Engaging men in family therapy: does the gender of the therapist make a difference?

The results of this exploratory Delphi study provide a beginning formulation of a gender-sensitive approach to working with men in the specialized field of couple and family therapy. The research specifically investigated what a panel of thirty-six 'expert' family therapists believed would be appropriate and effective techniques to engage men in therapy and in the process of family change. This report focuses on findings highlighting differences between what female and male therapists preferred as techniques to work with men in family therapy.     

The Hippocratic Oath as Epideictic Rhetoric: Reanimating Medicine's Past for Its Future

As an example of Aristotle's genre of epideictic, or ceremonial rhetoric, the Hippocratic Oath has the capacity to persuade its self-addressing audience to appreciate the value of the medical profession by lending an element of stability to the shifting ethos of health care. However, the values it celebrates do not accurately capture communally shared norms about contemporary medical practice. Its multiple and sometimes conflicting versions, anachronistic references, and injunctions that resist translation into specific conduct diminish its longer-term persuasive force. Only when expunged of these elements and reconstructed using values over which there is widespread agreement can the Oath succeed in moving its audience from core values located in past discussions to principled action in the future.     

Social influences on reality-monitoring decisions

A modified Asch (1951) conformity paradigm was used to study the impact of social influence on reality-monitoring decisions about new items. Subjects studied pictures of some objects and imagined others. In a later test phase, they judged whether items had been perceived in the study phase, had been imagined, or were new. Critically, for some items, the subjects were informed of a confederate's response before rendering a judgment. Although the confederate was always correct when they responded to old items, for new items, the confederate responded perceived, imagined, or new, or did not respond (baseline). In two experiments, we show that memory for new items was influenced by an erroneous response of the confederate. Social conformity was reduced by undermining the credibility of the confederate (Experiments 1A and 1B), and the confederate's influence was evident even after there was only a 20-min delay between study and test (Experiment 2), when the subjects were 87% accurate on new baseline items. These experiments reveal the power of social influence on reality-monitoring accuracy and confidence.     

Responsiveness to Threat and Incentive in Bipolar Disorder: Relations of the BIS/BAS Scales with Symptoms

Over the past 10 years, theorists have suggested that bipolar disorder symptoms result from increases and decreases in the activity of the Behavioral Activation or Facilitation System (BAS or BFS) and the Behavioral Inhibition System (BIS). These neurobehavioral systems are thought to determine the intensity of affective and behavioral responses to incentives and threats. This study examined cross-sectional and prospective associations of self-reported BIS and BAS with mania and depression in a sample of 59 individuals diagnosed with Bipolar I disorder. Depression was tied to BIS, pointing to the importance of sensitivity to threats in depression. However, links between BIS and depression appeared state-dependent. BAS subscales did not correlate with manic symptoms in a state-dependent manner; however, BAS (total scale and reward responsiveness subscale) predicted relative intensification of manic symptoms over time. Thus, evidence suggests that BAS sensitivity may constitute a vulnerability to mania among persons diagnosed with bipolar disorder. Discussion focuses on the integrative potential of the BIS/BAS constructs for linking psychosocial and biological research on bipolar disorder.     

Predicting Dysphoria and Relationship Adjustment: Gender Differences in Their Longitudinal Relationship

Gender differences were explored in the longitudinal association between relationship satisfaction and dysphoria in 145 dating college students attending a large public university. Of the participants, 80% were Caucasian, 14% were African American, 3% were Asian, and 3% represented other racial/ethnic groups. Based upon a previous longitudinal investigation (F. D. Fincham, S. R. H. Beach, G. T. Harold, & L. N. Osborne, 1997) and recent theoretical explanations for the gender difference in depression, it was hypothesized that initial relationship satisfaction would predict later dysphoria in women but not in men. Conversely, it was predicted that initial dysphoria would be predictive of later relationship satisfaction for men but not women. Hypotheses were tested using hierarchical multiple regression analyses in which initial levels of the predicted variables were controlled. Whereas results supported the first hypothesis, initial dysphoria was predictive of later relationship adjustment for both men and women.     

Zur Problematik der Suchtgefährdung von berufstätigen Medizinern

Two samples of working physicians have been compared in a cross-sectional study – one representative sample of addicted physicians with a substance abuse problem (n=142) and one representative sample (n=275) of physicians in general; the objective was to develop preventive strategies. As a measuring instrument a specific questionnaire on quality of life of physicians (Reimer and Jurkat) has been used. Generally, quality of life is lower in the substance abuse sample in comparison to the control group. It can be concluded that the variables concerning the areas life satisfaction/-dissatisfaction and health differentiate even more between the groups than the areas work satisfaction/-dissatisfaction and choice of occupation. Whereas quality of life of female physicians was on the average somewhat higher than that of their male colleagues in the control group, this could not be confirmed in the sample of impaired physicians. Especially the ability to relax seems to be essential as a preventive measure, and apparently it is of high importance for working physicians to care for an adequate and satisfying private life to balance their stressful working life.     

Smoothing enhances the detection of common structure from multiple time series

The effects of smoothing (i.e., temporal averaging) on the detection of intraindividual interdependency from between-subjects aggregated (i.e., multiple) bivariate time series were examined. A simple moving average smoother was applied to different types of simulated processes that included error. The results indicated that smoothing facilitates the detection of common intraindividual structure from multiple time series. The efficacy of smoothing was dependent on the characteristics of the underlying process. It is suggested that smoothing increases the efficiency of the detection of common structure by increasing the signal-to-noise ratio (i.e., temporal reliability) of the time series. The issue and application of smoothing is further discussed in terms of signal extraction and classical test theory.     

Achieving what cannot be done: coping with the time constants in a dynamic decision task by doing something else

This study examines how people handle the time constants in dynamic decision tasks, using a microworld called NEWFIRE which simulates forest fire fighting. The results showed that the participants did not adapt to the time constants, as shown by the fact that they did not discriminate between fires requiring different number of fire fighting units when varying the number of fire fighting units was a means of compensating for the time constants. If they were allowed to move units before the fire started their performance improved, suggesting that they could compensate for their problems with the time constants by restructuring the task in such a way that they did not need to consider them. It is suggested that such restructuring may well be how people handle dynamic tasks also in other circumstances, and that more effort should be put into studying what people actually do in dynamic tasks, rather than into only assessing whether or not they perform optimally.     

Infant responsiveness and maternal confidence in the neonatal period

Responsiveness in prematurely and term-born infants was studied cross-sectionally in relation to maternal confidence. Orientation and arousal were measured in 140 prematurely (mean BW 1,398 g, GA 30.1 weeks) and 75 term-born infants (mean BW 3,613 g, GA 39.3 weeks) with the Neonatal Behavioral Assessment Scales. Mothers filled out the Maternal Confidence Questionnaire and a modified version of the Parenting Stress Index. Prematurely born infants had a significantly lower level of arousal than term-born neonates. Responsiveness was not associated with maternal confidence. Lower confidence was associated with primiparity in both groups of mothers. Multiparous mothers of prematurely born infants had significantly lower levels of confidence than multiparous mothers of term-born infants. Confidence was significantly associated with stress for mothers of prematurely and term-born infants, and may be focused in follow-up after giving birth. Prematurely born infants should be examined more thoroughly in aspects of arousal at the time of discharge.