Using psychodynamic concepts in strategic family therapy: A suicidal adolescent case

This paper describes the treatment of a suicidal adolescent with strategic family therapy. The cotherapists conceptualized the case psychoanalytically and systemically. They propose that their understanding of psychodynamics enhanced their ability to tailor their interventions to the family's unique style and capacities. Rather than dismiss psychodynamic concepts as irrelevant to strategic family therapy, they maintain that an appreciation of individual members' ego strengths, defenses, affects, and unacknowledged impulses leads to the construction of more effective metaphors and a set of interventions more isomorphic to family patterns.     

The repertory grid approach to analysing family members' perception of self and others: a pilot study

We report a pilot study involving the administration of a questionnaire to family members, based upon the three key target dimensions of the distance regulation theory of Kan tor and Lehr (1975). The questions, concerning family relationships and personal attributes of family members, were based on constructs derived from the theory, and the responses of family members were in a form consistent with repertory grid analysis procedures. The method allows the family researcher or therapist to explore the organization of the constructs for each family member, showing how each member is construed both by others and by themselves.     

Cultural tensions in strategic marital therapy

Whether the elements of a good marital relationship are universal is the question addressed in this case study of therapy with a couple who were culturally different from the therapist. The conflicts between the therapeutic strategies, which were based on a strategic therapy model, and the customs of the couple from a foreign culture, made it difficult to evaluate whether the therapist was on target with interventions. On one hand, therapists need to guard against being misled into believing that customs are cultural imperatives which never can be changed. On the other hand, they need to be aware of the impact and possible ramifications of challenging long-held, culturally-based beliefs and behaviors. The following case study details the dilemmas faced by a therapist working with an Asian-Indian couple who presented themselves as being bound by their cultural background and heritage.Grateful acknowledgement is made by the author to Etienne Phipps, PhD, whose comments give direction and substance to all my work.     

The conflict cycle in the case of an adolescent in crisis

This is an extension of a previous paper describing a conflict cycle in families and therapy consisting of four steps: (1) the dispute; (2) blaming; (3) shame, guilt, or denial; and (4) reparation, reconciliation, or retaliation. The focus is on a single case of a 15-year-old male with a gender identity disorder in addition to a conduct disorder. He is an adopted child living in a small community in the southern United States. Conflict is illustrated from several perspectives in a single interview with the family and over the length of contact over a nine-month period: (1) between the adolescent and parents, (2) between the adolescent and community, (3) between the parents, and (4) between the Good Self and the Bad Self of the adolescent. The thesis is that the conflict cycle is an organizing principle helpful to therapists working with families to make assessments and plan interventions.This paper is an expanded and edited version of a presentation by the senior author in San Diego, California, on November 12, 1988, at the Western States Conference of the American Society of Adolescent Psychiatry.     

Apple Picker: Computer software for studying human responding on concurrent and multiple schedules

Apple Picker, a software package for the Apple II microcomputer, is described. Subjects respond by searching for “apples” in two “orchards.” “Attempted pickings” may be reinforced according to random ratio or interval schedules. “Search” responses are recorded and may be examined either as rates of responding in the two orchards or visually as paths the subject has traced during the session.     

Temporal effects on attributions for one's own behavior: The role of task outcome

Previous investigations into how attributions for one's own behavior change over time have resulted in surprisingly inconsistent results. Two experiments were conducted to account for these discrepant findings. In Experiment 1 male undergraduates were given feedback indicating that they had done either well or poorly on a skill-assessment test. Half of the subjects believed they were being videotaped when performing the test, half did not. In addition, half of the subjects completed attribution questionnaires immediately after the feedback, whereas half completed the questionnaires 2 or 3 days later. It was found that subjects who felt they had succeeded on the task made attributions that were more dispositional over time and subjects who felt they had failed made attributions that were more situational over time. No effect for the videotape manipulation was found. Experiment 2 replicated the task outcome effect and provided evidence suggesting that the effect was caused by a selective forgetting of unflattering attributions.     

Using a threat of divorce for maintaining family homeostasis within families in extreme distress (FED)

This paper describes a phenomenon of using a threat to divorce by families in extreme distress (FED) as a way of maintaining family homeostasis; that is, using a threat to divorce but never really implementing it. By relating to processes, such as social exchange and attachment, that often take place in the decision-making of divorce, we try to understand why those families choose to use the threat, thereby explaining this phenomenon. Using components of defining family boundaries, excitement and power struggle, we are thus able to better understand the existence of the phenomenon among FED.     

Stories and metaphors as interventions with headache sufferers

Stories and metaphors can serve as an effective intervention with chronic headache sufferers. Stories and metaphors can serve as an effective intervention with chronic headache sufferers. The aim of the intervention is to promote sufferers' self confidence, increased resiliency, improved communication with others in the family, and the identification of previous promises, pledges, or commitments made to others in their family system.     

Marital crisis and therapy in their social context

The objective in this paper is to analyze the macro-social trends regarding divorce in Israel and their implications for family therapy. Four macro-social aspects are discussed: legal aspects, demographic trends, single-parenthood, and remarriage. Family therapy strategy must take into account the particular problems of the different varieties of Israeli families, especially the needs of the children, who have no less a stake in the therapy's success than their parents.     

No regrets: Custodial mothers' accounts of the difficulties and benefits of divorce

This study examines the accounts of 80 divorced single mothers in order to consider various emotional processes involved in the mothers' postdivorce family reorganization. A qualitative analysis was conducted on written responses to an open-ended question. Concerns tended to center around how the divorce had affected the children as well as various difficulties associated with single parenting. Loss and guilt on the part of many mothers was tempered by positive attributions about how divorce actually gave way to greater personal happiness, better parent-child relationships, and more rewarding lives. Focusing on the benefits of divorce appeared to be an important means of coping with many of the problems inherent in single parenting. Implications for treatment are discussed from an ecological perspective which emphasizes the therapist's role in helping mothers to create contexts of support.This research was funded in part by grant number 9103 from the Women's Research Institute, Virginia Polytechnic Institute and State University.