The interaction between cohesive systems and dispersive systems: Creating the trigenerational therapeutic context

The author presents a model for research investigation and clinical use that deals with the interaction between cohesive and dispersive family of origin systems as reflected in marital and family interaction in nuclear families.From a paper presented at the tenth annual meeting of the American Family Therapy Association, June, 1988, Montreal, PQ, Canada.     

Commentary on reviews of “outcome” studies of family and marital psychotherapy

Reviews of the outcome literature in family and marital therapy are critically evaluated. The literature is equivocal in regard to the effectiveness of family therapy, particularly in comparison to alternative forms of treatment, so that statements to the effect that family therapy has demonstrated its general efficacy would not appear to be justified. Problems are identified which require solution before the efficacy of family therapy can be demonstrated.Paper presented at the 45th annual conference of the American Association for Marriage and Family Therapy, Chicago, Illinois, October 31, 1987.     

Increasing mentally retarded adolescents' verbalizations about current events

The effects of antecedent and consequent events on the verbal behavior of three institutionalized mentally retarded adolescents were examined. Verbal statements, related to current national and international events, were recorded after exposures to television news programs. The study examined the accuracy of verbalizations as a function of: (1) exposures to television news presentations in massed (i.e., viewing the entire news program before an opportunity to describe it) versus distributed from (i.e., viewing each news item separately with each followed by an opportunity to describe it), and (2) contingent tokens and social praise for correct verbal responses (i.e., statements corresponding to news items presented). Both the temporal distribution of news presentations and the reinforcement procedures improved the accuracy of verbal statements emitted by the subjects.     

Intuition in family therapy: A short manual on post-modern witchcraft

Intuition is an important part of a mature clinician's work. Yet, it is a component of clinical work which is looked upon with suspicion, due in part to the Middle-Age's association between intuition and the work of witches. This paper describes a tenuous link between intuition, witches, and Carl Whitaker. Patterns for including intuition in family therapy are discussed.     

A comparison of discrimination and identification of vibrotactile patterns

Both discrimination and identification tasks have been used to assess subjects' abilities to perceive vibratory spatial patterns presented to the skin. The present study examined discrimination and identification performance under comparable conditions. In Experiment 1, subjects attempted to discriminate a pair of patterns on some blocks of trials and to identify both members of a pair on other blocks. For both tasks, the time between the members of the pair was varied. Discrimination performance could be predicted accurately from identification data. Analysis of performance on identification trials indicated that subjects used discriminability information to identify pairs. In Experiment 2, discrimination and identification were compared when the temporal separation between patterns was fixed and a masking stimulus followed each pattern after a variable delay. Results suggest that temporal masking, rather than the time available for processing pattern information, is the major limitation in both discrimination and identification of sequences of tactile patterns.     

THE EFFECTS OF AN ENVIRONMENTAL “ENRICHMENT” PROGRAM ON THE BEHAVIOR OF INSTITUTIONALIZED PROFOUNDLY RETARDED CHILDREN

This study determined the effects of procedures designed to “enrich” the physical and social environment of an institutional ward on the “adaptive” and “maladaptive” child, adult, self, and object-directed behaviors of five profoundly retarded ambulatory females. Behavior observed in two treatment conditions, an environment “enriched” with toys and objects and an “enriched” environment coupled with differential reinforcement of adaptive behavior, was compared to behavior occurring in corresponding baseline or “austere” conditions and during a period of noncontingent reinforcement. The results generally revealed: (1) little change in adaptive and maladaptive child and adult-directed behavior across conditions, (2) an overall higher incidence of adaptive object-directed behavior and reduced self-directed maladaptive behavior in each treatment condition from that observed in corresponding control conditions, and (3) the use of an “enriched” environment and differential reinforcement of adaptive behavior resulted in maladaptive self-directed behavior being reduced and adaptive object-directed behavior being increased beyond that observed in the “enriched” environment alone. These behavioral gains were largely maintained during a follow-up condition by continuing the “enriched” environment and transferring the responsibility for differential reinforcement to direct-care staff.