Hope and Burden among Latino Families of Adults with Schizophrenia

This study examined hope and family burden among Latino families of individuals with schizophrenia. The sample consisted of 54 family members, one family member per outpatient adult recruited from public mental health programs in a diverse urban community. Hierarchical linear regression analyses were used to test the hypothesis that the family member's increased hope for the patient's future would be associated with decreased family burden beyond effects explained by the patient's length of illness and severity of symptoms. Results supported the study hypothesis. Family hope for the patient's future was associated with four of five types of family burden. Findings point to the prominent role of hope as a source of resilience for Latino families dealing with severe mental illness of a loved one.     

Understanding Prosodic Focus Marking in Mandarin Chinese: Data from Children and Adults

Journal of Psycholinguistic Research - This study investigated whether Mandarin speakers interpret prosodic information as focus markers in a sentence-picture verification task. Previous production...     

Utilizing Family Strengths and Resilience: Integrative Family and Systems Treatment with Children and Adolescents with Severe Emotional and Behavioral Problems

Community mental health agencies are consistently challenged to provide realistic and effective home-based family-centered treatment that meets local needs and can realistically fit within available budget and resource capabilities. Integrated Family and Systems Treatment (I-FAST) is developed based on existing evidence-based approaches for working with at-risk children, adolescents, and families and a strengths perspective. I-FAST identified 3 evidence-based, core treatment components and integrated them into a coherent treatment protocol; this is done in a way that builds on and is integrated with mental health agencies' existing expertise in home-based treatment. This is an intervention development study in which we conducted an initial feasibility trial of I-FAST for treating families with children at risk of out-of-home placement. The outcomes of the study provide initial empirical evidence that supports the effectiveness of I-FAST. Findings indicate that there were significant improvements in child behavior, significant increases in parental competency, and significant increases in the level of cohesion and adaptability in these families. All observed changes were significant from pre- to posttreatment with the families able to maintain these positive changes at 6-month follow-up. A more rigorous and robust research design, however, will be needed to establish definitive evidence of the effectiveness of I-FAST.     

Recent and emerging trends in marital and family therapy regulation

The number of states in the United States that formally credential marital and family therapists has tripled to 31 during the last decade. This paper reviews and compares the basic licensure and certification requirements in these states, and explores a number of broad issues currently confronting the field of marital and family therapy regulation. Several recommendations for improving the quality of MFT regulation are also provided.president of the Association of Marital and Family Therapy Regulatory Boards.     

Acquisition of cognitive compiling

Language involves both structure and process. Giving each its due, we present a cognitive process model and show how its empirical success is related to claims about syntactic structure. Innate constraints on syntax are a central issue in linguistic theory, so it is a matter of concern that a widely accepted view of phrase structure constraints (X-bar theory) appears to be violated in some recent comprehension experiments with children. However, what is directly observed in the experiments is not a syntactic structure but the execution of a plan. We present a language of process for representing such plans and thereby provide a unified explanation of several developmental phenomena, including the results of the above experiments and of new experiments suggested by our approach. The explanation is in terms of the cognitive resources required to formulate and execute a plan. Since the explanation is based on nonsyntactic processing, the children's syntax need no longer be held faulty. This conclusion invigorates the claim that the range of phrase structures available to children is biologically constrained.     

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.     

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.     

Running: An adjunctive group therapy technique

Group therapists who work with severely disturbed patients know that group sessions are often characterized by verbal rambling, frequent and prolonged pauses and high levels of anxiety on the part of group members. This article focuses on the use of a group activity— namely, running—as an adjunct to group psychotherapy. A brief case report will illustrate the application of this innovative treatment technique; then issues that may arise when one leads a running group are dealt with in a question- and -answer format.The author wishes to express his appreciation to Mrs. Vera Kohn for editorial assistance in the preparation of this article.     

Sensitivity to inflectional morphology in agrammatism: investigation of a highly inflected language

We present the results of a study with six Serbo-Croatian-speaking agrammatic patients on a test of inflectional morphology in which subjects judged whether spoken sentences were grammatical or ungrammatical. Sensitivity to two kinds of syntactic features was investigated in these aphasic patients: (1) subcategorization rules for transitive verbs (which must be followed by a noun in the accusative case; intransitive verbs can be followed by nouns in other noun cases); (2) sensitivity to the inflectional morphology marking noun case. The test items consisted of three-word sentences (noun-verb-noun) in which verb transitivity and appropriateness of the case inflection of the following noun were manipulated. Results of the grammaticality judgment task show that both syntactic properties are preserved in these patients.     

Concurrent treatment of mother and child in resolution of multigenerational separation and individuation difficulties

This case serves as a paradigm of concurrent treatment of a mother and child, where the central problem was one of separation-individuation. The nature of the child's presenting symptom of night terrors, the overinvolvement of the mother and the child, and the tendency of the child to withdraw from the outside world, all pointed to a child at risk for the more symptomatic development of school refusal and greater psychopathology. Since the treatment took place within a full service community mental health clinic, it was possible to provide psychiatric evaluation and consultation of both mother and child and the use of two therapists working collaboratively. With this method of treatment, the unfolding of both mother's and child's separation-individuation processes could be identified and utilized. Since she was an electively mute child who refused to come into the treatment room, another therapeutic tool became the use of the younger brother as a facilitator.