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.     

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.     

Early development of gaze following into distant space in juvenile Greylag geese (Anser anser)

Visual co-orientation with another's gaze direction (gaze following) may provide important information about the location of food, social interactions or predators. Gaze following has been shown in a variety of mammals, but only in few bird species, and has not been tested in precocial birds at all. It has been suggested that gaze following is an anti-predator behaviour, and in Common ravens (Corvus corax) and rooks (C. frugilegus), it emerges shortly after fledging, at a time when young birds leave the predator-safe nest. However, if gaze following is adaptive, the developmental pattern should differ between altricial and precocial birds. Greylag geese (Anser anser) are highly social birds with a precocial development. Goslings move and feed independently within 24 h post-hatching, and they are highly vulnerable to aerial predators. We therefore predicted that greylag geese are capable of gaze following and that they develop this skill already pre-fledging. We experimentally tested 19 hand-raised greylag goslings for their ability to follow a conspecific's gaze when they were between 10 days and 6 weeks old. In line with our predictions, first responses were already detectable in 10-day-old goslings. Our results therefore not only demonstrate that greylag geese follow the gaze of conspecifics into distant space, but that they also develop this ability much earlier than altricial birds.     

The Contribution of Neuroimaging to the Study of Language and Aphasia

New structural and functional imaging methods continue to be developed at a rapid pace. In the last 25 years, advanced imaging techniques have provided insights into how language is represented and processed in the brain and how it can be disrupted by damage to, or dysfunction of, various parts of the brain. Imaging studies have also yielded new information regarding how individuals recover language after stroke. We briefly review the strengths and weaknesses of the various radiological methods currently used to study language and aphasia.     

Facilitation and Inhibition in the Superordinate and Instance Naming of Pictures

A new paradigm, analogous to that used to study inhibition in visual selection (Tipper, 1985), was employed to investigate the possible role of inhibition in selection among instance names (e.g.rabbit) and superordinate names (e.g.animal) for pictured objects. Participants named two sequentially presented pictures in pairs of three types: SAME (e.g., RABBIT-RABBIT), SAME CATEGORY (e.g., HORSE-RABBIT), and DIFFERENT (e.g., BALL-RABBIT). Naming instructions were varied so that participants either used superordinate (S) or instance (I) names for both pictures in a pair (S-S or I-I; Experiment 1) or switched predictably from one type of name to the other across the two pictures (S-I or I-S; Experiment 2). The patterns of naming reaction times revealed both facilitatory and inhibitory effects and provided preliminary support for the hypothesis that selection of a target name involves inhibition of a competing distractor name. Suggestions are given for extending this new paradigm to provide further evidence on the mechanisms underlying name selection.     

Triadic transferences of pathological family images

Traditionally, self-object and psychosexual transferences have been thought of as dyadic processes. This paper emphasizes the importance of seeing the triadic transferences that are contained within the more visible dyadic transferences. Triadic transferences are the partial recreation of replicas of pathological family images that were constructed from experiences with father-motherchild triads during childhood. Detecting them lessens the likelihood of therapeutic impasses occurring which resemble family of origin dyadic alliances. Childhood development and developmental arrest are discussed from a triadic perspective. In a healthy psychological family a triadic heterosexual family image is constructed which contains a triadic self and a resolved Oedipus.Revision of a paper presented at the 12th International Congress of the International Association for Child and Adolescent Psychiatry and Allied Professions, Kyoto, Japan, July 20, 1990. A preliminary version, entitled Triadic Transferences, was presented at the 12th Annual Meeting of the American Family Therapy Association, Philadelphia, PA, June 21, 1990.The masculine gender form is used for convenience, but with the recognition that statements apply to both genders.     

Exploring goal taxonomies using the goal-based outcome tool in children and young people's mental health settings

Formulating goals in therapy may facilitate young people and parents/carers' engagement in mental health support settings. A number of goal taxonomies have been developed, which involve organising goals set at the outset of therapy into themes. Goal taxonomies are considered useful for service planning and outcome purposes. In order to build on the knowledge about what young people choose as goals, and to best support good practice, it is important to explore the links and differences between the existing goal taxonomies. A systematic review was conducted to identify goal taxonomies based on goals set using the goal-based outcome (GBO) tool. Framework analysis was conducted to investigate the extracted goal taxonomies. Overall, four core concepts were identified: “Goals targeting specific issues, symptoms, emotions, and behaviours,” “Return and engage in activities,” “Personal growth goals” and “Interpersonal goals.” Goals regarding specific issues, personal growth and interpersonal relationships were present in most studies. Using these overarching core concepts could be useful for practitioner-level, or service-level organisation of goal data, for activities such as service planning and delivery.