Contrasting four major family therapy paradigms: implications for family therapy training

Four major paradigms of family therapy are contrasted: affective-experiential, structural, strategic and Milan. The differences are defined according to the way in which therapists think and behave in relation to their premises about change, and they are discussed under the following headings: historical roots and understanding of symptom formation; therapists' stance and techniques used in change; focus, goals and locus of change; and time perspective in change. Some suggestions are made with regard to training family therapists based on the differences that emerge when contrasting these models of family therapy.     

AN ANALYSIS OF THE EFFECTS OF MULTIPLE SETTING EVENTS ON THE SOCIAL BEHAVIOR OF PRESCHOOL CHILDREN WITH SPECIAL NEEDS

We examined the effects of four combinations of setting events on the social interactions of 7 preschool children with social delays. In Study 1, the status of the teacher, activity materials, and peer varied across conditions. In Study 2, the status of the teacher and materials varied across conditions. Within the combinations of setting events, we also examined teacher behavior. Teacher presence and absence was varied in both studies. The type and rate of teacher prompting were varied in Study 2. The four combinations of setting events produced different rates of social behavior by the children with social delays. The optimal combination of setting events for promoting peer interaction and reducing teacher—child interaction included teacher absence from the activity, a limited number and form of materials, and children paired with a socially skilled partner.     

Phonological coding in word reading: Evidence from hearing and deaf readers

The ability of prelingually, profoundly deaf readers to access phonological information during reading was investigated in three experiments. The experiments employed a task, developed by Meyer, Schvaneveldt, and Ruddy (1974), in which lexical decision response times (RTs) to orthographically similar rhyming (e.g., WAVE-SAVE) and nortrhyming (e.g., HAVE-CAVE) word pairs were compared with RTs to orthographically and phonologically dissimilar control word pairs. The subjects of the study were deaf college students and hearing college students. In Experiments 1 and 2, in which the nonwords were pronounceable, the deaf subjects, like the hearing subjects, were facilitated in their RTs to rhyming pairs, but not to nonrhyming pairs. In Experiment 3, in which the nonwords were unpronounceable, both deaf and hearing subjects were facilitated in their RTs to both rhyming and nonrhyming pairs, with the facilitation being significantly greater for the rhyming pairs. These results indicate that access to phonological information is possible despite prelingual and profound hearing impairment. As such, they run counter to claims that deaf individuals are limited to the use of visual strategies in reading. Given the impoverished auditory, experience of such readers, these results suggest that the use of phonological information need not be tied to the auditory modality.     

San Diego suicide study: comparison of gay to straight males

Previous large studies of completed suicides have not considered sexual orientation in their data analyses. In this study, data from the known homosexual subpopulation (13 males, aged 21-42) in a series of 283 suicides were examined. They were compared with all other aged male suicides 21-42 (n = 106). Both groups showed considerable substance abuse plus a variety of other psychiatric diagnoses. Both also had a high frequency of relationship difficulties near the time of death. Gays who committed suicide did not have a history of more police trouble and were no more likely to be living alone than the comparison group. They did not have more prior suicide attempts or previous psychiatric treatment. We conclude that, among the factors examined here, there appears to be little difference between gay and heterosexual male suicides.     

Book reviews

Current Psychology -     

Marital dissolution and distress in a psychiatric population: A longitudinal design

There has been interest in recent years in the relationship between marital distress and psychopathology. It has been rare, however, for investigators to follow patients after their release from the hospital and observe the course of their marital relationships. The present study included patients meeting criteria for three DSM III DISORDERS (MAjor depressive, bipolar, and schizophrenic) and a normal control sample, all of whom are participants in an ongoing longitudinal study of children at risk for psychopathology (Stony Brook High-Risk Project; Weintraub & Neale, 1984). Marital Adjustment Test (MAT; Locke & Wallace, 1959) scores were collected on patients at entry into the project (Phase I) and at a three year follow-up (Phase II). Course of marriage was defined as negative if the couple's marital adjustment was rated as poor at Phase II or resulted in divorce or separation at Phase II. It was found that only the depressed group differed from the normal group in having significantly worse course of marital relationship; 84% of the depressive couples showed a “negative” course of marital change over time. However, all three patient groups had significantly higher rates of divorce by Phase II. MAT scores at Phase I successfully predicted course of marital relationship for all diagnostic groups. Implications for aftercare of psychiatric inpatients are discussed.     

Variations in explicitly unpaired training are differentially effective in producing conditioned inhibition

To evaluate a contingency interpretation of conditioned inhibition (CI), rats were given “explicity unpaired” training in which the locus and duration of a CS within the inter-US (shock) interval were systematically manipulated for different groups. Summation and retardation tests in Experiment 1 indicated that stronger CI resulted from both a backward and a trace CS than from a midlocus CS of equal or greater duration. Complementing these findings, the same tests in Experiment 2 showed that, by comparison with novel-stimulus controls, CI developed to a trace CS but not to a mid-locus CS, nor to a trace CS that was accompanied by an immediate signal for the US. These findings argue against a contingency interpretation of CI and favor a contiguity interpretation stressing the short-term rehearsal of stimulus events. Such rehearsal of the US allows a backward CS, but not a mid-locus CS with an extended US-CS interval, to be discriminated as a signal for nonreinforcement, and thus to develop as a conditioned inhibitor. Similarly, excitatory conditioning to the memory trace of a CS allows the nominal trace CS to develop as a signal for nonreinforcement, and thus as a conditioned inhibitor, but not when its memory trace is overshadowed by another CS that immediately precedes the US. In short, the development of CI is facilitated when excitation is mediated by the memorial processing of either the US or a discrete CS for the US rather than by contextual cues.