Conceptual issues in network therapy

This paper presents three concepts developed within the context of a project to study and conduct network therapy. The concepts discussed are: (1) the need for balance in participant composition, specifically in terms of support systems for core members, and the participant levels of affective involvement; (2) the therapeutic use of polarization of the network members against the therapist; and (3) the shared leadership role within the team of therapists. Case illustrations are included to demonstrate the concepts presented; and other areas for future study are suggested.     

An evaluation of estimation data collection to trial‐by trial data collection during discrete trial teaching

There are many data collection procedures used during discrete trial teaching including first‐trial data collection, probe data, trial‐by‐trial data collection, and estimation data. Continuous, or trial‐by‐trial data collection, consists of the interventionist collecting data on learner behavior on each trial. Estimation data consists of the interventionist estimating learner performance after a teaching session using a rating scale. The purpose of the present study was to compare trial‐by‐trial data collection to estimation data collection during discrete trial teaching to teach children expressive labels. The data collection procedures were examined in terms of accuracy of data collection, efficiency of teaching (i.e., number of trials delivered per session), and rate of child acquisition of targets. Results of the adapted alternating treatment design replicated across three participants and multiple targets found estimation data collection to be as accurate as trial‐by‐trial data collection in determining mastery of targets. Estimation data collected by the interventionist was also found to be accurate when compared to the actual trial‐by‐trial data collected after the study concluded.     

Friend or foe? Postdivorce hostility among recently divorced individuals

High levels of hostility often occur during and postdivorce and may significantly affect the quality of life, parent–child relationships, and social functioning of divorcees. Moreover, hostility may predict aggressive and violent behavior. This study sought to (a) compare average general hostility levels of a large sample of Danish divorcees to the norms of the general adult Danish population, (b) compare general hostility levels between male and female divorcees, and (c) investigate the explanatory value of various sociodemographic and divorce-related factors on postdivorce general hostility and whether these factors differ across gender. Cross-sectional baseline data (N = 1,856) from a larger randomized controlled trial study was used in this study. Normative data from a general sample of Danish adults (N = 2,040) was used for comparisons of hostility levels between our study sample and the Danish background population. This study found that male and female divorcees did not report significantly different hostility levels. However, participants reported significantly higher hostility levels postdivorce than the comparative Danish norm sample. Significant predictors of postdivorce hostility were lower age, lower educational level, infidelity as a reason for divorce, higher degree of postdivorce conflict, worse communication with the former spouse, the former spouse as the initiator of the divorce, and new partner status with neither divorcees having a new partner, or only the former spouse having a new partner. The predictive strength of the factors did not differ across gender. The findings may be especially relevant for interventions targeting problematic outcomes postdivorce (e.g., preventing aggressive behavior).     

Transformative experience and the shark problem

Philosophical Studies - In her ground-breaking and highly influential book Transformative Experience, L.A. Paul makes two claims: (1) one cannot evaluate and compare certain experiential outcomes...     

Psychological Model for Presymptomatic Test Interviews: Lessons Learned from Huntington Disease

This paper reflects on experience gained from presymptomatic testing for Huntington disease. An approach is presented which considers the role of the clinician and aims of the interview. Irrespective of the disease being tested for, it is suggested that the psychological aim of presymptomatic testing is to foster emotional insight and understanding that will help clients in their decision-making process about testing and their subsequent adjustment to the result. Based on these aims the process of presymptomatic testing, counseling is considered in terms of clarification, consideration, education, and reflection, followed by decision making. Practical approaches are discussed and illustrated with clinical examples.     

The case of Sophie

The analysis of a girl from ages 3 to 5 years old offers a clinical illustration of an alternative theory of change. In this theory the process of change is organized around nodal points of exchange between patient and analyst, designated as “now moments” and “moments of meeting.” In the case presented, these moments were preceded by an intensification of affect and were accompanied by a sense of openness and ambiguity. As often as not they were nonverbal and sometimes did not even involve symbolic representation. The process resulted in a progressively expanded repertoire of ways of being together and ways of doing things together. In a parallel and mutually influencing track, the child was telling me a story that gave meaning to her world, and increased the coherence of her sense of self. © 1998 Michigan Association for Infant Mental Health