The conflict cycle in families and therapy

Conflict is not an aberration but rather part of the structure of human relationships. It is defined in this paper as consisting of four stages. Once the first stage (the dispute) is triggered, there is a high likelihood that the second (blaming) will occur, and the third (shame, guilt, or denial), and then the fourth (reparation, reconciliation, or retaliation). Three case presentations illustrate the conflict cycle in various clinical and nonclinical situations. The family therapist should be readily able to identify the cycle in clinical situations, and knowledge of it should prove fruitful in identifying pathogenic relating and in planning interventions and their timing.     

Women's and men's willingness to self-disclose to therapists and friends: The moderating influence of instrumental,expressive, masculine,and feminine topics

The present study used the Masculine and Feminine Self-Disclosure Scale to investigate women's and men's willingness to self-disclose about the instrumental, expressive, masculine, and feminine aspects of themselves to four target persons: female and male therapists and friends. The data revealed that women's and men's willingness to self-disclose to therapists and friends was tempered by the gender of the target person and the particular “masculine” and “feminine” content of the disclosure topic. Men were more willing than women to discuss the global masculine aspects of themselves with a male friend. In contrast, women were more willing than men to discuss (1) their expressive behaviors with both female and male friends and (2) their global feminity with female and male therapists and friends. The discussion emphasizes gender role phenomena as an important dimension of women's and men's willingness to disclose personal information about their masculinity and femininity to therapists and friends.     

Inference deficits in right brain-damaged patients

The inferential reasoning ability of right hemisphere-damaged (RHD) patients was tested by presenting pairs of sentences which were to be treated as single, integrated units. The two sentences treated together made one interpretation likely (a correct inference); one of the sentences in isolation encouraged a different interpretation (an incorrect inference). The position of the misleading sentence was systematically varied. Results showed that, in contrast to normal controls, RHD patients have more trouble answering inference questions, especially those concerning incorrect inferences, than answering questions about the factual content of the passages. Also, RHD patients made significantly more errors when the misleading information was contained in the first rather than in the second sentence; this finding indicates that these patients have difficulty revising previously acquired knowledge in light of new information. These results suggest the impairment of several components of normal discourse processing subsequent to right hemisphere brain damage.     

Comprehension of humorous and nonhumorous materials by left and right brain-damaged patients

Right hemisphere-damaged (RHD) and left hemisphere-damaged (LHD) aphasic patients were tested on a nonverbal cartoon completion task that included a humorous (Joke) and a nonhumorous (Story) condition. In both conditions, RHD patients performed worse than LHD patients. More importantly, the qualitative difference between the errors produced by the two groups suggests that right and left hemisphere brain damage impairs different components of narrative ability. RHD patients showed a preserved sensitivity to the surprise element of humor, and a diminished ability to establish coherence. Conversely, LHD patients, when they erred, showed an impaired sensitivity to the surprise element of humor, and a preserved ability to establish coherence by integrating content across parts of a narrative. These results suggest that the observed humor comprehension deficits of RHD patients result specifically from right hemisphere disease and not from brain damage irrespective of locus. The performances of the RHD and LHD patients groups together support a separation of narrative ability from the traditional aspects of language ability typically disrupted in aphasia.     

Does family therapy produce change? an overview of outcome studies

Summary Families were randomly assigned to one of two forms of conjoint marital therapy: an insight-oriented treatment (n=10) or a problem-solving intervention (n=10.). The results on self-report measures of family functioning indicate that the problem-solving intervention produced more favorable changes after three months. However on long-term follow-up after a year, this more positive effect did not apparently persist, since the insight treatment group reported better results. Experienced therapists did better than inexperienced therapists in the insight treatment condition, but level of experience did not make a difference in the problem-solving intervention. A group of eight families who dropped out of the insight treatment group provided data on correlates of premature termination. Several of the practical obstacles to implementing an experimental design in a clinic setting are illustrated by the research.As we develop more sophisticated methodology, we hope that is the near future family therapy researchers will be better able to state which type of approach is more effective for whom and under what circumstances. A review of current studies of family therapy outcome research indicates that family therapy seems to be as effective as individual psychological treatment.     

Development and validation of the Eating Behavior Inventory

The Eating Behavior Inventory (EBI) is a self-report instrument for assessing behaviors that have been theoretically implicated in weight loss, e.g., self-monitoring of food intake and of weight, refusing offers of food, eating at only one place, shopping from a list, eating in response to emotions. Thirty items were constructed in the form of first-person statements, e.g., I eat in the middle of the night. Each item was to be rated with a 5-point scale according to how often it was true for the respondent. Items were scored such that higher scores always reflected more appropriate (theoretically facilitative of weight control) eating patterns. Validity of individual items and total score was assessed in four studies. Twenty-six of the original items appeared valid and were retained. The resulting total score demonstrated validity in these studies and in two cross-validational comparisons. Internal consistency as measured by split-half reliability and correlations of item scores with total score was acceptable. One month test-retest reliability of item and total scores was satisfactory. Clinical and research applications of the EBI are discussed.An early version of this article was presented at the Taos International Conference on Treatment of Addictive Behaviors, Taos, New Mexico, February 1979.