Families and family therapy in Germany

The author describes some of the effects of decades of life under a dictatorship for East Germans and the effects on family life and family therapy of changes following the recent reunification of Germany. A case example illustrates some intergenerational family problems associated with the changes. Contrasts are drawn between East and West Germany and family therapy's present stage of development is depicted in both parts of the reunified country. Germany has approximately 10,000 trained family therapists, a minority of whom work in private practice. The largest amount of family and couples therapy is performed in agencies.Portions of this material were first presented in a poster session at the American Association for Marriage and Family Therapy annual conference in Miami Beach, 1992.     

Developing the matrix representation grid (MRG): A method for observing group processes. Findings from time-limited group psychotherapy for alcohol-dependent patients

The MRG was published 1988 in order to support developments in group psychotherapy methods as one of the all too few process observation research methods for studying group-as-a-whole. After 9 years of what pilot studies have labeled successful clinical trials, this study aims at validating the MRG against the established SAVI: Structural Analysis of Verbal Interaction (Agazarian & Simon 1989). Videotaped group sessions from short-term groups for alcohol dependent patients conducted along two therapy methods, one behaviorally oriented and the other group analytic, are used as material. The MRG is validated in the study, confirmed to be clinically valuable, and some interesting comparisons between the two treatment modalities are also made.     

A plea for more intervision

The author presents an argument for tolerance, mutual understanding and reconciliation in psychotherapy, instead of a continued emphasis of schools. Psychotherapists' work with clients is proposed as a likely area for mutual understanding, rather than continued emphasis on their particular theories and academic matters. Psychotherapeutic intervision groups in which a small number of therapists voluntarily discuss their cases with peers from various backgrounds have become increasingly common again in recent years.Slightly revised version of a presentation made at the Georgetown Family Center Symposium in November 1995.     

The making of the group therapist: The role of experiential learning

The purpose of this paper is to review the necessary components of a comprehensive group therapy program. The balancing between the didactic and the experiential portions, and an analysis of the selection criteria, along with the rationale for a particular sequencing of elements in the curriculum, are discussed. A line between supervision and personal therapy is drawn. The author describes the milieu necessary for a successful training program to evolve and makes suggestions for improvements. The various experiential aspects of training are presented and critically evaluated. The training situation is examined from the point of view of the faculty, the trainee and the patients involved. The author marshalls evidence indicating that personal group psychotherapy in a patient group is the preferred form for most trainees for the experiential part of the program. The paper concludes that the sharing and cohesiveness of training philosophies and methods by the faculty is a prerequisite to the success of any training program.     

Book reviews

Sun at Midnight. The Rudolf Steiner Movement and the Western Esoteric Tradition by Geoffrey Ahern The Aquarian Press, Wellingborough 1984 ISBN 0–85030–338–9 (H/B) £7.95

Religion and Medicine World Religions and Medicine (4th Volume of Essays in the IRM Religious and Medicine Series) (ed) D. Goodacre. Institute of Religion and Medicine, St Giles Oxford. £1.95

Believing and Belonging: The Practice of Believing in The Church by Anthony E. Harvey SPCK £2.50 pp.136 p/b

E. Milingo: The World In Between: Christian healing and the Struggle for Spiritual Survival Edited, with introduction, Commentary and Epilogue by Mona Macmillan London: C Hurst & Co, 1984. pp vi+138. Price: hard covers ‐ £7.95; soft covers ‐ £3.95

Hinduism in England edited by David G. Bowen The faculty of Contemporary Studies, Bradford College, 1981     

Tests of symmetry in three-way contingency tables

Three-dimensional contingency tables are analyzed, with one variable (e.g., sex) as a factor, and with a natural relation between the other variables (e.g. left and right eye vision). Models of special interest, like symmetry and proportional symmetry between the related variables, and homogeneity across the factor levels, are investigated. Maximum likelihood estimators of parameters and partitions of chi-square goodness-of-fit statistics are explicitly presented; the independence of certain models is noted, and an example is discussed.     

A prospective study of the distribution of illness within the menstrual cycle

The cyclic physiological variations during the menstrual cycle are thought to be associated with change in emotional state, in susceptibility to illness, and in frequency of illness-related behavior. Variations in frequency of illness with the phases of the menstrual cycle were examined using data from a 3-year prospective study of social and psychological antecedents of viral illness in 94 student nurses. Reported illnesses, accidents, medical consultations, and hospital admissions were randomly distributed throughout the menstrual cycle. Subjects took more medication on the 1st day of menses than on any other day of the cycle; howeverreported menstrual symptoms were infrequent, with only 4% of the population reporting two or more such episodes. It was concluded that there was an increase in discomfort on the data of onset of menses which was self-medicated but not defined as illness. There was no discernible relationship of illness or disability to any phase of the cycle.This work was supported in part by Center for Oral Health Research (COHR) grant DEO 2116, and Oral Medicine Training Grant ST01-DE-77. The authors wish to recognize the contribution of Carol Ram, R. N., who was the administrator of this study and responsible for the collection and organization of the large bank of information from which the material for this paper was abstracted. Without her care, diligence, and intelligent management, this study could not have been completed. We also wish to acknowledge the consultive advice of Dr. Larry Laster, Director, Division of Biometrics, School of Dental Medicine, in choice of analytic techniques, and the help of Dr. Arthur Segal in the early stages of data analysis.