Development of a Brief Motivational Enhancement Intervention for Intimate Partner Violence in Alcohol Treatment Settings

The current studies were a manual development study and a small pilot study of a 90-minute motivational enhancement style intervention to address IPV in alcohol treatment-seeking men. Analyses of feedback provided during manual development suggest participants: (a) liked the intervention, (b) reported behavior change intentions, and (c) found the feedback compelling. Findings from the pilot study suggest the intervention may be superior to referral only in increasing short-term help-seeking and lead to marginally significant enhancements in motivation and self-reported intimacy. Help-seeking and motivation findings were associated with medium-large to large effect sizes. At 3- and 6-month follow-up, both groups showed improvements in self-reported alcohol outcomes, anger, and verbal and physical aggression. These findings support further research on this intervention.     

Psychometric Properties of the Posttraumatic Cognitions Inventory (PTCI): a replication with motor vehicle accident survivors

This study examined the factor structure, internal consistency, concurrent validity, discriminant validity, and discriminative validity of the Posttraumatic Cognitions Inventory (PTCI; E. B. Foa, A. Ehlers, D. M. Clark, D. F. Tolin, and S. M. Orsillo, 1999) in a sample of 112 individuals who had experienced a serious motor vehicle accident. Results generally supported the 3-factor structure of the PTCI: (a) Negative Cognitions About Self, (b) Negative Cognitions About the World, and (c) Self-Blame. Subscales reflecting negative thoughts of the self and world showed adequate internal consistency, as well as good concurrent, discriminant, and discriminative validity. However, difficulties with the subscale representing self-blame emerged, specifically poor concurrent and discriminant validity. Potential reasons for this finding are discussed. The PTCI seems to be a promising measure of negative and dysfunctional posttrauma cognitions, which deserves continuing attention.     

The heart of the matter 2: integration of ecosystemic family therapy practices with systems of care mental health services for children and families

Many children in this country do not receive the mental health care they need. At the same time, a nationwide movement known as systems of care is providing innovative services for families and children. This article links the ideas inherent in systems of care with ecosystemic family therapy principles and practices. Based on a study of nine innovative systems of care pilot projects in Massachusetts, it describes how these innovative programs, and others like them, have been most successful in increasing access to services and providing for coordinated services. They have been less successful in accomplishing positive clinical and functional outcomes. Change in these systems is often described in terms of how services are provided. Not enough attention is given to the conversations that take place between families and case coordinators and how these conversations lead to long-term change. This article contends that the ways in which services are delivered in these systems of care fit well with ecosystemic family therapy principles and practices. We, as family therapists, have an opportunity to link these two sets of ideas, which share common assumptions and values and increase the likelihood of positive clinical outcomes for children and families.     

Recommendations from Multi-disciplinary Focus Groups on Cascade Testing and Genetic Counseling for Fragile X-associated Disorders

The purpose of this paper is to report the outcome of a collaborative project between the Fragile X Research and Treatment Center at the Medical Investigation of Neurodevelopmental Disorders (M.I.N.D.) Institute at the University of California at Davis, the National Fragile X Foundation (NFXF), and the Centers for Disease Control and Prevention (CDC). The objective of this collaboration was to develop and disseminate protocols for genetic counseling and cascade testing for the multiple disorders associated with the fragile X mental retardation 1 (FMR1) mutation. Over the last several years, there has been increasing insight into the phenotypic range associated with both the premutation and the full mutation of the FMR1 gene. To help develop recommendations related to screening for fragile X-associated disorders, four, two day advisory focus group meetings were conducted, each with a different theme. The four themes were: (1) fragile X-associated tremor/ataxia syndrome (FXTAS); (2) premature ovarian failure (POF) and reproductive endocrinology; (3) psychiatric, behavioral and psychological issues; and (4) population screening and related ethical issues.     

Lessons in collaboration, four years post-Katrina

Four action researchers present a case study of a project conducted by members of a national family therapy organization and members of a local family therapy institute, which describes their efforts to collaborate with local disaster recovery workers 2 years after Hurricane Katrina. The aim of the collaboration was to create a local action research team to study best practices that strengthen resilience after disaster. The authors discuss choice points and dilemmas faced in finding collaborative partners and in clarifying what constitutes an invitation to work in a community. The case study illuminates tensions and understandings between outsiders and a community still facing the long-term effects of a disaster.     

Learning Emotionally Focused Couple Therapy: Four Clinicians' Perspectives

This study examined the experiences of four clinicians learning emotionally focused couple therapy (EFT). Two group interviews, separated by 6 years, explored topics that included emotion, gender, model differences, personal practitioner impact, and the long-term influence of EFT training on clinical work. Emotion emerged as a major theme, with three subthemes at each phase. Phase 1 results indicated an increase in personal awareness of emotions, a positive impact on close personal relationships, and challenges for males in learning to elicit and use emotion. Phase 2 results, 6 years later, revealed that focusing on emotions remained salient and that EFT continues to influence the work of each clinician to varying degrees. Limitations, future research suggestions, and clinical implications are discussed.     

A fugue in four voices: sounding themes and variations on the reflecting team

In this account of an on-going reflecting team, a group of 4 therapists describe how they preserve multiple perspectives, yet join their voices to create coherent, meaningful reflections. This reflecting approach emphasizes developing a theme and creating variations on this theme, in a manner resembling a musical fugue. In addition, the practicalities of creating and sustaining a reflecting team in a private practice context are described.     

A vigilance task sensitive to the effects of stimulants, hypnotics, and environmental stress: The Scanning Visual Vigilance Test

The Scanning Visual Vigilance Test is a variable-length detection test designed to assess the ability of individuals to maintain visual alertness for sustained periods of time. The test was designed to be sensitive to changes in vigilance produced by subtle variations in performance, such as those produced by low doses of centrally acting food constituents, drugs, or environmental stress. The test has been shown to be sensitive to the effects of stimulants and sedatives, as well as cold stress and sleep loss. It requires the subject to continuously scan a video monitor to detect the occurrence of infrequent stimuli that are difficult to detect. The number of stimuli correctly detected, false alarms, and reaction times are recorded. The stimulus is a small rectangle displayed for 2 sec at random locations on a darker region of a video monitor at random or pseudo-random times. The brightness of the stimulus can be adjusted for each subject individually on an automated threshold detection test. Training and test session length are defined by the experimenter. Hardware requirements are an IBM-compatible personal computer (286 or higher) with a color or grayscale VGA monitor.     

Anger in response to challenge: children’s emotion socialization predicts approach versus avoidance

Negative emotion is typically associated with avoidance behavior; however, recent advances in the adult literature show that unlike some emotions (sadness, shame), anger predicts both approach and avoidance. Here we propose that socialization to suppress anger will play a role in whether children who express anger respond to a performance challenge with approach or avoidance. Children (N = 79; M _age  = 11.4 years) reported perceptions of parental use of positive conditional regard (PCR) to socialize anger suppression and worked on four unsolvable puzzles. We measured change in verbalized puzzle-solving strategies during failure, and coded emotion expression on the final puzzle. We examined whether negative emotion type (shame/sadness vs. anger) and PCR for anger predicted change in strategy use, and whether the association between level of PCR for anger and approach-avoidance (change in strategy use) depended on type of negative emotion expressed. Neither emotion expression nor level of PCR anger predicted strategy use; however, type of negative emotion moderated the association between PCR anger and change in strategy use, controlling for NCR anger. For children who displayed anger, low PCR was associated with increased strategy use, and high PCR was associated with decreased strategy use. We discuss the role of emotion socialization in shaping approach and avoidance motivation.