Stories for therapy: The right story to the right person at the right time

In the postmodern information era with its increasing complexity and demands on my time, I find storytelling increasingly attractive. The right story told to the right person(s) at the right time in the right way can powerfully define and shape both individuals and the systems into which they organize themselves. As interventions go, I find stories to be relatively high impact, low-risk, parsimonious, and user-friendly. This paper contains some of my favorite teaching stories and describes why and how I use them as both a family therapist and teacher of family therapy.     

“Not with me you don't”: A story of narrative practice and dissociative disorder

This paper discusses issues relating to therapeutic practice based upon the narrative metaphor. A case of someone suffering the effects of Dissociative Identity disorder is used to illustrate the difficulties that clients can experience with the “expert” knowledge conception of therapy. The value of the “respectful” and “non-expert” emphasis of Narrative Practice emerges even when the therapist believes that he or she lacks expertise in the client's apparent “condition.” Three themes emanating from the case form the basis for the discussion: the client's experience of being recruited into accepting the diagnostic label of Dissociative Identity Disorder; the effects of being forced to accept a contract to eliminate self-abusive behaviour; and the therapist's dealing with a gun in the therapy room.     

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.     

Stereotyped movement disorder in an adult following acquired brain injury: Effect of environmental stimulation

In the present study, a naturalistic functional analysis procedure was used to assess the effect of environmental stimulation on the stereotypic behavior (body rocking) of an adult whose stereotypy appeared to be induced by an acquired brain injury. Environmental stimulation, operationalized in terms of both physical and social characteristics, resulted in only minimal changes in the occurrence of body rocking. Body rocking occurred in excess of 50% of the observations in all environmental stimulation conditions and in a naturally occurring baseline condition. To our knowledge, this is the first published report of a functional analysis of stereotypy associated with acquired brain injury.     

Multiaxial taxonomy of fibromyalgia syndrome patients

Pain, disability, and depression are present in various degrees in patients with fibromyalgia syndrome. Cluster analysis was used in this research to ascertain the existence of subgroups of patients in a fibromyalgia sample based on these variables. Two clusters were defined: one characterized by high levels of pain, disability, and depression (n=51) and another characterized by low levels of pain, disability, and depression (n=67). Multivariate analysis of variance (MANOVA) confirmed differences between clusters on these health status factors and a second MANOVA revealed that the subgroup with a poorer health status reported greater passive coping, helplessness, and stress, and less satisfaction with social support, than the subgroup with better health status. Logistic regression indicated that the best discriminator of subgroup membership was helplessness. These results suggest that different approaches to patient management, particularly intervention strategies aimed at reducing helplessness, may be beneficial for patients with high levels of pain, disability, and depression.     

Psychological and educational characteristics of instruction for people with severe disabilities: Interacting systems of responding

This paper presents a behavioral model which proposes that operants are organized and regulated into systems of responding. Multi-operant theory proposes that operants are organized into response systems that interact to adapt behavior to the complexities of the environment. The operant is the interaction between behavior and the environment which includes the conditions under which responses may occur, the class of behavior that is likely to be effective in producing outcomes, and the antecedent conditions that define the context of behavior. A central feature of this theory is that operants within a repertoire are organized into regulated systems of responding. The mechanisms of regulation are themselves operants that are learned and controlled by processes that are the same as those that govern more overt behavior. Operants stand in relationship to each other in coordinated response systems with some operants directly affecting and organizing the performance of other operants. An important implication of the systemic nature of behavioral repertoires is that bringing some aspect of a behavior class under control of new variables may demonstrate a spread throughout the entire operant system depending on past histories linking the classes.deceased     

The ombudsman for research practice

We propose that institutions consider establishing a position of “Ombudsman for Research Practice”. This person would assume several roles: as asounding board to those needing confidential consultation about research issues — basic, applied or clinical; as afacilitator for those wishing to pursue a formal grievance process; and as aneducator to distribute guidelines and standards, to raise the consciousness regarding sloppy or irregular practices in order to prevent misconduct and to promote the responsible conduct of research. While there are compelling features to this position, many complex issues need to be considered and resolved. We invite readers to respond to questions we raise in the text.     

Ethics education in science and engineering: The case of animal research

Conclusion The past one hundred fifty years of debate over the use of animals in research and testing has been characterized mainly byad hominem attacks and on uncritical rejection of the other sides’ arguments. In the classroom, it is important to avoid repeating exercises in public relations and to demand sound scholarship. This paper is a modification of material originally included in the handbook which accompanied the American Association for the Advancement of Science (AAAS) Seminar “Teaching Ethics in Science and Engineering”, 10–11 February 1993.     

Guidelines for training in the ethical conduct of scientific research

Historically, scientists in training have learned the rules of ethical conduct by the example of their advisors and other senior scientists and by practice. This paper is intended to serve as a guide for the beginning scientist to some fundamental principles of scientific research ethics. The paper focuses less on issues of outright dishonesty or fraud, and more on the positive aspects of ethical scientific behavior; in other words, what a scientist should do to maintain a high level of ethical conduct in research. There are a number of fairly specific rules, guidelines, or commonly accepted operating principles that have evolved for the ethical conduct of science. In order to discuss this code of ethics, this paper is divided into sections dealing with specific areas of scientific ethics. These areas are: data collection and storage, ownership of data, confidentiality, communication, authorship, collaboration, the peer review system, and rules of dealing with ethical complaints. Illustrative case histories are presented to provide examples of the type of ethical dispute or problem being discussed. If scientific trainees learn the accepted rules of behavior that govern the conduct of science, ethical problems that arise out of ignorance, misunderstanding, or poor communication can be avoided.