Program for advanced studies in integrative psychotherapy: Family,couple, and individual therapy (an interdisciplinary program)

This article describes briefly an advanced program in integrative marital and family therapy and individual psychotherapy established at the Hebrew University of Jersusalem in 1993–94 and its first two years of successful operation.     

Graduate trends for one marriage and family therapy program in an interdisciplinary setting

This research compared trends from 1981 to 1993 in several mental health professional training programs at the University of Houston Clear Lake, surveying graduates from three professional mental health master's programs—clinical psychology, school psychology, and family therapy—with the goal of identifying trends in the status of their professional credentialing and current employment. Four mental health groups have attained licensure since a 1981 survey, resulting in graduates now seeking professional licenses and perform psychotherapy more exclusively than other mental health activities. Interdisciplinary training has become increasingly important due to the introduction of managed care and other insurance regulating entities.     

Perceptions of conjugal relations among Israeli males: Pre-retirement versus early and late retirement phases

Attitudes of Israeli males toward conjugal life in preretirement versus the early and late phases of retirement were studied. Several differences appear between pre-retired and retired males, particularly in the late retirement phase. Compared with the pre-retired, late phase retirees expressed more conservative attitudes toward gender roles, increased emotional commitment toward the wife, greater expected dependence on the wife, a decline in health resources, and a greater power advantage in social aspects of conjugal life. Practical suggestions for family therapists dealing with couples in the later stages of married life include being aware of the differences between the stages of retirement and their effect on marital dynamics, giving particular attention to the effects of the increasingly conservative tendencies of the retired male and his anticipated power advantage in the social aspects of marriage on conjugal dynamics, and capitalizing on the increased emotional commitment of the male partner toward his wife in the later phase of retirement.Research interests include women at work and gender roles in the family.This article is a partial report of the findings presented in a doctoral dissertation written at Bar Ilan University under the supervision of Dr. H. Bareli and Dr. M. Katz.     

Restorying family therapy

This article describes a multi-systemic model of therapy developed by the author over the past decade and summarizes the main products of this project: Explication of key family systems notions, strategic family play therapy, multi-systemic therapy, and culturally-competent family therapy. The model incorporates beyond the family system, culture, wider ecosystems, psychodynamics, and the individual's neuropsychological, cognitive, and socio-emotional development. The model enables the therapist to design flexible multimodal interventions.     

Intergenerational transmission: The individuation process and the capacity for intimacy of adult children of holocaust survivors

This article deals with the intergenerational processes of adult children of Holocaust surviors. By exploring their level of individuation from the parental family and their capacity for intimacy with spouses, the research findings reveal that: Adult children of survivors are emotionally more interconnected to their parents than are their counterparts (using the MIS). Adult children of survivors have a lower intimacy capacity with their spouses in comparison with the control group. These findings are explained from an intergenerational perspective regarding a post-traumatic population.Received PhD from University of Wisconsin-Madison. Current research in the individuation process throughout adulthood, and the post-traumatic effect of Holocaust survivors.     

Relapse prevention treatment for liver transplant patients

This paper explores the utility of relapse prevention therapy (RPT) for transplant candidates with substance use disorders. Similarities and differences between this population and the general substance abuse patient population are discussed and suggestions are made for modifying the RPT treatment protocol. Major issues include the source and intensity of motivation for treatment, the nature of the therapeutic relationship, the type and severity of psychosocial consequences that may have been experienced as a result of substance use, and the patient's perception of the problem (addiction versus liver disease). Recommendations are made to provide empathy and support around medical concerns, motivate them for sobriety, and work to build collaborative relationships between team members and patients. Patients need to see the RP therapists as working to help them maintain sobriety and obtain a transplant, not as policing their drug use.     

The role of religion in heart-transplant recipients' long-term health and well-being

While religion has long been recognized clinically to provide important coping strategies in the face of serious health problems, there has been little systematic consideration of its role in organ transplant recipients' long-term reactions and adjustment to this experience. This study examines these issues through qualitative and quantitative evaluation of longitudinal data collected from 40 adult heart recipients followed during their first year post-transplant. Large proportions of recipients expressed strong beliefs and were able to increase religious participation over the 12-month study period. They delineated specific ways in which their faith had provided them support, as well as ways in which the transplant experience itself further strengthened their beliefs. We found empirical evidence that recipients with strong beliefs who participated in religious activities had better physical and emotional well-being, fewer health worries, and better medical compliance by the final 12-month assessment. The findings suggest the development of specific nursing, social-service, or pastoral-involvement strategies, continuing staff education about the role of religion in patient care. The implications of such interventions for maximizing quality of life in transplant recipients are discussed.This study was funded by grants from the National Institute of Mental Health.     

Testing alternative explanations for mortality salience effects: Terror management,value accessibility,or worrisome thoughts?

Previous research has shown that reminding subjects of their mortality encourages negative reactions to others whose behaviour or attitudes deviate from the cultural worldview (e.g. Greenberg, Pyszczynski, Solomon, Rosenblatt, Veeder, Kirkland and Lyon 1990; Greenberg, Simon, Pyszczynski, Solomon and Chatel 1992; Rosenblatt, Greenberg, Solomon, Pyszczynski and Lyon 1989). According to terror management theory, these findings result from a heightened need for faith in the cultural worldview that is activated by reminders of one's mortality. Study I assessed the plausibility of an alternative explanation which posits that mortality salience simply primes individuals' values. Whereas mortality salience led to harsher bond recommendations for a prostitute, a procedure that directly focused subjects on their values did not. Studies 2 and 3 assessed the possibility that reminding subjects of any worrisome future concern would produce the same effect as a reminder of mortality. In both studies, mortality salience led to negative reactions to a deviant and had no effect on self-reported affect, whereas other worrisome thoughts had no effect on reactions to a deviant but did create negative affect. Thus, consistent with terror management theory, mortality salience effects seem to result exclusively from thoughts of death.