A beginner's guide to the problem-oriented first family interview

The large volume and diversity of family therapy resources can often confuse trainees who are in need of more abbreviated guidelines for managing their clinical responsibilities. This paper presents a structured outline of a problem-oriented first family interview for the family therapy supervisor and the beginning family therapist. We view the first interview as an integrated process including the important tasks preceding and following the initial family meeting. After the goals that shape the work of the first interview are described, a step-by-step guide to the twelve phases of the interview is presented: telephoning; forming hypotheses; the greeting; the social phase; identifying the problem; observing family patterns; defining goals; contracting; checklist; revising hypotheses; contacting the referral person; and gathering records. This approach to the first interview integrates a variety of structural and strategic procedures. The guide, intended for use in conjunction with close supervision, may serve as a foundation on which beginning therapists can build their unique styles.     

ASSESSMENT OF STIMULUS PREFERENCE AND REINFORCER VALUE WITH PROFOUNDLY RETARDED INDIVIDUALS

We evaluated a procedure for identifying potential reinforcers with profoundly retarded individuals. In Experiment 1, six persons were repeatedly exposed to 16 stimuli, and approach behaviors to each stimulus were used to identify preferred and nonpreferred stimuli. In Experiment 2, we examined the reinforcing properties of preferred and nonpreferred stimuli by delivering them contingently on the occurrence of arbitrarily selected responses. Results revealed that the preferred stimulus conditions typically produced higher rates of responding than did either the baseline or the nonpreferred stimulus conditions, suggesting that the procedure can be used to assess reinforcer value for individuals with limited behavioral repertoires.     

A cross-sequential analysis of developmental differences in speed of visual information processing

Development of processing speed was examined in three backward masking studies. The first verified the central nature of backward masking for children aged 8 and 11 years and for adults. The second suggested that task requirements were equivalent for children similar to those in Study 1, and that age differences in performance were not attributable to nonprocessing variables. The main cross-sequential study estimated speed of processing in 80 children (approximately 6 years to 13 years) and young adults using an inspection time task. Target exposure duration was varied to establish the time required to achieve a high level of discriminative accuracy. Estimates of processing speed increased until about 11-13 years of age; beyond this, the trend was less obvious, and it is possible that inspection time asymptotes at around the onset of adolescence. Performance improvement after 1 year could not be explained as resulting from practice since improvement among controls over a period of 2 weeks was significantly less. Correlations between estimates of inspection time made up to 2 years apart found the measure to be reliable.     

Masculinity,femininity, self-esteem,and subclinical depression

A study involving 197 university undergraduates (83 males, 114 females) tested the hypothesis that depressive symptoms assessed by the short form of the Beck Depression Inventory (BDI) would be negatively related to masculinity (M) scores from the Personal Attributes Questionnaire (PAQ) but unrelated to femininity scores (F). It was also hypothesized that the negative relationship between masculinity and self-reports of depressive symptoms may be due to shared variance in self-esteem. The results supported predictions. In particular, the negative relationship linking masculinity to depressive symptoms disappeared when the effects of self-esteem were partialed out. Results are discussed in terms of the thesis that self-esteem may reflect in part the dominant masculine values of Western-type cultures and that manifestations of psychological ill health may occur when there is reduced opportunity to engage in behaviors that reflect these values.     

Gender roles,biological sex,and predisposition to conflict management

The Bem Sex-Role Inventory and the Communication-Conflict Instrument were administered to 182 husbands and wives. Results suggest that gender-role classification is a more significant discriminator of communication behavior than is biological sex. Androgynous spouses, more than feminine though not significantly more so than masculine spouses, reported themselves to be the most disposed to handle conflict constructively. On the subscales of the conflict instrument, androgynous persons had significantly more positive feelings scores than either masculine or feminine persons, plus higher task energy and desire-for-control scores than feminine persons. Similarly, masculine persons reported a significantly greater predisposition to manage conflict constructively than did feminine persons, having higher task energy and desire-for-control scores. Undifferentiated persons reported the lowest scores for conflict management.     

Selective cardiovascular effects of stress and cigarette smoking in young women

In an earlier study, we found that men who smoked a cigarette and then engaged in a mildly stressful activity (video game) evidenced pronounced increases in heart rate and blood pressure, which were approximately equal to the sum of the effects produced by either smoking alone or stress alone. In the present study, a 2 (smoke vs. sham smoke) X 2 (stress vs. no stress) factorial design was used to evaluate the impact of stress and smoking on the cardiovascular responses of young women. The results revealed that the combination of stress and cigarette smoking produced blood pressure and heart rate responses that were larger than the additive effects of smoking and stress taken separately.     

Co-occurrent use of cigarettes, alcohol, and coffee in healthy, community-living men and women

Previous studies have examined intra-individual aggregation in the use of cigarettes, alcohol, and coffee by examining the co-occurrent use of any pair of these three substances. A recent literature review failed to find a single investigation that studied use of all three in the same sample. In the present study, co-occurrent use of all three of these substances was examined in crossvalidated subsamples of 226 male and 245 female healthy, community-living, middle-class Americans. A log-linear analysis was used to compare the proportion of smokers, ex-smokers, and nonsmokers categorized as users of more or less amounts of coffee and alcohol. Although most of the intercorrelations were not strong, the results indicate that for both sexes, smokers and ex-smokers were more likely than nonsmokers to drink greater amounts of alcohol and coffee. Furthermore, for smokers, ex-smokers, and nonsmokers, a majority of individuals who reported drinking more alcohol also reported drinking more coffee. Interestingly, the coffee and alcohol consumption levels of ex-smokers resembled those of smokers more than those of nonsmokers. Also, ex-smokers reported drinking more wine and decaffeinated coffee than either smokers or nonsmokers. Finally, the number of cigarettes smoked per day (daily quantity) was positively related to total alcohol and coffee consumption in men, but not in women. Further studies are recommended to examine the role of individual differences in the development, maintenance, and modification of these three appetitive habits and their co-occurrence.     

Conditioned suppression of proboscis extension in Drosophila melanogaster

Food-deprived Drosophila melanogaster extend their proboscises following sucrose stimulation of the front tarsi (the proboscis extension reflex). Médioni and Vaysse (1975) reported that the inhibition of this response can be conditioned over trials if such proboscis extensions are punished by applying an aversive stimulus to the foreleg tarsi. In this study, Médioni and Vaysse's basic observations of conditioning were replicated, with a different strain of flies and a modified conditioning apparatus.