Stress Reduction for Family Caregivers in Chronic Mental Illness: Implications of a Work Stress Management Perspective

In several studies involving a total of 291 family caregivers for schizophrenia sufferers, the stressors that arise from caregiving were identified. Also identified were the outcomes for caregivers, which often include psychological distress. Caregivers develop various stress-reduction techniques, but this article explores the utility of applying the principles of work stress management to caregiver well-being. An organizational psychology perspective suggests that a comprehensive focus must include not only how individuals can learn to manage the emotional demands of their work, but also how the work of caregiving can be made less stressful for them. Suggestions from a work stress management perspective highlight the possible contributions of worker participation in policy formulation and a collaborative relationship between family and professional caregivers. Potentially fruitful research directions are noted.     

Mapping Students' Perceptions of Interesting Class Lessons

Students' perspectives about their experiences as students are potentially valuable resources for teachers and researchers. In this study middle-school students were asked, ‘What are the features of interesting class lessons?’ Students' responses were allocated to categories of similar semantic meaning and representative statements were selected from each category. The students then sorted and ranked the representative statements, generating numerical data suitable for cluster anal-ysis and multidimensional scaling. The cluster analysis generated three main clusters: (a) teachers, (b) individual learning, and (c) social learning. Each main cluster contained smaller clusters that indicated students' concern with issues such as the personal qualities of teachers and self-efficacy. The multidimensional scaling analysis generated a perceptual map that was interpreted to contain two dimensions: (d) student-teacher and (e) individual-social learning. The structure of the perceptual map stimulates questions about the connections that students might make between students' learning and teachers' teaching strategies, as well as students' understandings about the learning opportunities provided by social learning activities.     

When-questions: A study of how children linguistically encode temporal information

Sixty children between the ages of 4 and 7 years and 10 adults were presented with a series of stories illustrated by five pictures in a comic strip format. Each story was follwed by either a when-, why-, or control question. With respect to the when-questions, some of the stories involved causally related events while others did not. An analysis of the responses supported the hypotheses that causal relationships play an important role in the development of the ability to encode temporal relationships in response to when-questions.This research was supported by PSCBHE Grant No. 6-62123 from the City University of New York to the second author. The authors greatly appreciate the assistance of the directors, teachers, and children of the Chatsworth Avenue Elementary School, the Larchmont Avenue Church Nursery School, the Larchmont Temple Nursery School, and the Little School in Larchmont, New York. We would also like to thank Dr. Louis Hsu for his advice concerning     

Evidence for an anaphoric mechanism within syntactic processing: Some reference relations defy semantic and pragmatic constraints

In three experiments, we examined an interaction between the pronounthey and syntactic analysis. Experiment 1 demonstrates thatthey can slow reading times tois when this verb is visually presented immediately after a sentence fragment ending with an ambiguous expression such asflying kites. This effect seems to involve a coreference assignment linkingthey and the ambiguous expression that influences the syntactic analysis of the latter. Experiments 2 and 3 show that this effect can operate even when coreference betweenthey and the ambiguous expression is implausible. These results support a modular theory of comprehension that includes structurally oriented reference processes with access to some, but not all, of the listener’s knowledge relevant to coreference.     

The autistic moment in psychotherapy

This is a report on the author's experience in treating four autistic children and their families. The importance of making available the therapist's own autism is stressed. The difficulty in doing this and reverting defensively to an administrative approach is described. A previous paper discussed the corrective autistic experience with a focus on the autistic person. This follow-up describes the autistic moment which is a relational experience between the therapist and both the autistic person and the autistic family. The family needs to have an experience of its own autism as a continuum of normal before it can relate to an autistic child. To the extent that the therapist can bring his own autism into the therapy can the family experience its own. The patients are the person, the relationships, the family, and the therapist.The author would like to thank Richard B. Anderson, MD, Lindy T. Barnett, MSW, David V. Keith, MD, JoEllen Barnett Smith, MA, and Orion Smith for their participation as cotherapists. The comments made on an earlier draft of this paper by the members of the Atlantic Psychiatric Clinic are warmly acknowledged. Valuable editorial assistance has been extended by Robert Garfield, MD, and Stuart Sugarman, MD. Lastly, the author would like to extend his appreciation to Robert R. Haubrich, PhD, for stimulating his interest in the field of comparative ethology.Presented at the Conference Honoring the Retirement of Carl A. Whitaker, MD, in Madison, Wisconsin, June 25, 1982.     

Minuchin's structural therapy for Vietnamese Chinese families: A systems perspective

Structural therapy is a popular approach to working with families, but there are both assets and liabilities in applying it when working with various cultures. An illustration of this is presented in a case study of an Indo-Chinese family. The use of specific techniques of structural therapy, as advocated by Minuchin, is examined in the context of the clients' own cultural values. The importance of understanding the cultural background, in this case through Taoist philosophy, is stressed in the summary of findings provided.The author is indebted to Dr. Gerald D. Erickson for his support and guidance in the production of this paper and in the field of clinical work with families.Helen (Yuen) Ko, M.S.W., C.S.W., is affiliated with the Association of Chinese Community Service Workers, and is in private practice at 53 Meadowbank Road, Islington, Ontario M9B 5C7, Canada. Reprint requests should be directed to the author at that address.