Co-constructed narratives around being “sick”: A minimalist model

The amount of physical damage may have no fixed relation to how much and in what ways a patient's life is disrupted. The authors discuss a model which addresses the bio-psycho-social complexity of a patient's illness and the narrative constructions which the patient, family members, and health care professionals influence to co-create the patient's identification with being sick. This minimalist model invites the reader to consider a variety of interrelated variable lenses through which to view the narratives around a patient's illness. Clinical case examples are used to illustrate the dominant story themes.     

Availability to peer group treatment in residential care as a function of relational ethics

Forty-five adolescent boys from abusive and depriving homes were not doing well in positive peer culture residential care. Despite their backgrounds, given a modified form of the Relational Ethics Scale, they indicated that their relational life with their families of origin was trustworthy, fair, and worthy of continued devotion. In contrast, on the Firo-B these same boys demonstrated distrust of others outside of their families and an unwillingness to get involved. These results support the inference from contextual family theory that peer group interventions cannot bypass identification and resolution of the injustices that took place in the family of origin.This project was fully supported by Teen Ranch, Inc., Marlette, MI 48453.     

Family therapy and social control with incestuous families

The family therapy and social control model describes first the relationship between unplanned change and developmental growth. With many families, the family therapist works to both provoke change and encourage growth. However, some out-of-control families present a level of danger to a family member that outside controls, such as child protective services, must be used. This model clarifies the complementary but independent roles of family therapy and social control in helping out-of-control families. Intervention with incestuous families is presented as illustrative of the model.My thanks to the staff of Child Protective Services, the Juvenile Court, Yuma Police Department, Yuma County Sheriff's Department, Adult Probation Department, and the staff and group members of Yuma County, Arizona Parents United for showing that shared concern about the well-being of children can make a real difference in working with families. My appreciation to William C. Nichols, EdD, Elora Cornille and Dale Brotherton for their helpful suggestions on a earlier version.     

Parental blaming and acquisition of guilt: A developmental task of childhood

Incidents involving the authors' twin 10-year-old daughters illustrate that guilt is well established in normal children of 10. The incidents suggest how the expectation of parental blaming triggers guilt and shame. Guilt and shame are compared. While they may coexist in the 10-year-old, guilt clearly is assuming a dominant position. Mental health professionals have emphasized the psychopathology of guilt and many forget that it is essential for normal socialization in that the guilty person feels a need to repair damage allegedly done. Guilt presumes that at least a primitive mutuality has been established in the person; and mutuality is the hallmark of human maturity. Terms are defined here with some variation from their usage by mental health experts: shame, guilt, blame, and counterblame.     

Family therapy and a “good” society: Fit or misfit?

Contextual therapy is compared with a good society based on socialist principles of equality, planning and sociality. The two models are analyzed across dimensions of justice, connectedness, change, and basic human resource for similarities and differences.     

Conflict of Interests and Commitment in Groups1

Behavioral commitment levels of group members were examined under conflict of interests between individual and collective tasks in a work-group scenario. Commitment was conceptualized as the amount of time and effort resources that individuals chose to allocate to the group task. Seventeen groups of three allocated 100 time and effort resource units to individual and group tasks for each of four trials. The level of commitment to group work increased, partially because over-rewarded persons increased group contributions more than underrewarded persons decreased them. However, the variance of allocations to the group task did not decrease over trials. Potential implications of the findings for organizational research and practice concerning work groups are discussed in terms of the roles of equity, comparative referent use, and information exchange.     

Spatial localization discrepancies: a visual deficiency in poor readers

In two studies, we compared the size of the spatial discrepancies made by young, good and poor readers when locating patterns in space. In the first study, each child was asked to point to the location of a briefly displayed pattern in a 7 x 7 matrix, and the discrepancy between the target's location and the child's response was recorded. The pattern was either a shape or a letter, and the target appeared at nine distances from the middle of the display. The discrepancies made by both groups of children increased with eccentricity, but the rate of increase was significantly greater for the poor readers. The second study required that two temporally and spatially separated target patterns be located on each trial. The discrepancies between their positions and the positions specified by the children were recorded for each target as a function of its eccentricity, and the results for both targets were similar to those obtained in the first study. That is, the discrepancies made by both groups of children increased with eccentricity, but the rate of increase was significantly greater for the poor readers. It was argued that the results of both studies are consistent with the hypothesis that poor readers are handicapped by a low-level processing or perceptual deficiency in the visual encoding system.     

Development of Component Skills in Reading Chinese

Development of three component skills in reading Chinese was examined in primary school children in Hong Kong. Feature analysis skills, syntax knowledge, and semantic analysis skills were found to differ in their contribution to reading proficiency at different grades. Visual processing skill was not at all a good predictor for reading proficiency, but the phonological access skill was important in predicting children's reading proficiency before grade three. It was an ineffective predictor beyond grade three. Skill in semantic analysis, on the other hand, was insignificant as a predictor at younger grades but it became an important predictor after grade two. Syntax knowledge was an important predictor of reading proficiency in the first grade and remained a significant predictor of reading proficiency right up to grade six. The present data support the idea that some preliminary component processes of reading may become automatic with increasing experience in reading and that this automatization of component processes will leave more resource capacity for higher-order analyses. Chinese reading shares much in common with English reading in terms of the component processes involved at different stages of reading proficiency.     

Husbands and wives

Woody Allen's film,Husbands and Wives, examines the relationships of two married New York couples over a period of just over a year-and-a-half. Through a variety of means, it explores the undifferentiated nature of its principle figures and what might be called the intersystemic issues between the two dyads. It also offers strong, though undeveloped, indications of previous sexual abuse in several of its female characters.My thanks to M. K. Johnson, PhD, for her thoughtful reading and suggestions.