A process recording for evaluating group psychotherapy training methods

This paper discusses an exploratory investigation concerned with the long range questions: How does group psychotherapy help patients? and How can psychiatry residency programs best train residents to treat patients in therapeutic groups? Group psychotherapy has come to be accepted in its own right as a decisive contribution to the study of and relief of emotional disorders. As a component of comprehensive psychiatric services it is indispensable. However, while its clinical value has been demonstrated, its scientific validity has not. A Group Process Inventory has been developed by the author and has been utilized for the past two years by psychiatric residents in recording the process of their therapeutic groups in a teaching hospital mental hygiene clinic. The preliminary use of this recording as a clinical-teaching instrument has proven effective. This inventory is being revised to serve as a research instrument.     

Suicide and rurality in urban society

Recent findings suggest that suicide increases with rurality, but research on rural suicide leaves many questions unanswered. This study specifies problems of community organization as a reason for expecting a positive effect of rurality on the suicide rate. A multiple regression analysis of county data shows that rurality has a substantial positive effect and is, in fact, the best predictor of the suicide rate among several variables selected from the previous literature. Additional research is needed to test the interpretation that rurality contributes to an incomplete, fragmented form of community organization which influences the suicide rate by disrupting primary relationships.     

Perspectives on individual-family-social network interrelations

The author focuses on the trend in the family therapy field toward an expanded view of families in the context of their social environments. Within this broader eco-system perspective attention is given to individual-family-social network interrelations with implications for the family therapist.An earlier version of this paper was presented at the American Association for Marriage and Family Therapy, Dallas, Texas, October 29, 1982. Appreciation is expressed to Alice Lynn for her comments and suggestions on an earlier draft of this paper. The author has also benefitted from discussions with Douglas Sprenkle on paradigms and contexts.     

Active-interactional cotherapy

In the literature on cotherapy, little attention has been focused on maximizing the effectiveness of two therapists working in tandem with families and couples. While cotherapists may at times share their ideas and feelings with their clients, and after the therapeutic session exchange views between themselves, generally little interaction occurs between them during the session. In this paper, a case is presented for more active interactions between cotherapists during the session, in order to expedite and facilitate change and growth in their clients. Anecdotal examples are provided to illustrate the approach.     

Follow-up of a full-scale network assembly

The authors conducted two full-scale network assemblies for the family network of a suicidal adolescent. Findings from the clinical follow-up and telephone interviews with 21 of 65 participants revealed benefits for the index family and the network members who participated in the meetings. A ripple effect in which the participants' own personal networks improved was also demonstrated. Benefits included resolution of a suicidal crisis, better understanding of depression and family stress, more adaptive responses to depression and suicidal risk, and improved personal relationships. No casualties from this intervention were discovered. This report is intended to stimulate future, more systematic outcome studies.     

Time reallocation in a multiresponse environment: Effects of restricting response classes

Four adult male rats were each placed for three hours daily into an apparatus that provided individual compartments for six separate location-defined responses. The available responses consisted of: (1) the opportunity to turn off room lighting, producing darkness; (2) the opportunity to view a female rat; (3) the opportunity to turn off white noise; (4) the opportunity to drink; (5) the opportunity to eat; and (6) "other," representing time in the hallway between compartments. Each subject underwent a series of conditions characterized as an A-B-A-C-A design. Manipulations consisted of the removal of a low-probability response (darkness) and of a high-probability response (escape from noise) in a counter-balanced manner across subjects. The dependent measure for all subjects was the percentage of total session time spent in each compartment. Four predictive rules concerning the redistribution of behavior after response restriction were tested, including the constant-ratio rule, equal time redistribution, the most probable alternative, and the sequential-dependency rule. The results indicate no support for any of the four predictive rules and suggest that empirical assessment of restriction effects is necessary in reinforcement studies involving temporally extended responses.     

On phi-phenomena

The meaning of "phi" in Max Wertheimer 's 1912 article on seen movement (the publication of which marks the beginning of Gestalt psychology) and the import of the article itself were topics of a report in this Journal. The claims made in that report are questioned here, and a different interpretation of phi and the original article is offered.     

Pastoral visitation to the institutionalized aged: Delivering more than a lick and a promise

A representative nationwide survey of elderly in nursing home facilities was conducted by the Lutheran Council U.S.A. Visitation by family ministers and facility chaplains, a major study focus, was characterized by the elderly as not meeting their needs in terms of frequency and time available with clergy. Time constraints of the clergy are communicated to the elderly, who are understanding but nevertheless felt shortchanged. The elderly without visits from relatives or significant others are particularly vulnerable. Dominant themes within pastoral care visitation are highlighted.Dr. Uhlman is Director of Research and Evaluation and Reverend Steinke is Director of the Clinical Pastoral Education Program with Mental Health Services of the Roanoke Valley, 920 South Jefferson Street, Roanoke, Virginia 24016. The authors wish to acknowledge the Aid Association for the Lutheran Insurance Company and Concordia Teachers College (River Forest, Illinois), which assisted with financial costs and data analysis. Special recognition and appreciation should be noted for the elderly respondents whose participation made our experience both rewarding and enlightening.     

Incarnation and pastoral care

This essay is an examination of the usefulness of incarnation as a theological metaphor for pastoral care and counseling. Understanding the incarnation as both an event and as a paradigm of God's relationship to the world provides a theological perspective for examining four interrelated questions about identity and the helping relationship frequently asked by the pastoral care-giver. The incarnation metaphor finally frees us to care in the confidence that in God the Incarnating One, all things, including our care for the sick, are held together.Dr. Anderson is Associate Professor of Pastoral Theology and Counseling at Wartburg Theological Seminary, 333 Wartburg Place, Dubuque, Iowa 52001.