Family therapy of school-focused problems: A macrosystemic perspective

School-focused problems present an interesting challenge to family therapists in that they take place in a system outside of the family. Treating the family without including the school often leads to a poor outcome. This article presents a macrosystemic model of treatment which views the family and school as an interacting system that maintains the ongoing problem. The therapist intervenes in this larger system by separately treating the family and school, then rejoining them to create a more functional working relationship.     

Book reviews

With Faith and Fury. Delos McKown. New York: Promethius Books, 1985. pp 440. $16.95

The Sacred in a Secular Age. Phillip E. Hammond, Editor. University of California Press, 379 pages (p/b) $8.95 (£8.50)     

Computing stress

This article is based on a review of recent literature on “computing stress”; that is, on the psychological stress effects of working with computer systems. Current research into the sources of computer-related stress has tended to concentrate on those employees who operate Visual Display Units (VDUs), either on a full-time professional basis as word-processor (WP) operators, data-entry clerks, secretaries, or those dealing with enquiries from the public; or employees who use the VDU irregularly as part of their other duties. A few studies have looked at specific occupation groups, such as printers (Kalimo & Leppänen, 1985), information technology professionals (programers and analysts), process workers, and college students (Sproull, Kiesler, & Zubrow, 1984). Generally, however, research has been carried out on office workers, more often women, carrying out administrative tasks. An attempt is made to identify those potential work-related stressors that have been isolated by these studies, and also included are criticisms of the general methodologies used in many of them.     

The use of a resident daily scheduling procedure to increase appropriate social,ward, and scheduling behavior in adult psychiatric residents (patients)

The purpose of the present experiment was to investigate the efficacy of a goal orientation procedure in their treatment of apathy, isolation, and insufficient goal setting skills in chronic psychiatric residents. The experiment was conducted in a behaviorally-oriented deinstitutionalization program in a state psychiatric hospital. Three male and four female chronic psychiatric residents served as research participants. A group repeated measures design with four within-participant phases (ABA‘B’) was utilized. The goal orientation procedure included a written schedule that was completed by each research participant daily. This Daily Living Schedule required that a behavior be specified by the participant for every half-hour period during the day (8:30 a.m. to 9:00 p.m.). During all four phases of the experiment, research participants were observed on the ward from 8:30 a.m. to 12:00 noon and 1:00 p.m. to 5:00 p.m. for engagement in scheduled target behaviors. The daily scheduling procedure produced substantial increases in appropriate behavior such as social activities, ward jobs, and participation in treatment programs, whereas decrease were produced in inappropriate behavior such as isolation and day time sleeping.     

Marital dissolution and distress in a psychiatric population: A longitudinal design

There has been interest in recent years in the relationship between marital distress and psychopathology. It has been rare, however, for investigators to follow patients after their release from the hospital and observe the course of their marital relationships. The present study included patients meeting criteria for three DSM III DISORDERS (MAjor depressive, bipolar, and schizophrenic) and a normal control sample, all of whom are participants in an ongoing longitudinal study of children at risk for psychopathology (Stony Brook High-Risk Project; Weintraub & Neale, 1984). Marital Adjustment Test (MAT; Locke & Wallace, 1959) scores were collected on patients at entry into the project (Phase I) and at a three year follow-up (Phase II). Course of marriage was defined as negative if the couple's marital adjustment was rated as poor at Phase II or resulted in divorce or separation at Phase II. It was found that only the depressed group differed from the normal group in having significantly worse course of marital relationship; 84% of the depressive couples showed a “negative” course of marital change over time. However, all three patient groups had significantly higher rates of divorce by Phase II. MAT scores at Phase I successfully predicted course of marital relationship for all diagnostic groups. Implications for aftercare of psychiatric inpatients are discussed.     

Some aspects of medical ethics from the perspective of bioengineering

The problem of ethics in medical care as seen from the bioengineering results from the almost incredible technological achievements based on scientific research: On the one hand there is inadequate handling of technology and fear on the part of the patient; on the other hand there is admiration on the part of the physicians and the nursing staff. This article will survey the points of criticism concerning ethical behavior and will present and evaluate general problems of mechanization in medical care. General phenomena of human interaction, and especially problems related to medical care, will be discussed. It will be necessary to develop clinical medical technology, aiming primarily at ‘realizing the patient's concern’. After analyzing these concerns, it is necessary for the clinical medical engineer to develop an ‘invisible’ technology. Criteria for such an ‘invisible’ technology (function, design, automatic control, methods of implantation, whether chronic application is necessary) are being demonstrated by particular devices (artifical heart, functional electro-stimulation, diaphragmatic pace-maker).     

Alternatives to a table of criterion values in signal detection theory

Gardner, Dalsing, Reyes, and Brake (1984) supplied a table of criterion values (β) related to hit and false-alarm rates in signal detection theory. Other methods of calculatingβ are suggested as more accurate alternatives to using that table. A short computer program is provided to calculate β and the sensitivity indexd’.     

Duration of negative practice and the reduction of leg pounding of a traumatically brain-injured adult

This study evaluated the relative efficacy of long (1 minute) and short (15 seconds) durations of negative practice for reducing self-stimulatory leg pounding of a traumatically brain-injured adult. In individual social skill training classes, long negative practice and short negative practice were administered concurrently in an alternating treatments design. Generalization of treatment effects outside of training sessions was assessed during the client's lunch period. The results revealed that both durations of negative practice were equally effective in reducing leg pounding during training sessions. However, the effects of training did not generalize to settings in which the practice contingency was not enforced. Pounding was more frequent and negative practice somewhat less effective during periods of high social stimulation.     

The effects of perceptual set on the shape and apparent depth of subjective contours

Two experiments showed the influence of perceptual set on the perception of subjective contours. In the first, the perceived shape of a subjective-contour figure (a minimal version of the Ehrenstein configuration) was varied by altering the observer’s viewing set. The second experiment showed that apparent depth emerged in subjective-contour figures when observers were set to perceive the illusory contours.