Story telling in families with children: A therapeutic approach to learning problems

Story telling can be used as an original method to restructure families with children. It actively involves parents in communicating with children in their own language, helping the family to switch from a rational language to an emotional/imaginary one, circumventing resistances and permitting its members to resume a natural path in parent-child communication. This paper illustrates how stories can be used in family interaction for treating problems of family origin. Selected stories were given to parents and children for them to read-listen/make comments/dramatize during the phase of family treatment which dealt specifically with learning problems. Three family cases in which story telling was useful in solving children's disabilities through promoting changes in the family structure and creating or enlightening parental functions of orientation and guidance are analyzed.This work was done at CERF, Buenos Aires, Argentina, and received the Margarita Ravioli Award from the Asociacion Argentina de Psiquiatria Infantil for the best paper in mental health and education, Buenos Aires, September, 1987. We wish to acknowledge psychologists Helen Lamuraglia, Julia Koremblit, and Susana Sola for their therapeutic cooperation with the family cases P and F respectively. We especially thank Harry Aponte, Alberto Gonzalez, and Helen Lamuraglia for their support, comments, and review of the paper, which enriched our scope and discussion.     

Group psychology in the totalitarian system: A psychoanalytic view

The author discusses the ideas of three important psychoanalytic thinkers about group processes in large social groups: Sigmund Freud, Wilfred Bion, and Erich Fromm. Their ideas are developed and applied to analysis of group processes in totalitarian systems, as they were known to the author in Czechoslovakia and the Soviet Union. In conclusion, treatment considerations as they apply to patients who grew up in these regimes are developed and illustrated by clinical cases.This paper is dedicated to Dr. Alexander Wolf, who made his groups growth-promoting, free and holding environments.The author wants to thank Valerie Angel, M.S.W., Eva Papiasvili, Ph.D., Susan Kavaler, Ph.D., Maria Luisa Bastos, Ph.D., and Nancy Smith for their support, critical commentary, and helpful suggestions.     

Recognition failure of words with a single meaning

Recognition failure of recallable words was demonstrated with single-meaning target words after a 7-day retention interval. When overall levels of recognition were equated, the magnitude of the effect was the same as that observed with high-frequency words of multiple meanings in other experiments. It was concluded that, contrary to suggestions of Reder, Anderson, and Bjork (1974), encoding specificity is not limited to words that have several semantic senses. The experiment also provided evidence contrary to the hypothesis that recall of unrecognized items comes about because of additional learning opportunities afforded by the recognition test.     

Impact of the format of user instructions on the handling of a wrist blood pressure monitor

Cognitive Processing - Few studies have focused on procedural documents in the field of home medical devices, although incorrect use and usability problems can have important consequences for the...     

Leader–Member Exchange (LMX) and Performance: A Meta‐Analytic Review

This paper reports a meta‐analysis that examines the relationship between leader–member exchange (LMX) relationship quality and a multidimensional model of work performance (task, citizenship, and counterproductive performance). The results show a positive relationship between LMX and task performance (146 samples, ρ = .30) as well as citizenship performance (97 samples, ρ = .34), and negatively with counterproductive performance (19 samples, ρ = ?.24). Of note, there was a positive relationship between LMX and objective task performance (20 samples, ρ = .24). Trust, motivation, empowerment, and job satisfaction mediated the relationship between LMX and task and citizenship performance with trust in the leader having the largest effect. There was no difference due to LMX measurement instrument (e.g., LMX7, LMX‐MDM). Overall, the relationship between LMX and performance was weaker when (a) measures were obtained from a different source or method and (b) LMX was measured by the follower than the leader (with common source‐ and method‐biased effects stronger for leader‐rated LMX quality). Finally, there was evidence for LMX leading to task performance but not for reverse or reciprocal directions of effects.     

Gendered Patterns of Interaction: A Foucauldian Discourse Analysis of Couple Therapy

In recent years, there has been a rapid increase in attention to gender and gender-based inequalities in family therapy. Despite this, there is a dearth of empirical work that examines how gendered inequalities intersecting with other axes of privilege/oppression are maintained within families, including in the therapeutic context. In this study, we used Foucauldian discourse analysis to examine how gendered power is produced and reproduced circularly or through recurrent patterns of interaction in couple therapy. We identified gendered discourses and assumptions informing partners’ constructions of their gendered selves and relationships. We highlight the complexity and intersectionality of gendered subjectivities and relations in contemporary Canadian couples involved in heterosexual relationships. Although women in this study contest their oppression and exhibit agency to negotiate who they are in general and in relation to men, they simultaneously continue to occupy subordinate positions in a gender order that is culturally and interactionally allocated to them. We discuss implications for family therapy practice.     

Impact of outpatient non-myeloablative haematopoietic stem cell transplantation in quality of life vs. conventional therapy

The role of outpatient hematopoietic stem cell transplantation (HSCT) as a therapeutic tool has been strengthened significantly because of the increasing number of patients undergoing this treatment. Due the very nature of this procedure, one of the aspects that should not be overlooked is the quality of life (QOL) of patients undergoing HSCT. Thus, one must consider not only health status after treatment, but also, the psychosocial implications for the patient. This is an observational, longitudinal, and prospective study to assess QOL in patients undergoing outpatient HSCT vs. similar patients receiving medical treatment (MxTx). By applying the COOP/WONKA charts on five occasions (pre-HSCT/initial, post-HSCT/first month, and at 3, 6, and 9 months), thirty-eight patients were analysed, 19 with HSCT and 19 with MxTx with no differences in age, gender or diagnosis. The initial survey found significant differences only in pain perception, which was higher in the HSCT group (p = .08); at the first month, there was a greater tendency for feelings of depression or anxiety in the HSCT group (p = .016), with more limitations in social (p = .003) and daily (p = .044) activities. From 3 months post-HSCT, the results were very similar. The differences persisted only in the area of social activities. Four patients developed graft-versus-host disease with no significant difference in the scores obtained compared to other transplant patients at 3, 6, and 9 months (p = .26) of follow-up.     

Nigerian Clergy and healthcare professionals’ perceptions of health-seeking behaviours among Nigerian immigrants in the UK

The diversity in patient populations due to immigration in the UK has implications for adequate understanding of a patients’ culture by the clinician as well as patient–clinician cultural matching for enhanced service use and outcome. This qualitative study investigated how Nigerian clergy and health professionals perceived health-seeking behaviours among Nigerians in the UK, while considering the impact of their own beliefs and values as care providers. Six participants were interviewed (clergy, n?=?2; health professionals, n?=?4). Data were analysed using Interpretative Phenomenological Analysis. Results showed that the clergy and health professionals themselves use religious/cultural cure and formal healthcare methods, and believed Nigerian immigrants as predominantly using religious/cultural methods which can affect healthcare utilisation, although differences between the professionals were reported. The potentials for integrating other cure methods into the formal healthcare services were considered, while highlighting the challenges that may arise from such collaborative effort.