Searching for a better story: harnessing modern and postmodern positions in family therapy

In this paper it is argued that modern and postmodern positions on reality and knowledge should not create a theoretical division in family therapy and that rather, by harnessing the two together, each may restrain the other. This combination creates the potential for drawing widely from the whole field of family therapy as well as challenging the separation of mainstream family therapy models from psychoanalysis. The concept of better story is used to replace both the polarized modern position of an objective discoverable truth and the polarized postmodern position of all stories having equal validity. It is suggested that better stories, which evolve in the meeting of family and therapist, may include those which are more congruent, object-adequate, encompassing, holding, shared, emotional, conscious, just, provisional and hopeful.     

Achievement motivation in relation to achievement-related recall,performance, and urine flow,a marker associated with release of vasopressin

Administration of the pituitary hormone, arginine vasopressin (AVP), enhances memory in animals and humans. Since AVP is the antidiuretic hormone, its release can be inferred from reductions in urine flow. Forty-six male adults recalled the contents of a complex story and then either were exposed to achievement arousal or were not. Significantly more of the subjects in the aroused than the nonaroused condition showed a decrease in urine flow, and the greater the decrease in urine flow among the achievement-aroused subjects, the better the recall of achievement-related story content 24 hours later. Subjects high inn Achievement, in the achievement-oriented condition, showed lower urine output at the outset of the second day and greater improvement in learning to unscramble words. Since lower urine output was also related to improvement in unscrambling words, achievement arousal may have released AVP which in turn may have facilitated achievement-related retention and performance.I am greatly indebted to Sean Connelly for assistance in carrying out this research and to Dr. Franklin Epstein of the Beth Israel Hospital, Boston, for helping me to understand how the kidney functions in producing urine.     

Assessment of HIV counselling and social care services in a London hospital

The use of, and satisfaction with, counselling and social care services was investigated among HIV-infected clients attending HIV specialist climes at Guy's Hospital and Southwark Social Services, London. A survey of 71 clients with HIV infection was carried out using a self-administered questionnaire. The greatest demand was for advice about income support, housing, counselling for the HIV test, counselling for depression or anxiety, psychological support for coping with HIV, help with sleeping problems, mobility allowance, and help with furniture/household appliances. Overall, 57% thought the service was good or excellent; 66% of respondents thought they would use the services in the future. Over nine in ten clients had used the psychosocial support services at some stage since their HIV diagnosis, although only two-thirds anticipated that they would have need of these services in the future. The psychosocial support service will need to remain responsive to the shift in demand for this service, as well as the changing needs of clients who use it.     

WHO IS HAPPY?

A flood of new studies explores people's subjective well-being (SWB) Frequent positive affect, infrequent negative affect and a global sense of satisfaction with life define high SWB These studies reveal that happiness and life satisfaction are similarly available to the young and the old, women and men, blacks and whites, the rich and the working-class. Better clues to well-being come from knowing about a person's traits, close relationships, work experiences, culture, and religiosity. We present the elements of an appraisal-based theory of happiness that recognizes the importance of adaptation, cultural world view, and personal goals     

Book reviews

Gott ist schön und Er liebt die Schönheit: God is Beautiful and He Loves Beauty. Alma Giese and J. Christoph Bürgel, 1994. Bern, Peter Lang. 474 pp., hb. n.p., ISBN 3–906750–90–6.

The Concept of Islamic International Criminal Law. Farhad Malekian, 1994. London, Graham & Trotman. 213 pp., £55.00, $92, ISBN 1859660851.

Religion in Europe: contemporary perspectives. S. Gill, G. D'Costa, and U. King (Eds), 1994. Kampen, Kok Pharos. 213 pp., pb., Fl 49.90, ISBN 90–390–0508–7.

Religious Freedom and the Position of Islam in Western Europe. W. A. R. Shadid and P. S. van Koningsveld, 1995. Kampen, Kok Pharos. 229 pp., pb., Fl 64.90, ISBN 90–390–0065–4.

Christianity in the Arab World. HRH Crown Prince El Hassan Bin Talal, 1994. Amman, Arabesque. 120pp., hb.

Holymen of the Blue Nile: the making of an Arab‐Islamic community in the Nilotic Sudan 1500–1850. Neil MHugh. Evanston Illinois, Northwestern University Press. 280pp., hb., $54.95, ISBN 0–8101–1069–5.     

Parenting stress in parents of children with attention-deficit hyperactivity disorder and parents of children with learning disabilities

Parenting a child with ADHD can challenge parenting resources and coping. Increasingly, researchers are examining the relationship between the behavior of the child with ADHD and family functioning. While studies have shown inceased parenting stress in parents of children with ADHD, these studies have compared children with ADHD to non-disabled children. This study compares reports of parenting stress among mothers of children with ADHD, mothers of children with learning disabilities and mothers of non-referred children. Results showed that parenting stress was highest for mothers of children with ADHD. Increased parenting stress was associated with child characteristics and, in particular, with externalizing behavior problems.