Second-Order Change in Marriage and Family Therapy: A Web-Based Modified Delphi Study

Second-order change is a central concept in Marriage and Family Therapy, but still remains poorly operationalized. We conducted a web-based modified Delphi study with 31 established faculty members currently teaching in COAMFTE-accredited Master's and Doctoral programs in the United States and in Canada to identify consensus regarding second-order change concepts, clinical operationalization, evaluation, and teaching principles. Numerous exemplars of first and second-order change were generated, but consensus on most items was low. Consensus was highest for pedagogy and low regarding concepts and clinical examples of first-order change and evaluation of second-order change. Results suggest clearer definitions and better measurement of systemic change are needed.     

Marital event appraisals and frequencies: A comparison of distressed and nondistressed husbands

Abstract

Frequencies of marital events have been shown to vary according to whether a marriage is classified as distressed or nondistressed, but it is not known if these two groups of subjects appraise or view marital events in the same ways. This study examined husbands' appraisals of five marital events which were recorded daily for 90 consecutive days. Subjects appraised events according to four qualities: desirability, changingness, meaningfulness, and control. Event frequencies of desirable and undesirable events replicated previous work, but contrary to our expectations, there were no differences in how husbands from distressed and nondistressed marriages viewed events.     

When the ends outweigh the means: Mood and level of identification in depression

Research in healthy controls has found that mood influences cognitive processing via level of action identification: happy moods are associated with global and abstract processing; sad moods are associated with local and concrete processing. However, this pattern seems inconsistent with the high level of abstract processing observed in depressed patients, leading Watkins (2008, 2010) to hypothesise that the association between mood and level of goal/action identification is impaired in depression. We tested this hypothesis by measuring level of identification on the Behavioural Identification Form after happy and sad mood inductions in never-depressed controls and currently depressed patients. Participants used increasingly concrete action identifications as they became sadder and less happy, but this effect was moderated by depression status. Consistent with Watkins' (2008) hypothesis, increases in sad mood and decreases in happiness were associated with shifts towards the use of more concrete action identifications in never-depressed individuals, but not in depressed patients. These findings suggest that the putatively adaptive association between mood and level of identification is impaired in major depression.     

Childhood abuse and vulnerability to depression: Cognitive scars in otherwise healthy young adults

Models of depression vulnerability posit that negative early experiences, such as exposure to childhood abuse (CA), increase vulnerability to depression later in life. Though most victims of CA do not go on to develop depression, the question remains as to whether these individuals retain cognitive ‘scars’ that may contribute to depression vulnerability. The present study examined the relationship between self-reported, retrospective CA and cognitive vulnerability to depression in a carefully selected sample of young adults without current or past psychopathology. We measured cognitive vulnerability with both a self-report questionnaire, the Dysfunctional Attitudes Scale (DAS), and a measure of information processing bias, the Scrambled Sentences Test (SST). Self-reported severity of CA was associated with increased cognitive vulnerability to depression on both the DAS and SST. Vulnerability to depression as measured by the SST, but not by the DAS, prospectively predicted increases in depressive symptoms over a 6-month period. Scores on the SST also interacted with CA to predict increases in depressive symptoms. These findings demonstrate the pernicious effects of CA even in those without current or past psychopathology.     

Direct Evidence of Memory Retrieval as a Source of Difficulty in Non‐Local Dependencies in Language

Linguistic dependencies between non‐adjacent words have been shown to cause comprehension difficulty, compared with local dependencies. According to one class of sentence comprehension accounts, non‐local dependencies are difficult because they require the retrieval of the first dependent from memory when the second dependent is encountered. According to these memory‐based accounts, making the first dependent accessible at the time when the second dependent is encountered should help alleviate the difficulty associated with the processing of non‐local dependencies. In a dual‐task paradigm, participants read sentences that did or did not contain a non‐local dependency (i.e., object‐ and subject‐extracted cleft constructions) while simultaneously remembering a word. The memory task was aimed at making the word held in memory accessible throughout the sentence. In an object‐extracted cleft (e.g., It was Ellen whom John consulted…), the object (Ellen) must be retrieved from memory when consulted is encountered. In the critical manipulation, the memory word was identical to the verb's object (ELLEN). In these conditions, the extraction effect was reduced in the comprehension accuracy data and eliminated in the reading time data. These results add to the body of evidence supporting memory‐based accounts of syntactic complexity.     

The pigeon's discrimination of shape and location information

Two groups of pigeons (n = 4) were trained with 16 line drawings portraying a fixed shape and a variable shape. The four variable shapes (a wedge, a cone, a cylinder, and a handle) appeared to the left of, to the right of, above, or below the fixed shape (a cube). Group Shape (S) was required to discriminate the identity of the variable shape that was mated with the cube, whereas Group Location (L) was required to discriminate where the variable shape appeared relative to the cube. Three of the four pigeons in each group mastered their respective tasks. Later tests revealed that the two groups of pigeons had attended to different aspects of the shape pairs, even though the visual stimuli and general procedures they had been given were the same. Group S had attended to the identity of the variable shape and had ignored the identity and location of the cube, whereas Group L had attended to the configuration of the two shapes. The methods and stimuli could be useful in delineating the biological bases of shape and location perception.     

Curing Psychopathology: Can Philosophy Help?

Abstract

It is argued that philosophers can contribute indirectly to the cure of psychopathology by helping to resolve problems that impede the development of effective treatments. Two such problems are discussed. The first arises because different schools of therapy use conflicting criteria in evaluating therapeutic outcomes. A theory of Defective Desires is developed to deal with this problem. The second issue, which divides the field of psychotherapy, concerns the need for experiments, especially in validating claims of therapeutic efficacy. An epistemological foundation is developed to support the need for experiments.