Perceptions of primary supervisor interpersonal skills: A critical incident analysis

This study surveyed a randomly selected group of Approved Supervisors of the American Association for Marriage and Family Therapy (n = 280) and their supervisees (n = 266) on their perceptions of the primary supervisor interpersonal skill used in supervisory incidents that had a positive effect on supervisee development. Supervisor directiveness was the most identified skill by both supervisors and supervisees.This study was funded in part by grants from the Research Committee of the American Association for Marriage and Family Therapy; the Agricultural Experiment Station, Purdue University; and the School of Liberal Arts and Sciences, Purdue University Calumet.     

Gender in family therapy supervision

While gender has taken its place as a fundamental construct in family therapy theory, little has been written about gender in family therapy supervision. This paper attempts to redefine gender as it pertains to families, family therapy, and family therapy supervision; call attention to aspects of gender as they apply to training in family therapy and family therapy supervision; and suggest ways that family therapy supervisors can sensitize themselves to issues of gender so that they can be more effective in supervision.The author gratefully acknowledges her husband, Victor Nelson, STM, and Eric McCollum, PhD, for their comments on an earlier draft of this paper and for helping with the idea that men are raised to fix things, women to make them better.     

Aversive procedures: The minnesota experience

Aversive and deprivation procedures for controlling and reducing challenging behaviors have received increasing attention. Many states have adopted guidelines on the use of these procedures treating persons with developmental disabilities. The Minnesota state rule promulgated in October, 1987 requires reviews from both local and state-wide review committees on permitted, but controlled procedures. Data generated from state-wide committees revealed that (a) state operated regional treatment centers (RTCs) employed individual habilitative training programs with controlled procedures more frequently than community-based agencies (b) a higher proportion of RTC submissions were for treatment of self-injury than submissions from community services, and (c) RTCs had a higher usage of mechanical restraints than community facilities with both services settings using manual restraints more frequently than all other controlled procedures combined. Reasons for the above differences in the two service settings were discussed.     

The effect of training on visual alignment discrimination and grating resolution

The effect of training on an observer’s ability to detect the misalignment of three points, a hypes-acuity, and to resolve a six-line grating was studied in a transfer-of-training design with observers (4 in each of two experiments) who were experienced in making psychophysical judgments of other visual stimuli. The transfer-of-training design enabled us to look for any training-based improvement. Long periods of training produced no statistically significant improvement in performance under any condition. There were small practice-based improvements, but the primary patterns indicated threshold fluctuation rather than improvement. We interpret the results to indicate that the neural mechanisms underlying three-point alignment and grating discrimination, like those for gap bisection (Klein & Levi, 1985), are not malleable to any significant extent.     

Self-image formation in adopted children: The environment within

Adoption of a child is an event in which a number of crises have converged. Both the biologic and adoptive families have contributed their failures and crises, and the subsequent interpretations of these by the adopted child can lead to polarized themes of goodness and badness. The absence of the biologic parents and of a coherent history reinforces the tendency to splitting. This paper explores these operations and raises questions about prevailing adoption practices.Paper presented at Spence-Chapin Symposium on Identity Problems of Children in Non-Nuclear Families, April 11, 1981.     

The Primary Mental Health Project (PMHP): Evaluation of current program effectiveness

This study evaluated the effectiveness of the Primary Mental Project (PMHP), a program for early detection and prevention of school adjustment problems. Pre- and postprogram assessments were done with 215 primary-grade children seen in PMHP, usig teacher ratings of problem behaviors and competencies, and child-aide ratings of problems. School mental health professionals judged educational and behavioral changes in project children during the year. Significant across-the board improvements were found on all criterion measures. Modest intercorrelations among criterion change estimates suggested that the observed changes were due to program, rather than halo, effects. PMHP children also improved significantly more than matched, retrospective controls.     

Theories of family pathology: In what direction

Although specific typologies, classifications, or taxonomies of family pathology have been demonstrated to have research merit, it is clear that their practical or clinical application has been at best marginal. The general theories in family therapy have not yet led to the development of viable typologies.I believe there are three general theories which perhaps converge only in their acceptance of a process of victimization in families that may lead to the outbreak of psychiatric symptoms in members: the intergenerational, the communicational, and scapegoat theory. The paper describes these theories and suggests their strengths and limitations. The dominant family therapies that have arisen in the late 1970s are short-term approaches. These are especially favorable to the development of scapegoat theory, fit reasonably well with communicational theory, but are inconsistent with intergenerational theory.An invited lecture at the 11th International Congress of Psychotherapy in Amsterdam, August 28, 1979.     

Methodological and theoretical issues in neuropsychological assessment

While there are philosophical and theoretical differences between neuropsychologists and behavior therapists, it is suggested that a significant reconciliation can be achieved in regard to assessment and treatment of the brain-damaged patient. While brain damage is often viewed as an irreversible disorder, there is evidence that substantial recovery of function can occur, particularly when adequate retraining is provided. There are practical and empirical considerations that suggest that neuropsychological tests are currently the best tools available for behavioral assessment of brain-damaged patients. However, the results of these tests can be used not only diagnostically but also to identify target behavioral deficits that may be rehabilitated through systematic retraining efforts. Such rehabilitation efforts can be optimally planned, implemented, and evaluated through an alliance between the neuropsychologist, who identifies the ability and deficit pattern, and the behavior therapist, who devises and evaluates the retraining program. It is possible that the successes of behavior therapy in numerous clinical and educational applications can be repeated in the cases of brain-damaged patients. However, such success would appear to be contingent on appreciation of the high degree of specificity often seen in neurological deficit patterns and the great complexities involved in the relationships between brain function and behavior.