Stress and Social Support in Parents whose Children are Hepatitis B Virus (HBV) Carriers: A Comparison of Three Groups in Guangzhou

The present study compared the moderating effect of social support on parental stress variables and mental health among three groups of parents: parents of HBV (Hepatitis B Virus) children who attended the special health kindergarten, parents of HBV children who stayed at home, and parents of healthy children who attended the ordinary kindergarten. These families resided in the city of Guangzhou. A set of questionnaires measuring parental stress and social support were given to the mothers after a one-hour interview. Results showed that parents of HBV children were significantly more stressed and psychologically at risk than parents of healthy children. They also sought help from social resources more often than the parents of healthy children. Parents of healthy children who attended the ordinary kindergarten reported the highest levels of overall social support, i.e. the number of very close friends and relatives with whom they could form close emotional attachments. Although they reported a lower number of acquaintances available, they also reported the most satisfactory relationships with the support provided by their acquaintances, lower levels of stress, fewer somatic problems, more adequate general health, and more perceived meaning in life than did parents of HBV children, and social support is one of the main influences on stress or parental health. The findings call for further research to focus on parents' well-being and social support that is helpful in addressing the needs of the family.     

A Russian adaptation of the child behavior checklist: Psychometric properties and associations with child and maternal affective symptomatology and family functioning

The Child Behavior Checklist's (CBCL) applicability to a sample of 105 Russian 9- and 10-year-old children was evaluated by examining the internal consistency of Russian adaptations of parent and teacher report forms. In addition, child behavior scores were correlated with child reports of internalizing symptoms and maternal reports of their own internalizing symptoms and general family functioning. Finally, rates of child behavior problems and patterns of interrater agreement were compared with U.S. normative data. The psychometric properties of the adaptations demonstrate the adequacy of these instruments for use in Russia. Internal consistency and interrater agreement were generally comparable to estimates obtained in U.S. normative samples. Further, an exploration of the construct validity of the Russian versions of the CBCL and Teacher Report Form (TRF) lends additional support to the adequacy of these instruments.This work was supported in part by grants from the International Research Exchanges Board (IREX) (with funds provided by the Andrew Mellon Foundation, the National Endowment for the Humanities, and the U.S. Department of State) and the National Institute of Mental Health (MH-00508, an RSDA to D. Pauls). None of these organizations is responsible for the views expressed. In addition, the authors wish to thank Thomas Achenbach for his helpful comments and suggestions.     

An investigation of the effects of comorbid Axis II pathology on outcome of inpatient treatment for unipolar depression

DSM-based research on comorbidity has suggested thatdepression andpersonality disorder frequently occur together and that the combination of syndromes is associated with a poor response to treatment for depression. The present study was designed to explore the effect of comorbid Axis II pathology for a sample of 45 inpatients who received treatment for major depression. Both categorical and dimensional ratings of personality disorder were used in the statistical analysis. Positive categorical diagnosis of Cluster C (anxious-avoidant) disorder, as well as higher dimensional rating of Cluster A (odd-eccentric) pathology, was predictive of a poor response to treatment (p<.05), as measured by change in pre-post clinical ratings on the Montgomery-Asberg Depression Rating Scale. These results were construed as indicative of a significant Axis II comorbidity effect in the context of an inpatient, multimodal treatment setting for depression. The results also spotlight the influence of techniques of measurement in determining the outcome of statistical analysis.     

SEMANTIC NETWORKS IN THE DIVIDED CEREBRAL HEMISPHERES

Abstract— Hemispheric differences in the recognition and manipulation of meaning may be based on distinctions in size, composition, or organization of the right and left semantic networks. The present study describes these features of pictorially based semantic networks in 3 subjects with complete forebrain commissurotomy. Stimuli were presented for prolonged viewing to the left and right visual hemifields. For each trial, the subjects chose from a 20-choice array all pictures that were associated with a target, then indicated the member of each pair of chosen associates that was more closely related to the target. The hemispheres' networks were found to be of similar size and composition, but were organized differently. The right hemisphere more often produced linear rankings of semantic associates to a target than did the left, and rankings by the two hemispheres were not strongly correlated. Hemispheric differences in semantic organization mirror differences in perceptual organization, with the right hemisphere specialized for conventional meaning and the left hemisphere specialized for detecting and processing deviations from standard meaning.     

Stories for therapy: The right story to the right person at the right time

In the postmodern information era with its increasing complexity and demands on my time, I find storytelling increasingly attractive. The right story told to the right person(s) at the right time in the right way can powerfully define and shape both individuals and the systems into which they organize themselves. As interventions go, I find stories to be relatively high impact, low-risk, parsimonious, and user-friendly. This paper contains some of my favorite teaching stories and describes why and how I use them as both a family therapist and teacher of family therapy.     

The self-narrative and acute psychosis

The aim of this study was to apply the narrative approach in analyzing family therapy meetings in cases of acute psychosis. The self-narrative is essential in acute psychosis since it is either collapsed or not coherent enough. The results indicate that it is important to create concrete practices that produce stories concerning the patient in relation to others. The self-narrative must be re-authored by the patient even though it is socially constructed. This is achieved by creating multiple perspectives of self-narratives in so-called therapy meetings with the patient, family members, and staff members representing different professionals.     

“Not with me you don't”: A story of narrative practice and dissociative disorder

This paper discusses issues relating to therapeutic practice based upon the narrative metaphor. A case of someone suffering the effects of Dissociative Identity disorder is used to illustrate the difficulties that clients can experience with the “expert” knowledge conception of therapy. The value of the “respectful” and “non-expert” emphasis of Narrative Practice emerges even when the therapist believes that he or she lacks expertise in the client's apparent “condition.” Three themes emanating from the case form the basis for the discussion: the client's experience of being recruited into accepting the diagnostic label of Dissociative Identity Disorder; the effects of being forced to accept a contract to eliminate self-abusive behaviour; and the therapist's dealing with a gun in the therapy room.     

The recovering female alcoholic: A family affair

Supported by a review of relevant literature and a case study, the author argues that family therapy intervention enhances the likelihood of a female alcoholic's positive prognosis. With a basis in systems theory, family therapy views the family as a system and, hence, perceives the alcoholism as a symptom of that family. A profile of the female alcoholic, how her drinking affects her family, and the role that family therapy plays in the recovery process are examined.     

Toward culturally sensitive intervention with arab families in Israel

Over the past three decades, Arab society in Israel has been undergoing processes of transition. These processes are manifested by changes in the economy, education, the status of women, family structure, and by socio-cultural changes and transformations in patterns of coping with social problems. There is a serious lack of empirical research on the implications of this process for the value systems of Arab society and families in Israel and a dearth of relevant intervention-oriented literature. This article outlines the basic cultural values in the Arab society in Israel in an attempt to illuminate the relevance of these values for family structure and for direct interventions with Arab families in Israel.     

Art in existential psychotherapy with couples and families

The authors describe and outline how art can be used in existential psychotherapy to help a couple or family uncover, discover, and make use of the meanings and meaning potentials to be found in marital and family life. In existential psychotherapy with couples and families, art can be used to help the members of the relationship notice meaning potentials in the future, honor meaning potentials that have been actualized and deposited in the past, and discover new ways to actualize meaning potentials in the here and now.