“Not with me you don't”: A story of narrative practice and dissociative disorder

This paper discusses issues relating to therapeutic practice based upon the narrative metaphor. A case of someone suffering the effects of Dissociative Identity disorder is used to illustrate the difficulties that clients can experience with the “expert” knowledge conception of therapy. The value of the “respectful” and “non-expert” emphasis of Narrative Practice emerges even when the therapist believes that he or she lacks expertise in the client's apparent “condition.” Three themes emanating from the case form the basis for the discussion: the client's experience of being recruited into accepting the diagnostic label of Dissociative Identity Disorder; the effects of being forced to accept a contract to eliminate self-abusive behaviour; and the therapist's dealing with a gun in the therapy room.     

The recovering female alcoholic: A family affair

Supported by a review of relevant literature and a case study, the author argues that family therapy intervention enhances the likelihood of a female alcoholic's positive prognosis. With a basis in systems theory, family therapy views the family as a system and, hence, perceives the alcoholism as a symptom of that family. A profile of the female alcoholic, how her drinking affects her family, and the role that family therapy plays in the recovery process are examined.     

Toward culturally sensitive intervention with arab families in Israel

Over the past three decades, Arab society in Israel has been undergoing processes of transition. These processes are manifested by changes in the economy, education, the status of women, family structure, and by socio-cultural changes and transformations in patterns of coping with social problems. There is a serious lack of empirical research on the implications of this process for the value systems of Arab society and families in Israel and a dearth of relevant intervention-oriented literature. This article outlines the basic cultural values in the Arab society in Israel in an attempt to illuminate the relevance of these values for family structure and for direct interventions with Arab families in Israel.     

Art in existential psychotherapy with couples and families

The authors describe and outline how art can be used in existential psychotherapy to help a couple or family uncover, discover, and make use of the meanings and meaning potentials to be found in marital and family life. In existential psychotherapy with couples and families, art can be used to help the members of the relationship notice meaning potentials in the future, honor meaning potentials that have been actualized and deposited in the past, and discover new ways to actualize meaning potentials in the here and now.     

Stereotyped movement disorder in an adult following acquired brain injury: Effect of environmental stimulation

In the present study, a naturalistic functional analysis procedure was used to assess the effect of environmental stimulation on the stereotypic behavior (body rocking) of an adult whose stereotypy appeared to be induced by an acquired brain injury. Environmental stimulation, operationalized in terms of both physical and social characteristics, resulted in only minimal changes in the occurrence of body rocking. Body rocking occurred in excess of 50% of the observations in all environmental stimulation conditions and in a naturally occurring baseline condition. To our knowledge, this is the first published report of a functional analysis of stereotypy associated with acquired brain injury.     

Case study: Examining the relationship between self-initiations of an individual with disabilities and directive behavior of staff persons in a residential setting

This case study examines the relationship between self-initiations of an adult woman with severe disabilities and the directive behavior of staff persons in a community residential setting. Hypotheses generated from functional assessment procedures indicated that (a) Susan's low self-initiations were very likely related to high directive behavior of staff persons, and (b) infrequent problem behaviors during the morning routine were maintained by escape from repeated staff demands. An intervention was implemented to enable Susan to increase self-initiation in choice and sequence of activities and simultaneously decrease staff directives. Results and discussion focus on the need for a contextual approach for addressing problematic situations and an affirmation of the effectiveness of the positive behavioral support technology for increasing adaptive behaviors in individuals with severe disabilities.     

Correlates of parent–child communication about specific sexual topics: A study of rural parents with school-aged children

Using data from 600 parents of children aged 5 to 18, and a context-oriented, developmental socialization conceptual framework, the interrelationships between parents' perceptions of themselves, their child, and their family relationships and the amount of parent–child discussion of 16 sexuality topics were explored. Canonical correlation analysis was used to demonstrate how circumstances and contexts influence the complexity of parent–child conversations for mother–daughter, mother–son, father–son, and father–daughter dyads. Results lend support to the conceptual framework used, as well as to previous studies of this topic area. The implications of these findings for parent–child relationships and for future research on parent–child communication about sexuality are discussed.     

Going beyond heart rate: autonomic space and cardiovascular assessment of mental workload

Psychophysiological assessment of pilot mental workload using heart rate should be augmented with an autonomic space model of cardiovascular function. This model proposes that autonomic nervous system influences on the heart may change with psychological processing in ways that are not evident in heart rate. A method of mental-workload assessment was proposed that used multiple psychophysiological measures of cardiovascular responsivity to derive the underlying sympathetic and parasympathetic information needed to represent the autonomic space for heart rate. Principal-components analysis was used to extract Sympathetic and Parasympathetic components from heart period, residual heart period. respiratory sinus arrhythmia, and Traube-Hering-Mayer wave in three experiments that manipulated perceptual/central processing and physical task demands. This initial evaluation of the method concluded that the autonomic components were valid and that the components had greater diagnosticity, and for some manipulations greater sensitivity, than heart rate. These results support the contention that the Sympathetic and Parasympathetic components provided increased precision for mental-workload assessment.