Family Focused Treatment for Patients with Bipolar Disorder in Turkey: A Case Series

Family-focused therapy (FFT) is a 9-month, 21-session structured psychoeducational treatment for bipolar disorder. Several US-based studies have documented its efficacy as adjunctive to medication for depression stabilization and relapse prevention. However, FFT has never been applied outside of the United States. The objective of this case series is to explore the applicability of FFT in a non-Western culture. Ten patients with bipolar disorder and their family members attended the 9-month FFT as adjunctive to pharmacotherapy in an outpatient specialty clinic in Izmir, Turkey. Patients improved in Global Assessment of Functioning Scores and Clinical Global Impression Scores from pre- to posttreatment. Case studies are given, which illustrate the differences between Western and non-Western families coping with bipolar disorder. FFT was easily applied to a Turkish sample with few changes in format or focus. Adaptations included substitution of oral for written therapeutic tasks or homework assignments. Randomized controlled trials are needed to test the clinical effectiveness of FFT and other psychosocial interventions in non-Western cultures.     

SELF‐SACRIFICE TO SAVE THE LIFE OF ANOTHER IN JEWISH AND CHRISTIAN TRADITIONS1

Although both the Jewish and Christian traditions permit and even valorize self‐sacrificial death for the sake of God (martyrdom), and for other people, they diverge on the issue of self‐sacrificial death for the sake of a single individual. The Jewish tradition prohibits such self‐sacrifice on the basis of the principles that (1) God owns the body and that (2) one cannot exchange one's life for another's. Christian ethics, in contrast, permits sacrificing one's life to save a single person based on the model of Christ's self‐sacrificial love. This ethical disagreement exposes a fundamental theological disagreement between the two traditions concerning what constitutes the imago Dei.     

THE EFFECTS OF PERSONALITY SIMILARITY ON PEER RATINGS OF CONTEXTUAL WORK BEHAVIORS

The present field study investigates whether rater-ratee similarity in the Big Five personality factors influences peer ratings of contextual work behaviors. It overcomes problems that previous studies have had by using a polynomial regression analysis and by correcting the potential biases from nonindependence. Using more than 500 peer dyads, we found that rater-ratee similarity in Conscientiousness, but not in other dimensions, was positively associated with peer ratings even after controlling for interpersonal affect. These results suggest that the observed effect of personality similarity may reflect actual behavioral differences rather than biases due to interpersonal affect. Implications of the findings are discussed along with recommendations for future research.     

The importance of similarity and understanding of partners' marital ideals to relationship satisfaction

This article extends earlier work on the association between relationship partners' similarity and understanding about marital ideals and relationship satisfaction by controlling for individual differences in stereotype endorsement or typical responding. For heterosexual couples we separated a measure of understanding into the general understanding of partners and understanding that is unique to the specific relationship partner. The measures of similarity and understanding were also separated into general similarity and understanding and into those that are unique between partners. We examined the contribution of each type of similarity and understanding to relationship satisfaction in 238 dating and married couples. Findings indicate that the more satisfied individuals believe that the partner endorses a “female” stereotype. Understanding does not relate to length of the relationship or satisfaction, but similarity in values does There is some indication that marital discord decreases with an increase in the male partners' understanding of their female partners.