ABSTRACT OF LITERATURE

This report from a research team describes problems in obtaining a sample to do family research. Institutional barriers, attitudinal barriers, procedural barriers, and guidelines for penetrating the barriers are discussed. Sample acquisition can be very time-consuming and nonrewarding unless researchers design techniques to deal with these problems in their projects.     

ABSTRACTS OF LITERATURE

Two case examples are presented in support of the hypothesis that family therapy is useful in situations in which the identified patients are students at a university counseling center. The core dynamic issues focus around separation from parents. It is felt that the family therapy is a useful adjunct to the individual psychotherapy.     

ABSTRACTS OF LITERATURE

This is a report on the methodology for an outcome study of marital therapy, comparing an interpretative approach with a direct, behavioral approach based on operant conditioning principles. A control group will receive common sense, nondirective, and noninterpretive therapy. All three types of treatment will be given by the same therapist. Assessment will be done by an independent assessor, blind to treatment, and by questionnaires filled out separately by each partner, covering work, leisure, social, and sexual spheres, as well as symptoms. Sessions will be given every other week, usually up to ten sessions, but cases could be stopped earlier. An example of each of the three approaches is given, and preliminary impressions of treatment are reported.     

ABSTRACTS OF LITERATURE

Schizophrenia is due to a combination of genetic and environmental factors. The author asserts that there has previously been an error in conceiving the patient as being molded completely by external circumstances. In fact, it is the patient's behavior, which is a transformation of family irrationality, that constitutes schizophrenia. In 75 per cent of cases of schizophrenia seen by the author in private practice, the mother did not fit the image of the so-called “schizophrenogenic mother.” In this technique for teaching family therapy, the students take the roles of the family. Procedures, selection of players, formulating the problem, the value of the experience, and ground rules are described. This is a case report and follow-up over nine years of an alcoholic woman. The patient and husband were treated for 35 sessions by cotherapists in conjoint marital therapy. Although there was improvement in the family patterns and in drinking behavior during the treatment, the improvement did not last after termination. The case suggests that marital therapy in the absence of other treatment interventions is ineffective in changing the long-run course of women alcoholics. Based on the author's practice on an inpatient unit that specializes in the study of aggressive behavior, he describes family dynamics and treatment when the identified patient suffers from “episodic violent behavior.” The sample focuses on adolescents, most of whom had episodes of suicidal behavior and who had some evidence of “organic involvement.” Typical family patterns include overly close alliances by the adolescent with one or both parents and transmission by parents of inconsistent values regarding aggression. Family therapy is seen as the preferred treatment approach and emphasizes family ways of handling dyscontrol episodes and the responsibility of the patient for his or her actions. No results are reported. This study attempts to link family variation and core relationships in types of families with the mental health of children. Sample was from a black, poor, urban community defined in terms of the adults present in the home. Eighty-six family types were found falling into ten major classes. Measures of mental health in children were done on psychological well-being of the children and on Social Adaptational Status. Results indicate that family type is strongly related over time to child's SAS and his or her psychological well-being. Mother-alone families entail the highest risk in terms of social maladaptation and psychological well-being of the child; the presence of certain second adults has important ameliorative functions—mother/grandmother families being nearly as effective as mother/father families, with mother/stepfather families similar to mother-alone in regard to risk. Inferences from this data and implications and interventions are discussed. This is a clinical essay on the role of family therapy for black families. In addition to the usual family stresses, black families are subject to the additional strain of discrimination. Support is achieved mostly from the family and from the kinship network, rather than the community. Treatment strategies for this situation are proposed. This essay reviews recent regulations concerning consent procedures and protection of privacy as they apply to children and their families. Rigorous sample selection, nearly complete follow-up, and objective assessment of outcome are virtually impossible at this point. It is concluded that compliance with current “subjects' rights” regulations sometimes seems potentially more harmful to the subjects than the research itself. One case example is presented in support of the hypothesis that brief family therapy has the potential to lead to individual personality changes that are long-lasting. The identified patient was a 15½ year old boy with the symptom of having a falsetto voice. Father, mother, and child were seen in twelve family therapy sessions with changes in the boy's self-image documented in “man-figure” drawings. Nine-month follow-up revealed no recurrence of the presenting symptom and an improvement in social and familial relationships of the identified patient. This is another in a series of papers from a divorce-counseling project. The focus in this paper is on preventive clinical interventions developed for children of various ages in divorcing families. Developmental assessment was achieved with a “brief” history from the parents, detailed information from school, and “direct observation” of the child. This paper covers treatment strategies, interventions, failures, therapist's role, and professional dilemmas in divorce counseling of 60 families with 131 children between the ages of 3 and 18 at the time of divorce. The technique of counseling was to see one parent and child separately by the same therapist three to six times over a three-month period. This is a research study to provide data on the question of whether the disturbed behavior of parents with a schizophrenic child preexists or is a response to an identified patient's pathology. Method was to administer a conceptual task called the Twenty Questions Task individually to each family member and to the family as a unit with a sample of 36 schizophrenic families, 13 non-schizophrenic controls, and 38 normal controls. Results “indicated that far more schizophrenic sons than control sons were much more efficient individually than with their families.” A number of schizophrenic sons performed competently as individuals, but the subsequent performance of parents and sons together on the same task was generally inferior to that of the son alone. Results suggest that the parental behavior plays a part in the etiology of schizophrenia.     

The Centralized-Use Compromise on Recreational Drug Policy

The current debate on recreational drug policy is roughly a contest between prohibition advocates and legalization advocates. This paper offers a third alternative that is a compromise between those two. The centralized-use compromise can secure the autonomy interests that are important to defenders of legalization, and it can prevent harms to others that are the focus of prohibition arguments. The centralized-use compromise also offers a possible way to reduce the black market while also reducing the rate of addiction and the associated debasing harms to self.     

An ambivalent alliance. Hostile and benevolent sexism as complementary justifications for gender inequality

The equation of prejudice with antipathy is challenged by recent research on sexism. Benevolent sexism (a subjectively favorable, chivalrous ideology that offers protection and affection to women who embrace conventional roles) coexists with hostile sexism (antipathy toward women who are viewed as usurping men's power). The Ambivalent Sexism Inventory, first validated in U.S. samples, has been administered to over 15,000 men and women in 19 nations. Hostile and benevolent sexism are complementary, cross-culturally prevalent ideologies, both of which predict gender inequality. Women, as compared with men, consistently reject hostile sexism but often endorse benevolent sexism (especially in the most sexist cultures). By rewarding women for conforming to a patriarchal status quo, benevolent sexism inhibits gender equality. More generally, affect toward minority groups is often ambivalent, but subjectively positive stereotypes are not necessarily benign.     

ABSTRACTS OF LITERATURE

This is a clinical study attempting to discern differences in parental behavior toward children considered "normal" (that is, having never received special psychological, educational or legal attention). Sample was 25 children (11 boys and 14 girls) ages 10 to 11, from upper middle class families with both parents living at home. Families were rated on a family task, children on adjustment using the Briston Social Adjustment Guide. Children were divided into three categories—adjusted, middle, and disturbed—with nine in the first group, eight each in the second and third. Significant differences were found between the adjusted and the disturbed groups for parental behavior during the family discussion task. Disturbed mothers were found to be "over-prominent and over-attentive"; disturbed fathers were withdrawn.