Systemic Practice

In this paper we propose to develop a methodology, based on a set of isomorphic patterns of practice, for studying the operational competencies of systemic therapists. By attending to the therapists' actions at the level of practice, we have identified unifying principles that run across the different models of systemic family therapy. This is a pattern of action that we call "systemic practice." In order to show the application of this methodology in the art of practice, we have analyzed excerpts from two videotaped sessions.     

Features of Families with Major Affective Disorders

This article reports the authors' observations on 22 families in which a young adult member has been diagnosed as manic-depressive, and on 11 families in which a member has been diagnosed as suffering from major schizoaffective disorder. All families could be described as extremely rigid and bound-up systems. Many of them were characterized by a "restrictive parental complementarity" and reciprocal delegation, and they shared certain cognitive features and assumptions. "Manic-depressive" families showed similarities as well as differences when compared with families in which there were schizophrenic and serious psychosomatic disorders.     

Verbal hallucinations in normals,I: People who hear ‘voices’

Two studies are reported that describe the phenomena of verbal hallucinations in the general population and test two explanations of those reports. Subjects were 198 male and 387 female college students who completed a verbal hallucination questionnaire plus one or more additional questionnaires. We found that a large minority reported hallucinations and that nearly half reported having them at least once a month. The present data indicated that these reports were not related to four measures of social conformity. Neither were they related to measures of overt, or incipient, symptoms of psychopathology. We have concluded that the majority of these reports are generally veridical accounts of conscious experience in normal individuals.     

Family process and child anxiety and aggression: An observational analysis

Barrett, Rapee, Dadds, and Ryan (1996) described a phenomenon whereby family discussions magnified the style of children's problem solving in a way characteristic of their particular clinical diagnosis. That is, anxious children became more avoidant, aggressive children more aggressive, and nonclinic children more prosocial, after discussing ambiguous hypothetical situations with their parents. This study examined specific sequences of communications exchanged between parents and children hypothesized to underlie this family exacerbation of child cognitive style. Family discussions were videotaped and categorized for groups of anxious, aggressive, and nonclinic children and their parents. Results revealed differences between groups of parents in frequency of agreeing with and listening to their child and the frequency of pointing out positive consequences. Conditional probability analyses showed that parents of anxious children were more likely to reciprocate avoidance, while parents of nonclinic children were more likely to agree with and listen to prosocial plans from their child. Differences in parent behaviors observed during the family discussions were reliably associated with the child's response to the ambiguous situation proposed after the family discussion. Results support a model of developmental anxiety and aggression that emphasizes the interaction of family processes and social-cognitive development in the child.This research was supported by grants from The National Health and Medical Research Council of Australia, The University of Queensland, and The Myer Foundation of Australia.     

Coping Strategies,Substance Use,Sexual Activity,and HIV Sexual Risks in a Sample of Gay Male STD Patients1

The relationships of coping strategies with levels of substance use and sexual activity, and with HIV sexual risks, are examined in a sample of gay male STD clinic patients (n = 416). Previous research has suggested that use of problem-focused coping strategies should be negatively related to levels of substance use, levels of sexual activity, and HIV sexual risks; use of emotion-focused coping strategies should be positively related to these outcomes. It is argued that substance use and sexual activity clearly fit within a coping perspective, but that the HIV sexual risks/coping relationship is less clear. In multivariate analysis, the problem-focused strategy of advice seeking is negatively related to the number of types of drugs used and to the number of sexual partners; the problem-focused strategy of support seeking is negatively related to the number of days using drugs; and the use of emotion-focused strategies is positively related to the number of types of drugs used. Problem-focused coping strategies are less directly related to engaging in HIV sexual risks when measures of substance use and of sexual activity are included in the prediction; emotion-focused coping strategies are more stably related to HIV risk. Indirect effects of coping on HIV risk are also identified through the effects of coping on the number of types of drugs used, number of sex partners, and number of times having sex. It is proposed that the relationships between coping and levels of substance use and sexual activity reflect the use of these activities as ways of relieving strain, but that relationships between coping and HIV sexual risks involve less clearly understood direct and indirect relationships.