Physical "Phantasies" and Family Functions: Overcoming the Mind/Body Dualism in Somatization

In this article, we examine some of the ways in which family therapists have conceptualized the experience of illness of unexplained physical origin. We argue that opinions about the etiology of somatic symptoms should not be the primary focus of therapeutic work with people who share the prototypical characteristics of what has been defined as "somatization disorder." We suggest that current research in neurobiology can expand the linguistic resources of clinicians and help them avoid perpetuating unhelpful dichotomies between the mind and the body.     

Childbirth pain,attachment orientations,and romantic partner support during labor and delivery

Attachment anxiety is associated with greater perceived physical pain, whereas social support is associated with lower pain perceptions. Few studies, however, have examined the joint effects of attachment and support on acute physical pain in a dyadic context. In this study, first‐time expectant mothers (N = 140) and their male partners completed romantic attachment measures (prenatally) and postnatal assessments of women's pain and men's emotional support during labor and delivery. More securely attached women benefited from emotional support in terms of reduced pain, more avoidantly attached women reported greater pain when given more support, and more anxiously attached women reported greater pain, regardless of their partners' support. These results advance our understanding of which women are most vulnerable to painful childbirth.     

Group Interventions with Perfectionistic Thinking

The cognitive pattern of perfectionistic thinking is described and its development discussed. The stages and strategies of a group intervention for this pattern are described.     

Assessment of Selected CACREP Standards by Accredited and Nonaccredited Programs

This study surveyed both accredited and nonaccredited counselor education program professionals to investigate their perceptions of whether a select group of standards was a hindrance to seeking and achieving accreditation.     

Adoptive Family System Dynamics: Variations by Level of Openness in the Adoption

This study examines the consequences of variations in levels of openness in adoption, especially focusing on the dynamics of the adoptive family system from the perspective of the adoptive parents. Participants included the father, mother, and at least one adopted child in 190 adoptive families, and 169 birthmothers, drawn from adoption agencies across the United States. Families included 62 confidential, 17 time-limited mediated, 52 ongoing mediated, and 59 fully disclosed adoptions. When compared to parents in confidential adoptions, those in open adoptions generally demonstrated higher levels of acknowledgment of the adoption, empathy toward the birthparents and their child, a stronger sense of permanence in the relationship with their child as projected into the future, and less fear that the birthmother might try to reclaim her child. Despite these mean differences, variations within all levels of openness were present, and results are discussed in terms of the ongoing process involved in building a family through adoption.     

Communicating to Farmers About Skin Cancer The Behavior Adaptation Model

Although health campaigns promote avoidance of behaviors that put an individual's health at risk, often these behaviors cannot be avoided, and campaign messages designed to encourage behavior adaptation afford greater likelihood of success. With that in mind, a model of health risk behavior adaptation was proposed and tested using four different behaviors in a communication campaign aimed at reducing farmers' risk for skin cancer, farmers and farm wives answered a series of questions about their skin cancer prevention and detection behaviors and attitudes. Interpersonal expectancies, social resources, and actual procedural knowledge predicted perceived procedural knowledge and public commitment, which, in turn, predicted behavior adaptation.     

Family Photographs: in Treatment and Training

The universal appeal of nostalgia and reminiscence makes photographs a natural instrument for studying the impact of the past upon the present. This paper explores photography as a medium for facilitating reminiscence to discover individual roles, interpersonal relationships, and family dynamics. A method is described for using family photographs in treatment and training of clinicians at a Family Therapy Clinic.