African American women's sexual satisfaction as a dimension of their sex roles

African American women's sexual satisfaction in heterosexual relationships was examined as a dimension of their sex roles. Responses to questions about sexual behaviors and interactions they preferred in primary relationships were selected from a larger study of a stratified random sample of 126 African American women. Three factors were identified: sexual responsiveness, sexual expression, and sexual interest and enthusiasm. The factors are described as profiles that may enhance or limit women's male-female sexual relationships. The implications of African American women's sexual satisfaction as an important dimension to understand in today's AIDS related sexual climate is discussed within a socio-cultural context.A modified version of this paper was presented at the American Anthropological Association, November 1987, Chicago, Illinois. The research was funded by The Center for Prevention and Control of Rape, NIMH Grant, R01 MH33603 and through a Research Scientist Career Development Award to the first author, K01 MH00269.     

Adult Attachment Styles, the Desire to Have Children, and Working Models of Parenthood

ABSTRACT College students who had yet to marry and begin a family were asked about their desire to have children and their beliefs and expectations about themselves as parents (Study 1) and the characteristics of their prospective children (Study 2). Persons with more avoidant and anxious-ambivalent models of close adult relationships harbored more negative models of parent-hood and parent-child relationships. These findings indicate that working models of parenting and parent-child relationships form well before marriage and the birth of children and that these models are systematically associated with attachment styles in adult relationships. The findings also suggest ways in which insecure attachments between child and parent may be influenced by the caregiver's models of parenting and parent-child relationships.     

Diagnosis and Assessment of Depression and Suicidality Using the NIMH Diagnostic Interview Schedule for Children (DISC-2.3)

The Diagnostic Interview Schedule for Children (DISC-2.3) was studied in a sample of 265 adolescent inpatients to determine type and concurrent validity of depressive symptoms and depressive disorder diagnoses for different DISC-2.3 informants (parent, adolescent, both). The Children's Depression Rating Scale — Revised, Reynolds Adolescent Depression Scale (RADS), Suicide Ideation Questionnaire — Junior, Spectrum of Suicide Behavior Scale, and clinical consensus diagnoses were used to assess concurrent validity. Results indicated that (1) parents, compared to adolescents, reported a higher prevalence of all depressive symptoms with the exception of weight change; (2) DISC-2.3 depressive and suicidality symptoms were related positively to independent validating criteria for all informant conditions, suggesting good concurrent validity; (3) the DISC-2.3 both informant condition correctly identified the most depressive disorders; and (4) the parent, but not the adolescent, DISC-2.3 Informant condition contributed to the prediction of clinical consensus diagnoses of depression after taking into account RADS scores.     

The thinking heart: Developmental dynamics in Etty Hillesum'sdiaries

This essay has three purposes. First, it proposes a method for reading texts developmentally, noting the appropriate type of text for this enterprise, the process for estimating the subject's developmental perspective, and necessary cautions when undertaking a developmental interpretation. Second, it highlights developmental dynamics which can be approximated in other contexts. Finally, it lifts up the writings of an extraordinary young Dutch woman, a victim of Auschwitz, offering her life as a model of virtues which our society would do well to imitate more than fifty years after the Holocaust.Where she also directs the Program in Christian Spirituality.     

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.     

The self-narrative and acute psychosis

The aim of this study was to apply the narrative approach in analyzing family therapy meetings in cases of acute psychosis. The self-narrative is essential in acute psychosis since it is either collapsed or not coherent enough. The results indicate that it is important to create concrete practices that produce stories concerning the patient in relation to others. The self-narrative must be re-authored by the patient even though it is socially constructed. This is achieved by creating multiple perspectives of self-narratives in so-called therapy meetings with the patient, family members, and staff members representing different professionals.     

“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.