Research as a family therapy intervention technique

The utilization of the research process as an intervention has recently been described in the family therapy literature. However, it is important to draw a distinction between research as intervention and research as a unique family therapy intervention technique. From a family systems perspective, research as an intervention technique may make therapy more palatable for some families. A case study is presented in which this technique created the context for change for a family involved in a chronic illness research project.The author would like to thank Dr. Wendy L. Watson for her participation as a member of the clinical team and Drs. Fabie Duhamel and Wendy L. Watson for their helpful critiques on earlier drafts of this paper.Supported by a grant from the Albert Foundation for Nursing Research.     

Coexisting and conflicting self-referential conceptual systems: A model for describing malfunctioning in the contemporary family-implications for therapy

In the proposed model, intra- and interpersonal conflicts are formalized as information-processing problems created by inconsistent self-referential conceptual systems. Three self-referential conceptual systems corresponding to the three forms of family lifetraditional-rural, industrial-nuclear, information-transactional-coexist and intermingle, creating difficulties in the coordination of interactions.Each of these ecotheories is viewed as a constellation of hierarchically-ordered, dynamic, cognitive-emotional structures which express the particular family system's perceptions of itself in relation to its environment and life in general. The model correlates in an integrative manner phenomena at the level of societal change with evolving patterns of intrapersonal and familial dynamics and provides a framework for guiding preventive and therapeutic interventions. The evolving ecotheory model presented in this work follows the metatheoretical paradigms of cognitive science, self-reference and self-organization. The attempted synthesis has been achieved in the context of the unifying concepts and principles of General Systems Theory.     

Commentary on reviews of “outcome” studies of family and marital psychotherapy

Reviews of the outcome literature in family and marital therapy are critically evaluated. The literature is equivocal in regard to the effectiveness of family therapy, particularly in comparison to alternative forms of treatment, so that statements to the effect that family therapy has demonstrated its general efficacy would not appear to be justified. Problems are identified which require solution before the efficacy of family therapy can be demonstrated.Paper presented at the 45th annual conference of the American Association for Marriage and Family Therapy, Chicago, Illinois, October 31, 1987.     

A group treatment program for bulimia nervosa

Seventeen female patients diagnosed as exhibiting bulimia nervosa participated in a shortterm group treatment program. A combination of exposure with response prevention, life skills training, and psychodynamic group interaction was provided. Results in pretest vs. posttest scores on a battery of tests demonstrated improved control over eating behavior and lowered anxiety and depression.     

Person-environment fit,job satisfaction and mental health

This study was concerned with the consequences of person-environment (P-E) congruence at work in terms of Holland's model of vocational preference. Whereas there has been some work on P-E fit and job satisfaction, and P-E fit and stress, few studies have looked at the relationship between P-E fit, job satisfaction and mental health. It was predicted that those people with a poor P-E fit would have higher levels of mental distress and lower levels of job satisfaction than those who experienced a good P-E fit. The results substantiated the major hypotheses of this study and are discussed in terms of the measurement and causes of job satisfaction. Criticisms and limitations of this type of approach are also considered.     

The moral significance of the genetic relation

Our ordinary moral attitudes give a prominent place to the principle that each person ought specially to care for any child who is his or her genetic offspring. From this principle of genetic-parental responsibility and other plausible premises, we can derive the principle that each person has the right to control the genetic use of his or her own genes. But there are competing principles of parental responsibility that require consideration. Principles of nurture are among the important competitors. Also, the view that a woman has the right to control her own body for reproductive purposes may be based on a principle that denies the genetic-parental principle. An analysis is developed of the relations that constitute the criteria for the various possible principles of parental responsibility. Causality, temporality, spatiality, and resemblance are considered. The genetic relation is not any one of these relations, but it includes some of them. The justification of any principle of parental responsibility requires a detailed consideration of the principle from the viewpoint of a deontological or consequentialist moral theory. This examination is beyond the scope of this paper, but consideration is given to some issues and problems of justification, and difficult or unusual cases are discussed. There remain, then, complexities that require further study.     

The effects of stimulant drugs on curiosity behaviors of hyperactive boys

The curiosity behaviors of 20 hyperactive boys, both on and off stimulant drugs, and in relation to 20 nonhyperactive boys, were assessed. Comparisons on object, manipulative, conceptual, perceptual, and reactive curiosity tasks indicated that stimulants reduced only the object curiosity task performance of hyperactive boys, although the level tended to remain above that of nonhyperactive boys. Also, hyperactive boys both on and off drugs tended to have lower conceptual curiosity scores than controls. Implications are discussed.     

The moral basis of Graeco-Roman medical practice

The physician in the Graeco-Roman world was primarily concerned with perfecting his skills and in establishing his craft as a legitimate profession. The “ethical” treatises in the Hippocratic corpus reflect this need for public acceptance; they stress medical etiquette rather than philanthropic ideals. Overall, philanthropy had no intrinsic connection with the pursuit of medicine. Such works as the Hippocratic oath, which attempt to introduce morality and humanism into the profession, are a rarity. However, as a result of the new morality brought on by Stoic philosophy and the mystery religions, we see medicine in late antiquity frequently identified with humanistic principles.     

The effects of a career course on undecided college students

The effects of a career course taught by 11 instructors (two sections each) for college students, who were undecided about a major field or career, were evaluated in a pre-post design using the Vocational Identity, Occupational Information, and Barrier scales of the My Vocational Situation (J. A. Holland, D. C. Daiger, & P. G. Power, Palo Alto, Calif.: Consulting Psychologists Press, 1980). Large main effects were observed for the Identity and Occupational Information scales, but not for the Barriers scale. No interactions by instructor or student characteristics were found by using a simple ANOVA procedure or by using a split plot factorial design. The implications for new research and career instructors were discussed.