One-person family therapy? An analysis of family therapy schools

Abstract

In this article, eight schools of family therapy (psychodynamic, intergenerational, contextual, experiential, structural, strategic, functional, behavioral) are examined regarding participation policies. Differences in schools' participation policies are compared and contrasted using comparative and content analyses. Schools' theoretical rationales and how they effect therapy practice are explored. Implications for therapy practice are presented. The study's goal is to provide information to increase therapist flexibility in working with varying client populations.     

Risk,Uncertainty, and Gender Stereotypes in Healthcare Decisions

Disparities in healthcare access, treatment, and outcomes are widely prevalent for women and minorities. At the same time, healthcare choices have become increasingly intricate and correspondingly uncertain. We review contemporary issues in healthcare for women, with emphasis on access to care and on healthcare disparities. In the belief that forewarned is forearmed, we review the role of sexism and the psychology of decision making in producing health disparities. In the face of this complexity, therapists can help women seek sound healthcare and make informed choices. Implications for feminist therapy are suggested that emphasize client empowerment and agency.     

Efficacy of In-Home Parent-Child Interaction Therapy

ABSTRACT

In recent years, there has been much discussion of the efficacy of mental health interventions for children as well as the transportation of empirically-supported treatments (ESTs) to field settings. A logical initial step in this line of research is to examine whether the efficacy of ESTs can be demonstrated in community settings such as in the home environment. The purpose of the study was to examine the efficacy of an in-home Parent-Child Interaction Therapy (PCIT) program using a single-subject, A/B design across five subjects with staggered baselines. Decreases in caregiver use of negative behavior and caregiver-reported child behavior problems were observed for the three families that completed treatment. In addition, completers demonstrated increases in child compliance, caregiver use of positive behavior, and contingent praise. Data regarding caregivers' reported parenting stress and caregiver proportion of direct commands were less convincing. All three dyads completing treatment reported satisfaction with the intervention. Clinical implications regarding the possible benefits of PCIT for improving the effectiveness of home visiting programs are discussed as well as directions for future research.     

Strategies in Forecasting Outcomes in Ethical Decision-Making: Identifying and Analyzing the Causes of the Problem

This study examined the role of key causal analysis strategies in forecasting and ethical decision-making. Undergraduate participants took on the role of the key actor in several ethical problems and were asked to identify and analyze the causes, forecast potential outcomes, and make a decision about each problem. Time pressure and analytic mindset were manipulated while participants worked through these problems. The results indicated that forecast quality was associated with decision ethicality, and the identification of the critical causes of the problem was associated with both higher quality forecasts and higher ethicality of decisions. Neither time pressure nor analytic mindset impacted forecasts or ethicality of decisions. Theoretical and practical implications of these findings are discussed.     

Positive and Negative Religious Beliefs Explaining the Religion–Health Connection Among African Americans

Theory and literature suggests that the reason religiously involved people tend to have good health outcomes is because they have healthy lifestyles and behaviors in accord with religious beliefs. Other literature suggests that religious involvement may play a negative role in health outcomes due to beliefs about illness originating as punishment for sins. These ideas were tested as part of a theoretical model of the religion–health connection in a national sample of African Americans. Outcomes included a variety of health-related behaviors. Study participants (N = 2,370) randomly selected from a U.S. national call list completed a telephone survey assessing religious involvement, health behaviors, and demographic characteristics. Structural equation modeling was used to analyze study data. Findings indicate that perceived religious influence on health behavior mediated the relationship between religious beliefs and behaviors and higher fruit consumption and lower alcohol use and smoking. Belief that illness is the result of punishment for sin mediated the relationship between (a) religious beliefs and higher vegetable consumption and lower binge drinking and (b) religious behaviors and lower vegetable consumption and higher binge drinking. These findings could be applied to health education activities conducted in African American faith-based organizations, such as health ministries, in the effort to eliminate health disparities.     

The Body Esteem Scale: Construct Validity of the Female Subscales

The female subscales of the Body Esteem Scale (BES) have demonstrated convergent and discriminant validity in two previous studies. However, relationships between BES dimensions, weight, and other body-image measures have not been adequately examined. in this study, 200 women with a mean age of 27.6 years completed the BES, the Eating Disorder inventory, the Self-Consciousness Scale, the Tennessee Self-Concept Scale, a figure rating task, a phototechnical body-size estimation procedure, and items concerning weight satisfaction and attractiveness. BES Weight Concern was most closely related to weight variables and other body image measures whereas BES Sexual Attractiveness and Physical Condition were more strongly associated with less specific self-perceptions and attitudes. Results support the construct validity of the BES female subscales and their utility for research in populations at increased risk for body-image or eating-disorder disturbances.     

Effects of Fatigue and Laterality on Fractionated Reaction Time

Surface EMG enabled fractionation of a simple hand grip total reaction time into peripheral and central processing components (motor time and premotor time, respectively). Changes in reaction time components were investigated in 12 female intercollegiate swimmers (bilateral athletes) and 12 female intercollegiate tennis players (unilateral athletes) following a 48% strength decrement induced by serial maximal voluntary isometric contractions (5 sec in duration). Despite significantly greater strength in the dominant arm than in the nondominant arm, there was no difference in fatigue effects between arms. Fatigue increased the premotor component of reaction time significantly, and indirectly the total reaction time, but the motor time remained essentially constant regardless of the type of previous athletic training. This indicated that fatigue impaired central nervous system or myoneural-junction operations rather than the intramuscular ability to initiate force.     

Gender‐bias hate crimes: what constitutes a hate crime from a potential juror's perspective?

The current study explored hate crime in a nontypical scenario. Label of the crime (first‐degree assault vs. bias‐motivated assault) and gender of the victim were varied within the context of an attack perpetrated within other gender dyads (i.e., when the victim was female, the perpetrator was male, and vice versa). Results indicated that participants in the assault condition were more likely to find the defendant guilty than those in the hate crime condition. Participants also made differential attributions of victim blame, such that those in the assault condition found the victim to be more mentally unstable than those in the hate crime condition.     

Status legitimizing beliefs predict positivity toward Whites who claim anti-White bias

Although Whites are increasingly likely to perceive themselves as victims of racial bias, research provides little insight into how anti-White bias claimants are perceived. Two studies examined whether Whites' endorsement of status legitimizing beliefs (SLBs) moderates their reactions toward White discrimination claimants. In Study 1, Whites who rejected SLBs reacted less favorably to an anti-White bias claimant relative to one who made a nondiscriminatory external claim, whereas Whites who endorsed SLBs expressed equally positive attitudes toward an anti-White bias claimant and a non-claimant. In Study 2, Whites who were not primed with status legitimizing beliefs displayed negative reactions toward an anti-White bias claimant compared to a non-claimant, whereas those primed with SLBs expressed more positive attitudes and a desire to help the anti-White bias claimant. Implications for affirmative action litigation are discussed.     

Towards the DSM‐5 Criteria for Autism: Clinical,Cultural, and Research Implications

The new edition of the DSM is proposing significant changes to current diagnostic definitions of autism and related conditions. In this article, we will discuss the clinical, research, and cultural implications of these changes. We conclude that the new criteria appear to better reflect current understanding of the autism spectrum disorder than the current DSM‐IV criteria. As expected with any major change in classification systems, there are also significant risks, which will have to be carefully monitored and addressed by both policy makers and the scientific community to ensure that best clinical practice and research are facilitated and advanced.