Structural family therapy with Mexican-American family systems

Characteristics of traditional Mexican-American families with consequent family rules that affect these family systems are discussed along with selected clinical cases. The specific cases discussed involve: (1) interactions with family of origin in intercultural marriages, (2) intracultural differences in levels of acculturation and traditional family rules, and (3) extended family impact in response to severe life crisis. The development of therapeutic processes from structural and strategic family therapy approaches, which reflect appreciation for cultural differences and strengths, is suggested.This material was presented at the annual meeting of the Texas Association for Marriage and Family Therapy, January, 1994, San Antonio, TX.     

Training the supervisor: Integrating a family of origin approach

The replication of intergenerational patterns is considered here within the supervisor-family therapist-and family system, and the proposal of integrating a family of origin approach into the training of supervisors is presented. To become aware of the relation of one's own family of origin issues and their potential impact within the supervision and treatment can effectively improve intervention approaches, benefitting the supervisor, the therapist and the family in treatment. Being considerate of the training needs and levels of supervisors is an important component when integrating family of origin work into the training.     

“Operationalism” in psychotherapy: A possible means of putting a sorry state of theory in better order?

It will be shown in this paper that the study of the actual conduct of psychotherapy, at least in its classical form with a patient speaking his or her mind in any way the patient desires and a therapist helping the patient pursue those thoughts and wishes and conflicts and hopes for better luck in real life than before, is more conducive to agreement among rather different therapists, to clearer reasoning over psychotherapeutic interventions, and to more promising theoretical articulations than anything available in the theoretical texts of psychotherapy.     

The relation of family cohesion to marital adjustment

The purpose of this study was to investigate the relationship between family cohesion and marital adjustment. The sample consisted of 70 married graduate students from the State University of New York at Buffalo. The Family Adaptability and Cohesion Evaluation Scale was used to measure family cohesion. The Dyadic Adjustment Scale was used to measure marital adjustment. The Demographic Data Sheet was used for demographic characteristics. Overall, the result of ANOVA with planned comparison revealed that high marital adjustment was not only associated with a moderate level of family cohesion but also associated with a high level of family cohesion.This article is based on the first author's doctoral dissertation at State University of New York at Buffalo.     

Sex, sex-role identification, and awareness of sex-role stereotypes

An experiment was run to determine if androgynous people have transcended traditional sex roles or merely incorporated both sex roles into their repertoire. Masculine sex-typed, feminine sex-typed, and androgynous people listed as many masculine and feminine stereotypes as they could think of in a time-limited task. Highly sex-typed individuals showed more awareness of their own sex's attributes than the other sex's stereotypes. Androgynous people showed greater awareness of both sexes' attributes as compared with sex-typed people, indicating support for the incorporation hypothesis rather than the transcendance hypothesis. However, the stereotypes androgynous people listed were somewhat less evaluative in tone compared with those of sex-typed people, Overall, subjects listed more stereotypes of females than males, and female stereotypes were more negative than male stereotypes.     

Goal attainment and satisfaction scores for CMHC clients

The purpose of this study was to explore the psychometric properties of goal attainment scales and client satisfaction measures. The findings revealed that goal attainment results, like other types of self-report psychotherapy outcome measures, are directly related to (a) indicators of a client's social class, and (b) the manner of treatment termination (unilateral dropout vs. mutual consent). The extent of client--therapist agreement on goal scores was relatively low thereby supporting the necessity of obtaining both perspectives in evaluating treatment outcome. Furthermore, because measures of client satisfaction were found to be sufficiently independent from goal outcome scores, it was concluded that they provide a unique source of program evaluation data. Finally, it was concluded that Goal Attainment Scaling is best considered to be a quality assurance tool for individual client/therapist dyads rather than a mechanism for the determination of the effectiveness of specific mental health programs and services.     

Anonymity reconsidered

This paper questions the concept of the therapist's anonymity and offers as an alternative the concept of an anonymity/self-disclosure dimension along which the therapist can position himself depending on several criteria. These criteria pertain both to characteristics of the therapist, the patient, and the material to be disclosed.