Stress and family health

This study investigates the difference between perceived everyday individual stress and levels of family health. Subjects completed the Family Adaptability and Cohesion Scale (FACES III), the Derogatis Stress Profile, and a personal data form. Quota sampling of 121 subjects was used to obtain 25 subjects in each of three groups: balanced, mid-range, and extreme family types. Individuals identified as members of mid-range families reported less overall stress than balanced or extreme family members. Significant differences appeared between the balanced and mid-range groups. Balanced individual family members reported slightly higher levels of stress than extreme family members.     

Attributions related to wife abuse: A comparison of the perceptions of volunteer advocate-counselors and marriage and family therapists

Attributions related to wife abuse held by advocate-counselors working in women's shelter home settings and marriage and family therapists were compared. The major finding was that the two groups were surprisingly similar in their attributions even though their theoretical backgrounds and training were considerably different. Implications for practice and training are presented.     

Developmental perspectives and family therapy: The marital life cycle

Developmental perspectives have been part of family therapy for more than two decades with a primary focus on the family life cycle and individual development. Most efforts at recognizing a marital life cycle have subsumed marital tasks under rubrics based primarily on parental roles. This paper offers a marital life cycle based on marital development with specific tasks for each of four stages-the marital breakup and remarriage phases are not included here-and provides implications for therapy.     

Training in group-analytic psychotherapy in Europe

Group-analytic psychotherapy focuses on the making and maintaining of close, emotionally fulfilling relationships. Its practitioners attempt to fuse an individual and a whole-group perspective, and seek to provide the enabling conditions for freer communication between group members. The group-analytic approach is widely used in the United Kingdom, and many experiential groups on psychotherapy training courses are conducted on group-analytic lines. The Institute of Group Psychotherapy in London recognizes eight one-year courses in England and Scotland specifically oriented to group-analytic theory and methods. These courses provide an introduction to group psychotherapy to over 300 professionals of varied backgrounds every year. There are also two courses in the United Kingdom that provide a full training in group-analysis and group-analytic psychotherapy, and 11 courses on the continent of Europe. The number of courses is growing and there is now a European Group-Analytic Training Network providing formal links between them. Results of a postal survey indicate that few (10%) attenders at a one-year course have a negative response and that many (85%) recommend the course to colleagues. The efficiency and therefore reduced cost of group teaching and the incorporation of a group experience may be contributing factors to the increasing demand for this type of training.This paper is based on a presentation at an Open Session on Training in Group Psychotherapy: The Quest for a Viable Model at the American Group Psychotherapy Association Annual Meeting, Boston, February 1990. This paper represents the author's own views and is not an official statement of the Institute of Group Analysis [London]. However, members and staff of the Institute have made helpful contributions to the author in preparing it. He is especially grateful for the assistance of Mrs. Liesel Hearst (Chairperson, Overseas Training Sub-Committee, Institute of Group Analysis, London), Dr. Keith Hyde (Convenor, Manchester Course in Group Psychotherapy), Fr. Jim Christie (Convenor, Glasgow Course in Group Psychotherapy), and Dr. Vivienne Cohen (Chairperson, Training Committee, Institute of Group Analysis, London, in preparing this paper. The questionnaire study was conducted with the assistance of the Training Section of the North-Western Regional Health Authority.     

Effectiveness of short-term seminars in four different cultures

The authors examine the knowledge, attitudes, and suppositions concerning family therapy among specialists from four professionally and politically quite different cultures. The results of the survey, which was carried out among participants in workshops and specialists' training courses, have shown that: attitudes toward and the place of psychotherapy in a given culture serve as a relevant point of reference for finding out about attitudes toward family therapy; the value of the family as a sociological unit has a formative effect on views regarding family therapy; and professional and political isolation may be a hindrance to the formation of a healthy family therapy approach, but the basic attitude toward psychotherapy is not significantly influenced by ideological factors.     

Marital group metaphors: Significance in the life stages of group development

Metaphorical content is abundant in the therapeutic process and has been noted and utilized in a variety of ways and settings by clinicians in the field. This paper focuses on metaphorical content in a marital therapy group and relates group metaphors to the life stages of group development. The co-authors illustrate the use of metaphors to assess the developmental stage of the group and to assist the therapist(s) in leading the group toward further growth and development. Figures are utilized to display the occurrence of metaphors by group stage, and a case example of a frequently stated group metaphor is offered to illustrate this process.     

Addictions and the family: An introduction

The editors of this special issue would like to express their appreciation to William C. Nichols, editor ofContemporary Family Therapy, for his support and encouragement in putting together this issue. We would also like to acknowledge and thank H. Allan Dye, Joan Jurich, Kevin R. Kelly, Richard M. Loughead, Nancy Shook, and Paul H. Wright for their patience, assistance, and editorial reviews.     

Pulling it all together: Meeting varying training requirements on national,state, and university levels for marriage and family therapy education

Marriage and family therapy programs face many challenge in trying to meet different sets of criteria including national, state, and university requirements. State regulation of the marriage and family therapy profession is a much sought after commodity. Currently 22 states have some type of MFT licensure or certification. MFT regulation criteria established by states to restrict title and function can differ in varying degrees from criteria established by the AAMFT's Commission on Accreditation. At the university level, MFT programs continue to be housed in a variety of schools including social work, education, psychology and home economics, as universities attempt to define a proper place for family therapy training. Confusion exists about whether MFT is a separate discipline or a specialization of another profession. The task of pulling it all together is addressed using one program's experience as an example.     

Inpatient versus outpatient treatment of substance abuse: Recent developments in the controversy

There has been considerable controversy the past decade on which is more effective, inpatient or outpatient treatment of substance abuse. During this same decade substance abuse treatment grew into a $40 billion industry with for-profit hospital programs accounting for as much as one-half the total figure. Recently, controlled studies have replaced the previous research literature which was largely composed of uncontrolled studies. A research consensus is developing that states inpatient rehabilitation has no advantages over outpatient treatment and that even hospitalization for detoxification is unnecessary for 90% of patients. Implications for public policy are that we are over-spending in the treatment of substance abuse by misallocating resources to the most intrusive intervention.Nicholas A. Cummings, PhD, is founder and chairman of the board of directors of American Biodyne and president of the Biodyne Institute, president of the National Academies of Practice, former president of the American Psychological Association, and founder of the four campuses of the California School of Professional Psychology.     

The sociocultural context of divorce

In this presentation, a seven stage model of divorce is presented that the author believes has universal applicability. None-theless, the specifics which characterize each stage may vary from country to country, from one socioeconomic class to another, and in accordance with the dictates of the church — if it is a dominant force in a given society. An historical perspective is taken throughout, and a family life cycle model is implicit. Both divorce therapy and divorce mediation are addressed.She is the immediate past-president of the International Family Therapy Association.Paper originally prepared for presentation as a plenary address for the 2nd World Congress of Family Therapy, Krakow, Poland, September 1990.