A guide to family/school interventions for the family therapist

When presented with a behavioral problem or symptom expression that involves two systems, such as a serious school-related problem, the therapist needs to design an approach that will intervene effectively and expeditiously in both systems. This paper offers a guide to stages of problem escalation and therapeutic intervention that is intended to aid the problem-solver's thinking processes in approaching a troubled situation that involves two systems, the school and the home.     

Family therapy of school-focused problems: A macrosystemic perspective

School-focused problems present an interesting challenge to family therapists in that they take place in a system outside of the family. Treating the family without including the school often leads to a poor outcome. This article presents a macrosystemic model of treatment which views the family and school as an interacting system that maintains the ongoing problem. The therapist intervenes in this larger system by separately treating the family and school, then rejoining them to create a more functional working relationship.     

Book reviews

With Faith and Fury. Delos McKown. New York: Promethius Books, 1985. pp 440. $16.95

The Sacred in a Secular Age. Phillip E. Hammond, Editor. University of California Press, 379 pages (p/b) $8.95 (£8.50)     

Computing stress

This article is based on a review of recent literature on “computing stress”; that is, on the psychological stress effects of working with computer systems. Current research into the sources of computer-related stress has tended to concentrate on those employees who operate Visual Display Units (VDUs), either on a full-time professional basis as word-processor (WP) operators, data-entry clerks, secretaries, or those dealing with enquiries from the public; or employees who use the VDU irregularly as part of their other duties. A few studies have looked at specific occupation groups, such as printers (Kalimo & Leppänen, 1985), information technology professionals (programers and analysts), process workers, and college students (Sproull, Kiesler, & Zubrow, 1984). Generally, however, research has been carried out on office workers, more often women, carrying out administrative tasks. An attempt is made to identify those potential work-related stressors that have been isolated by these studies, and also included are criticisms of the general methodologies used in many of them.     

The use of a resident daily scheduling procedure to increase appropriate social,ward, and scheduling behavior in adult psychiatric residents (patients)

The purpose of the present experiment was to investigate the efficacy of a goal orientation procedure in their treatment of apathy, isolation, and insufficient goal setting skills in chronic psychiatric residents. The experiment was conducted in a behaviorally-oriented deinstitutionalization program in a state psychiatric hospital. Three male and four female chronic psychiatric residents served as research participants. A group repeated measures design with four within-participant phases (ABA‘B’) was utilized. The goal orientation procedure included a written schedule that was completed by each research participant daily. This Daily Living Schedule required that a behavior be specified by the participant for every half-hour period during the day (8:30 a.m. to 9:00 p.m.). During all four phases of the experiment, research participants were observed on the ward from 8:30 a.m. to 12:00 noon and 1:00 p.m. to 5:00 p.m. for engagement in scheduled target behaviors. The daily scheduling procedure produced substantial increases in appropriate behavior such as social activities, ward jobs, and participation in treatment programs, whereas decrease were produced in inappropriate behavior such as isolation and day time sleeping.     

Apple II assembly language routines for digital data acquisition and contingency control

Modifications and corrections to Rayfield’s (1982) assembly language routines for data acquisition and experimental control using the Apple II computer are described. The modified routines, together with an optoisolated hardware interface, provide a reliable, accurate, and easy to use microcomputer system for experimental control and data acquisition.     

Alternatives to a table of criterion values in signal detection theory

Gardner, Dalsing, Reyes, and Brake (1984) supplied a table of criterion values (β) related to hit and false-alarm rates in signal detection theory. Other methods of calculatingβ are suggested as more accurate alternatives to using that table. A short computer program is provided to calculate β and the sensitivity indexd’.     

Blood pressure responses to hypnotic and nonhypnotic suggestions in normotensive subjects

Forty normotensive subjects participated on a voluntary basis in a study designed to compare the effect of suggestions on blood pressure (BP). Two experimental groups received suggestions presumed to be specific in lowering or raising BP after simple relaxation (relaxation group) or hypnotic induction (hypnotic group). A control group was used to record the BP changes over time. The time variable was significant for both systolic (SBP) and diastolic blood pressure (DBP). Induction procedures (hypnosis or relaxation) resulted in significant decreases in DBP in both experimental groups. In the control group there was a significant decrease in SBP. A specific suggestion to increase the BP resulted only in DBP increase in the hypnotic group. This group also gave an increase of both SBP and DBP over the entire experiment, whereas the relaxation group resulted in a significant decrease in SBP. There was no significant group variable, indicating no differences between the groups. Further research is needed to enable firm conclusions of the effect of suggestions on BP.     

Duration of negative practice and the reduction of leg pounding of a traumatically brain-injured adult

This study evaluated the relative efficacy of long (1 minute) and short (15 seconds) durations of negative practice for reducing self-stimulatory leg pounding of a traumatically brain-injured adult. In individual social skill training classes, long negative practice and short negative practice were administered concurrently in an alternating treatments design. Generalization of treatment effects outside of training sessions was assessed during the client's lunch period. The results revealed that both durations of negative practice were equally effective in reducing leg pounding during training sessions. However, the effects of training did not generalize to settings in which the practice contingency was not enforced. Pounding was more frequent and negative practice somewhat less effective during periods of high social stimulation.