Family psychopathology: Cross training graduate marital and family therapy students in family assessment and psychiatric nosology

The structure of a course entitled Family Therapy with Major Psychopathology taught annually in the Mercer University Graduate Marriage and Family Therapy Program is presented. An epistemological presentation regarding the interface of psychiatric nosology and family systems assessment is discussed. Methods of diagnosing and assessing dysfunctional family systems are presented and training in individual psychiatric nosology is discussed, with particular attention given to family systems dysfunction as an etiological factor in the development of individual psychopathology. Learning techniques are discussed including lecture, discussion, case presentations, readings, and testing methods.     

Evolutionary psychology and rational-emotive theory: Time to open the floodgates

Main tenets, issues, and controversies for evolutionary psychology (EP), particularly its cognitive aspects, are introduced, clarified, and applied to the theory and philosophy of rational-emotive therapy (RET). Specifically, key concepts in EP are applied to Ellis' genetic postulate for cognitive demandingness and grandiosity, and are incorporated into Ruth's (1992) RET evolutionary proposal. The following issues are examined for demanding and grandiose thinking: nature (genetic) vs. nurture (learned), plasticity vs. unmodifiability, acquisition ease and modification-elimination difficulty, natural inseparability of cognition and emotion, natural inseparability of cognitive content and process, social selection pressures and the human psyche, competitive individualism vs. natural self-interest, evolutionary counter-balancing and false mutually exclusive dichotomies, epigenetic rules and Darwinian algorithms, current adaptions vs. ancestral remnants, child and adult adaption, Darwinism vs. Lamarckism, and ethical considerations.William J. Ruth, Ph.D., Staff Psychologist and Practicum Supervisor. School PsychologistPrivate Practice and Independent Research, Hartsdale, NY.     

Yogicchakra symbols: Mirrors of the human mind/heart

This paper describes the classical understanding of the system ofchakras, or centers of spiritual energy, in tantric yoga. Eachchakra is presented in terms of its traditional understanding. Each is also discussed in the light of contemporary psychological stage theories of development, showing that thechakras can be seen as a model of spiritual development. The preoccupations, concerns, and attitudes associated with eachchakra are portrayed as a mirror of the human mind/heart when spiritual energy is concentrated at that location.She is also founder and chair of the board of Resources for Ecumenical Spirituality.     

INCREASING CALORIE CONSUMPTION IN CHILDREN WITH CYSTIC FIBROSIS: REPLICATION WITH 2-YEAR FOLLOW-UP

Three mildly malnourished children with cystic fibrosis and their parents participated in a behavioral group-treatment program that focused on promoting and maintaining increased calorie consumption. Treatment included nutritional education, gradually increasing calorie goals, contingency management, and relaxation training, and was evaluated in a multiple baseline design across four meals. Children's calorie intake increased across meals, and total calorie intake was 32% to 60% above baseline at posttreatment. Increased calorie consumption was maintained at the 96-week follow-up (2 years posttreatment). The children's growth rates in weight and height were greater during the 2 years following treatment than the year prior to treatment. Increases in pace of eating and calories consumed per minute were also observed 1 year posttreatment. These findings replicated and extended earlier research supporting the efficacy of behavioral intervention in the treatment of malnutrition in children with cystic fibrosis.     

Conversational time patterns and mutual influence in parent-child interactions: A time series approach

Mutual influencing processes are assumed to be the basic building blocks in establishing parentchild bonding and in influencing cognitive and language behavior. A study by Jasnow and Feldstein (1986) revealed that, within the temporal domain of speech, preverbal (9-month-old) infants and their mothers exhibit a pattern of mutual influence (attunement) in their average durations of switching pauses. The general purpose of this research was to extend those findings to children with higher verbal functioning. In addition, parent and child genders, nature of the interaction, and specific aspects of parents' personalities, expressiveness, and instrumentality were considered. Each parent interacted with their 4-or 5-year-old son or daughter in each of two conversations—unstructured (social conversation) and structured (task activity). Conversations were processed by an automated computer system yielding objective measure of turns, vocalizations, pauses, and switching-pause durations. To examine interspeaker influence or attunement of temporal speech patterns, influence coefficients were computer for each speaker on a turn-by-turn basis using time series regression. Analysis of these coefficients revealed that: (1) Mutual influence is most evident with switching-pause duration. (2) Structure in the conversation (as defined by the task or parental instrumentality) seems to facilitate attunement for vocalization and switching pause duration. (3) Attunement with girls seems to occur equally well with both parents, while boys exhibit a style of temporal patterning influence which suggests greater identification with the father. (4) Expressiveness seems to facilitate attunement to the child's switching-pause duration.