American Indian Youth: Personal,Familial, and Environmental Strengths

We present data from interviews with 401 youths on the relationship of personal, familial, and environmental strengths to the outcomes of urban and reservation American Indian youths. Urban youths consistently nominated more strengths than tribal youths, except in the area of tribal strengths. Quantitative data show how those strengths relate to their school success, daily functioning, mental health, and ethnic identity. Personal and familial strengths are related to positive school success and functioning. Environmental strengths demonstrate complex relationships in which tribal strengths are related to increased mental health problems and school strengths are related to fewer problems. The results of our study speak to the need to include multiple categories of different strengths in research and to focus on strengths as well as problems in clinical interventions.     

The Construct Validity of Curriculum-Based Measurement of Reading: An Empirical Test of a Plausible Rival Hypothesis

Research has confirmed that curriculum-based measurement (CBM) of oral reading fluency and measures of reading comprehension are highly correlated, as predicted by developmental theories of reading. Research on CBM, however, has only begun to rule out plausible alternative explanations of this relationship—an important aspect of a strong program of construct validation (e.g., Messick, 1989). This study investigated one such rival hypothesis by examining the relative roles of general cognitive ability, speed and efficiency of elemental cognitive processing, and oral reading fluency in the prediction of reading comprehension. Results of simultaneous multiple regression analyses substantiate the construct validity of CBM oral reading fluency. These findings indicate that the significant relationship between oral reading fluency and reading comprehension cannot be explained by general cognitive ability or by processing speed and efficiency. CBM oral reading fluency also did not correlate significantly with any of the processing speed and efficiency tasks. Interestingly, however, CBM oral reading fluency accounted for less variance in reading comprehension (r² = .17) than expected based on the results of previous research and less than that explained by general cognitive ability (r² = .24). When controlling for psychometric g and processing speed in the regression analyses, CBM oral reading explained 11% of the variance in reading comprehension. Implications of these results for further research on the construct validity of CBM are discussed.     

Integrating couples and family therapy into a community alcohol service: a pantheoretical approach

This paper discusses the contribution of family systems theory and therapy to mainstream alcohol treatment programmes. Systemic psychotherapy is integrated with group analytic psychotherapy in a couples and family therapy service within a community alcohol service (CAS) which uses the Prochaska and Diclemente model of stages of change. Problems and solutions in putting these complex ideas into practice are discussed, with specific reference to issues of engagement. An example of our work with a couple is offered to illustrate our weave of theory and practice.     

Basic and subordinate level naming by agrammatic and fluent aphasic patients

Agrammatic Broca's and fluent (Wernicke's and anomic) aphasics were asked to name objects depicted in outline drawings as a means of testing their ability to identify and to name objects at the basic (e.g., "chair") and subordinate (e.g., "beach chair") levels. Patients from both groups had difficulty producing subordinate names, but successfully conveyed subordinate level identifications using a variety of compensatory strategies. This report supports a separation of the naming process from the conceptual operations and structures needed to identify objects. In addition, the two aphasic groups used different strategies to circumvent their naming difficulties. Fluent patients sometimes conveyed subordinate level identifications without any mention of a basic name. Agrammatic patients in particular avoided use of pre-posed modifiers in their compensatory responses. The composition of most subordinate terms (modifier plus basic name) is discussed in relation to the normal naming process and how it is disrupted in aphasia.     

Appreciation of indirect requests by left- and right-brain-damaged patients: the effects of verbal context and conventionality of wording

Unilaterally right (RHD)- and left (LHD)-hemisphere-damaged patients were tested on their ability to discern the correct, nonliteral interpretation of indirect requests (e.g., "Can you open the door?") embedded in short vignettes and presented without any pictorial support. Each stimulus vignette incorporated two verbal cues--context and conventionality of form--designed to influence interpretations of a critical utterance located at the end of each vignette. Contexts were biased to encourage either the direct, literal reading of critical utterances as a question, or the indirect meaning of the utterance as a request for action. The critical utterances themselves were either high in conventionality (e.g., "Can you ...?") which encouraged an indirect interpretation, or low in conventionality (e.g., "Is it possible for you to ...?") which encouraged a direct interpretation. Results indicated that RHD patients were significantly impaired, relative to controls, in their ability to make judgments based on contextual information. RHD patients performed comparably to the aphasic, LHD group in the use of both context and conventionality. These results replicate earlier findings of disrupted indirect request comprehension by RHD patients tested in pictorially supported paradigms.     

What we say we do: results of the 1997 UK Association of Family Therapy Members Survey

This study represents the first UK national survey of family therapists and systemic practitioners. The aim was to provide demographic information of systemic practitioners/family therapists and also to describe their clinical practice. The sampling frame used was the UK Association of Family Therapy membership list and all members were sent a postal questionnaire. The response rate was 33% with 495 out of 1500 questionnaires returned. Among the major findings were: systemic practitioners/family therapists are most likely to work for an NHS trust, to use family therapy techniques/systemic ideas predominantly, and to treat a broad range of client issues. They are also most likely to work with families, and therapy is relatively short term (five to eight sessions) regardless of whether they treat families, couples or individuals. Most family therapists/systemic practitioners use some measure of outcome, although frequently this will be feedback from clients. Supervision is sought by the majority of AFT members. In spite of some methodological limitations, the study provides interesting insights into the training and practice of UK family therapists and systemic practitioners which appears to differ in some respects from our American colleagues. It also provides a baseline for future surveys, making it possible to describe the developments of family therapy and systemic practice in this country.     

Mental Health, Social Environment and Sexual Risk Behaviors of Adolescent Service Users: A Gender Comparison

We examined individual mental health problems (depression, conduct disorder, and substance abuse) and social environment (family, peer, and neighborhood) factors associated with the sexual risk behaviors of male and female adolescents. Interviews with 778 adolescents, aged 14 to 18, showed that both mental health problems and social environment were related to adolescents' involvement in sexual risk behaviors. Conduct disorder symptoms, substance abuse or dependence symptoms, and the interaction between peer misbehavior and neighborhood problems were significantly associated with risky sexual behaviors. Peer misbehavior was a particularly strong factor related to sexual risk behaviors for youths who lived in neighborhoods with multiple problems. The only gender differences were found in age, with older males more likely to report engaging in high risk sexual behaviors. This study suggests the utility of multidimensional intervention strategies to deal with various adolescent problem behaviors, including risky sexual behaviors, within the context of their social environment.