Is Expressed Emotion an Index of a Transactional Process? I. Parents' Affective Style

The degree to which expressed emotion (EE) attitudes in key relatives reflect ongoing transactional processes in families is a topic of controversy. The associations between EE attitudes, as measured during an acute hospitalization (using the Camberwell Family Interview) and during the aftercare period (using 5-minute speech samples), and interactional behavior in parents of recent-onset schizophrenics (this article) and in patients themselves (second article), were investigated. In the first study, EE attitudes manifested by parents during the aftercare period were stronger correlates of their interactional behaviors during the aftercare period than were EE attitudes measured during the inpatient period, despite the frequent correspondence between the two EE measures. The pattern of attitudes shown between the inpatient and outpatient periods also predicted transactional styles in parents during the outpatient period, findings not accounted for by clinical attributes of patients. When high-EE attitudes persist during the aftercare period and are reflected in transactional behaviors, the risk for subsequent patient relapse may be enhanced.     

Beatrice A. Wright: Broad Lens,Sharp Focus

Beatrice A. Wright, a prominent rehabilitation psychologist, was interviewed about various aspects of her personal life, scholarly contributions, professional development, and the field of rehabilitation psychology and counseling in general.     

Relations between parent–child affect and synchrony and cognitive outcome at 5 years of age

This investigation involved the longitudinal assessment of 30 preterm and 39 full-term infants from 2 to 5 years of age. Measures of cognitive outcome at 2 and 5 years of age and mother-child dyadic synchrony and affect during free-play interaction were obtained at 5 years of age. Correlational and regression analyses indicated that 5-year cognitive outcome was predicted by 2-year cognitive status, mother education, and 5-year dyadic interaction. In addition, 5-year maternal positive affect contributed independently to children's cognitive status at age 5, above and beyond the contributions of early cognitive status and maternal education. Also, affect and synchrony interacted in predicting lower cognitive abilities. Findings are discussed in relation to the importance of maternal affect and synchronous interactions in transactional explanations of development during early childhood.     

Spirituality and Multimodal Therapy: A Practical Approach to Incorporating Spirituality in Counseling

The purpose of this article is to describe how the dimension of spirituality can be added to an existing counseling theory, multimodal therapy (MMT; A. A. Lazarus, 1984), to provide counselors with a practical approach to incorporating clients' religious and spiritual beliefs in the counseling process. An explanation of MMT is given, as well as its supporting research. The context of spirituality in counseling is discussed, and the process by which it can be integrated into the MMT model is explained. Two case studies are described to demonstrate how spiritual issues can be assessed and used to strengthen the counseling process. Finally, implications for counseling are discussed.     

Freedom, Preference and Autonomy

Philosophers have advocated different kinds of freedom, but each has value and none should be neglected in a complete theory of freedom and responsibility. There are three kinds of freedom of preference and action that should be distinguished. A person S may fully prefer to do A at every level, and that is one kind of freedom. A person S may autonomously prefer to do A when S has the preference structure concerning doing A because S prefers to have that very preference structure, and that is a second kind of freedom. A person S may prefer to do A when S could have preferred otherwise, and that is a third kind of freedom. These forms of freedom may be combined, but they are valuable and essentially independent. They all involve the metamental ascendence of preference over desire, but it is autonomous preference that makes a person the author of his or her preference. The responsibility a person has for what he or she does out of a preference for doing it depends on the kinds of freedom of preference the person has and must be ranked in terms of them.     

The Problem with Contemporary Moral Theory

Feminists, especially radical feminists, have reason to be dissatisfied with contemporary moral theory, but they are understandably reluctant to abandon the theoretical project until it is seen as unsalvageable. The problem is not, however, as Margaret Urban Walker claims, that theory is abstract, that it seeks to guide conduct, or that it postulates moral knowledge. The problem is that contemporary moral theory is foundational.