Validity of the Global Assessment of Relational Functioning (GARF) When Used By Community-Based Therapists

Construct validity of the Global Assessment of Relational Functioning (GARF) was assessed using a health services research approach, a mode of study that captures the naturalistic practice of health service providers. A sample of 395 couple/family cases with GARF scores assigned pre- and post-therapy by 222 community-based marriage and family therapists yielded these results: 1) pretreatment GARF scores were negatively correlated with severity of client problems; 2) GARF change scores were positively correlated with client reported changes in functioning; 3) GARF change scores were positively correlated with therapist-reported client change; 4) GARF change scores were positively correlated with client satisfaction; 5) pretreatment GARF scores were negatively correlated with number of therapy sessions; and 6) pretreatment GARF scores and client diagnoses showed no relationship. Given these results the GARF appears to have construct validity in community settings, and is a promising brief assessment tool for relational functioning.     

Cognitive processes in intimate conflict: II. efficacy and learned helplessness

Abstract

This paper, in presenting the second part of a cognitive model of family conflict, discusses the influence of efficacy expectations on conflict attitudes and behavior. It proposes (a) that high efficacy enhances persistence in family problem solving, while low efficacy inhibits such efforts, and (b) that chronic low efficacy may lead to learned helplessness responses in family members. Drawing together the cognitive model of family conflict, the author discusses the joint impact of causal attributions and efficacy expectations on family conflict, then describes the two relevant research studies and discusses several implications of the model for family research and family therapy.     

Family Treatment Approaches for Depression in Adolescent Males

Adolescent depression is a serious and common disorder. Though adolescent males are less likely to report depression than females, they have serious risks associated with the disorder, like suicide, future substance abuse, and illegal activity. Several gender differences have been observed among depressed adolescents and should be considered in assessment and treatment. Little efficacy research exists for family treatments of depression in adolescent males, though several approaches have been proposed. These approaches include Structural Family Therapy, Interpersonal Family Therapy, and Attachment-Based Family Therapy. These treatments have been found useful in clinical settings, but much more efficacy research is necessary.     

Psychosocial and Behavioural Assessment of Chronic Pain: Recommendations for Clinicians and Researchers

Abstract

A variety of methods have been developed for the assessment of chronic benign pain. In research or in clinical practise, choosing an adequate measurement technique can be a laborious task. This article has two main purposes: to report on some basic features to consider when selecting assessment instruments, and to present a review of some psychosocial and behavioural measurement methods for the assessment of chronic benign pain. The selected methods have, with one exception, been evaluated on Swedish chronic pain populations and are used in international pain research. In conclusion, we recommend the use of psychometrically sound instruments, and that the purposes for use of a measure have to be thoroughly considered in advance. We also emphasize that in clinical practise, each separate measure must be interpreted in a wider context, where clinical findings and judgements are considered as a whole. In addition, none of the single reviewed assessment techniques can replace the communication between the patient and the clinician.     

POWER AND INFLUENCE STRATEGIES IN VIOLENT AND NONVIOLENT MARRIAGES

How important is the use of physical violence in determining the balance of power within marriage? Do women in violent marriages make more use of indirect strategies in attempting to persuade their husbands than do women in nonviolent marriages? Is marital satisfaction related to influence styles? These questions are investigated by looking at decision making in couples and how this is related to the forms of influence strategies used by wives and husbands in violent and nonviolent marriages. Data from in-depth structured interviews with 137 self-identified battered wives and 137 comparison wives, some of whom were also found to have experienced violence from their husbands, are used to answer these questions. Results indicated that women with violent husbands used more influence strategies overall, although these women had less overall power in terms of decision making than did women with nonviolent husbands. The relationship of influence strategies to decision making was different for women with violent husbands than for those whose husbands were not violent. As expected, the use of coercive strategies related negatively to marital happiness, whereas positive strategies were positively predictive. Violence and other negative strategies should be included in future research on influence strategies in close relationships, and a positive-negative dimension should be included as a way of categorizing influence strategies.     

Children with autism's perception and understanding of ambiguous figures: Evidence for pictorial metarepresentation,a research note

A large body of autism research over the last 20 years has shown that people with autism have difficulties understanding mental states. This has been conceived of as a metarepresentational deficit. An open question is whether people with autism's metarepresentational deficit is limited to the mental domain. This research explores individuals with autism's understanding of the representational nature of pictures. With the use of ambiguous figures, where a single stimulus is capable of representing two distinct referents, we compared metarepresentational abilities in the pictorial and mental domains and the perception of pictorial ambiguity. Our findings indicate that individuals with autism are impaired in mental metarepresentation but not in pictorial metarepresentation. These findings suggest that children with autism understand the representational nature of pictures. We conclude that children with autism's understanding of the representational nature of pictures is in advance of their metarepresentational understanding of mind. Their perception of figure ambiguity is comparable to the typical population.