A paradigm for construction of family therapy tasks

Typically, family therapy task interventions involve direct assignment of specific behaviors, which may or may not encourage client compliance. To enhance the clinician's probability of bringing about progress in treatment, this article broadens the parameters of task intervention to include (a) Direct versus Indirect, (b) Behavioral versus Nonbehavioral, and (c) Paradoxical versus Nonparadoxical dimension alternatives. The resulting 2 x 2 x 2 model, the Family Therapy Task Construction Paradigm, yields eight possible choices for end-of-the-session punctuation. Each option is linked to corresponding treatment contexts and illustrated with examples from productive case vignettes.     

The "psychosomatic family" model: an empirical and theoretical analysis

Evolution of the Family Systems Paradigm has been constrained by the dichotomy between theory building and empirical research. This article integrates these two domains by presenting a theoretical analysis of the "psychosomatic family" model as it informs and is informed by an empirical research project. Forty families of children with Crohn's disease (CD), ulcerative colitis (UC), and functional recurrent abdominal pain syndrome (RAP) were rated during standard, videotaped family interaction tasks, lunch, and interview. Laboratory scores of disease activity were associated with triangulation, marital dysfunction, and total "psychosomatic family" scores. Disease activity was not significantly correlated with enmeshment, overprotection, rigidity, conflict avoidance, or poor conflict resolution. Thus, the marital/triangulation and enmeshment/overprotection/conflict clusters may be subcomplexes of the "psychosomatic family" complex. CD, UC, and RAP groups differed in the relations among particular family patterns and disease activity. A heuristic family-psycho-somatic model is presented to facilitate future research.     

Category learning and change: differences in sensitivity to information that enhances or reduces intercategory distinctions

We examined the amenability of abstractions of categories to new and relevant information. In Experiment 1, Ss formed impressions of 2 sets of numbers by periodically estimating the cumulative means of each set. During the 1st half of the procedure, the 2 means were mathematically stable. During the 2nd half of the procedure, the mean of 1 set was modified and the mean of the other set remained unchanged. We predicted and found that the resultant estimates for the modified category changed more when the mean difference between the 2 categories was enhanced than when it was reduced. Experiment 2 suggested that the accentuation effect results from a 2-stage process of category learning (Stage 1) and category change (Stage 2). Experiment 3 replicated the effect with person categories. The relevance of category accentuation is discussed with respect to the modifiability of social beliefs.     

Social and cognitive strategies for coping with accountability: conformity, complexity, and bolstering

This experiment tested predictions derived from a social contingency model of judgment and choice that identifies 3 distinctive strategies that people rely on in dealing with demands for accountability from important interpersonal or institutional audiences. The model predicts that (a) when people know the views of the audience and are unconstrained by past commitments, they will rely on the low-effort acceptability heuristic and simply shift their views toward those of the prospective audience, (b) when people do not know the views of the audience and are unconstrained by past commitments, they will be motivated to think in relatively flexible, multidimensional ways (preemptive self-criticism), and (c) when people are accountable for positions to which they feel committed, they will devote the majority of their mental effort to justifying those positions (defensive bolstering). The experiment yielded results supportive of these 3 predictions. The study also revealed some evidence of individual differences in social and cognitive strategies for coping with accountability.     

Residential density and psychological health: the mediating effects of social support

People report excessive, unwanted social interactions, insufficient privacy, and are observed to be more socially withdrawn under crowded living conditions. If people socially withdraw from one another as a way to cope with crowding, this could lead to an unintended side effect of breakdowns in socially supportive relationships. A breakdown in socially supportive relationships could, in turn, account for some of the pathological consequences of chronic, high density living conditions. An empirical study of 175 male heads of household among inner city residents in India suggests that the adverse effects of residential crowding on psychological health are mediated by a breakdown of social support systems. The study also points to the value of examining social support as an endogenous variable in the stress and health process.     

Relation of sympathy and personal distress to prosocial behavior: a multimethod study

Assessed sympathy and personal distress with facial and physiological indexes (heart rate) as well as self-report indexes and examined the relations of these various indexes to prosocial behavior for children and adults in an easy escape condition. Heart rate deceleration during exposure to the needy others was associated with increased willingness to help. In addition, adults' reports of sympathy, as well as facial sadness and concerned attention, were positively related to their intention to assist. For children, there was some indication that report of positive affect and facial distress were negatively related to prosocial intentions and behavior, whereas facial concern was positively related to the indexes of prosocial behavior. These findings are interpreted as providing additional, convergent support for the notion that sympathy and personal distress are differentially related to prosocial behavior.     

Perceptions of control, competence, and contingency as influences on the stress-behavior symptom relation in school-age children

Analyzed data from 154 school-age children and their mothers to examine the relations between stress, perceived competence and contingency, and behavior symptoms. Analyses focused on the relative merits of unidimensional vs multidimensional measures of control in predicting symptoms. The stress of undesirable life events and behavior symptoms were related in the expected direction. Multiple regression models with R2 ranging from .11 to .14 (all ps less than .0002) included significant main effects for stress, competence, and control. Analyses supported the relative superiority of the multidimensional measure of control. Models containing main effects and interaction terms were of equivalent magnitudes in accounting for variance in symptom scores. Findings support the idea of perceived control as a moderator of the stress-illness relation and are consistent with earlier suggestions that simple main effects models may be the most useful in examining these relations.     

Explanatory style across the life span: evidence for stability over 52 years

Analyzed explanatory style across the life span. 30 Ss whose average age was 72 responded to questions about their current life and provided diaries or letters written in their youth, an average of 52 years earlier. A blind content analysis of explanatory style derived from these 2 sources revealed that explanatory style for negative events was stable throughout adult life (r = .54, p less than .002). In contrast, there appeared to be no stability of explanatory style for positive events between the same 2 time periods. These results suggest that explanatory style for negative events may persist across the life span and may constitute an enduring risk factor for depression, low achievement, and physical illness.