is close (i.e., a friend) the target's performance should be perceived more positively on dimensions of low personal relevance (to the perceiver) and less positively on dimensions of high personal relevance. If the target is psychologically distant (i.e., a stranger), this tendency should be attenuated. Thirty-four female subjects were given positive and negative feedback on a social sensitivity and an esthetic judgment task. One task had greater relevance for some subjects and the other task had greater relevance for the remaining subjects. Subjects rated their perception of a friend's and a stranger's performance on these tasks. The patterning of positivity in perception conformed to the pattern predicted by the SEM model. Subjects' awareness of their behavior as well as individual differences in self-esteem and repression-sensitization were also examined and discussed.     

Memory in educable mentally retarded adults: Deficit in subject or experimenter?

Educable mentally retarded (EMR) and nonretarded adults free recalled lists of (a) words, (b) minitasks performed by the subjects (SPTs), (c) minitasks performed by the experimenter (EPTs), or (d) task instructions. The EMR subjects were significantly inferior to the nonretarded subjects in the immediate recall of words, EPTs and instructions, but not in the immediate recall of SPTs. This proficiency of the EMR subjects in SPT recall was attributed to the nonstrategic nature of this test. The EMR subjects were, however, inferior to the nonretarded subjects in a final free recall (recall of all lists) of all four types of item.