Structural couplings between individual development and the epigenesis of family relations in schizophrenia: An eight-year follow-up

The aim of this research was to study individual development along with the epigenesis of family relations in an eight-year follow-up of schizophrenia. The five epigenetic phases described by Wynne are attachment/caregiving, communicating, joint problemsolving, mutuality, and intimacy. Results showed that the critical level of epigenesis was the communicating level; its resolution was statistically significantly connected to good prognosis concerning individual parameters. The mother-child dyad was usually epigenetically the most developed dyad in the family. We think this study gives a new paradigm for understanding connecting interconnections between individual and family dynamics in schizophrenia and valuable information for planning the integrated and need-specific treatment of schizophrenia and evaluating the course and prognosis of schizophrenia.This study was carried out at the Clinic of Psychiatry of the University of Turku, Finland, and financially supported by the Academy of Finland. The head of the project was Professor Yrjö O. Alanen. We have also been in cooperation with and received valuable constructive criticism from Professor Lyman C. Wynne, whose theoretical model we applied in this study. Ms. Birgitta Nolvi's secretarial work was greatly appreciated.     

Parental blaming and acquisition of guilt: A developmental task of childhood

Incidents involving the authors' twin 10-year-old daughters illustrate that guilt is well established in normal children of 10. The incidents suggest how the expectation of parental blaming triggers guilt and shame. Guilt and shame are compared. While they may coexist in the 10-year-old, guilt clearly is assuming a dominant position. Mental health professionals have emphasized the psychopathology of guilt and many forget that it is essential for normal socialization in that the guilty person feels a need to repair damage allegedly done. Guilt presumes that at least a primitive mutuality has been established in the person; and mutuality is the hallmark of human maturity. Terms are defined here with some variation from their usage by mental health experts: shame, guilt, blame, and counterblame.     

Teaching symbolic-experiential family therapy: The personhood of the teacher

This article explores issues in teaching symbolic-experiential family therapy to psychiatric residents. Six controversial contextual issues that arise in teaching any school of family therapy in this setting are presented. Then, the author distinguishes between content and process dimensions in teaching symbolic-experiential family therapy. This distinction helps to clarify the muddle often attendant to attempts to teach this particular area. A major point, to paraphrase Whitaker's famous dictum, is that Teaching symbolic experiential family therapy resides in the personhood of the teacher.     

On teaching psychotherapy via consultation and cotherapy

In this article Dr. Whitaker presents his basic assumptions about teaching psychotherapy. He discusses his expectations of himself and his trainees in the teaching relationship and how he attempts to empower the trainee in his/her professional growth. Following this, Dr. Garfield joins Dr. Whitaker in a dialogue about consultation and cotherapy.     

Coactivation in the perception of redundant targets

Reaction time (RT) to redundant stimuli was investigated while controlling for distraction effects and response competition. In Experiment 1, a redundancy gain was found for 2 target letters with identical features (redundant) compared to trials in which 2 different targets shared the same response assignment (compatible) indicating coactivation of stimulus inputs. No difference in RTs was found between compatible displays and displays containing 2 targets with different responses (incompatible), suggesting (with other evidence) that letters were serially processed. In Experiment 2, a redundancy gain was again found. Unlike in Experiment 1, incompatible displays produced response competition, indicating a redundancy gain with parallel processing. Three forms of redundancy gains operating under specific conditions are discussed.     

Is valentine still doubtful? A workshop model for children of divorce

We present this eight-session structured workshop format aimed at school-aged children of divorce who are considered psychologically healthy by family and teachers, in which we review the situations most frequently encountered by these families.In the workshop we offer an understanding vision of divorce while providing the children with the experience of working with therapists who are able to deal with highly troublesome issues in a caring atmosphere.Acknowledgements are expressed to Bernardita Cruz, school counselor, and Ilana Meler and Patricia Tahl, child psychologists.     

Attentional distribution in visual space

Summary The horizontal extent of the visual attentive field was measured by the use of a two-choice-RT task and compatible and incompatible distractors. The target was a line that inclined either to the left or to the right. Whether or not the subject performed the choice RT was made contingent upon whether two other stimuli presented in the visual display matched or mismatched. The match-mismatch stimuli varied in locations so as to manipulate the relevant visual area (the attended area). The locations of the distractors were also varied. The increase in RT associated with incompatible distractors was found to vary inversely with their distance from the edge of the area attended to and independently of their distance from the target lines. The results were interpreted in terms of an inhibitory field that surrounds the area attended to.     

Shifting of attentional focus within and about a visual display

If several positions must be attended in a large visual display, does the efficiency of performance vary as a function of the display distance between these to-be-attended positions? Two previous experiments (Podgorny & Shepard, 1983; Shaw, 1978) gave conflicting answers. In the present experiments, eight-letter circular displays were briefly presented. On each trial one, two, or three positions of the display were cued or precued. The number of noncued display positions intervening between the cued locations varied from zero to three. The subjects' task was to rapidly discriminate between two target letters. Although reaction time was found to increase with increases in the number of cued locations, no significant or suggestive effects were found for the spacing or distance between the cued locations. The evidence strongly suggests that the subjects serially searched the cued locations, which further implies that attention can index locations in the visual field at a speed that is independent of the distance between these locations.     

Working with families on an inpatient psychiatric unit for children: Hospital staff members are family therapists,too

Inpatient psychiatric units for children can be potent agents for family change. The activities of nursing, education, and activity therapy staff are an important addition to a program of formal family therapy in psychiatric hospitals. These modalities must be organized into a family framework so that insights and achievements from one arena may be generalized to another.     

The effects of intrafamily threats on therapy

Family members often threaten one another during the course of therapy. Such intrafamily threats can cause anxiety for the therapist and disrupt treatment. Examples of commonly encountered threats are given and their management discussed.