Accuracy of weightbearing at three target levels during bilateral upright stance in patients with neuropathic feet and control subjects

The purposes of this study were to (1) describe errors in weightbearing at three target levels for patients with neuropathic feet and control subjects, (2) compare the absolute errors at the three target levels between groups, and (3) identify predictor variables of errors in weightbearing by the neuropathic group. The groups of 26 subjects were matched for age and height. Weightbearing was measured with digital scales while subjects attempted to adjust their weight through a designated lower extremity to each target level (25, 50, and 75% of body weight). Analysis of variance indicated no significant difference in the percentage weightbearing between groups at the three target levels. There was a significant difference in errors made in weightbearing by the groups at the three target levels. Mean errors ranged from 8.5 to 9.7% for the neuropathic group and from 2.4 to 6.6% for the control group. The findings cast doubt on the utility (in the absence of feedback) of requesting individuals, particularly those with neuropathic feet, to weightbear at specific target levels.     

Distinguishing between conduct problem and emotionally disturbed students in secondary school: a five-instrument discriminant analysis

Five instruments, the Differential Test of Conduct and Emotional Problems, Louisville Behavior Checklist, Personality Inventory for Children, 16 PF Test, and Tennessee Self-concept Scale, were given to differentiate between 50 conduct problem and 48 emotionally disturbed students assigned in public school to secondary level classes for the severely emotionally handicapped. Discriminant analysis of each test's rate of classification germane to both a pre-assessment categorization as conduct problem vs emotionally disturbed and a post-assessment classification as no problem vs conduct problem vs emotionally disturbed vs combined problem is presented. The analysis indicated that the Differential Test of Conduct and Emotional Problems, Louisville Behavior Checklist, and Personality Inventory for Children can, with variable effectiveness, significantly classify adolescents into groups using such pre- and post-assessment information.     

Parent interaction after divorce: Comparison of mediated and adversarial divorce processes

The interactions and perceptions of two groups of divorcing parents using different dispute resolution processes were compared at final divorce and at 1 and 2 years post-divorce. Using objective and standardized measures, the effectiveness of a comprehensive divorce mediation process was contrasted to the more customary two attorney adversarial process. The 153 parents at final divorce were part of a larger, longitudinal study of 435 divorcing men and women who were followed from the beginning of divorce to 2 years post-divorce. Parents in the divorce mediation group reported less conflict during the divorcing period, and less conflict, more contact and communication, and a more positive attitude toward the other parent at final divorce, results which remained significant after controlling for several baseline group differences. The majority of differences favoring the mediation intervention continued through the first year after divorce, and disappeared by the 2 year post-divorce data collection. The nature of the mediation process is discussed in relation to these parental behaviors and attitudes.     

Engagement and recruitment for family therapy research in community settings

Based on the recruitment experience in a family therapy research project with heroin addicts, this paper explores the difficulties of researcher networking with other social service agencies. Concepts from contextual family therapy are used to explore four general areas that contribute to successful intra-agency relationships: 1) Evaluating the nature of larger system relationships; 2) identifying the resources and needs of a clinic; 3) joining with the counseling staff; and 4) addressing the impact of public policy and ideology on clinic life. A case of engaging one clinic is presented and nine guidelines for engaging large community settings for participation in family therapy research are offered. These areas are considered in light of the relational dynamics that arise when working with multiple social service systems.An earlier version of this paper was presented at the American Family Therapy Association conference in Washington, DC, June 1986. The authors are grateful to the recruitment staff of the Intergenerational Family Therapy Project: Guillermo Lopez, Bart Rubin, Sharara Godfry, and Armando Chenyek. This research was supported in part by a grant to Guillermo Bernal from the National Institute on Drug Abuse (DA03543).     

Midlife divorce initiation: From crisis to developmental transition

The midlife phase in the marital relationship is a complicated transition period, challenging the flexibility and coping skills of every couple. Separation-Divorce Initiation (S/DI) at this time can serve a special function in the change process required in this stage. A comprehensive therapeutic model for S/DI couples is described. It includes (1) assessment of the relationship's stamina and the function of the S/DI; (2) treating symptoms and reactions to the traumatic event in an emergency intervention mode; (3) steps and techniques to help the couple overcome the traumatic effects of the SD/I and to rebuild their relationship on a more appropriate basis.     

Perceptions of primary supervisor interpersonal skills: A critical incident analysis

This study surveyed a randomly selected group of Approved Supervisors of the American Association for Marriage and Family Therapy (n = 280) and their supervisees (n = 266) on their perceptions of the primary supervisor interpersonal skill used in supervisory incidents that had a positive effect on supervisee development. Supervisor directiveness was the most identified skill by both supervisors and supervisees.This study was funded in part by grants from the Research Committee of the American Association for Marriage and Family Therapy; the Agricultural Experiment Station, Purdue University; and the School of Liberal Arts and Sciences, Purdue University Calumet.     

Gender in family therapy supervision

While gender has taken its place as a fundamental construct in family therapy theory, little has been written about gender in family therapy supervision. This paper attempts to redefine gender as it pertains to families, family therapy, and family therapy supervision; call attention to aspects of gender as they apply to training in family therapy and family therapy supervision; and suggest ways that family therapy supervisors can sensitize themselves to issues of gender so that they can be more effective in supervision.The author gratefully acknowledges her husband, Victor Nelson, STM, and Eric McCollum, PhD, for their comments on an earlier draft of this paper and for helping with the idea that men are raised to fix things, women to make them better.     

Self-image formation in adopted children: The environment within

Adoption of a child is an event in which a number of crises have converged. Both the biologic and adoptive families have contributed their failures and crises, and the subsequent interpretations of these by the adopted child can lead to polarized themes of goodness and badness. The absence of the biologic parents and of a coherent history reinforces the tendency to splitting. This paper explores these operations and raises questions about prevailing adoption practices.Paper presented at Spence-Chapin Symposium on Identity Problems of Children in Non-Nuclear Families, April 11, 1981.